2022-08-03T10:36:56-07:00 2021-09-30 990 2020-10-01 010198331 Maine Coast Regional Health Facilities Northern Light Maine Coast Hospital MAIN 2079739081 50 Union Street Ellsworth ME 04605 John J Doyle NLH VP of Finance 2022-08-03 false John J Doyle 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z John J Doyle 92177552 false X https://northernlighthealth.org/Maine-Coast-H X 1964 ME The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. 14 10 702 62 0 618857 2237459 79943755 85177088 28737 12996 858111 4742744 81449460 92170287 0 0 49048514 51011753 0 0 37603608 41984208 86652122 92995961 -5202662 -825674 64403049 76269482 54949431 64232884 9453618 12036598 X The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. false false 67931989 89911183 Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $4,789,572 of other uncompensated care (at cost).Admissions 1,623Patient Days 8,854Average Stay 5.4 daysClinic Visits:Primary Care 45,231Specialty Care 32,690Emergency Room Visits 10,262Surgical Cases - Inpatient 344Surgical Cases - Outpatient 1,627Laboratory Tests: 208,545Radiology Exams:Diagnostic Radiology 15,797Ultrasound 5,980CT Scan 6,822Mammography 4,218Nuclear Medicine 535MRI 2,021Physical, Occupational & Speech Therapy 70,694Births 196 10732446 Experienced Medicare shortfall (at cost). 5,975 persons served. 1283548 Experienced Medicaid shortfall (at cost). 4,049 persons served. 483636 80431619 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 false false true false false false false true true true false false true 40 0 true 702 true false false false false false false false 0 false false false false false false false X 14 10 false false false false true true true true true false false true true true true true true true false false ME X X X John Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Timothy Dentry Ex Officio 1.00 50.00 X X 0 1055785 145096 Daniel B Kairys Physician 50.00 0.00 879027 0 36316 Anthony Filer Treasurer 1.00 50.00 X 0 758458 57247 Bruce Dick Physician 50.00 0.00 743194 0 38321 Glenn Martin Secretary 1.00 50.00 X 0 651790 112497 Peter Copithorne Physician 50.00 0.00 604489 0 36308 Charles Therrien Former SVP & President 0.00 50.00 0 536221 101966 Mary M Hood Former, NLH President & CEO 0.00 50.00 0 599997 18136 Davor Sklizovic Physician 50.00 0.00 572286 0 39189 Paul Bolin Former SVP & CHRO 0.00 50.00 0 459978 106714 John Ronan President 25.00 25.00 X X 236707 236707 82996 Martin Curlik Physician 50.00 0.00 434288 0 10907 Sheena Whittaker MD VP Sr Phys Exec 50.00 0.00 X 383094 0 36662 Mike Murnik VP Sr Phys Exec 5.00 45.00 X 32637 293731 52743 Richard Littlefield DO Ex Officio 1.00 50.00 X 0 338905 36517 Wendy Merchant VP, Finance 25.00 25.00 X 141942 141942 52118 Chris D Frauenhofer Former VP, Finance 0.00 50.00 0 281058 52679 Kristin Cyr VP Patient Care 25.00 25.00 X 131507 131507 27674 Noah Lundy VP HR-East Regi 25.00 25.00 X 78015 89192 19205 Jacqueline Carter FNP Ex-officio 1.00 50.00 X 0 116598 25867 Joseph Gaetano VP Operations 25.00 25.00 X 61939 61939 1164 Tyler Smith Trustee 1.00 0.00 X 0 0 0 Jacob Taylor Trustee 1.00 0.00 X 0 0 0 Karen Stanley Trustee 1.00 0.00 X 0 0 0 Scott Hammond Trustee 1.00 0.00 X 0 0 0 Sally Hutchins Trustee/Vice Ch 1.00 0.00 X X 0 0 0 Edward Clayton Trustee 1.00 0.00 X 0 0 0 Scott Gray Trustee, Chair 2.00 0.00 X X 0 0 0 D Scott Miller Trustee 1.00 0.00 X 0 0 0 Arthur Manning DO Ex Officio 1.00 0.00 X 0 0 0 Michael Hockenbury Trustee 1.00 0.00 X 0 0 0 Kevin Tesseo Trustee 1.00 0.00 X 0 0 0 4299125 5753808 1090322 61 true true false Simplifi Managed Services 5020 North Shore Drive Suite 2 North Little Rock AR 72118 Contract Labor 1715441 Nurse Anesthesia of Maine 141 N Main Street Suite 205 Brewer ME 04412 Anesthesia Services 1854694 Dahl Chase Diagnostics 417 State Street Suite 441 Bangor ME 04401 Laboratory Services 298982 Emergency Physician Associates Inc PO Box 634850 Cincinnati OH 452634850 Contract Labor 3693572 HBCS 118 Lukens Drive New Castle DE 19720 Collection Services 390102 10 328768 1462337 446354 33840 2237459 Cafeteria 722514 187319 187319 Net Patient Service Rev 621990 84989769 84989769 85177088 8856 8856 0 0 10743 2094 8649 8649 8649 9311 5171 4140 4140 4140 0 0 0 340B Pharmacy Benefits 621990 4734095 4734095 4734095 92170287 89723864 208964 X 0 0 0 0 1198714 665532 533182 0 40953184 39040815 1912369 728511 694731 33780 5629623 5365969 263654 2501721 2385718 116003 0 0 17297 17297 0 0 0 18330693 10524385 7806308 123717 123717 2345684 1922983 422701 1151033 1097660 53373 0 2045948 1688553 357395 30812 30812 0 42451 41372 1079 457902 338477 119425 0 1858572 1373840 484732 942380 898683 43697 Medical Supplies 11064266 11064266 Taxes & Licensing 1999330 1999330 Repairs & Maintenance 1197381 804261 393120 Dues & Subscriptions 266362 