2024-08-01T13:31:33-07:00 2023-09-30 990 2022-10-01 010372148 THE AROOSTOOK MEDICAL CENTER NORTHERN LIGHT AR GOULD HOSPITAL AROO 2079739081 PO BOX 151 PRESQUE ISLE ME 04769 John J Doyle NLH VP of Finance 2024-08-01 false true 2022 2024-08-08 14:25:15Z John J Doyle 177742262 false 5247 X https://northernlighthealth.org/A-R-Gould-Hos X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 13 8 1206 307 0 7364000 8191467 136386436 155706736 226428 28368 11996708 13623409 155973572 177549980 0 0 90119174 94463470 0 0 76283386 76200187 166402560 170663657 -10428988 6886323 72503057 83693937 62067811 66244386 10435246 17449551 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 133235739 169304158 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 12,346 INPATIENT PATIENT DAYS, 11,370 LONG TERM CARE PATIENT DAYS, AND 316,015 OUTPATIENT VISITS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $1,617,060 13842558 MEDICARE SHORTFALLS (AT COST). 43,279 PERSONS SERVED 6251232 MEDICAID SHORTFALLS (AT COST). 41,499 PERSONS SERVED 93624 153423153 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true 63 0 true 1206 true false false false false false false false 0 false false false false false false false X 13 8 true false false false true true true true true false false true true true true true true true false true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 TIM DENTRY NLH PRESIDENT Ex-Officio 1.00 50.00 X X 0 1509740 62092 ALAN P MAUTZ PHYSICIAN 50.00 0.00 901198 0 50352 RODOLFO ALDIR PHYSICIAN 50.00 0.00 739561 0 30933 ANTHONY FILER SVP CFO Treasurer 1.00 50.00 X 0 695430 64042 ARG WB PHYSICIAN 50.00 0.00 650848 0 30328 ALEJO VISUARA MALDONADO PHYSICIAN 50.00 0.00 609898 0 43539 ANTHONY S LAPINSKY PHYSICIAN 50.00 0.00 571724 0 28483 GREGORY LAFRANCOIS PRES Ex-Off-Pt Yr 38.00 12.00 X X 347517 115839 76491 RICHARD LEIDINGER Trustee 50.00 0.00 X 501667 0 15516 GEORGE EATON ESQ Secretary 1.00 50.00 X 0 444533 50549 GLENN MARTIN FORMER SVP-CHIEF LEGAL OFFICER 1.00 50.00 0 363438 106106 TIFFANY FREDERICKSON Trustee 50.00 0.00 X 414046 0 19829 GLENDA E DWYER FORMER SVP, CLINICAL OPS 0.00 50.00 0 391692 37707 JAY REYNOLDS MD PRES Ex-Off-Pt Yr 50.00 0.00 X X 319925 0 48877 BRIAN ADRIAN MD VP CMIO 50.00 0.00 X 286477 0 43710 DAVID A WEED FORMER PRES OF MED STAFF 50.00 0.00 294502 0 28529 MAURA KELLY VP Fin-Pt Yr 39.00 11.00 X 215262 63357 37148 JORGE PINEIRO MD Trustee 50.00 0.00 X 215247 0 26202 DARYL BOUCHER VP Operations 50.00 0.00 X 215102 0 22575 YOOSUF SIDDIQUI VP HR/Emply Exp 50.00 0.00 X 167880 0 48577 TAMMY BEAULIER-FULLER VP Nursing 50.00 0.00 X 160783 0 12003 CHERRI FITZPATRICK VP COMPLIANCE 50.00 0.00 X 142474 0 19274 SAM DOBSON VP Fin-Pt Yr 50.00 0.00 X 25287 87270 18381 JESSICA LAHEY Trustee 1.00 0.00 X 4250 0 191 RICHARD DUNCAN Trustee/Chair 1.00 0.00 X X 0 0 0 CAROL BELL Trustee 1.00 0.00 X 0 0 0 HOLLY JOHNSON Trustee/V Chair 1.00 0.00 X X 0 0 0 JANE TOWLE Trustee 1.00 0.00 X 0 0 0 STEVE ST PIERRE Trustee 1.00 0.00 X 0 0 0 DEBORAH ROARK Trustee 1.00 0.00 X 0 0 0 BRYAN THOMPSON Trustee 1.00 0.00 X 0 0 0 MARK WILCOX Trustee 1.00 0.00 X 0 0 0 6783648 3671299 921434 132 true true false SIMPLIFI 5020 NORTHSHORE DRIVE SUITE 2 NORTH LITTLE ROCK AR 72118 TEMPORARY STAFFING 8460949 EMERGENCY PHYSICIAN ASSOCIATES PO BOX 634850 CINCINNATI OH 452634850 PHYSICIAN STAFFING 1845481 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 LOCUMS COVERAGE 1215729 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 753972633 LOCUMS COVERAGE 824434 INSIGHT HEALTH CORP PO BOX 414025 BOSTON MA 022414025 DIAGNOSTICS SERVICES 587720 23 435935 7634965 120567 795 8191467 Cafeteria 722514 619747 619747 Education 611710 39892 39892 Net Patient Care Services 621990 155047097 155047097 155706736 81717 81717 0 0 12411 16829 -4418 -4418 -4418 19900 73249 -53349 -53349 -53349 0 0 132609 102204 30405 30405 340B Revenue 621990 13588658 13588658 Opioid Settlement 900099 8764 8764 13597422 177549980 168684411 674102 X 0 0 0 0 3362870 2468148 894722 0 73918915 69381698 4537217 2300341 2156220 144121 10118915 9471902 647013 4762429 4422855 339574 0 43419 2916 40503 23654 23654 0 0 0 22463844 15515055 6948789 111703 111703 2800900 1918415 882485 3646075 3417641 228434 0 5231116 4086264 1144852 248722 228888 19834 0 266207 263203 3004 917878 715945 201933 0 3740587 2917658 822929 3205874 3005020 200854 Medical Supplies Expense 27796056 27796056 Taxes & Licensing 3292067 3283558 8509 Repairs & Maintenance 1732483 1616052 116431 Miscellaneous 273575 262480 11095 406027 381476 24551 170663657 153423153 17240504 0 3375 3375 0 0 27514482 37998034 0 0 967830 951067 2311934 2045705 267510 373281 105407587 76361366 28809844 29046221 0 0 0 0 12628082 13276254 72503057 83693937 29775051 37432333 5108906 334019 27183854 28478034 62067811 66244386 X 4855254 11741838 5579992 5707713 10435246 17449551 72503057 83693937 X 6886323 127982 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 21121 21121 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. Part IV - Additional Information 5026703 9987 416949 -186511 5267128 6206601 19918 -968210 231606 5026703 5393717 5571 998131 190818 6206601 5599565 2872 18518 227238 5393717 6090472 200 120021 611128 5599565 0.00050 0.99950 false true true 218198 218198 43901212 33020089 10881123 4081117 3168585 912532 52567870 37474836 15093034 4639190 2697856 1941334 29046221 Assets whose use is limited 75569 Board Designated Other 6781692 Investments in County Physical Therapy 549959 Other Assets 87430 Permanently Donor Restricted Funds 2762922 Right-of-Use Operating Lease Assets 73891 Temporarily Donor Restricted Funds 2944791 13276254 Amounts due to Related Org 19383958 Deferred Compensation 6762758 Notes Payable 217119 Other Liability-Commerce Bank 644391 Reserve for Asset Disposal Costs 242019 Right-of-Use Finance Lease Liability 1153898 Right-of-Use Operating Lease Liability 73891 28478034 X Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, 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 (the 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 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 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. Northern Light Health 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 Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases 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. true true X true X true X true true true false true true 280 93624 93624 0.00050 41499 27468641 21217409 6251232 0.03660 41779 27562265 21217409 6344856 0.03710 5 74408 74408 0.00040 3 847913 847913 0.00500 8 25046 25046 0.00010 16 947367 947367 0.00550 16 41779 28509632 21217409 7292223 0.04260 2 66603 66603 0.00040 2 66603 66603 0.00040 true 1617060 30957840 44800398 -13842558 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 Northern Light AR Gould Hospit 140 Academy Street Presque Isle ME 04769 northernlighthealth.org/A-R-Go 37937 X X X Northern Light AR Gould Hospit 1 false false true X X X X X X X X X 22 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 22 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2021 and January 2022. All forms of engagement included public forums, community sponsored events, and oral surveys. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Virtual community forums with residents and service providers were held in the county in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the November 3, 2021, Aroostook County Shared CHNA Community Engagement Forum and provided valuable feedback on the most recent Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Aroostook County CHNA report, page 20: American Red Cross of Northern New England, Aroostook Agency on Aging, Aroostook County Action Program, Aroostook Mental Health Services, Inc., Aroostook Public Health District, Aroostook Regional Transportation System, Bridge for Hope, Cary Medical Center, Downeast Public Health District, Fish River Rural Health, Houlton Band of Maliseet Indians, Houlton Regional Hospital, Jefferson Cary Cancer Center, Katahdin Valley Health Center, Link for Hope, Maliseet Health and Wellness Center, MMG Insurance Company, MSAD 70, Northern Light AR Gould Hospital, Northern Light Health, Northern Light Home Care and Hospice, Northern Maine Area Health Education Center/Northern Maine Community College, Northern Maine Medical Center, Pines Health Services, Power of Prevention, State of Maine DHHS, University of Maine Fort Kent, University of Maine Presque Isle. New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreach were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people who live with a disability; people with a mental health diagnosis; people with low income; and youth.Another effort included conducting oral surveys in collaboration with eight ethnic-based community