EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0217211)
- Tax period
- 2010-09-26 to 2011-09-24
- Filed
- 2012-08-08
- IRS object ID
- 201242219349301079
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-08T12:33:18-07:00 | Timestamp |
| Tax Period End Date | 2011-09-24 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-09-26 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010217211 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INLAND HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INLA | NameControl |
| Phone | 2079737064 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 KENNEDY MEMORIAL DRIVE | AddressLine1 |
| City | WATERVILLE | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEAN BITHER | Name |
| Title | CFO | Title |
| Date Signed | 2012-08-08 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DEAN BITHER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 KENNEDY MEMORIAL DRIVE | AddressLine1 |
| City | WATERVILLE | City |
| State | ME | State |
| ZIP Code | 049014526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 123948389 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Group Exemption Number | 5247 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.inlandhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1945 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Inland Hospital operates a 48-bed non-profit hospital and outlying clinics in the Waterville area, that provides medical, surgical, and acute care to all, regardless of ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 659 | TotalNbrEmployees |
| Total Nbr Volunteers | 146 | TotalNbrVolunteers |
| Total Gross UBI | 250633 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -30502 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 878266 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 144730 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 107814396 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 119338160 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 363764 | InvestmentIncomePriorYear |
| Investment Income Current Year | 564341 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7106 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14279 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 109063532 | TotalRevenuePriorYear |
| Total Revenue Current Year | 120061510 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 37745363 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40719212 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 69568991 | OtherExpensePriorYear |
| Other Expenses Current Year | 76337650 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 107314354 | TotalExpensesPriorYear |
| Total Expenses Current Year | 117056862 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1749178 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3004648 | RevenuesLessExpensesCY |
| Total Assets BOY | 41708961 | TotalAssetsBOY |
| Total Assets EOY | 47673184 | TotalAssetsEOY |
| Total Liabilities BOY | 20637014 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23832917 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21071947 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23840267 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO CARE FOR AND SERVE OUR COMMUNITY BY PROVIDING HEALTHCARE SERVICES | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 102614629 | Expense |
| Revenue | 119709791 | Revenue |
| Description | Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,201,379 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,817Percent Occupancy of Available Beds 33%Emergency Room Visits 15,801Surgery Cases 1,869Services provided to those who could not pay $6,130,828Please see the following publication for details of community benefit projects by Inland Hospital along with other Eastern Maine Healthcare Systems entities. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2087697 | Expense |
| Description | Medicare shortfalls (at cost). 5,671 persons served. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1464341 | Expense |
| Description | Medicaid shortfalls (at cost). 9,341 persons served. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 1031738 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 107198405 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 131 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 659 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEFFREY A SANFORD | NamePerson |
| Telephone Number | 2079737894 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 WHITING HILL ROAD | AddressLine1 |
| City | BREWER | City |
| State | ME | State |
| ZIP Code | 04412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Highest Compensated EmployeeHighestCompensatedEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Individual Trustee Or DirectorIndividualTrusteeOrDirector | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| WILLIAM K BRADFIELD MD | ||||||||
| Physician | 40.00 | X | 379933 | 0 | 28611 | |||
| WALTER R BARRY | ||||||||
| VP Pat Care/CNO | 40.00 | 164703 | 0 | 22398 | X | |||
| VAUGHN M COLLETT MD | ||||||||
| Board Member | 40.00 | 229251 | 0 | 9662 | X | |||
| THOMAS DAVIS | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| SUZANNE UHL-MELANSON | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| SIMON A GIBBS | ||||||||
| Physician | 40.00 | X | 316489 | 0 | 32537 | |||
| ROSEMARY WINSLOW | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| MICHAEL PALUMBO DO | ||||||||
| VP-Med Affairs | 40.00 | 286342 | 0 | 27101 | X | |||
| MICHAEL F PHILLIPS JR ESQ | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| MARY M HOOD | ||||||||
| EMHS CEO | 0.50 | 0 | 687601 | 176301 | X | |||
| KEVIN M WHITE | ||||||||
| Physician | 40.00 | X | 437601 | 0 | 21927 | |||
| KATHY COREY | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| KAMLESH N BAJPAI | ||||||||
| Physician | 40.00 | X | 327990 | 0 | 22287 | |||
| JOHN M FORTIER | ||||||||
| Vice Chair | 0.50 | 0 | 0 | 0 | X | X | ||
| JOHN DALTON | ||||||||
| President & CEO | 40.00 | 247415 | 0 | 75078 | X | X | ||
| EE COMP IS FOR ADMIN SVCS | ||||||||
| NOT BRD RESPONS | 0.00 | 0 | 0 | 0 | X | |||
| DONALD PLOURDE | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| DIANE CORSON | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| DEAN BITHER | ||||||||
| VP of Fin/CFO | 40.00 | 176745 | 0 | 29569 | X | |||
| DAVID GLENN-LEWIN PhD | ||||||||
| Chair | 0.50 | 0 | 0 | 0 | X | X | ||
| DANIEL J BOOTH | ||||||||
| VPOO/CHRO | 40.00 | 168355 | 0 | 12187 | X | |||
| DANIEL B COFFEY | ||||||||
| Former Interim CEO | 0.00 | 0 | 2007050 | 46104 | X | |||
| CLARENCE BICKFORD JR | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| CHARLES R GAUNCE | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| CATHERINE KIMBALL DO | ||||||||
| Secretary | 0.50 | 0 | 0 | 0 | X | X | ||
| C PATRICK MICHAUD | ||||||||
| Treasurer | 0.50 | 0 | 0 | 0 | X | X | ||
| BRIAN GILLIS DO | ||||||||
| Board Member | 0.50 | 0 | 0 | 0 | X | |||
| ANTHONY L SINTETOS MD | ||||||||
| PHYSICIAN | 40.00 | X | 359282 | 0 | 25864 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3094106 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2694651 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 529626 | TotalOtherCompensation |
| Number Individuals GT100 K | 39 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| George Welch | |||||
| 60 Carroll St | Falmouth | ME | 04105 | Physician Services | 488937 |
| Vista Staffing Solutions | |||||
| File 50834 | Los Angeles | CA | 90074 | Physician Services | 517019 |
| Nurse Anesthesia of Maine | |||||
| 141 North Main St | Brewer | ME | 04412 | Professional CRNAs | 579166 |
| NEHE MRI LLC | |||||
| PO Box 6600 | Newport Beach | CA | 92658 | Service Contract | 545600 |
| American Healthcare Services | |||||
| PO Box 945 | Traverse City | MI | 49685 | Professional RNs | 283028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| Related Organizations | 65928 | RelatedOrganizations |
| Government Grants | 6000 | GovernmentGrants |
| All Other Contributions | 72802 | AllOtherContributions |
| Noncash Contributions | 9424 | NoncashContributions |
| Total Contributions | 144730 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | 119135041 | 118884408 | 250633 |
| LIFELINE REVENUE | 621610 | 50789 | 50789 | |
| EDUCATION REVENUE | 611710 | 21368 | 21368 | |
| CAFETERIA | 722210 | 130962 | 130962 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 119338160 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 196325 | TotalRevenueColumn |
| Exclusion | $196,325 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3615 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3615 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3615 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3615 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4223183 | Securities |
| Other | 219 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3809452 | Securities |
| Other | 45934 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 413731 | Securities |
| Other | -45715 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 368016 | TotalRevenueColumn |
| Related Or Exempt Function Income | 368016 | RelatedOrExemptFunctionIncome |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 41990 | GrossSalesOfInventory |
| Cost Of Goods Sold | 31493 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10497 | TotalRevenueColumn |