260862 5500 110380 109653 727 92995961 80431619 12564342 0 10726848 9027384 1423126 837867 0 16423255 25853408 0 0 100090 68091 519354 612002 159969 269936 39089676 14548116 23449889 24541560 0 0 0 300000 300000 11300518 14759234 64403049 76269482 30958851 41031292 10749848 9431020 13240732 13770572 54949431 64232884 X 5051872 4979548 4401746 7057050 9453618 12036598 64403049 76269482 X -825674 302023 3106631 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 7439 7439 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 6633954 1200 1066352 214155 7487351 6788578 18890 56333 229847 6633954 6560028 2860 509635 283945 6788578 6064380 294678 454505 253535 6560028 18854258 494050 1815384 15099312 6064380 0.71300 0.28700 false true true 308479 308479 16051994 4293683 11758311 1480695 896434 584261 17734607 8612681 9121926 3513901 745318 2768583 24541560 Assets whose use is limited 37276 Benefits Trust Assets 1920576 Board Designated Other 7613324 Permanently Donor Restricted Funds 1528997 Right-of-Use-Operating Lease Assets 51582 Temporarily Donor Restricted Funds 3607479 14759234 Amounts due to Related Org 11625200 Lease Obligation-Finance Lease 96242 Lease Obligation-Operting Lease 52079 Reserve for Asset Disposal Costs 38147 Reserve for Retiree Health Benefits 1958904 13770572 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 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 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 true X true X true true true false true true 147 483636 483636 0.00520 4049 14223110 12939562 1283548 0.01380 4196 14706746 12939562 1767184 0.01900 7 7 290520 290520 0.00310 1 7 3814 3814 2 13960 13960 0.00020 10 14 308294 308294 0.00330 10 4210 15015040 12939562 2075478 0.02230 1 2506 2506 1 2506 2506 true 4789572 20841347 31573793 -10732446 X true true 1 1 Northern Light Maine Coast Hos 50 Union St Ellsworth ME 04605 northernlight.org/maine-coast- 38528 X X X Northern Light Maine Coast Hos 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X 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 Maine Coast Hos - Part V, Section B, Line 5 Response for Line 5The 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 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted 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 October 30, 2018, Hancock County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Hancock County CHNA report, pages 25-26): Amyotrophic Lateral Sclerosis (ALS) Maine Collaborative, Mount Desert Island Regional School District AOS 91, Deer Isle-Stonington Central School District (CSD 13), Downeast Community Partners, Downeast Public Health District, Eastern Area Agency on Aging, Friends in Action, George Stevens Academy, Hancock County Emergency Management Agency, Healthy Acadia, Healthy Island Project, Healthy Peninsula, Hospice Volunteers of Hancock County, Island Health & Wellness Foundation, Maine CDC, Maine Community Foundation, Mount Desert Island Hospital, Next Step Domestic Violence Project, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Blue Hill Hospital, Northern Light Health, Northern Light Home Health & Hospice, Northern Light Maine Coast Hospital, Parker Ridge Retirement Community, Peninsula Ambulance, School Union 76 (Brooklin and Sedgwick Schools), State of Maine DHHS, Maine CDC, Town of Deer Isle.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group of in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light Maine Coast Hos - 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. Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Maine Coast Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Maine Coast Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light Maine Coast Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by Maine Coast Hospital to address this priority in FY21:Northern Light Maine Coast Hospital utilized a validated two question screening for all patients at Northern Light Pediatrics to assess for food insecurity. To increase impact, pediatric staff were trained upon hire to use the screening and refer those who screened positive to additional resources such as food bags. Throughout the year, our pediatric practice continued to promote screening and access to food for their vulnerable population despite facing a number of challenges that included a growing practice, physical change in location, and a medical record conversion which necessitated workflow adaptations. During this challenging transition period and as a result of the medical records conversion, Maine Coast Hospital was able to expand the two-question screening to all primary care practices enabling more patients to be reached throughout a larger geographical area.Substance useActions taken by Maine Coast Hospital to address this priority in