2022-08-03T12:18:23-07:00 2021-09-30 990 2020-10-01 010263628 Sebasticook Valley Health Northern Light Sebasticook Valley Hosp SEBA 2079739081 447 North Main Street Pittsfield ME 04967 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 56997621 false 5247 X https://northernlighthealth.org/Sebasticook-V X 1963 ME Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect. 13 8 389 83 0 400390 461983 44787604 56090371 -40459 191402 8222 4735 45155757 56748491 0 0 23205391 25026412 0 0 18891309 21680184 42096700 46706596 3059057 10041895 59669249 62811701 24111700 17083253 35557549 45728448 X Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect. false false 38642705 56090371 Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (SVH) is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2021 fiscal year, SVH provided free care of $244,971 and recorded $3,069,244 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 9,466. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:IP Admissions of 982Patient Days 5,036Emergency Room Visits 9,466Surgical Cases 744Outpatient visits 78,727 1498040 Medicare Shortfalls (at cost) 22,730 persons served 108975 Charity Care provided (at cost) 919 persons served 40249720 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true false false false true 52 0 true 389 true false false false false false false false 0 false false false false false false false X 13 8 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 J Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 Tim Dentry NLH PresidentCEO Trustee 0.50 50.00 X X 0 1055785 145096 Anthony Filer Treasurer 0.50 50.00 X 0 758458 57247 Glenn Martin Secretary 0.50 50.00 X 0 651790 112497 Teresa P Vieira Ex-officio 25.00 25.00 X X 309028 309027 47090 Mary Michelle Hood Former NLH Presiden & CEO 0.50 50.00 0 599997 18136 Paul Bolin SVP & CHRO 0.50 50.00 X 0 459978 106714 Michael Lemieux Cardiologist 40.00 0.00 431914 0 21815 Robert Schlager MD VP, Senior Phys 22.00 18.00 X 198510 162418 19536 James Fullwood Physician 40.00 0.00 322916 0 35685 John Cedric Baker Physician 40.00 0.00 284111 0 38439 Randall Clark VP of Finance 27.00 13.00 X 209994 42137 38449 Reynaldo A Arceo Physician 40.00 0.00 237668 0 35241 Tracy Bonney-Corson VP, Nursing & P 40.00 0.00 X 214423 0 20892 Phillip B Amidon Gastroenterologist 40.00 0.00 211306 0 7455 Emily Cianchette Ex-Officio 40.00 0.00 X 141206 0 36671 Paul R Arsenault VP, Prim Care & 40.00 0.00 X 156060 0 16860 Alicia J Nichols Trustee 0.50 0.00 X 0 0 0 Jeremy West DC Trustee 0.50 0.00 X 0 0 0 Stacey Fitts Trustee 0.50 0.00 X 0 0 0 Stephen George Chairman 0.50 0.00 X X 0 0 0 Charlie Cianchette Trustee 0.50 0.00 X 0 0 0 Nanette Ardry Trustee 0.50 0.00 X 0 0 0 Linda Woolley Vice Chair 0.50 0.00 X X 0 0 0 Andrew Gibson Trustee 0.50 0.00 X 0 0 0 Robin Chase Trustee 0.50 0.00 X 0 0 0 Jeremy Boutot Trustee 0.50 0.00 X 0 0 0 2717136 4039590 757823 29 true true false Emergency Physician Associates Inc PO Box 634850 Cincinnati OH 45263 Purchase Services 1554101 Nurse Anesthesia of Maine 141 N Main St Brewer ME 04412 Clinical Services 896866 Insight Health Corp 5775 Wayzata Blvd SE 400 St Louis Park MN 55416 Purchase Service 397980 Three Rivers Orthopaedics 167 Livermore Falls Road Farmington ME 04938 Contract Labor 140325 Simplifi 5020 Northshore Drive Suite 2 North Little Rock AR 72118 Contract Labor 127298 8 75516 235893 150574 13135 461983 Cafeteria 722514 60759 60759 Net Patient Care Services 621990 56029612 56029612 56090371 4059 4059 0 0 20141 15406 4735 4735 4735 421067 233724 187343 187343 187343 0 0 0 0 56748491 56029612 256896 X 0 0 0 0 1369957 795367 574590 0 19038678 18165870 872808 371126 351930 19196 3037221 2909882 127339 1209430 1130518 78912 0 376 376 7929 7929 0 0 0 9329235 5571013 3758222 133625 133625 1160199 818112 342087 1716478 1625139 91339 0 1140706 906405 234301 77571 76376 1195 0 65186 64630 556 180881 180881 0 1185522 937071 248451 1078959 1023151 55808 Medical Supplies 3956928 3956928 Taxes & Licenses 889463 889202 261 Maintenance & Repair 633048 591255 41793 Dues & Subscriptions 70963 69973 990 53115 52016 1099 46706596 40249720 6456876 0 6189925 4157929 25618125 32308165 3602 17728 8441201 7156889 0 0 5633 5632 268158 260559 206950 203795 41193269 24468346 17208363 16724923 0 0 0 169809 67741 1557483 1908340 59669249 62811701 11012042 7303768 7254335 4349217 5375600 4667061 469723 763207 24111700 17083253 X 34870471 44913691 687078 814757 35557549 45728448 59669249 62811701 X 10041895 48709 80295 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 6494 6494 false false Part II-B, Line 1i - Other Activities Description NON DEDUCTIBLE DUES 114723 21209 474 135458 116857 -1695 439 114723 115981 1260 384 116857 115126 1133 278 115981 108495 5000 2179 548 115126 0.05000 0.95000 false true true 350271 350271 23083141 9502889 13580252 85950 76509 9441 16336647 13985757 2350890 1337260 903191 434069 16724923 Deferred Compensation 557565 Lease Obligation-Finance Lease 57161 Right-of-Use Operating Lease Liability 148481 763207 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 Income TaxesNorthern 