| Exclusion | $10,497 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| ROOM DONATION | 900099 | 20 | $20 |
| CLASS ACTION SETTLEMENT | 900099 | 147 | $147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 167 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 120061510 | TotalRevenueColumn |
| Related Or Exempt Function Income | 119459158 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 250633 | UnrelatedBusinessRevenue |
| Exclusion | $206,989 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1448806 | Total |
| Program Services | 739457 | ProgramServices |
| Management And General | 709349 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33219251 | Total |
| Program Services | 29487638 | ProgramServices |
| Management And General | 3731613 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 680497 | Total |
| Program Services | 535219 | ProgramServices |
| Management And General | 145278 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3303315 | Total |
| Program Services | 2956717 | ProgramServices |
| Management And General | 346598 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2067343 | Total |
| Program Services | 1791980 | ProgramServices |
| Management And General | 275363 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54630 | Total |
| Management And General | 54630 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11585 | Total |
| Management And General | 11585 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33343 | Total |
| Program Services | 29675 | ProgramServices |
| Management And General | 3668 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6229082 | Total |
| Program Services | 4349250 | ProgramServices |
| Management And General | 1879832 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271036 | Total |
| Program Services | 6225 | ProgramServices |
| Management And General | 264811 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7809106 | Total |
| Program Services | 7204734 | ProgramServices |
| Management And General | 604372 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 723600 | Total |
| Program Services | 358441 | ProgramServices |
| Management And General | 365159 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2023017 | Total |
| Program Services | 1801416 | ProgramServices |
| Management And General | 221601 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90483 | Total |
| Program Services | 51364 | ProgramServices |
| Management And General | 39119 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196423 | Total |
| Program Services | 111743 | ProgramServices |
| Management And General | 84680 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474787 | Total |
| Program Services | 422561 | ProgramServices |
| Management And General | 52226 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2320815 | Total |
| Program Services | 2068173 | ProgramServices |
| Management And General | 252642 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 905225 | Total |
| Program Services | 847275 | ProgramServices |
| Management And General | 57950 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Taxes and Licensing | 1228897 | 1184391 | 44506 |
| Repairs & Maintenance | 1063648 | 946647 | 117001 |
| Provision for uncollectible ac | 4184208 | 4184208 | |
| Contractual Allowances | 46061074 | 46061074 | |
| Charity Care | 1956443 | 1956443 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 700248 | Total |
| Program Services | 103774 | ProgramServices |
| Management And General | 596474 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117056862 | Total |
| Program Services | 107198405 | ProgramServices |
| Management And General | 9858457 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15863 | BOY |
| EOY | 16089 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236935 | BOY |
| EOY | 1668704 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 8140 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14065060 | BOY |
| EOY | 16306172 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 21204 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 596213 | BOY |
| EOY | 706620 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 624275 | BOY |
| EOY | 702084 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439268 | BOY |
| EOY | 1288173 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 36117142 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 18595946 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15777023 | BOY |
| EOY | 17521196 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24299 | BOY |
| EOY | 12311 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9930025 | BOY |
| EOY | 9422491 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41708961 | BOY |
| EOY | 47673184 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9992838 | BOY |
| EOY | 10612906 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5417886 | BOY |
| EOY | 4847183 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3405274 | BOY |
| EOY | 6161933 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1821016 | BOY |
| EOY | 2210895 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20637014 | BOY |
| EOY | 23832917 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20188119 | BOY |
| EOY | 22880411 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 350218 | BOY |
| EOY | 356500 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 533610 | BOY |
| EOY | 603356 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21071947 | BOY |
| EOY | 23840267 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41708961 | BOY |
| EOY | 47673184 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3004648 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -236328 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $8,121 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 8121 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i | Identifier |
| Return Reference | Part II-B, Line 1i - Other Activities Description | ReturnReference |
| Explanation | Non-deductible portion of dues | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 147236 | BeginningOfYearBalance |
| Contributions | 89440 | Contributions |
| Investment Earnings Or Losses | -7087 | InvestmentEarningsOrLosses |
| Other Expenditures | 3517 | OtherExpenditures |
| End Of Year Balance | 226072 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 133788 | Contributions |
| Investment Earnings Or Losses | 13448 | InvestmentEarningsOrLosses |
| End Of Year Balance | 147236 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.22000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.78000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 83162 | OtherCostOrOtherBasis |
| Book Value | 83162 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16204893 | OtherCostOrOtherBasis |
| Depreciation | 8618370 | Depreciation |
| Book Value | 7586523 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1535418 | OtherCostOrOtherBasis |
| Depreciation | 87641 | Depreciation |
| Book Value | 1447777 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15800325 | OtherCostOrOtherBasis |
| Depreciation | 9484568 | Depreciation |
| Book Value | 6315757 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2493344 | OtherCostOrOtherBasis |
| Depreciation | 405367 | Depreciation |
| Book Value | 2087977 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17521196 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (8 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Temporarily Donor Restricted Funds | 176890 |
| Self Insurance and Other Funds | 1475845 |
| Permanently Donor Restricted Funds | 5000 |
| Interest in net assets held at HC | 355910 |
| Board Designated Other | 1270480 |
| Board Designated Funded Depreciation | 5483940 |
| Beneficial Interest in Perpetual Trusts | 422056 |
| Assets Held Under Trust Indenture | 232370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9422491 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Reserve for Asset Disposal Costs | $98,461 |
| Liability Under Cap Lease Obligation | $520,454 |
| Deferred Compensation | $1,591,980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2210895 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Change in interest in net assets held @ HC $98303 Transfer from exempt subsidiary-Healthcare Charities $402 $0 Contribution to Strategic Planning Pool per Affiliation Agre $ -60263 |
| 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 754 | PersonsServed |
| Total Community Benefit Expense | 1031738 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1031738 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9341 | PersonsServed |
| Total Community Benefit Expense | 12907691 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11443350 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1464341 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02260 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 488440 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 488440 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10095 | PersonsServed |
| Total Community Benefit Expense | 14427869 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11443350 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2984519 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04600 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 10 | NumberOfActivitiesOrPrograms |
| Persons Served | 14956 | PersonsServed |
