2022-08-03T12:27:17-07:00 2021-09-30 990 2020-10-01 010246804 VNA Home Health & Hospice Northern Light Home Care & Hospice VNAH 2079739081 50 Foden Road Suite 1 South Portland ME 04106 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 50568862 false X www.northernlighthealth.org/homecare-hospice X 1921 ME VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families 13 11 600 211 0 220029 317293 49544210 50249738 10353 -9914 0 49774592 50557117 0 0 38512901 37679300 0 0 11105960 10865274 49618861 48544574 155731 2012543 24331547 24652631 17665191 15169677 6666356 9482954 X VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families false false 46380353 50249738 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 to work at the medical center through Northern Light Health's international nurses' program. She admits that adapting to a different culture and new customs has been challenging, especially when you feel culturally "alone. She welcomes Northern Light Health's efforts to diversify its nursing workforce."When you have other people from different places, especially people that understand your culture, it takes away the feeling that you are alone, which, in turn, builds your confidence. It builds your morale, and you have people to share your experiences with." Someone else who understands Ngozi's sentiments is Marwa Hassanien, MS, M.Ed., director of Diversity, Equity, and Inclusion (DEI) for Northern Light Health. Marwa, the daughter of Egyptian immigrants, oversees the system's DEI initiatives, including efforts to diversify the workforce. "In Maine and across the country we have a critical shortage of healthcare workers, especially in nursing. Diversifying the workforce creates opportunities for people from abroad to come here and enrich our state and our workforce. We need that in a highly homogenous state like Maine. We need their contributions, talent, and richness of culture and traditions," shares Hassanien.Hassanien oversees several DEI initiatives, including a grant-funded project with the University of Maine and Morgan State University, a historically black college in Maryland. The $1.7 million grant from the federal Health Resources and Services Administration provides funding to increase recruitment and retention of diversified nursing students and faculty. UMaine faculty will tap the healthcare-focused diversity, equity, and inclusion resources of Northern Light Health, and Northern Light Eastern Maine Medical Center will serve as the primary clinical training site for the School of Nursing. "Recruiting faculty is challenging regardless of the diversity factor, but recruiting diverse faculty is sometimes seemingly impossible. So, we've partnered with Morgan State University School of Nursing and will engage in a faculty exchange with their program," shares Kelley Strout, Associate Professor and Director of the University of Maine School of Nursing. In addition to a faculty exchange, Strout explains that some of the grant funding will provide scholarships for students of different ethnicities. The first scholarship recipient is senior nursing student Camilla Silva, the daughter of Brazilian immigrants. She relates, "At home, I was surrounded by people from my culture, and coming here where it is predominantly white was something that I did worry about. But, coming to the program and seeing that there are people that I can relate to and that I can even have conversations with in my native language is absolutely amazing." Silva is currently working part-time at Northern Light Eastern Maine Medical Center. Helping students like her graduate and stay in Maine is the goal.For more information about Northern Light Health careers visit: https://northernlighthealth.org/careers/home For more information on UMaine School of Nursing visit: https://umaine.edu/nursing/Ladders of opportunity Part 2 GrowthWearing a brightly colored floral print dress and a mask over her face, Christina Marring wheels her cart into the rehab unit at Northern Light Mercy Hospital. Her cart is packed with cleaning supplies and fresh linens. Marring moves to the first empty patient bed, and in one effortless motion drapes a clean sheet over the bed. Marring has worked in Mercy's Environmental Services Department for 14 years. She grew up in South Sudan and moved to Maine with her husband and children. She is grateful to have a job at Mercy but working a full-time job, caring for a large family, and dealing with medical issues, have not been easy. She knows that greater English proficiency and digital literacy will help expand her career opportunities. "I'm trying to practice using a computer to look for something other than housekeeping," explains Marring. Her situation is not unique. Melissa Skahan, vice president of Mission Integration for Mercy, says this has not been an uncommon theme in employee listening sessions. "We've heard from employees that, while incredibly grateful for Mercy and grateful to be part of the community, still felt stuck," she says.Skahan looked to create a workforce development program for Northern Light Mercy Hospital to help eliminate some of the barriers their workers were facing. She reached out to several