organizations community health workers in order to better reach Maines immigrant population that included: 1,000 surveys were conducted in either English (32%), Somali, (24%), Arabic (23%), French (8%), Spanish (5%), Lingala (3%), and other languages including Swahili, Maay Maay, Portuguese, Oromo, Eretria, Kirundi, and Amara. When asked for their countries of origin, respondents most commonly cited the United States (212), Iraq (205), Somalia (157), The Democratic Republic of Congo (81), Djibouti (70), Kenya (30), and Mexico (29). Other countries of origin mentioned included Rwanda, Ethiopia, Angola, Syria, Guatemala, South Africa, Palestine, Puerto Rico, Morocco, Afghanistan, El Salvador, Nigeria, Canada, Burundi, Eritrea, France, Honduras, Uganda, Jamaica, Mali, Gabon, Sudan, Nicaragua, Peru, and Brazil. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, including other non-Northern Light Health hospitals who were consulted during the engagement process. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 11 As a member of a partnering healthcare system in the Maine Shared Community Health Needs Assessment (Shared CHNA) effort, Northern Light Healths Community Health Council recognized the value, reach, and influence of aligned engagement efforts with a shared purpose. Review of the county CHNA forum priority voting revealed that mental health, social determinants of health, and substance use were among the top four priorities in almost every county CHNA forum. These three priority areas were presented and adopted by our hospitals governing board as shared priorities where Northern Light Health member organizations would engage in common strategy to achieve greater statewide effect. Northern Light AR Gould Hospitals community health strategy was developed to include our systemwide shared priority areas of work reflecting upon the quantitative health profile indicators and qualitative prioritization derived from the Shared CHNAs community engagement process. We also considered local readiness and capacity to address these needs in partnership with our local communities. The following provides an update on the actions taken on the three priority areas in fiscal year 2023 (FY23): Mental Health: Actions taken by Northern Light AR Gould Hospital to address this priority in FY23: AR Gould Hospital trained staff in Psychological First Aid (PFA), an evidence-informed approach to help anyonechildren, adolescents, adults, and familiesin the immediate aftermath of a traumatic experience and has proven to be effective when someone is experiencing a mental health crisis at any time. PFA shines a light on the impact of collective trauma, builds resiliency, and assists in self-care action plans by incorporating five evidence-based principles: safety, calming, connectedness, self and community reliance, and hope.Certified AR Gould Hospital staff then engaged schools and/or youth serving organizations to educate and empower others to respond to mental and behavioral health needs of children using the PFA training model. Attendees received training in eight core elements; engagement, safety, stabilization, information gathering, practical assistance, connection to social supports, information on coping, and connecting with collaborative services. AR Gould Hospital conducted two PFA training sessions with 22 individuals trained. Northern Light Healths systemwide collective impact of our shared objective to increase the number of individuals trained to support the mental health needs of children and youth resulted in 35 youth mental health training sessions with 584 individuals trained.Social Determinants of HealthActions taken by Northern Light AR Gould Hospital to address this priority in FY23: FindHelp.org is the nations leading social care network, making it easier to connect patients and their families with free or reduced-cost programs from local partners and national support services with dignity and ease, and is one component of Northern Light Healths response to need in the communities we serve. Northern Light findhelp will allow users to directly communicate with referral partners to coordinate care of our patients.Northern Light AR Gould Hospital engaged in meaningful, trusted community partnerships to reach priority populations with equitable access to community resources and social supports and connect individuals with community