| Total Community Benefit Expense | 280327 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 274840 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 8140 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8140 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 36245 | PersonsServed |
| Total Community Benefit Expense | 10020 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10020 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 51201 | PersonsServed |
| Total Community Benefit Expense | 298487 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 293000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 61296 | PersonsServed |
| Total Community Benefit Expense | 14726356 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11448837 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3277519 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05050 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 500 | PersonsServed |
| Total Community Building Expense | 2149 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1250 | DirectOffsettingRevenue |
| Net Community Building Expense | 899 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 20092 | PersonsServed |
| Total Community Building Expense | 71986 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 71986 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 5268 | PersonsServed |
| Total Community Building Expense | 4530 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4530 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 25860 | PersonsServed |
| Total Community Building Expense | 78665 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1250 | DirectOffsettingRevenue |
| Net Community Building Expense | 77415 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,201,379 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 17472998 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19560695 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2087697 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 0 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Inland Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Kennedy Memorial Drive | AddressLine1 |
| City | Waterville | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Inland Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | false | AllNeedsAddressed |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200.0000 | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | true | CollectionActivities |
| Other Actions | X | OtherActions |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 20 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (20 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Inland Family Practice Assoc | ||||
| 80 Waterville Commons Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Orthopedics | ||||
| 325D Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Medical Associates | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| New Horizons Family Medicine Associates | ||||
| 10 Washington Street | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Medical Associates | ||||
| 246 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Medical Associates | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Waterville Surgical Associates | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| New Horizons Osteopathic | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Medical Associates | ||||
| 174 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Medical Associates | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| New Horizons Fairfield | ||||
| 121 Main Street | Fairfield | ME | 04937 | Medical Office Building - Physician Service |
| Inland Womens Healthcare | ||||
| 395E Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| NH Healthcare-Dr Keniston-Dubocq | ||||
| 264 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Heart First Cardiology Assoc | ||||
| 244 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Inland Womens Healthcare | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| New Horizons Waterville | ||||
| 180 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| New Horizons North Anson RHC | ||||
| 167 Main Street | North Anson | ME | 04958 | Medical Office Building - Physician Service |
| Inland Family Care | ||||
| 74 Water Street | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| New Horizons Unity RHC | ||||
| 80 Main Street | Unity | ME | 04988 | Medical Office Building - Physician Service |
| New Horizons Madison RHC | ||||
| 344 Lakewood Road | Skowhegan | ME | 04976 | Medical Office Building - Physician Service |
Form990 Schedule H Part VI Form990ScheduleHPartVI (26 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part V - Explanation of Number of Facility Type | N/A | |
| Part VI - States Where Community Benefit Report Filed | ME | |
| Part VI - Affilated Health Care System Roles and Promotion | Inland has been a proud member of EMHS (Eastern Maine Healthcare Systems) since 1998. EMHS is a system of hospitals, physician's practices, extended care facilities, clinics, home health experts and other healthcare services made up of 8000 dedicated professionals in central, northern and eastern Maine. This integrated relationship benefits our community by bringing specialty services to Inland and connecting patients to advanced care when needed at Eastern Maine Medical Center, our system's tertiary hospital in Bangor. In addition, membership in EMHS offers Inland improved efficiencies through access to resources, best practices, quality initiatives, and purchasing power. | |
| Part VI - Explanation Of How Organization Furthers Its Exempt Purpose | At Inland we strive to live up to our non-profit mission every day by caring for community members who otherwise would have limited access to quality healthcare. Besides providing charity care and financial assistance, we believe we can also affect the health of the communities we serve beyond care inside our hospital. We agree with the World Health Organization which states, Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. We have a vision to be a responsible corporate citizen whose actions can impact our communitys overall well-being through commitments to:improving access to primary care, especially for the medically underserved/needysupporting, providing and advocating for health education and promotion, and disease prevention especially for identified chronic conditions (such as diabetes and heart disease); malnutrition and obesity; and pneumonia care.collaborating with and supporting other organizations that share missions parallel to ours and are pursuing quality of life (community-building, economic, educational, civic, cultural) or healthy community initiatives.Inland created a Community Benefit program in 2007 with these main goals in mind:Serve documented community needs and deliver measurable results that will improve health and wellness;Demonstrate our commitment to charitable endeavors and community support through responsible stewardship of hospital resources;Provide a systematic approach to philanthropy and community health improvement; to link our charitable giving and partnerships with community needs and our mission of service;Document our benefit to the community and to be accountable to the public we serve.We dedicate $50,000 annually for Community Benefit projects in our community. From support of a school nutrition education program to combat obesity, to events that promote physical activity or contributing to the local Opera House and colleges - our Community Benefit Program contributes to improving the health and wellness of our community in many ways. We accept applications from the community to fund community-building initiatives that can be health & wellness related, educational, cultural, economic and beyond. Our Community Benefit Program Advisory Group oversees the community applications process. The group is a multi-disciplinary team of clinical and administrative professionals from the hospital, and community members, including hospital trustees and volunteers. It provides guidance, reviews requests for donations/support, makes recommendations to Inlands Administrative Staff and Board of Trustees, and evaluates the effectiveness of our Community Benefit Program.Inland Hospital Healthcare Charities helps by raising funds for everything from capital expansion projects to residential activities to help offset normal operating expenses.Inland Hospital invites men, women, and young adults to volunteer their time to further the hospital's mission. Volunteers can work several hours per week or just a few hours a month, whatever fits their available time. Some volunteers work in areas with direct contact with patients and families; others are involved in "behind the scenes" activities which enhance the care provided by the hospital. | |
| Part VI - Community Building Activities | Inland Hospital gets involved and gives back to improve quality of life in Greater Waterville its how we help fulfill our community service mission to care for and serve our community. Whether its sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, or supporting a cultural or economic development effort, Inland is proud to support and collaborate with groups that foster health and well-being. In addition, we offer regular free public health screenings, professional and community education, and other events such as blood drives, and health fairs. An example of one of our most popular health outreach activities is Inlands World of Womens Wellness, the hospitals annual health fair for women. In 2011, 500 women attended and 2100+ free health screenings were conducted - a 40% increase over the number of screenings from last years event.In 2010, we developed the Inland Woods Trail on the hospital campus to create a lasting way to impact health. The trails are used regularly by the community for walking, biking, and skiing. | |