community organizations, including Portland Adult Education and its New Mainers Resource Center. "We couldn't do this work without their targeted support. They have dedicated staff for us, and they meet several times each week with my staff at Mercy," shares Skahan. One of those dedicated staff members from Portland Adult Ed is Vanessa Sylvester, an instructor and advisement associate. Through a contract with Northern Light Mercy Hospital, Sylvester provides assessments for employees like Marring. "If they're not native English speakers, we'll assess their English proficiency. And then, well talk about their strengths and goals for advancement within the hospital," Sylvester says. The New Mainers Resource Center was set up as a pilot project by the Maine Legislature in 2013 to help skilled professionals coming to Maine from other places to use their skills and training fully. Sally Sutton, program coordinator, works with professionals, including foreign-trained physicians, to help them build a healthcare career in Maine. She explains there are big challenges in trying to figure out how to take advantage of the skills that people bring. "What we've seen during COVID is the great health disparity that exists, and how Maine healthcare systems might need to think differently about how they're serving minority communities and others who don't have easy access to healthcare. And we also have to think differently about how to help someone who's been a doctor or a nurse in another country get back into a meaningful healthcare role," says Sutton.Northern Light Mercy Hospital welcomes partnering on future workforce development projects with the New Mainers Resource Center. In addition to providing resources to the center, the hospital also provides time during work hours for employees to take classes and study, and is setting up remote classes during work hours to make it easier for employees like Marring to get ahead. "Our mission really is to advance vulnerable populations," explains Melissa Skahan. "We pay particular concern to those who are poor and disadvantaged. Without a different way of doing things, this population will not have the same opportunity that you or I would have. So, we're deeply committed to building pathways so that our employees have great opportunity to advance to every level of the organization. It's not just Mercy; it's Northern Light Health. There is an incredible commitment from the leadership of Northern Light Health to advance this fully. It aligns with all of our work."A giant step forwardProgressThroughout the global pandemic, emergency departments across the state have been dealing with high volumes of patients. In addition to the traditional cases, they've cared for people seeking treatment for COVID-19, as well as more patients with behavioral health needsa condition exacerbated by the global pandemic. At Redington Fairview General Hospital in Skowhegan, John Comis, DO, director of Emergency Medicine, says the community needs have been significant. "We have seen not only an increase in the volume of people seeking psychiatric services but in the acuity of their condition, he says. As a 25-bed critical access hospital in Skowhegan, the largest town in sparsely populated Somerset County, Redington Fairview doesn't have the patient volume to employ staff psychiatrists to address the 24/7/365 needs of their emergency department. Instead, they contract with Northern Light Acadia Hospital to provide this critical service via telehealth. Acadia Hospital made substantial investments in telepsychiatry services several years ago to extend the reach of its highly skilled providers outside the walls of Acadia and into the community. Anthony Ng, MD, DFAPA director of Community Services at Acadia, expla Currently, Acadia's Psychiatric Consultation Team provides services to 19 emergency departments across the state, also including all of the Northern Light member hospitals. If a patient shows up at an emergency department requiring behavioral or mental health services, Acadia has the resources to provide as many as eight telehealth consultations simultaneously. Acadia professionals use telehealth to consult with providers, and also to work directly with patients to get them started on medications, make referrals to outpatient programs such as therapy or medication management, or, when needed, to admit the patient for inpatient care. "Oftentimes, these are people who have previously not had any access to services, let alone psychiatrists," shares Jamilyn Murphy-Hughes, LCSW, director of Consultation Services for Acadia Hospital. "The ability for us to provide expert care is, in some cases, a life-changer." One of Acadia Hospital's telepsychiatry providers is Jennifer Snowden, MD, who explains that, even as well as the program is working, providers and patients sometimes experience the frustration of insufficient behavioral health beds when inpatient care is needed. Acadia Hospital is now working to address that critical shortage of beds, and in 2021 had plans approved to expand bed capacity by converting existing space from 50 double room occupancy beds to 100 single room occupancy beds. "We know that private rooms