FY21:Northern Light Maine Coast Hospital maintained crucial conversations and training for staff regarding medication-assisted treatment (MAT) options for patient referrals into the Down East Treatment Center for services. Through a collaborative grand rounds offering for both Maine Coast Hospital and Northern Light Blue Hill Hospital, providers offered peer support and training focused on substance use and treatment options for our healthcare teams to best serve our community members in need. Nursing champions identified in the emergency departments were provided additional MAT training. Through this foundational work we look to strengthening relationships with MAT providers and referrals to the Down East Treatment Center to continue promoting and engaging both patients and providers.Access to careActions taken by Maine Coast Hospital to address this priority in FY21:Northern Light Maine Coast Hospital engaged internal and external partners to provide primary care referrals for community members seeking services in the Hancock County service area. Established a process for patients with an undesignated primary care provider (PCP) to get a resource center referral to assist with PCP referrals. Utilized telehealth, walk-in care services, and other curbside clinics to allow for capacity in provider schedules, despite the additional resource demands of the pandemic.Additional information related to actions taken by Northern Light Maine Coast Hospital on the above priorities can be found in their FY21 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Maine Coast Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Maine Coast Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Mental Health - Northern Light Maine Coast Hospital has operationalized numerous mental health protocols in a number of our practices. Including, but not limited to the use of telepsychiatry services within our primary care sites, routine screenings for depression and suicide risk assessments with associated action plans for patients positively screened, and the institution of a Psychiatric Mental Health Nurse Practitioner in our primary care practice. In addition, our Access to Care priority plans will augment mental health access. Therefore, due to our current and ongoing engagement in many mental health initiatives, we have chosen to focus our efforts on other priority areas of need. Older Adult Health/Healthy Aging - This is an area that is being heavily and proactively addressed in our area on a sustained basis. Northern Light Maine Coast Hospital is participating in numerous healthy-aging related projects including the following Healthy Acadia collaborations: Aging in Place Age -Friendly Coastal Communities Collaborative, Choices That Matter (re: Advance Care Planning, end-of-life issues), Food security, healthy eating etc. (lunches, Magic Food Bus etc.), We also provide ongoing cancer screening and chronic disease screening through ACO and population health activities in primary care; and the Northern Light Palliative Care service line available now in Hancock County. Additionally, some of the work underway to augment elder health/healthy aging will fall within the access and social determinants of health community health priority. Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 13h FPG family income Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 16j Response for 7a (list url) is https://northernlighthealth.org/Our-System/Maine-Coast-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list url) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Maine-Coast-Hospital under "Pay My Bill" Northern Light Primary Care 32 Resort Way Ellsworth ME 04605 Physician Practice Northern Light Rehabilitation 37 Clinic Road Gouldsboro ME 04607 Clinic Northern Light Rehabilitation 65 Church Street Ellsworth ME 04605 Clinic Northern Light Rehabilitation Route 102 Mount Desert ME 04660 Clinic Northern Light Primary Care 37 Clinic Road Gouldsboro ME 04607 Physician Practice Northern Light Pediatric Care 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Primary Care 45 Herrick Road Southwest Harbor ME 04679 Physician Practice Northern Light Health Center 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Cancer Care 50 Union Street Mary Dow Center Ellsworth ME 04605 Clinic Northern Light Podiatry 318 Main Street Ellsworth ME 04605 Clinic Northern Light Endocrine and Diabetes Care 32 Resort Way Ellsworth ME 04605 Clinic Northern Light Sleep Diagnostics 50 Union Street Ellsworth ME 04605 Clinic Northern Light Walk-In Care 32 Resort Way Ellsworth ME 04605 Clinic Northern Light Rehabilitation 306 Main Street Ellsworth ME 04605 Clinic Part I, Line 6a - Related Organization Community Benefit Report Northern Light Maine Coast Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. 