| Part VI - Community Information | Inland Hospital is a not-for-profit, community hospital located in Waterville, Maine with a mission to care for and serve our community. We serve 65,000 residents of Kennebec County and Somerset County. We are a 48-bed medical-surgical facility, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 18 primary and specialty care physician practices in Waterville and surrounding communities (N.Anson, Fairfield, Unity, Oakland, Madison). We also offer our community a walk-in health clinic at the Waterville Walmarta convenient option for non-urgent, basic healthcare needs for patients ages 18 months and older. In addition, we established a weekend care clinic for our primary care patients.According to the Poverty in Maine 2010 report, Kennebec Countys 2008 median household income ($43,913) was slightly lower than the states ($46,419) and represents a 3% difference above the 200% poverty level for a four-person household. The proportion of school-age children eligible for free or reduced lunch in FY200910 in Kennebec County (42.9%) was about the same as the state average (43%). The unemployment rate in Kennebec County in 2009 (7.6%) was slightly lower than the state average (8.2%). (Poverty in Maine 2010, Maine Community Action AssociationMargaret Chase Smith Policy Center, 2010.) | |
| Part VI - Patient Education of Eligibility for Assistance | It is the policy of Inland Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. Under this program, medically necessary services will be provided to Maine residents at no cost. If a patient does not qualify for free hospital care, he or she is entitled to ask for a fair hearing. At Inland Hospital, Patient Account Representatives are available to assist and answer any questions our patients may have regarding free care. Additional interactive strategies are in places that include billing statements that have free care information added for the patient's convenience, providing all uninsured patients with free care packets at point of registration. When a patient states that they are under-insured free care information is provided. For any other patient requests we receive (via emails and phone calls) packets are mailed. All patient accessible areas, such as hospital waiting areas, contain information to direct patients on how to receive financial assistance. Additionally, Inland Hospital provides online resources and tools to assist our patients with the necessary information regarding charity/free care via www.inlandhospital.org. | |
| Part VI - Needs Assessment | In 2010, One Maine Health, a collaborative of EMHS, MaineHealth, and Maine General, commissioned the University of New Englands Center for Health Planning and Policy Research and the Muskie School at the University of Southern Maine to conduct a state-wide Community Health Needs Assessment. The study was conducted to identify the most important health issues in the state and by county, using a scientific method to validate health indicators and to compare results. The assessment identifies priority health issues, which will be best addressed by health providers working collaboratively.Dozens of health and social services professionals, business and government leaders, and concerned citizens gathered in Waterville on August 30, 2010 for a community forum to learn about the priority health issues in Kennebec and Somerset Counties and steps needed to effectively address them. The Community Relations Department conducts a comprehensive review of current programs and projects, as well as prospective projects for consideration as community benefit initiatives. Inland is committed to utilizing evidence-based health and wellness strategies, many of which are outlined in the Center for Disease Controls Report on Community Health Education and Prevention. | |
| Part V, Line 19d - Other Billing Determination of Individuals Without Insurance | Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 17e - Other Actions Took Before Any Collection Actions | Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged | Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 15e - Other Collection Actions Against a Patient | Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 13g - Other Means Hospital Facility Publicized the Policy | Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients | Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 7 - Explanation of Needs Not Addressed and Reasons Why | Because Inland Hospital has a limited budget and resources, we realize we cannot effectively focus on every health issue raised in the CHNA, and there is no need to duplicate certain services in a community our size. The key areas we have identified that we will not focus on include:-Substance abuse - Because the other hospital and service agencies in our community provide adequate services, our focus will be limited to continued work to enforce our controlled substance prescribing policy, participating in community events that promote proper prescription drug disposal, and work within our health system to establish a multi-disciplinary pain clinic.-Cancer care - Because the other hospital in our community provides adequate services.Part V, Section B, Financial Assistance PolicyLines 8 through 21Part V, Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank and is automatically answering the questions no. | Number of Hospital Faciltiy - 0 |
| Part V, Line 6i - Describe Other Needs Identified | 6a) ADOPTON OF IMPLEMENTATION STRATEGY:As part of its response to the 2010 CHNA (released in August 2011), Inland formed a Community Health Plan Task Force to further analyze the CHNA and local needs, research local data, health plans and recommended strategies, inventory current initiatives and service gaps and then create Inland's implementation strategy for a three-year Community Health Plan. The Task Force is currently developing the plan and is aiming to adopt it by April 30, 2012. 6b) EXECUTION OF IMPLEMENTATION STRATEGY:Execution of our implementation strategy will occur after the plan adoption. However, based on results from the previous CHNA (2007), we have continued to work on efforts that will impact access to care, cardiovascular health, diabetes, and childhood obesity. Several of our current initiatives include:-Adding more primary care providers to our community, providing a Weekend Care Clinic to help our primary care patients avoid costly Emergency Department visits for non-emergent care, and enhancing our walk-in care clinic at Walmart to offer convenient access to preventive services, such as cholesterol and glucose testing.-Integrating mental health services into the primary care offices through a partnership with Kennebec Behavioral Health (KBH). Inland was awarded a Community Partner award by KBH for our efforts in 2011.-Implementing "Let's Go! 5210", a childhood obesity prevention program in all our primary care practices that see pediatric patients, and in local schools with grants from our Community Benefit Program.-Adding a "Care Management" model of care in our family practices - initially focused on Medicare patients with chronic disease. Better care coordination across all continuums of care and a strengthened partnership with the patient is expected to improve the health of patients with chronic disease, (ie helping them avoid Emergency Department visits and other costly healthcare options, as well as connecting them to valuable community resources for support.)-Implementing a controlled substance prescribing policy in our physician practices.-Developing trails on the hospital campus for the community to access for four-season physical activity.Specific, new implementation strategies based on the 2011 CHNA for our Community Health Plan and outreach efforts have not been established as of February 2012 while Inland's Community Health Plan Task Force works to choose priorities and opportunities that allow us to make a strategic, lasting impact on community health. SEE SCHEDULE O FOR CONTINUATION OF RESPONSES.PART V, SECTION B, FINANCIAL ASSISTANCE POLICYLines 8 through 21Part V Section B is optional for tax year 2011. Inland Hospital has elected to not complete lines 8 through 21. The software will not allow Inland Hospital to leave these responses blank. | Number of Hospital Faciltiy - 0 |