or single occupancy rooms are the standard of care. So, we're not adding more licensed beds but we're adding more functional capacity here at Acadia Hospital," shares Scott Oxley, MBA, president of Northern Light Acadia Hospital. "Because a lot of patients aren't able to accommodate a roommate, we effectively have to take beds out of service each day. And with a waiting list of 30 to 35 people needing a bed every day, expansion is required." In saying this, Scott also readily acknowledges that Acadia Hospital's focus and success as a provider of behavioral health services is not in building bigger inpatient facilities, but more in helping people manage their mental health before it escalates to an emergency room or acute care episode."It would be a great day if we never needed the consult team and we didn't have any patients that needed to come to Acadia Hospital," explains Oxley. "That would tell me their illnesses were being well managed, and that we're keeping them out of a crisis state. While the reality is that there will always be a need for these services, if we could be less busy we'd all be happy about that."For more information about Northern Light Acadia Hospital visit: https://northernlighthealth.org/Locations/Nothern-Light-Acadia-HospitalYes we canChange"Where do you want this?" asks the woman in a purple UNICEF t-shirt wheeling a pallet truck stacked high with boxes onto a loading dock. She's one of the two dozen or so volunteers helping to load donated medical supplies into a container truck parked outside the Partners for World Health warehouse on Canco Road in Portland. Partners for World Health is a Portland-based non-profit that collects donated medical supplies from hospitals, healthcare systems, and even individual donors and sends them to places worldwide where they are needed. Elizabeth McLellan, RN, MSN, MPH, is the founder and president of the organization. She started it in her home in 2007 after returning from the Middle East, where she worked as a nurse for many years. "On one of my trips up into Northern Pakistan, I visited a hospital and realized that they were reusing gauze and tape, and they didn't have enough supplies. I said to myself, this is incredible because, in the United States, we're throwing away so much every day in our healthcare system." Partners for World Health has grown considerably since that time. It now ships out about 50,000 pounds of medical supplies each month, worth about $500,000. Northern Light Health has had a long-standing relationship with the non-profit, but that relationship developed to a new level last summer with the global pandemic. Navneet Marwaha, MD, senior vice president, chief quality officer, Northern Light Health, couldn't believe how severely the delta variant of COVID-19 was overwhelming the healthcare system in her native India. She watched the evening news in dismay."I think it was just the feeling of helplessness. Sitting so far away, I have family and friends in India. My mother lives there half the time, but fortunately was here with me during the pandemic, and both of us just watched the news coming out of the country, and the suffering was just incredible."Dr. Marwaha reached out to Tim Dentry, president and CEO, Northern Light Health, to see if we could do anything to help. She wondered if we could donate any surplus medical supplies. "I asked him, and the answer came back. Yes, we can!"She then reached out to Mike Whelan, vice president of Facilities and Supply Chain, and learned that we already had this relationship with Partners for World Health. Whelan's team, led by Mary McCarthy, RN, director of Clinical Value Analysis and Procurement, began putting together a shipment of supplies."We do regular business with Partners for World Health, anything that expires, any outdated products, or equipment that we may no longer use, we have donated to them in the past," explains McCarthy. But this time, because the need was so dire, we did much more. Supplies and equipment, including N95 masks, goggles, face shields, and life-saving medical devices such as oxygen concentrators and bag valve masks were loaded onto pallets and delivered to Partners for World Health in preparation for shipment to India."This helped me feel that we are making a difference and where I was struggling thinking, `what can I do?' it's about what Northern Light Health and Partners for World Health are doing," shares Dr. Marwaha, XAnd that synergy, the power of the many, that is the whole reason we get into healthcare, to heal the sick and save lives." Partners for World Health has reported that the donated O2 concentrators were expedited through their allies in the US/India Non-Governmental Organization TANA Foundation and the first shipments were received at Amara Hospital in Andhra Pradesh, India and immediately put to use. Prasad Gourineni, MD, who spends his time between his hospital in India and the U.S., was recently in Portland and thanked everyone for their work in making this happen. He shared the following statement from his hospital administrator:"We are thrilled to have your support. Through your donation, we will be able to help the underprivileged and continue