resources they need to improve their health and well-being through the findhelp.org platform. AR Gould Hospital participated on a monthly systemwide workgroup focused on community engagement efforts to educate community partners on the availability and uses of findhelp.org. Community partners were provided with assistance in adding their program information to the platform directory and with activating the ability to receive referrals or requests for information through the platform. AR Gould Hospital engaged two community partners who added 29 programs to the findhelp directory. Northern Light Healths systemwide collective impact of our shared objective to increase community partner engagement with FindHelp.org resulted in 28 programs added to findhelp and 89 programs that increased engagement with findhelp.Substance UseActions taken by Northern Light AR Gould Hospital to address this priority in FY23: In collaboration with other Northern Light Health member organizations and community-based organizations, trained AR Gould Hospital staff representing pharmacy and community health departments, worked diligently to improve processes and partnerships to reduce barriers and provide equitable access to state-sponsored Naloxone (Narcan) kits for priority populations. Northern Light AR Gould Hospital participated in the Maine Naloxone Distribution Initiative which provides state-purchased naloxone to community organizations, clinical sites, and end-users throughout the State of Maine to distribute free of charge. Through a collaboration with Bangor Public Health & Community Services, AR Gould Hospital worked in the emergency department and community settings to provide education on the use of these naloxone kits to end-users to facilitate the reversal of private overdoses in the community. AR Gould Hospital distributed 31 state-sponsored naloxone kits. Northern Light Healths systemwide collective impact of our shared objective to improve distribution and preventive access to state sponsored naloxone kits systemwide resulted in 1,453 naloxone kits distributed throughout Northern Light Healths service area. Additional information related to actions taken by AR Gould Hospital on the above priorities can be found in their FY23 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-Strategy . AR Gould Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. The following priorities were not selected; Access to care was not selected as an independent priority of focus as many of our efforts identified in our strategy are connected to access issues. In addition, our hospital has current initiatives that are ongoing and part of our continual mission to improve access to care such as provider recruitment, engagement of navigators or the equivalent, and other efforts that support this priority.; Older adult health/Healthy aging: While not specifically identified as a stand-alone priority area of work, older adult health/healthy aging efforts are connected to many of our other priority areas of work. Due to these efforts, we feel confident that our older adult population will benefit from our identified work in these chosen priority areas. In addition, we continue to engage in ongoing collaborative work and initiatives focused on older adult health and healthy aging that will provide support for this population. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 16j Response for 7a (list url) is https://northernlighthealth.org/A-R-Gould-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Shared-CHNA-ReportsResponse for 10a (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/billing-help/Bill-Pay-Assistance under "Pay My Bill" NORTHERN LIGHT SURGERY 146 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 23 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OBGYN 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PEDIATRICS 23 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT DIALYSIS 23 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CONTINUING CARE 15 HIGHLAND AVENUE MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC NORTHERN LIGHT PRIMARY CARE 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OUTPATIENT SPECIALTY CLINICS 146 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WALK-IN CARE 23 NORTH STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT UROLOGY 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 