| Part V, Line 5c - Description of Making Needs Assessment Widely Available | In conjunction with EMHS, Inland Hospital and OneMaine Health Collaborative partners hosted a Community Forum in Waterville in August 2011 to present an overview of local CHNA results and recommendations. Invitees included:Other area hospitals; Physician leaders; Federally Qualified Health Centers; Healthy Maine Partnerships; District Liaisons linked to Maine CDC; Home Health and Long Term Care leaders; Social Service AgenciesLeaders of the tribal communities; Business leaders; Legislative leaders; Representatives of the State administrationAttendees were provided an executive summary of the CHNA as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff (who were members of the assessment development steering committee.) They provided selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.After the Forum, the entire statewide CHNA (both narrative and data sets) were posted to the EMHS website (www.emh.org). The CHNA and county specific data were also posted on the Inland Hospital website (www.inlandhospital.org). After the Community Forums, Power Point presentations used at the Forums as well as input collected in the breakout sessions were also posted on the EMHS website. Forum participants were encouraged to go online to review the CHNA in detail, and access the data for local planning. Instructions on the EMHS website assist viewers to download and /or print sections of the report. Individuals without computer or printer access were provided a phone number to request a printed assessment. Media releases were also sent to local news outlets in combination with the forums encouraging new articles on the forum and inviting all members of the public to view the report online.Inland also shared the CHNA results with our key community collaborators who were not in attendance at the Community Forum (see Section 6c). | Number of Hospital Faciltiy - 0 |
| Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment | Our community health needs assessment (CHNA) was developed by a statewide collaborative called the OneMaine Health Collaborative which includes the state's three largest health systems: EMHS (Inland's parent organization) in central, eastern and northern Maine, MaineGeneral Health in central Maine and Maine Health in southern Maine. | Number of Hospital Faciltiy - 0 |
| Part V, Line 3 - Account Input from Person Who Represent the Community | On a statewide basis, the research consultants developing the CHNA created an advisory committee that met two times during the CHNA research and drafting of the tool. These individuals represented a broad spectrum of backgrounds:Carol Bell, Healthy Maine Partnership DirectorKelly Bentley, Healthy Maine Partnership DirectorGail Dana-Sacco, Wabanaki Center (serving tribal populations)Patricia Hart, Maine Development FoundationBarbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine)Becca Matusovich, Maine Center for Disease ControlLisa Miller, Bingham Foundation (philanthropic foundation)Dora Ann Mills, MD, Maine Center for Disease ControlElizabeth Mitchell, Maine Health Management Coalition (representing the 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, NAACPTed Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and WelfareOthers who contributed to the development of the CHNA tool included:Maine Health Access Foundation - Wendy Wolf, MD, President and Barbara Leonard, MPH, Vice PresidentPublic Health Infrastructure: Shawn Yardley, City of Bangor, Department of Health and WelfareRural populations: State CDC and rural Healthy Maine Partnership representatives - Dora Mills, MD, and Carol BellNative American: Wabanaki Center - Gail Dana-SaccoLocally, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5). | Number of Hospital Faciltiy - 0 |
| Part V, Line 1j - Description of Other Needs Assessment | 1a) DEFINITION OF COMMUNITY SERVED:Inland Hospital in Waterville, Maine primarily serves approximately 74,000 residents in parts of Kennebec and Somerset counties. 1b) COMMUNITY DEMOGRAPHICS:According to the Maine State Planning Office, the population for the Waterville Hospital Service Area in 2010 was 74,869, with 15.2% over the age of 65, compared to the national percentage of 12.9%. Median annual household income in Kennebec County is $46,231 and $36,211 in Somerset County. The unemployment rate for the Waterville Labor Area (7.2% in December 2011) was above the state rate of 7.0%. Somerset County reports a high number of adults over age 25 without a high school diploma at 19% compared to Kennebec County and the state rates, both at 15%.Of those surveyed for our most recent Community Health Needs Assessment (known as CHNA) in 2010, 15% in Kennebec County and 17% in Somerset County classified their health status as fair to poor. A higher percentage of our local population suffers from three or more chronic conditions (15%) compared to the rest of the state (13%). Prevalence of adult obesity is higher in Kennebec County (31%) than in Somerset and the state overall (both 28%) and related chronic diseases such as diabetes are higher than state averages and many other counties. Additionally, the diabetes mortality rate in this area (Maine CDC's Central District) is significantly higher (31-33 per 100,000 population) than in the state overall (26 per 100,000). Emergency department visits per 100,000 population in Somerset County were very high (78,252) compared to Kennebec (54,082) and the state rate of 47,665.1c) HEALTH FACILITIES AND RESOURCES AVAILABLE TO MEET HEALTH NEEDS:Eastern Maine Medical Center, Family Violence Project, Greater Waterville Communities for Children & Youth, Healthy Northern Kennebec (our local Healthy Maine Partnership), Inland Hospital/EMHS, Kennebec Behavioral Health, Kennebec Valley Community Action Program (KVCAP), Kennebec Valley Dental Coalition, Maine CDC, MaineGeneral Health, Mid-Maine Homeless Shelter, Spectrum Generations, United Way of Mid-Maine.1d) HOW DATA WAS OBTAINED:EMHS, the parent organization of Inland Hospital, routinely conducts a CHNA across the service area of all of its member hospitals. The most recent CHNA conducted in 2010 was commissioned by the OneMaine Health Collaborative (which includes EMHS, MaineGeneral Health and Maine Health) and published in 2011. The CHNA was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maine's Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the CHNA integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (Emergency department usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.1e & 1f) HEALTH NEEDS OF THE COMMUNITY FROM THE 2011 CHNA:CHNA Key Findings for Kennebec and Somerset Counties Included: -Emergency Department use rates are higher than the state and hospitalization rates for many conditions are declining.-Incidence of both obesity and tobacco related diseases are increasing - Diabetes, Heart Disease, Lung Diseases and Cancers.-Prescription drug addiction is an epidemic impacting infants, young families and the community at large.-Admissions rates for mental health and substance abuse disorders continue to be high.-Both Kennebec and Somerset have high rates of mental health disorders.SEE SCHEDULE O FOR CONTINUATION OF RESPONSES. | Number of Hospital Faciltiy - 0 |
| Part III, Line 9b - Provisions On Collection Practices For Qualified Patients | Schedule H, Part III, Section C, line 9aEastern Maine Healthcare Systems (EMHS) has had a written billing and collections policy since September 2010. The policy applies to Inland Hospital, a related organization of EMHS.All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Inland Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. | |
| Part III, Line 8 - Explanation Of Shortfall As Community Benefit | Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. | |
| Part III, Line 4 - Bad Debt Expense | Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio. | |
| Part I, Line 7, Column F - Explanation of Bad Debt Expense | $4,184,208 of bad debt expense, $1,956,443 of charity care, $46,061,074 of contractual allowances is included on Form 990, Part IX, line 25, column (A). | |
| Part I, Line 7 - Explanation of Costing Methodology | Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculations | |
| Part I, Line 6a - Related Organization Community Benefit Report | The Inland Hospital community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM K BRADFIELD MD | ||||||||||||
| 353517 | 4997 | 21419 | 28611 | 408544 | ||||||||
| WALTER R BARRY | ||||||||||||
| 155906 | 8797 | 19109 | 187101 | 3289 | ||||||||
| VAUGHN M COLLETT MD | ||||||||||||
| 187811 | 35016 | 6424 | 8451 | 238913 | 1211 | |||||||
| SIMON A GIBBS | ||||||||||||
| 266344 | 47603 | 2542 | 27637 | 349026 | 4900 | |||||||
| MICHAEL PALUMBO DO | ||||||||||||
| 267196 | 19146 | 22631 | 313443 | 4470 | ||||||||
| MARY M HOOD | ||||||||||||
| 601376 | 74181 | 12044 | 159332 | 16969 | 863902 | |||||||
| KEVIN M WHITE | ||||||||||||
| 382969 | 33281 | 21351 | 17027 | 459528 | 4900 | |||||||
| KAMLESH N BAJPAI | ||||||||||||
| 168991 | 138892 | 20107 | 22287 | 350277 | ||||||||
| JOHN DALTON | ||||||||||||
| 227735 | 19680 | 14910 | 322493 | 60168 | ||||||||
| DEAN BITHER | ||||||||||||
| 166301 | 10444 | 26024 | 206314 | 3545 | ||||||||
| DANIEL J BOOTH | ||||||||||||
| 149083 | 19272 | 11363 | 180542 | 824 | ||||||||
| DANIEL B COFFEY | ||||||||||||
| 356359 | 35707 | 1614984 | 29400 | 16704 | 2053154 | 1593659 | ||||||
| ANTHONY L SINTETOS MD | ||||||||||||
| 348555 | 10727 | 25864 | 385146 | |||||||||
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Maine Health and Higher Educational Facilities Authority | |||||||
| 010314384 | 560425V80 | 2007-11-01 | 3263464 | ED Expansion & Purchase Prac | false | false | true |
| Maine Health and Higher Educational Facilities Authority | |||||||
| 010314384 | 560425YF1 | 2006-02-02 | 1467531 | Medical Lab & OB Renovations | false | false | true |
| Maine Health and Higher Educational Facilities Authority | |||||||
| 010314384 | 560425TL4 | 2004-05-01 | 4539667 | To refund the 1993D Bond | false | false | true |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 3263464 | 206349 | 62525 | 4457 | 2990033 | 2008 | false | false | true | true | ||