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 methodology 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 17-20 - Revenue Recognition and Patient 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 Maine Coast Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients 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 Ellsworth, Maine, Northern Light Maine Coast 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 Maine Coast Hospitals primary service area include: Birch Harbor, Bucksport, Cherryfield, Corea, East Hancock County, East Orland, Ellsworth, Franklin, Gouldsboro, Hancock, Milbridge, Orland, Prospect Harbor, Sorrento, Steuben, Surry, and Winter Harbor.Towns representing Maine Coast Hospitals secondary service area include: Addison, Bar Harbor, Bass Harbor, Beals, Blue Hill Castine, Blue Hill Falls, Brooklin, Brooksville, Columbia Falls, Cutler, Deer Isle, Dennysville, East Machias, Harborside, Harrington, Isle Au Haut, Jonesboro, Little Deer Isle, Lubec, Machias, Machiasport, Manset, Mount Desert, Pembroke, Penobscot, Sargentville, Sedgwick, South Central Washington County, Southwest Harbor, Stonington, Sunset, Swans Island, and Whiting.Hancock Countys demographic and social determinants of health data are provided below for Maine Coast Hospital based on the hospitals physical location in Hancock County.Hancock County - Demographic Data: American Indian/Alaskan Native 0.4% (211), Asian 1.0% (518), Black/African American 0.6% (320), Hispanic 1.3% (711), Some other race 0.0% (19), Two or more races 1.7% (938), White 96.3% (52,462). Total county population 54,483.Hancock County Social Determinants of Health Data: Median household income $50,037, Unemployment rate 4.7%, Individuals living in poverty 12.1%, Children living in poverty 15.5%, 65+ living alone 46.2%, People living in rural areas 90.1%, Food insecurity 15.3%.Other hospitals serving the Northern Light Maine Coast Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Maine Coast Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Maine Coat Hospitals service area as having a total of 7 medically underserved populations. Part VI, Line 4 - Community Building Activities Northern Light Maine Coast Hospital's community building activities include community education and health forums, community meals, vaccine efforts, COVID education and information, and support of the Downeast Treatment Center providing outpatient treatment for patients with Opiate Use Disorder through a hub and spokes care model. Part VI, Line 5 - Promotion of Community Health Northern Light Maine Coast Hospital is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Northern Light Maine Coast Hospital provides financial assistance and sliding scale discounts to self-pay and low-income patients. Also, the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Northern Light Maine Coast Hospital's non-profit status allows the Hospital to reinvest any excess of revenues over expenses back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area. Part VI, Line 6 - Affilated Health Care System The 2019 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 Anthony Filer Treasurer 584879 158088 15491 22800 34447 815705 Bruce Dick Physician 692911 36477 13806 6540 31781 781515 Charles Therrien Former SVP & President 404113 105437 26671 79786 22180 638187 Chris D Frauenhofer Former VP, Finance 233236 43058 4764 19950 32729 333737 Daniel B Kairys Physician 602672 255439 20916 6412 29904 915343 Davor Sklizovic Physician 560693 11593 6412 32777 611475 Glenn Martin Secretary 443589 165077 43124 88916 23581 764287 John Ronan President 168775 168775 44821 44821 23111 23111 35512 35512 5986 5986 278205 278205 Kristin Cyr VP Patient Care 107144 107144 22755 22755 1608 1608 7919 7919 5918 5918 145344 145344 Martin Curlik Physician 389540 5553 39195 5127 5780 445195 Mary M Hood Former, NLH President & CEO 277407 322590 10317 7819 618133 Mike Murnik VP Sr Phys Exec 29590 266305 2759 24835 288 2591 2052 18471 3222 28998 37911 341200 Noah Lundy VP HR-East Regi 66163 75643 10996 12571 856 978 3929 4491 5032 5753 86976 99436 Paul Bolin Former SVP & CHRO 365022 59878 35078 71686 35028 566692 Peter Copithorne Physician 600040 1856 2593 5418 30890 640797 Richard Littlefield DO Ex Officio 312837 26068 25650 10867 375422 Sheena Whittaker MD VP Sr Phys Exec 276105 70560 36429 4903 31759 419756 Timothy Dentry Ex Officio 860379 182026 13380 112598 32498 1200881 Wendy Merchant VP, Finance 117059 117059 21644 21644 3239 3239 11447 11447 14612 14612 168001 168001 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:John Ronan, director/officer $240 The benefit is available for all employees. X 2 25041 FMV X Scooter & blankets 1 6743 FMV X Gift Certificat 2 2056 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Experienced Medicare shortfall (at cost). 