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 false false true true 919 108975 108975 0.00230 919 108975 108975 0.00230 7 1437 237842 400 237442 0.00510 3 60 138599 225 138374 0.00300 480 480 10 1497 376921 625 376296 0.00810 10 2416 485896 625 485271 0.01040 1 8 86 86 1 8 86 86 true 1302100 18394128 19892168 -1498040 X true true 1 1 Northern Light Sebasticook Val 447 Main Street Pittsfield ME 04967 northernlight.org/sebasticook- 38277 X X X X Northern Light Sebasticook Val 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 Sebasticook Val - 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 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 17, 2018 Somerset 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 Somerset County CHNA report, pages 23-25): All Saints Church, Central Public Health District, Community member, HealthReach Community Health Centers, Healthy SV, Kennebec Valley Community Action Program Child and Family Services, Local First Group, LLC, Main Street Skowhegan, Maine CDC, Maine Federation of Farmers' Markets, MaineGeneral Health, MaineGeneral Medical Center, MSAD #53, Maine State Legislature, District 107, New Balance, Northern Light Health, Northern Light Health Acadia Hospital, Northern Light Sebasticook Valley Hospital, Outdoor Sport Institute, Redington-Fairview General Hospital, RSU 54/MSAD 54, Skowhegan Area Chamber, Somerset Public Health, Spectrum Generations, State of Maine, Maine CDC, Office of Rural Health and Primary Care, United Way of Mid-Maine, Walgreens, Worksite Wellness Consultant.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 Sebasticook Val - 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 Sebasticook Val - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Sebasticook Valley 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 Sebasticook Valley 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 Sebasticook Valley Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of health social needsActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital participated in the Northern Light Health Social Determinants of Health (SDOH) system workgroup, which met bi-weekly through November 2020. The workgroup suspended meetings after this date to accommodate new system-level SDOH efforts. In January 2021, Northern Light activated four critical path project teams to plan and operationalize a system approach to identifying patients with social health needs. These groups oversaw standardization of the Cerner Social History Tool in the medical record, which will ensure patient demographics and health history are documented in a consistent fashion across all Northern Light member hospitals. The existing Food Insecurity form in Cerner was then updated to include six additional evidence-based questions to assess patients housing status and safety, transportation, utilities, daily activities, and isolation. The updated screening form aligns with most of the recommendations developed by the SDOH workgroup members. Both the SDOH Screening form and the updated Social History Tool went live in Cerner on 5/18/21 and are now available for use. Additional efforts during this year included foundational work to operationalize the Social Vulnerability Index and developing recommendations for implementation of a social care network platform (called Aunt Bertha). These additional Cerner functions are slated to go live in fiscal year 2022 (FY22) and will provide Northern Light with enhanced ability to understand social needs by populations and geographic location and provide seamless patient referrals to community-based organizations for assistance with social needs. Moving forward, the SDOH workgroup will be re-established in FY22 as the SDOH Team and report to Northern Lights Quality Council and will be responsible for developing, implementing, monitoring, and evaluating the effectiveness of the systems implementation of SDOH screening and intervention.Substance useActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital partnered with the Pittsfield Police Department and HealthySV Coalition to host bi-annual prescription Drug Take Back day events. The hospital also partnered with HealthySV Coalition, Palmyra Baptist Soup Kitchen, Pittsfield Fire Department, Pittsfield Police Department, Good Shepherd Food Bank, Kennebec Valley Community Action Program, Greater Pittsfield Area Kiwanis Club, Pittsfield Elks Lodge, St. Albans Community Center, and Pittsfield Summer Concert Series to distribute prescription drug safety educational materials to community members in the Sebasticook Valley region. They also partnered with HealthySV Coalition, MSAD #53, Maine Central Institute, Pittsfield Police Department, local healthcare providers, local community action program, and RSU #19 to write and apply for a five-year Comprehensive Addiction and Recovery Act (CARA) Local Drug Crisis Grant to address and prevent youth opioid use and/or prescription drug misuse in the Sebasticook Valley region. The hospital and local community partners received the CARA Local Drug Crisis Grant funding to continue