| 1467531 | 102480 | 46325 | 1293613 | 2006 | false | false | true | true | 25113 | ||
| 5300310 | 589019 | 58557 | 344 | 1993 | false | true | true | true | 4652390 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|
| false | false | false | false | false | true | ||
| false | false | false | false | false | true | 0.01000 | 0.01000 |
| false | false | false | false | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| NA | ||||||||
| false | false | false | true | FSA CAP MGMT- RESERVE FUND TRANSAMERICA- CONST FUND | 30.0000 | true | false | false |
| NA | ||||||||
| true | false | false | true | FSA CAP MGMT- RESERVE FUND TRANSAMERICA-CONST FUND | 29.0000 | true | false | false |
| NA | ||||||||
| true | false | false | true | FSA CAP MGMT | 21.0000 | true | false | false |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WILLIAM K BRADFIELD MD | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $80,000 | OriginalPrincipalAmount |
| Balance Due | 44775 | BalanceDue |
| Default | false | Default |
| Approved By Board | false | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 44775 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Susan Palumbo | |||
| spouse of director | 46013 | compensation | false |
| John D Dalton | |||
| officer=director | 264195 | Eastern ME Workers Comp Tr | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Schedule H, Part V, Section B, Facility Policies and Practices | COMMUNITY HEALTH NEEDS ASSESSMENT:6c & 6d) PARTICIPATION IN DEVELOPMENT and EXECUTION OF COMMUNITY-WIDE COMMUNITY BENEFIT PLAN: Five years ago, Inland established a Community Benefit Program which contributes funds and provides volunteers for local health, economic, education, transportation and other community-building initiatives. Inland's Community Benefit Advisory Group is made up of hospital clinicians and trustees, community volunteers, and wellness staff. In 2011, Inland contributed more than $90,000 through our Community Benefit program to local organizations to improve the overall health of the Greater Waterville area. The Community Benefit Advisory Group will be consulted as part of our Community Health Plan process. In addition, in 2011 more than 100 Inland staff members volunteered time to serve on more than 25 local boards, work groups and committees that are working to improve health and overall quality of life in our community.As Inland finalizes its Community Health Plan in 2012, we will continue to collaborate with these key community organizations: Alfond Youth Center, Family Violence Project, Friends of Quarry Road, Greater Waterville Communities for Children & Youth, Healthy Northern Kennebec (our local Healthy Maine Partnership, "Kennebec Behavioral Health, Kennebec Messalonskee Trails, Kennebec Valley Community Action Program (KVCAP, Kennebec Valley Dental Coalition, Kiwanis Club, Local schools and colleges in Waterville and the other surrounding communities we serve, Maine CDC, MaineGeneral Health, Mid-Maine Homeless Shelter, Move More, Rotary Club of Waterville, Spectrum Generations, United Way of Mid-Maine, Waterville Parks & Recreation.6e) INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS:Inland's operations are built and managed around six Pillars of Excellence, one being "Community", so Community Health is an integral part of our day-to-day work. We include funding each year in our Community Relations department budget to provide free health screenings, health fairs, wellness talks and educational activities such as healthy cooking classes and exercise programs. In addition, we fund a full-time Community Wellness Coordinator on staff.Besides our community wellness/outreach efforts, five years ago we established a Community Benefit Program that contributes funds and provides Inland volunteers for local health, educational, economic, transportation and other community-building efforts. Our Strategic Plan notes several key strategies regarding Community Health including:-Utilize the 2011 Community Health Needs Assessment (CHNA) to identify, prioritize and implement Inland's health improvement initiatives.-Continue to invest in local health initiatives and community building activities through our Community Benefit grant program.In addition, Inland is committed to offer free care and financial assistance programs to those in need. We promote our programs at patient registration, in the emergency department, in waiting areas, in patient bills, and on our website.6f) ADOPTION OF A BUDGET FOR PROVISION OF SERVICES:Community Health efforts are funded through the Community Relations annual budget. | |
| Schedule H, Part V, Section B, Facility Policies and Practices | Community Health Needs Assessment1e & 1f) HEALTH NEEDS OF THE COMMUNITY FROM THE 2010 CHNA continued:Priority Health Issues Included:-Access to Healthcare (Emergency Department utilization)-Primary Care Quality and Effectiveness (Ambulatory Care sensitive admissions)-Behavioral Risk Factors - Cardiovascular Health (smoking, obesity, sedentary life style)-Medical Risk Factors - Cardiovascular Health (high blood pressure, cholesterol)-Respiratory Health (smoking, asthma, COPD)-Diabetes (prevalence and care management)-Cancer Health (incidence, mortality, especially lung)-Mental Health (risk, incidence, co-morbidity)-Substance Abuse (alcohol, illicit and non-prescription drugs)-Youth Health/Risk Behaviors (depression, obesity, alcohol)-Oral Health (low ratio of providers to population)1g) PROCESS FOR IDENTIFYING & PRIORITIZING HEALTH NEEDS AND SERVICES:In conjunction with EMHS, Inland Hospital and OneMaine Health Collaborative partners hosted a Community Forum in Waterville in August 2011 to present an overview of local CHNA results and recommendations. Invitees included: Other area hospitals, Federally Qualified Health Centers, Physician leaders, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies, Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administration.Attendees were provided an executive summary of the CHNA as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff (who were members of the assessment development steering committee.) They provided selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.As part of its response to the 2010 CHNA (released in our area in August 2011), Inland formed a Community Health Plan Task Force to further analyze the CHNA and local needs, research local data, health plans and recommended strategies, inventory current initiatives and service gaps and then create Inland's Implementation Strategy for a three-year Community Health Plan. The Task Force is currently developing the plan and is aiming to adopt it by April 30, 2012.1h) PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S NEEDS:After the formal presentation of the CHNA results at the August 2011 Community Forum in Waterville, attendees were invited to participate in one of four key issues-breakout sessions: Access, Quality and Effectiveness, Chronic Disease, Mental Health and Substance Abuse, Prevention, Obesity. Besides sharing results at the Community Forum, Inland also provided the CHNA results with our key community collaborators who we will continue to work with on current initiatives and future opportunities: Alfond Youth Center, Family Violence Project, Friends of Quarry Road, Greater Waterville Communities for Children & Youth, Healthy Northern Kennebec (our local Healthy Maine Partnership), Kennebec Behavioral Health, Kennebec Messalonskee Trails, Kennebec Valley Community Action Program (KVCAP), Kennebec Valley Dental Coalition, Kennebec Valley Dental Coalition, Kiwanis Club, Local schools and colleges, Maine CDC, Mid-Maine Homeless Shelter, Move More, Rotary of Waterville, Spectrum Generations, United Way of Mid-Maine, Waterville Parks & Recreation. | |
| Schedule H, Part V, Section B, Facility Policies and Practices | 6g) PRIORITIZATION OF HEALTH NEEDS: Priority Health Issues Identified in the 2011 CHNA:-Access to Healthcare (Emergency Department utilization)-Primary Care Quality and Effectiveness (Ambulatory Care sensitive admissions)-Behavioral Risk Factors - Cardiovascular Health (smoking, obesity, sedentary life style)-Medical Risk Factors - Cardiovascular Health (high blood pressure, cholesterol)-Respiratory Health (smoking, asthma, COPD)-Diabetes (prevalence and care management)-Cancer Health (incidence, mortality, especially lung)-Mental Health (risk, incidence, co-morbidity)-Substance Abuse (alcohol, illicit and non-prescription drugs)-Youth Health / Risk Behaviors (depression, obesity, alcohol)-Oral Health (low ratio of providers to population)6h) PRIORITIZATON OF SERVICES INLAND WILL TAKE TO MEET HEALTH NEEDS:As part of our response to the 2011 CHNA, Inland formed a Community Health Plan Task Force to further analyze the CHNA and local needs, research local data, health plans and recommended strategies, inventory current initiatives and service gaps and then create Inland's Implementation Strategy for a three-year Community Health Plan. The Task Force is currently deciding priorities and aims to adopt the plan by April 30, 2012.While the final plan is still in progress, the following services and initiatives are among several currently under consideration to meet CHNA health issues:-Tele-psychiatry services in our emergency department and family practices through a partnership with our EMHS sister affiliate and mental health hospital, Acadia Hospital.-Diabetes and Wellness Nutrition department partnering with Beth Israel Deaconess Hospital in Massachusetts for tele-endocrinology services.-New annual Family Health Event and monthly series to increase awareness of physical activity resources in our community. | |