118 BENNETT DRIVE CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WOMENS HEALTH 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT EYE CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT MEDICAL TRANSPORT 140 ACADEMY STREET PRESQUE ISLE ME 04769 AMBULANCE SERVICE NORTHERN LIGHT ORTHOPEDICS 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT EAR NOSE and THROAT CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CARDIOLOGY 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WALK-IN CARE 118 BENNETT DRIVE CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PULMONARY 146 ACADEMY STREET PRESQUE ISLE ME 04769 OUPATIENT PHYSICIAN CLINIC Part I, Line 6a - Related Organization Community Benefit Report Northern Light AR Gould Hospital is a member of Northern Light Health (EIN = Eastern Maine Health Systems DBA NLH 01-0527066). Our Community Benefit Report is included in the following documents annually:Northern Light Healths Annual Report; a sub-section in the report https://northernlighthealth.org/About-Us Northern Light Health Community Benefit Reports are available at: https://northernlighthealth.org/Community-Health-Needs-Assessment/Community-Benefit-Reports In FY23, Northern Light Health members incorporated a methodology for capturing indirect costs which comply with community benefit reporting requirements. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Patient Service Revenue and Accounts Receivable section. 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 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light AR Gould Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary Part VI, Line 4 - Community Information Located in Presque Isle, Maine, Northern Light AR Gould Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing AR Gould Hospitals primary service area include Ashland, Blaine, Bridgewater, Central Aroostook County, Easton, Fort Fairfield, Mapleton, Mars Hill, Oxbow, Portage, Presque Isle, Washburn, Westfield. Towns representing AR Goulds secondary service area include Caribou, Limestone, New Sweden, Perham, Stockholm, Van Buren.Aroostook Countys race/ethnicity and selected demographics are provided below for AR Gould Hospital based on the hospitals physical location in Aroostook County.Aroostook County - Race/Ethnicity: American Indian/Alaskan Native 1.9% (1,275), Asian 0.5% (318), Black/African American 1.0% (682), Native Hawaiian or Pacific Islander 0.0% (12), White 94.9% (64,373), Some other race 0.1% (96), Two or more races 1.6% (1,053), Hispanic 1.2% (834), non-Hispanic 98.8% (66,975). Total county population 67,809.Aroostook County - Selected Demographics: Median household income $41,123, Unemployment rate 5.5%, Individuals living in poverty 16.1%, Children living in poverty 20.2%, 65+ living alone 32.2%, Veterans 11.0%, Gay, lesbian, and bisexual (high school students) 9.7%, Gay, lesbian, and bisexual (adults) 2.6%, Transgender youth (high school students) 1.5%, Persons with a disability 22.3%. Other hospitals serving the AR Gould Hospital community: Based on the State of Maines definition of hospital service area, Northern Light AR Gould Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated AR Gould Hospitals service area as having a total of 13 medically underserved areas/populations. Part VI, Line 4 - Community Building Activities Aroostook Career Exploration (ACE) and Job Shadow is helping with workforce development. These programs enable high school students to explore a wide variety of career opportunities. Part VI, Line 5 - Promotion of Community Health Northern Light AR Gould Hospital furthers its exempt purpose by promoting the health of the community through the following community health improvement grant activity in FY23:Health Care Support Services: Maine Cancer Foundation, RideLink - Support cancer patient transportation and well-being. Part VI, Line 6 - Affilated Health Care System The 2022 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false ALAN P MAUTZ PHYSICIAN 485626 412463 3109 13725 36627 951550 ALEJO VISUARA MALDONADO PHYSICIAN 587620 22278 11590 31949 653437 ANTHONY FILER SVP CFO Treasurer 597838 82139 15453 27450 36592 759472 ANTHONY S LAPINSKY PHYSICIAN 565157 6567 9024 19459 600207 ARG WB PHYSICIAN 627678 23170 7625 22703 681176 BRIAN ADRIAN MD VP CMIO 242920 12310 31247 8152 35558 330187 CHERRI FITZPATRICK VP COMPLIANCE 139117 3357 7739 