prevention work to address youth opioid use and/or prescription drug misuse. Sebasticook Valley Hospital coordinated a Drug Identification Training for local school staff members presented by Maine State Police Troop C. The hospital partnered with Northern Light Acadia Hospital to host virtual Stigma and Bias Training for providers and non-clinical staff at four primary care locations and one specialty care location to reduce stigma associated with treating patients with substance use disorder. Lastly, the hospital partnered with HealthySV Coalition to provide seven alternative activities for youth to promote drug-free living; provided rice socks to community members as an alternative to pain management; and hosted one puppet show for youth in the community to promote drug-free living.Social determinants of health food insecurityActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital doubled its goal of screening 14,000 patients with 28,422 patients screened. Part of the increase could be attributed to the continuing COVID-19 pandemic and growing social needs. Cerner, our medical record platform, now includes the food insecurity questions during patient intake. This likely had a positive impact in tracking the number of screenings conducted.Mental healthActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital partnered with Northern Light Acadia Hospital to present Acadia CARES (Child-Adolescent Resource and Education Series) to increase awareness of suicide prevention and mental health resources. Acadia Hospital also partnered with Sebasticook Valley Hospital and Cianbro to provide mental health awareness presentations to all Cianbro employees during their safety week. The Pittsfield hospital partnered with National Alliance of Mental Illness Maine to host mental health first aid training to community members and Maine Resilience Building Network to conduct two Adverse Childhood Experience trainings to local school department staff members. They partnered with HealthySV Coalition to distribute stress less kits to local school departments; promote mental health awareness through the distribution of academic calendars; hosted quarterly book clubs with local school department staff to enhance skills around mental health awareness; and partnered with Etna-Dixmont School to hand out grab-and-go crafts to local youth to promote mental health. The hospital partnered with Mr. Sean Presents to host mental health presentations to local youth about how to express emotions and cope with negative feelings. Lastly, they partnered with Kohls Grant and Maine Central Institute to host family game nights and develop talking points to increase awareness of mental health and improve familial bonds. In FY21, Sebasticook Valley Hospital continued to experience challenges due to the COVID-19 pandemic. They recognized how detrimental COVID-19 has been to local community members and discovered creative ways to address mental health concerns by creating socially distanced craft-and-go bags for youth and utilized virtual platforms to host educational presentations to increase mental health awareness.Older adult health/Healthy agingActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital partnered with two primary care providers to increase patient education and raise awareness of palliative and end-of-life care. The primary care providers offered direct education to patients during visits and provided Advance Directives trainings for local registered nurses, care managers, physician assistants, and providers to increase their awareness of options and increase their comfort when talking to their patients about palliative care and end-of-life options.Additional information related to actions taken by Northern Light Sebasticook Valley 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 Sebasticook Valley 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, Sebasticook Valley 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:Access to Care - This identified health need is not bein Facility: Northern Light Sebasticook Val - Part V, Section B, Line 13h Income Levels Facility: Northern Light Sebasticook Val - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Sebasticook-Valley-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/Sebasticook-Valley-Hospital under "Pay My Bill" Northern Light Sleep Diagnostics 130 Leighton Street Pittsfield ME 04967 Outpatient Medical Facility Northern Light Rehabilitation 118 Moosehead Trail Suite 3 Newport ME 04953 Outpatient Medical Facility Northern Light Specialty Physicians 72 North Road Detroit ME 04929 Outpatient Medical Facility Northern Light Primary Care 470 Somerset Avenue Pittsfield ME 04967 Outpatient Medical Facility Northern Light Primary Care 8 Main Street Suite A Newport ME 04953 Outpatient Medical Facility Northern Light Primary Care 1309 Main Street Unit 1 Clinton ME 04927 Outpatient Medical Facility Northern Light Primary Care RHC 26 Main St Newport ME 04953 Outpatient Medical Facility Northern Light Rehabilitation 141 Leighton Street Pittsfield ME 04967 Outpatient Medical