| Schedule H, Part V, Section B, Facility Policies and Practices | 1i) INFORMATION GAPS:Inland did not identify any information gaps. We accessed multiple resources (ie local Healthy Maine Partnership and Maine CDC Health Plans and Healthy People 2020 Plan, etc) and are currently comparing them to the CHNA data and recommendations.1j) OTHER:About Inland Hospital:Inland Hospital is a not-for-profit organization located in Waterville, Maine with a mission "to care for and serve our community." We are a proud member of EMHS (Eastern Maine Healthcare Systems). At the heart of Inland is our 48-bed medical-surgical hospital, with Lakewood, our 105-bed continuing care facility on the hospital campus, along with 18 primary and specialty care physician practices in Waterville and surrounding communities (North Anson, Fairfield, Unity, Oakland, Madison). We also offer our community a Walk-in Health Clinic at the Waterville Walmart and provide a Weekend Care Clinic for our primary care patients.Outside the walls of the hospital and physician practices, Inland Hospital has a strong belief and record of contributing to the health and well-being of our community. In fact, the philosophy is an integral part of our Vision:-To be a dynamic healthcare organization where: patients and residents received the right care, are treated with respect and are always safe. -Contributing to the health and well-being of our community is a priority.-"You come first" is our promise. Besides our regular Community Wellness Outreach efforts which included more than 4800 free health screenings and health risk-assessments in 2011, two major health fairs, as well as many collaborations with local health organizations, Inland is proud of our Community Benefit Program which contributes funds and provides volunteers for local health, economic, education, transportation and other community-building initiatives. The Community Benefit Advisory Group is made up of hospital staff and trustees, community volunteers, and wellness staff. In 2011, Inland contributed more than $90,000 to local organizations to improve the overall health of our area. In addition, in 2011 more than 100 Inland staff members volunteered time to serve on more than 25 local boards, work groups and committees that are working to improve health and overall quality of life in our community. | |
| Form 990, Part VI, Line 14 - Explanation of Written Document Retention | Eastern Maine Healthcare Systems (EMHS) has had a written document retention and destruction policy since July 2007. The policy is a system-wide policy which applies to Inland Hospital, a related organization of EMHS. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Inland Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. | Form 990, Part VI, Line 19 |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. | Form 990, Part VI, Line 15b |
| 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 12c |
| Form 990, Part VI, Line 11: Form 990 Review Process | Form 990 is provided to each board member either electronically or in hard copy and was reviewed at the July 26, 2012 meeting of the board of trustees prior to filing with the IRS. | Form 990, Part VI, Line 11 |
| 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. | Form 990, Part VI, Line 7a |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Inland Hospital 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 6 |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Kathy Corey, trustee and John D. Dalton, trustee/officer are directors of Waterville Development Corporation.Kathy Corey, trustee is an officer of Kennebec Valley Community College Foundation and John D. Dalton, trustee/officer is chair general advisory of Kennebec Valley Community College.Rosemary Winslow, trustee is a director of Maine Children's Home for Little Wanderers and Daniel J. Booth, officer is board chair of Maine Children's Home for Little Wanderers.John D. Dalton, trustee/officer and Mary M. Hood, officer are directors of Maine Hospital Association board.Dean Bither, officer is Vice President of Delta Ambulance board and Michael Palumbo, officer is a board member of Delta Ambulance board. | Form 990, Part VI, Line 2 |
| Form 990, Part III, Line 4d : Other Program Services Description | OTHER PROGRAM SERVICES 4: Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,201,379 other uncompensated care (at cost).Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Inland is a non-profit hospital, serving all who need care, regardless of ability to pay. Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,817Percent Occupancy of Available Beds 33%Emergency Room Visits 15,801Surgery Cases 1,869Services provided to those who could not pay $6,130,828Please see the following publication for details of community benefit projects by Inland Hospital along with other Eastern Maine Healthcare Systems entities. OTHER PROGRAM SERVICES 5: A former British prime minister, David Lloyd George, once noted that "You can't cross a chasm in two small steps." His point is that we shouldn't be afraid to take a big step if one is indicated. For some, the EMHS decision to become one of the federally recognized Pioneer Accountable Care Organizations (ACO) in the nation might seem to be a very large step.The nation certainly has a large chasm to cross, as identified in the Institute of Medicine's 2011 report, "Crossing the Quality Chasm." As our nation's healthcare delivery system has become unsustainably expensive, it has exposed the dysfunctional incentives and inefficiencies that grew within the system over the last 50 years. It is important to note that there is no single part of the system at fault. It has been a natural evolution of a myriad of parties-private payers, governmental payers, hospitals, physicians, and consumers alike.For those reasons, EMHS is proud to be among a few bold health systems in the nation that are leading health reform. While the Pioneer ACO is driven by the federal Medicare program, EMHS is mobilizing the same strategies for multiple patient populations in the state of Maine and elsewhere in northern New England. Our decision to pursue these redesigned models of care delivery and reimbursement should not seem to be such a big step for our constituents who have read our two previous annual reports. In 2009, we described the need to redefine hospitals not as brick-and-mortar places but as a continuous loop of community-based services. The nation's epidemic of chronic disease is most effectively addressed in the community, saving our hospitals for the crises and acute issues that demand the most advanced technology.Likewise, in 2010, we described the building blocks EMHS has been putting in place to manage a reformed healthcare system. These building blocks include advanced information technology that enable care managers to identify and monitor chronically ill patients to assure their optimal health status. This approach to care management has been pivotal to the success of the Bangor Beacon Community project-and regional "Little Beacons" emulating it. Beacon projects are proving real value by linking together multiple providers-both within EMHS and among externally aligned collaborators-using the same care management philosophy regardless of the site of care.We recently heard a colleague in a Pennsylvania health system describe their approach to accountable care as one of "never discharging a patient." Their focus is to manage seamless transitions of care from site to site and provider to provider, assuring appropriate levels of support throughout a patient's life. That is a fair description of how EMHS is approaching a reformed, accountable, value-based healthcare delivery model, and we are proud to safely lead the way across the chasm.M. Michelle Hood, FACHEEMHS President and CEOP. James Nicholson, CPAEMHS Board Chair OTHER PROGRAM SERVICES 6: EMHS (Systemwide)LEADERSHIP: M. Michelle Hood, FACHE, President and CEO and P. James Nicholson, CPA, Chair LOCATION: Brewer: EMPLOYEES: (Home Office) 438; DESCRIPTION: EMHS offers access to high quality healthcare, while striving for efficiencies to control costs. The Home Office of EMHS works in support of the nearly 8,000 employees throughout the system, including seven hospitals, emergency transport companies, home health agencies, and numerous long-term care and assisted living facilities.- EMHS was very pleased to be one of only 32 organizations across the United States invited to become a Pioneer Accountable Care Organization (ACO) through the Centers for Medicare and Medicaid Services (CMS). The up to five year demonstration project is intended to improve the coordination, efficiency, effectiveness, quality, and cost of healthcare.- EMHS conducted a dozen community meetings throughout central, eastern, and northern Maine to discuss the findings of the 2011 OneMaine Health Collaborative Community Health Needs Assessment with healthcare providers, citizens, business, legislative leaders and others. OneMaine Health is a collaborative between EMHS, MaineGeneral Health and MaineHealth.