working towards better healthcare for the poor. These supplies will be utilized in the treatment of people below the poverty line who cannot afford better care."To donate go to:https://www.partnersforworldhealth.org/Northern Light Health FoundationNearly 84 years ago, Nancy Hatfield's mother was enjoying a summer day on the water with family when she suddenly went into labor. They rushed back to shore but couldn't make it all the way to the hospital in time. Nancy was born on the front lawn of Blue Hill's community hospital. Northern Light Blue Hill Hospital has played an important role in Nancy's life ever since. It's where her appendix was removed, her children were cared for after snagging fishhooks, and her husband Charlie served as board chair for several years. She credits the hospital with saving his life three times. "It's difficult to imagine our community without Blue Hill Hospital," she says. "It has been such an important part of our lives for generations. It's a big reason people choose to live here, spend summers here, and retire here. It's the largest employer in the area. The whole community depends on it." Like other rural hospitals, Blue Hill Hospital is an essential part of its community. It's now a century old and showing its age. Its design is no longer conducive to modern healthcare and repairs are becoming more costly and inefficient.A Lifeline in the North Woods Nestled on the southern shore of Maine's largest lake, Northern Light CA Dean Hospital faces similar challenges. The hospital, built more than a century ago to meet the needs of a growing lumber industry, serves the small towns of Maine's most rural county and the vast woods of the Moosehead Lake region. CA Dean covers more square miles than any other Maine hospital. The next closest emergency room is more than two hours away."This hospital means everything to this region," says Linda Gilbert, CA Dean Hospital board chair. "Families choose to live in Greenville because healthcare services are available nearby. Seasonal residents spend summers here in confidence knowing that there is a 24/7 emergency department right down the road." The facilities team does a great job keeping the century old hospital running, but this is only a temporary solution, and the existing hospital facility will not be able to sustain healthcare 46380353 true true false true false false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true false false false true 17 0 true 600 true false false false false false false false 0 false false false false false false false X 13 11 true 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 Rd Brewer ME 04412 Tim Dentry Ex-Officio 1.00 50.00 X X 0 1055785 145096 Anthony Filer Treasurer 1.00 50.00 X 0 758458 57247 Glenn Martin Secretary 1.00 50.00 X 0 651790 112497 Mary Michelle Hood Former NLH President & CEO 1.00 50.00 0 599997 18136 Paul Bolin SVP & CHRO 1.00 50.00 X 0 459978 106714 Colleen Hilton Ex-Officio 40.00 0.00 X X 335658 0 73668 Joseph Kellner VP, Finance 35.00 15.00 X 164302 60769 16843 Elizabeth Rolfe VP Post-Acu Cr 40.00 0.00 X 209788 0 29481 Leah Wright VP Clinical Op 40.00 0.00 X 166649 0 37346 David Jones Med Dir-Hospice 40.00 0.00 158632 0 22637 Leigh Ann Howard AVP Home Care 40.00 0.00 127605 0 37876 Christine Turner AVP Hospice Care 40.00 0.00 133683 0 6145 Robin Hirsh-Wright DIR - Palliative C 40.00 0.00 113673 0 3295 Doreen Roy Mgr - Clinical Svc 40.00 0.00 107484 0 3190 Ann Marie Briggs Director 1.00 0.00 X 0 0 0 Dianne Rodrigue Director 1.00 0.00 X 0 0 0 Richard Duncan Director 1.00 0.00 X 0 0 0 Michael Quinlan Director 1.00 0.00 X 0 0 0 Joanne Hale Director 1.00 0.00 X 0 0 0 Ed Douglas Director 1.00 0.00 X 0 0 0 Bruce Reddy Director 1.00 0.00 X 0 0 0 Edward Gould Esq Director 1.00 0.00 X 0 0 0 Patricia Small Director 1.00 0.00 X 0 0 0 Debra D Taylor Director /Chair 1.00 0.00 X X 0 0 0 Dr Isabella Thurston Director 1.00 0.00 X 0 0 0 Troy Heald Director 1.00 0.00 X 0 0 0 1517474 3586777 670171 13 true true false Avant Healthcare Professionals PO Box 744554 Atlanta GA 303744554 Temp Staffing 317586 SimpliFi 5020 Northshore Drive Ste 2 North Little Rock AR 72118 Temp Staffing 313731 American Medical Alert Corp PO Box 821380 Philadelphia PA 191921380 Monitoring Services 129283 3 238523 66315 12455 1217 317293 Net Home Care Revenue 621610 50249738 50249738 50249738 1831 1831 0 0 0 11745 -11745 -11745 -11745 0 0 0 0 50557117 50249738 -9914 0 0 0 0 1029187 443264 585923 0 28339426 27880716 458710 1022884 1006895 15989 5171642 5074187 97455 2116161 2082479 33682 0 21735 21735 24677 24677 0 0 0 2908615 2036127 872488 65265 64765 500 813694 802446 11248 835381 822323 13058 0 980258 964935 15323 1718769 1717506 1263 0 32964 32466 498 0 0 117755 115914 1841 253619 249656 3963 Medical Supplies Expense 2713383 2713383 Repairs & Maintenance 153205 126479 26726 Miscellaneous 96992 96315 677 Dues and Subscriptions 87133 86933 200 41829 41829 48544574 46380353 2164221 0 8364703 5135858 2876244 0 0 7129101 10360121 0 0 39937 12045 0 157026 223691 2029435 1428030 728294 601405 0 0 0 0 5036242 8319511 24331547 24652631 8506797 6072469 9158394 6151415 2945793 17665191 15169677 X 5273288 7835159 1393068 1647795 6666356 9482954 