Facility Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Sebasticook Valley 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 to 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 Sebasticook Valley 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 Pittsfield, Maine, Northern Light Sebasticook Valley 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 Sebasticook Valley Hospitals primary service area include: Corinna, Detroit, Hartland, Newport, Palmyra, Pittsfield, Plymouth, and Saint Albans.Towns representing Sebasticook Valley Hospitals secondary service area include: Albion, Belgrade, Belgrade Lakes, Burnham, Clinton, Dexter, Dixmont, Etna, Exeter, Fairfield, Freedom, Garland, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Somerset Countys demographic and social determinants of health data are provided below for Sebasticook Valley Hospital based on the hospitals physical location in Somerset County.Somerset County - Demographic Data: American Indian/Alaskan Native 0.4% (215), Asian 0.3% (161), Black/African American 0.5% (274), Hispanic 1.0% (507), Some other race 0.0% (23), Two or more races 1.8% (921), White 96.8% (49,743). Total county population 51,363.Somerset County Social Determinants of Health Data: Median household income $40,484, Unemployment rate 5.7%, Individuals living in poverty 18.0%, Children living in poverty 26.2%, 65+ living alone 46.7%, People living in rural areas 80.5%, Food insecurity 16.2%.Other hospitals serving the Northern Light Sebasticook Valley Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Sebasticook Valley Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Sebasticook Valley Hospitals service area as having a total of 7 medically underserved populations. Part VI, Line 4 - Community Building Activities Northern Light Sebasticook Valley Hospital (SVH) is actively engaged with offering students the opportunity to learn about healthcare careers via hospital tours and job shadows. In collaboration with Maine Central Institute (high school in Pittsfield), eight students were scheduled to complete a 14- week class during which they would have class 1 day per week at the hospital; completing 3 job shadows, classroom training with providers, prepped and participated in a mock disaster and participate in a career exploration class. Due to the covid-19 pandemic, the students only completed the two 80- minute sessions on career development with the hospital education coordinator. Part VI, Line 5 - Promotion of Community Health Northern Light Sebasticook Valley Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Health Education: Drug Free Community and CARA Local Drug Crisis grants Addressing substance abuse; Rural Health Clinic Vaccine Confidence Program - Improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas.Health Care Support Services: Maine Cancer Foundation Grant - Support cancer patients by assisting with access to resourcesSocial and Environmental Improvement Activities: Kohls Cares - Support the development of school-based gardening/access to healthy foodCoalition Building: Rural Communities Opioid Response Program promote sustainability of the local consortium-led substance use effortsSVH full and part time employees and spouses are eligible to enroll in Virgin Pulse; an on-line wellness reward system program. Employees and spouses can earn up to $400.00 each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. SVH offered an Emergency Medical Technician (EMT) training course (Earn while you Learn). This six-week training course offered classroom and clinical experience. Candidates work alongside our dedicated EMS providers. Candidates were brought into the program as a 'Work to Grow' employee and be paid forty hours a week, which will compensate them for class and job shadow time. Upon successful completion of the program and obtaining a Maine EMT license, candidates will be hired to EMT. The SVH Health and Wellness Educator Coordinator was part of a Safe Return to Business panel, sponsored by Northern Light Health, on the topic of Worksite Wellness. The 1 hour Zoom conference was targeted to the business community. The presentation included information on Why a business would start a worksite wellness program, virtual wellness, feeding the body and soul and a covid-19 update. The presentations were followed by a Q & A session. Sixty-five people viewed the presentation on-line. The session is also available on-line www.https://northernlighthealth.org/Resources/Safe-Return-to-BusinessSVH hosted an ARC blood drive in August 2021 open to SVH employees and community members. Staff and volunteers recruit donors and staff provide help on the day of the drive. The drive resulted in 24 sign-ups and a collection of 16 units.The SVH education department offered Heartsaver First Aid and CPR/AED classes to community members and a Heartsaver Pediatric CPR/First Aid class to a local business. In addition, community members may also register for Healthcare Provider Basic Life Support (BLS) classes when space allows. In FY21, six community members attended this class. 