- EMHS and Guiding Stars, the world's first storewide nutrition navigation program, announced a partnership to implement the program throughout its system of hospitals. The partnership seeks to benefit the health of local communities by helping patients, visitors, and employees within EMHS hospitals identify more nutritious food choices.- In 2011, the EMHS Home Office celebrated its fifth consecutive year as a Best Workplace in Maine. EMHS placed seventh on the large company list (more than 250 employees) of many great Maine companies. We know one reason why is the great people who work here!- More than 1,100 patients are improving their health through care management as a result of the work being completed through Bangor Beacon Community. Beacon is comprised of 12 partners and led by EMHS. Beacon is supported by a three year, $12.7 million grant from the Office of the National Coordinator and ends in March 2013.EMHS (Home Office)- Beacon's successes include: updating state law to allow sharing of mental health information through electronic medical records; expanding connections to HealthInfoNet, Maine's statewide health information exchange; and improving primary care patient outcomes through Performance Improvement Committee activities.- EMHS and Husson University co-hosted a breakfast session with New York Times bestselling author, T.R. Reid. Reid's talk focused on his book, "Dispelling the Myth-How America Can Achieve High Quality, Lower Cost Healthcare."- All EMHS Home Office managers are completing leadership training called "EMHS University." The program is designed to ensure that all managers in the Home Office have received the appropriate information on policies, procedures, and skills necessary to be a great leader.- More than 40 Home Office employees were trained in basic Lean tools and skills. Lean is a process improvement program designed to reduce costs and duplications, and help improve quality. OTHER PROGRAM SERVICES 7: The Acadia HospitalLEADERSHIP: Daniel B. Coffey, President and CEO and Richard A. Lyons, Chair LOCATION: Bangor; EMPLOYEES: 609; DESCRIPTION: The Acadia Hospital is Maine's comprehensive resource for information and treatment of mental illness and chemical dependency.- In February, Acadia opened its Adult Evaluation Center in direct response to the community's need for increased access to outpatient services. This center allows people seeking outpatient treatment to receive an evaluation of services within 48 hours of any request.- In May, Acadia announced Daniel B. Coffey as its new president and CEO. Coffey came to Acadia from EMHS, where he had served as the executive vice president, treasurer and chief financial officer.- In May, Acadia started the Wellness Works program. This is an outcome-based employee health initiative that measures participants' gains as they lead healthier lifestyles.- In August, the Acadia Artisans project was launched to display patients' artwork. This display is in the main hallway of the hospital and illuminates the work of recovery.- In December, Acadia appointed Anthony Ng, MD, FAPA as its new vice president and chief medical officer.- In December, Acadia began providing telepsychiatry at Maine Coast Memorial Hospital in Ellsworth.- Acadia served as executive producer for a film about teen anxiety and depression titled "The Road Back." This youth-focused endeavor, created in partnership with Project AWARE, included dozens of area teens.The film was funded in part by the Davis Family Foundation, Bingham Program, and Spring Harbor Hospital.- The hospital unveiled a new community education series, An Open Mind, with one presentation on cyber bullying and the other on the aging brain.- Converted the hospital's inpatient units to one full child/adolescent/young adult floor of 32 beds and one adult floor with 36 beds. This has increased access for inpatient care for the state.- Acadia implemented Management of Aggressive Behavior (MOAB) training for direc | Form 990, Part III, Line 4d |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 Hlth Convenient Care | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 273129791 | Provide patient care | ME | 501(c)(3) | 3 | SVH | true | |
| Sebasticook Valley Family Practice Assoc | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010357854 | Provide patient care | ME | 501(c)(3) | 9 | SVH | true | |
| 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 | |
| Blue Hill Memorial Hospital | |||||||||||
| 57 Water Street | Blue Hill | ME | 046145231 | 010227195 | Provide healthcare services | ME | 501(c)(3) | 3 | EMHS | true | |
| Maine Institute for Human Genetics and H | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 550894346 | Biomedical research and development | ME | 501(c)(3) | 9 | EMHS | true | |
| Eastern Maine HomeCare | |||||||||||
| PO Box 688 | Caribou | ME | 04736 | 010328442 | Provide home health and hospice services | ME | 501(c)(3) | 9 | EMHS | true | |
| Horizons Health Services | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010504393 | Provide patient care | ME | 501(c)(3) | 3 | TAMC | true | |
| TAMC Endowments | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389222 | Raise funds for exempt organizations | ME | 501(c)(3) | 11, type I | TAMC | true | |
| TAMC Title Corp | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010389226 | Real estate holding company | ME | 501(c)(2) | TAMC | true | ||
| The Aroostook Medical Center TAMC | |||||||||||
| PO Box 151 140 Academy Street | Presque Isle | ME | 047690151 | 010372148 | Provide healthcare services | ME | 501(c)(3) | 3 | EMHS | true | |
| Sebasticook Valley Health SVH | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | Critical care hospital | ME | 501(c)(3) | 3 | EMHS | true | |
| CA Dean Memorial Hospital and Nursing | |||||||||||
| Pritham Avenue PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide healthcare services | ME | 501(c)(3) | 3 | EMHS | true | |
| Lakewood A Continuing Care Center | |||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide skilled and long-term nursing care | ME | 501(c)(3) | 3 | Inland Hospital | true | |
| Norumbega Medical Specialists LTD | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010465231 | Provide patient care and education | ME | 501(c)(3) | 9 | EMMC | true | |
| Healthcare Charities | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 222514163 | Raise and manage funds for exempt organizations | ME | 501(c)(3) | 11, type II | EMHS | true | |
| Acadia Healthcare Inc AHI | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 223183888 | Provide heatlhcare services | ME | 501(c)(3) | 9 | AHC | true | |
| Eastern Maine Medical Center Auxiliary | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010377901 | Fund raising for exempt Eastern Maine Medical Center | ME | 501(c)(3) | 9 | EMMC | true | |
| Acadia Hospital Corp AHC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010459837 | Provide healthcare services | ME | 501(c)(3) | 3 | EMHS | true | |
| Rosscare Nursing Homes Inc | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010430751 | Operation of nursing homes | ME | 501(c)(3) | 9 | Rosscare | true | |
| Rosscare | |||||||||||
| 43 Whiting Hill Road Ste 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | EMHS | true | |
| Eastern Maine Healthcare Real Estate | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010391036 | Leases real estate | ME | 501(c)(2) | EMHS | true | ||
| Eastern Maine Medical Center EMMC | |||||||||||
| PO Box 404 489 State Street | Bangor | ME | 044020404 | 010211501 | Provide healthcare services | ME | 501(c)(3) | 3 | EMHS | true | |
| Eastern Maine Healthcare Systems EMHS | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010527066 | Supporting organization for healthcare affiliates | ME | 501(c)(3) | 11, Type II | true | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Dirigo Pines Development Company LLC | ||||||||
| 9 Alumni Drive | Orono | ME | 04473 | 010537924 | Retir Cottag | 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 | ||||||||
| 80 Exchange Street 6th floor ste 3 | Bangor | ME | 04401 | 010496352 | Support srv | ME | EMHS | C |
| Meridian Mobile Health LLC | ||||||||
| 931 Union Street PO Box 940 | Bangor | ME | 044020940 | 010512673 | Ambulance | ME | AHS | C |
| DE Collections DBA Affiliated Collecti | ||||||||
| 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 | Clinicl lab | ME | AHS | C |
| Affiliated Healthcare Management | ||||||||
| PO Box 811 | Bangor | ME | 044020811 | 010349339 | Hlthcr mgmt | ME | AHS | C |
| Affiliated Healthcare Systems AHS | ||||||||
| PO Box 940 | Bangor | ME | 044020940 | 010385322 | Holding co. | ME | EMHS | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| DE Collections DBA Affiliated Collecti | |
| l | 52885 |
| Affiliated Materiel Services | |
| o | 1249696 |
| Affiliated Materiel Services | |
| l | 67980 |
| Affiliated Laboratory Inc | |
| l | 699352 |
| Capitol Convenient Care LLC | |
| k | 272362 |
| Lakewood A Continuing Care Center | |
| k | 129901 |
| Lakewood A Continuing Care Center | |
| a | 9000 |
| Healthcare Charities | |
| r | 66330 |
| Healthcare Charities | |
| l | 199000 |
| Eastern Maine Medical Center EMMC | |
| o | 195516 |
| Eastern Maine Medical Center EMMC | |
| l | 1865713 |
| Eastern Maine Medical Center EMMC | |
| a | 1689 |
| Eastern Maine Healthcare Systems EMHS | |
| q | 60264 |
| Eastern Maine Healthcare Systems EMHS | |
| o | 4501813 |
| Eastern Maine Healthcare Systems EMHS | |
| l | 1323494 |
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