5,975 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President & CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care & Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in underserved populations vaccinated. As some Asian Americans show up, she speaks with them in their native language and offers assurances. She has a welcoming smile and charisma, which seems to make her a natural fit for this kind of work. "They couldn't ask for a better place to get vaccinated," explains Himm, "because they've got the nurses here that care so much about them. And then they've got their cultural brokersthe ones doing the translations, the community leaders standing right behind them and letting them know that they're going to be okay. What more can someone ask for?" Himm is not just offering lip service when she compliments the Northern Light Home Care & Hospice nurses doing the clinics. Both Akers and Robbins have been doing this kind of work for a long time with community partners and have earned praise for their compassion and sensitivity. "I feel so lucky in a way to be part of this journey. Doing these vaccines has just been such a gift," shares Akers.If you would like to learn more about the COVID-19 vaccine or get vaccinated, please visit https://covid.northernlighthealth.org/Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities."Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern Maine Medical Center in 2017, she had already worked as a nurse for several years in Nigeria. She had clinical experience and a nursing education but didn't know how steep the cultural curve would be. She remembers one particularly difficult exchange with a patient's wife who was mad at Ngozi because she wouldn't make constant eye contact with her or her husband. "In Nigeria, when you're talking to an elder, you're not supposed to look eye-to-eye because thats a sign of rudeness," Ngozi explains. She now understands that generally, eye contact is important in western culture. Ngozi was recruited t Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Maine Coast Regional Health Facilities d/b/a Northern Light Maine Coast 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, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders 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, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP, Finance of Northern Light Maine Coast 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, 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 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Maine Coast Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by 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 utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the MCH SVP, President and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Maine Coast Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Changes in Net Assets Held @ NLH Foundation = $2699738 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary-NLH Foundation = $406893 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A false WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Acadia Hospital CorpAHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC false Northern Light Health Foundation 43 Whiting Hill Rd Suite 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS false Rosscare 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and LT nursing care ME 501(c)(3) 3 Inland Hospital false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false 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 false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCH true Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS false Beacon Health LLC 43 Whiting Hill Rd Brewer ME 04412 452967056 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Rd Brewer ME 04412 474483187 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Rd Brewer ME 04412 364903784 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS false LTC LLC 43 Whiting Hill Rd Brewer ME 04412 010211501 Operation of Nursing Homes ME 501(c)(3) 3 EMMC false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street Dover Foxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false Alliance Health Documentation LLC 43 Whiting Hill Rd Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding company ME EMHS C false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Healthcare management ME AHS C false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical lab ME AHS C false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C false false false false false false false false false false true true true true false false true true false true Maine Coast Medical Realty k 145279 FMV