24331547 24652631 X 2012543 804055 X false true X true false X 425985 418369 203688 220029 250978 1519049 46665295 52827840 48384352 49544210 50316053 247737750 0 0 0 47091280 53246209 48588040 49764239 50567031 249256799 0 0 249256799 7558 6049 5880 5064 1831 26382 0 7558 6049 5880 5064 1831 26382 0 0 47098838 53252258 48593920 49769303 50568862 249283181 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 10561 10561 false false Part II-B, Line 1i - Other Activities Description Non-Deductible Dues 3062217 24665 597689 108554 3576017 3094618 32631 43386 108418 3062217 3118487 18570 92535 134974 3094618 3137365 2500 110039 131417 3118487 3024870 4750 235757 128012 3137365 0.91000 0.09000 false true true 240769 134593 106176 1777874 1293437 484437 10792 10792 601405 Board Designated Funds - Other 4269459 Other Assets 11545 Permanently Donor Restricted Funds 230197 Right-of-Use Operating Lease Assets 2329845 Self Insurance Funds Held by Trustee 60867 Temporarily Donor Restricted Funds 1417598 8319511 Deferred Compensation 195205 Right-of-Use Operating Lease Liability 2750588 2945793 X 50572117 50572117 -15000 -15000 50557117 48559574 15000 15000 48544574 48544574 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the 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. Part XII, Line 2d: Other expenses and losses per audited F/S Expense Reclass to Revenue $15000 X true true false true false false false false false false false Anthony Filer Treasurer 584879 158088 15491 22800 34447 815705 Colleen Hilton Ex-Officio 263550 68233 3875 58995 14673 409326 David Jones Med Dir-Hospice 155227 3405 22637 181269 Elizabeth Rolfe VP Post-Acu Cr 171246 35125 3417 5396 24085 239269 Glenn Martin Secretary 443589 165077 43124 88916 23581 764287 Joseph Kellner VP, Finance 129097 47748 25687 9501 9518 3520 9922 3670 2373 878 176597 65317 Leah Wright VP Clinical Op 132066 27303 7280 6618 30728 203995 Leigh Ann Howard AVP Home Care 110512 15843 1250 4158 33718 165481 Mary Michelle Hood Former NLH President & CEO 277407 322590 10317 7819 618133 Paul Bolin SVP & CHRO 365022 59878 35078 71686 35028 566692 Tim Dentry Ex-Officio 860379 182026 13380 112598 32498 1200881 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Colleen Hilton, director/officer $ 50Leigh Ann Howard, highest compensated employee 400David Jones, highest compensated employee 432Joseph Kellner, officer 30 The benefit is available for all employees. William Hilton fam mem=officer 26756 compensation false Schedule L, Part V Supplemental Information William Hilton is a family member of a board member/officer and is an employee of Northern Light Home Care & Hospice. There is a signed conflict of interest management agreement. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: 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." Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Patricia Small, board member is a board member of Sweetser and Debra Tayor, board member/officer is President & CEO of Sweetser. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice (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 & SVP, President of Northern Light Home Care & Hospice. 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 Home Care & Hospice 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 for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. 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 Home Care & Hospice 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 = $804055 Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting Org for Healthcare Affiliates ME 501(c)(3) 12 Type II NA 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 Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide Services to Elderly ME 501(c)(3) PF EMHS false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Northern Light Health Foundation 43 Whiting Hill Road Brewer ME 04412 222514163 Raise & Manage Funds for Exempt Orgs 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 Wateville ME 04901 010421234 Provide Skilled & Long-Term Nursing Care ME 501(c)(3) 3 Inland false CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 044411129 043341666 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 Blue Hill Memorial Hospital 57 Water Street Blue HIll ME 046145231 010227195 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 Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund Raising for Exempt EMMC ME 501(c)(3) 10 EMMC false Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide Healthcare Services ME 501(c)(3) 10 AHC 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 Facilities 50 Union Street Ellsworth ME 04605 010198331 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 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 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 Company ME EMHS C Corp false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Healthcare Mgt ME AHS C Corp false Affiliated Laboratory 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical Lab ME AHS C Corp false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C Corp false false false false false false false false false false true true true true false false true false false true