11535 161748 DARYL BOUCHER VP Operations 208760 6342 9223 13352 237677 DAVID A WEED FORMER PRES OF MED STAFF 289560 4942 16221 12308 323031 GEORGE EATON ESQ Secretary 360612 60144 23777 26795 23754 495082 GLENDA E DWYER FORMER SVP, CLINICAL OPS 384897 6795 22499 15208 429399 GLENN MARTIN FORMER SVP-CHIEF LEGAL OFFICER 238691 124747 88673 17433 469544 77993 GREGORY LAFRANCOIS PRES Ex-Off-Pt Yr 252105 84035 76801 25600 18611 6204 54583 18194 2785 929 404885 134962 JAY REYNOLDS MD PRES Ex-Off-Pt Yr 296312 23613 16203 32674 368802 JORGE PINEIRO MD Trustee 213774 1473 11975 14227 241449 MAURA KELLY VP Fin-Pt Yr 193973 57091 21289 6266 18985 5588 9716 2859 243963 71804 RICHARD LEIDINGER Trustee 492328 9339 13725 1791 517183 RODOLFO ALDIR PHYSICIAN 736819 2742 30933 770494 TAMMY BEAULIER-FULLER VP Nursing 151002 9781 8872 3131 172786 TIFFANY FREDERICKSON Trustee 392089 21957 7625 12204 433875 TIM DENTRY NLH PRESIDENT Ex-Officio 1180115 308222 21403 27450 34642 1571832 YOOSUF SIDDIQUI VP HR/Emply Exp 165268 2612 12611 35966 216457 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Brian Adian, officer $14,750ARG WB, highest compensated employee 14,750The following received a wellness program incentive:Alan Mautz, highest compensated employee $ 100 The benefit is available for all employees.The following received a gift card:Brian Adrian, officer $15Rodolfo Aldir, highest compensated employee 15Tammy Beaulier-Fuller, officer 15 Daryl Boucher, officer 15 ARG WB, highest compensated employee 15 Samuel Dobson, officer 15Cherri Fitzpatrick, officer 15Tiffany Frederickson, officer 15 Maura Kelly, officer 15 Gregory Lafrancois, director/officer 15 Anthony Lapinsky, highest compensated employee 15Richard Leidinger, director 15 Alan Mautz, highest compensated employee 15 Jorge Pineiro, director 15 Jay Reynolds, director/officer 15 Yoosuf Siddiqui, officer 15Alejo Visuara Maldonado, highest compensated employee 15 David Weed, former director 15 Danhong Zhao fam mem=officer 310718 compensation false Rachael St Pierre fam mem=brd mem 64434 compensation false Hilary Rae Boucher fam mem=officer 128929 compensation false Luke Fuller fam mem=officer 47900 compensation false Samantha Carlow fam mem=officer 51821 compensation false Casey Dobson fam mem=officer 57871 compensation false Schedule L, Part V Supplemental Information Danhong Zhao is a family member of a board member/officer and is an employee of Northern Light AR Gould.Rachael St. Pierre is a family member of a board member and is an employee of Northern Light AR Gould.Hilary Rae Boucher is a family member of an officer and is an employee of Northern Light AR Gould.Luke Fuller is a family member of an officer and is an employee of Northern Light AR Gould.Samantha Carlow is a family member of an officer and is an employee of Northern Light AR Gould.Casey Dobson is a family member of an officer and is an employee of Northern Light AR Gould. Form 990, Part III, Line 4d OTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 280 PERSONS SERVED OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2023 to the Community for details of community benefit projects at NLH members:Northern Light HealthAnnual Report 2023HOW ARE YOU?How are you is a simple question that we ask many times throughout the day, but its also a question that goes beyond conversation, an expression of genuine care and interest in the wellbeing of others. Its a foundation of the deeper, more meaningful relationships we build with our employees, patients, community members, and others. We hope this annual report illustrates how this question, while at the heart of our character, is one of the ways we guide our patients and their families through the healthcare experience. This year, we highlight ways our incredible employees and community partners work together to ensure we are making healthcare work for all people in Maine. From a nurse who provides healing care in the hospital and nourishing food in a restaurant, to helping community members combat opioid use disorder with Narcan training.Our commitment extends well beyond the walls of our facilities; we are training community organizations in psychological first aid and are collaborating with our local communities to promote health education and help create a healthier Maine. We extend our gratitude to our dedicated staff and community partners, and to the people of Maine who place their trust in us. We hope you take a moment to ask, How are you? and see how incorporating this simple but meaningful question into your daily interactions can positively affect our relationships and create meaningful connections.We hope you enjoy the 2023 Annual Report.