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 and the many 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 Emily Cianchette Ex-Officio 131900 2375 6931 5250 31421 177877 Glenn Martin Secretary 443589 165077 43124 88916 23581 764287 James Fullwood Physician 284967 10000 27949 4584 31101 358601 John Cedric Baker Physician 278083 1875 4153 9758 28681 322550 Mary Michelle Hood Former NLH Presiden & CEO 277407 322590 10317 7819 618133 Michael Lemieux Cardiologist 383431 10000 38483 9975 11840 453729 Paul Bolin SVP & CHRO 365022 59878 35078 71686 35028 566692 Paul R Arsenault VP, Prim Care & 128611 25414 2035 5506 11354 172920 Phillip B Amidon Gastroenterologist 207697 3609 7270 185 218761 Randall Clark VP of Finance 170657 34244 35831 7190 3506 703 4367 876 27656 5550 242017 48563 Reynaldo A Arceo Physician 208385 3000 26283 6251 28990 272909 Robert Schlager MD VP, Senior Phys 148688 121654 34226 28004 15596 12760 4169 3411 6576 5380 209255 171209 Teresa P Vieira Ex-officio 143713 143713 145968 145967 19347 19347 11598 11598 11947 11947 332573 332572 Tim Dentry NLH PresidentCEO Trustee 860379 182026 13380 112598 32498 1200881 Tracy Bonney-Corson VP, Nursing & P 152515 30081 31827 1114 19778 235315 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Reynaldo Arceo, highest compensated employee $25,962James Fullwood, highest compensated employee 25,962 The following received a wellness program incentive:Paul R. Arsenault, officer $320 Emily Cianchette, board member 400Robert Schlager, officer 400 The benefit is available for all employees. A Finance Authority of ME 010392006 2013-01-17 6000000 Construction false false false B Finance Authority of ME 010392006 2013-01-17 2025000 Construction false false false A 1827984 6000000 6000000 2013 false false true true B 1498694 2025000 2025000 2013 false false true true A false false false false false true B false false false false false true A false false NA false NA false false B false false NA false NA false false A true B true Tracy Wing fam mem=officer 67105 compensation false Nancy Gibson fam mem=brd mem 27612 compensation false Jaime York fam mem=brd mem 38893 compensation false Schedule L, Part V Supplemental Information Tracy Wing is a family member of an officer and is an employee of Northern Light Sebasticook Valley Hospital.Nancy Gibson is a family member of a board member and is an employee of Northern Light Sebasticook Valley Hospital.Jaime York is a family member of a board member and is an employee of Northern Light Sebasticook Valley Hospital. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: 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 Health OTHER PROGRAM SERVICES 5: A 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." OTHER PROGRAM SERVICES 6: 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 to work at the medical center through Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley 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 of Finance of Northern Light Sebasticook Valley 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 Sebasticook Valley 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 meeting 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 - 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. 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 Sebasticook Valley 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 Change in net assets held @ NLH Foundation = $80295 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare ME 501(c)(3) 12 Type II N/A 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 Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC false Acadia Healthcare Inc 43 Whiting Hill Road Brewer ME 04412 223183888 Provide Healthcare Services ME 501(c)(3) 10 AHC false Northern Light Health Foundation 43 Whiting Hill Road Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II 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 long-term nursing ca ME 501(c)(3) 3 Inland Hospital false CADean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 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 Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide Healthcare Services ME 501(c)(3) 3 EMHS false 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 & Hospice Service ME 501(c)(3) 10 EMHS false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide Healthcare Services ME 501(c)(3) 3 EMHS false WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Maine Coast Regional Health Fac dba MCMH 50 Union Street Ellsworth ME 04605 010198331 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Maine Cost Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease Medical Facilities ME 501(c)(3) 12 Type I MCH false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false LTC LLC 43 Whiting Hill Road 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 services ME 501(c)(3) 10 EMHS false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street DoverFoxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding Co. 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 false true true false false true false false true