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthJohn RyanBoard ChairNorthern Light HealthHOW ARE YOUGOING TO SAVE A LIFE?Northern Light Healths Narcan Program: Saving Lives in Maine Andrew Mitchell found himself in a situation he never expected. He was outside a restaurant in Bangor one August afternoon in 2022 when a life changing experience convinced him of the importance of the overdose-reversing medication, Narcan. Mitchell, who received a Narcan kit at the Blue Hill Fair, was out with a friend when a woman across the street urgently called out that a man was overdosing. Quickly, Mitchell rushed to his truck, grabbed the Narcan kit, and administered the life-saving drug to the unconscious man, whose lips had turned blue. Thanks to his timely intervention, the man began to regain consciousness. Mitchell received his free Narcan kit from Northern Light Blue Hill Hospital, which has been at the forefront of addressing Maines opioid epidemic. Employees handed out these kits to the public at the Blue Hill Fair in 2022 and 2023. Mitchell shares, I had no medical training at all, and if I can use Narcan, anyone else can use it too. Its straightforward, he shares. Northern Light Healths efforts extend beyond Narcan distribution to individuals. Hospitals across the system are engaging the community in a new and meaningful way. Northern Light Inland Hospital in Waterville and Northern Light Sebasticook Valley Hospital in Pittsfield provide training to community organizations on the use of Narcan. The hospitals training programs are part of a three-year federal grant program to reduce overdose deaths in Maine. Hanna Bouchard, a community health outreach coordinator with both hospitals, plays a vital role in this program. Her experience as an emergency medical technician, coupled with her dedication to the cause has made her a key figure in providing Narcan training to community partners, including Kennebec Valley Community College in Fairfield. This program is not just about teaching people how to use Narcan; its about giving them the knowledge and tools to save lives, shares Bouchard. In the battle against opioid overdoses, data tells a compelling story. Maine experienced more than 700 overdose deaths in 2022, and while the numbers are alarming, Narcan is making a difference. Of the 9,394 reported non-fatal overdoses, 2,200 were reversed thanks to community members carrying Narcan. Now with Food and Drug Administration approval, this life-saving medication is available over the counter. Across Maine, the opioid crisis remains a significant challenge. These initiatives, whether distributing Narcan kits at the Blue Hill Fair or providing community trainings, are crucial steps towards reducing drug overdose deaths. These programs serve as beacons of hope, reminding us that every life is worth saving, and every intervention counts. A Vital Connection Are you monitoring your health? Northern Light Home Care & Hospice is one of the first home healthcare agencies to endorse and promote telehealth for patients who qualify. Through LiveConnected, Northern Lights telehealth program, monitors can be installed in a patients home. Our nurses train patients on how to read and record the information to monitor their condition, and the machine does the rest! More than 630 Mainers statewide use LiveConnected, including those who are not patients of Home Care & Hospice.The service uses monitoring equipment to provide daily readings of vital signs to registered nurses. The nurses work with the patient and their physician to maintain and adjust medications from the convenience of home. Each day at a pre-determined time, the machine guides the patient through the steps to monitor their health.Northern Light Home Care & Hospice uses a team approach to deliver care, educate our patients, and to better manage conditions like chronic heart and lung diseases. Often, managing chronic health conditions means frequent trips to the doctor or hospital to monitor vital signs. Using telemonitoring and offering care, such as physical therapy, occupational therapy, and speech language pathology to patients at home eliminates the stress of frequent trips and difficult access to transportation. Each Northern Light Home Care & Hospice patient receives a customized care plan that includes clinical home visits, telehealth monitoring, and education designed for the individual, allowing patients to manage their care from the comfort of home. To learn more about LiveConnected visit northernlighthealth.org/liveconnected. To find out if you qualify, please call 800-757-3326 to speak to a member of our Home Care & Hospice team.HOW ARE YOUAND YOUR BABY?Transforming Lives: Francis Warde Home For decades, Portland has been a destination for people seeking asylum; leaving their home countries, seeking safety and protection in a new place to call home. Sometimes, there are cracks in the social safety net for this vulnerable population, and some of the most vulnerable are pregnant women.One woman, who came to Northern Light Mercy Hospital on a cold rainy day in June, was five months pregnant, without shelter, and in dire need of care. Melissa Skahan, vice president of Mission Integration at Mercy, recounts her story, This woman was ill, had no home, and a discharge plan would potentially put her back out on the street or into another short-term shelter.Thankfully, Skahan was already working on a solution. Mercy Hospital had recently teamed up with the non-profit In Her Presence (IHP), to start a new, two-generational program for pregnant women who are seeking asylum. The new program would open soon, in the former Francis Warde Convent, a residence once owned by the Sisters of Mercy of the Americas and named after one of the original Sisters of Mercy.The Francis Warde Home was nearly ready to open, so instead of sending this pregnant woman back into uncertainty, hospital staff stepped in. Within 48 hours, they made a crucial decision that would change her life. Skahan adds, Our staff kept her here, and the program launch was timed so that we were able to move her quickly into Francis Warde.The Francis Warde program, as it is commonly referred to, ensures that vulnerable women in need of shelter, basic needs, and healthcare receive support. Overseeing the day-to-day operations of the Francis Warde program is Claudette Ndayininahaze, the co-founder and executive director of IHP. Ndayininahaze emphasizes, We are just beginning to understand how to see the whole person and serve the whole person. The IHP approach is creating long-term community and lifelong learners who give back. We need to integrate culture and ensure a true balance of power so that women from all over the world feel empowered to shape their healthcare.The program goes beyond providing shelter and healthcare. It extends to offering educational opportunities, including English language classes and workforce training at Northern Light Mercy Hospital. The women who benefit from the program go through a remarkable transformation.In Skahans words, Its transformative. Ive seen people who have been in the program for a few months, and they look like different people tha Form 990, Part VI, Section A, Line 2 Jay Reynolds, board member/officer and Sam Dobson, officer are board members of County Physical Therapy. Northern Light AR Gould Hospital is 50% joint venture partner of County Physical Therapy.Jay Reynolds, board member/officer and Bryan Thompson, board member are board members of University of Maine Presque Isle Foundation. Form 990, Part VI, Section A, Line 6 The Aroostook Medical Center d/b/a Northern Light A.R. Gould Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Section A, Line 7a Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Section A, Line 7b The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Section B, Line 11b Form 990 is reviewed by the VP of Finance of Northern Light A.R. Gould Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Section B, Line 12c 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, Section B, Line 15a The SVP, President of Northern Light A.R. Gould Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and A.R. Gould Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Section C, Line 19 The Aroostook Medical Center d/b/a Northern Light A.R. Gould makes its governing documents, conflict of interest policy and financial statements available to the public upon request. 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