2022-08-03T10:10:13-07:00 2021-09-30 990 2020-10-01 010227195 BLUE HILL MEMORIAL HOSPITAL INC NORTHERN LIGHT BLUE HILL HOSPITAL BLUE 2073742836 57 WATER STREET BLUE HILL ME 04614 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 Doyle 45393071 false X https://northernlighthealth.org/Blue-Hill-Hos X 1924 ME Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. 14 10 307 25 0 572123 638828 39865506 44731777 23936 2463 -416 4580 40461149 45377648 0 0 22970041 23879895 0 0 14627872 15413339 37597913 39293234 2863236 6084414 34017992 47196358 19109801 21119241 14908191 26077117 X Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. false false 31202191 44731777 See Schedule O 2523324 Medicare shortfalls (at cost)22,587 persons served. 151551 Charity care provided (at cost) 2021 persons served. 33877066 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false true false false false false false false false false false true false false false true 15 0 true 307 true false false false false false false false 0 false false false false false false false X 14 10 false false false false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Timothy Dentry NLH PresCEO Ex-officio 2.00 50.00 X X 0 1055785 145096 Anthony Filer Treasurer 2.00 50.00 X 0 758458 57247 Surapaneni Ramanadha Rao Surgeon 50.00 0.00 781929 0 33124 Glenn Martin Secretary 2.00 50.00 X 0 651790 112497 Mary Michelle Hood Former NLH President & CEO 0.00 50.00 0 599997 18136 Paul F Bolin Former SVP & CHRO 0.00 50.00 0 459978 106714 John Ronan SVP & President 25.00 25.00 X X 236707 236707 82996 Dennis Desilvey Physician 50.00 0.00 332459 0 53474 Mike Murnik MD VP Senior Phys 45.00 5.00 X 293731 32636 52743 Richard Littlefield DO Ex-officio 50.00 0.00 X 338905 0 36517 Wendy Merchant VP of Finance 25.00 25.00 X 141942 141942 52118 Charles J Zelnick Physician 50.00 0.00 284899 0 41896 Kristin Cyr VP Patient Care 25.00 25.00 X 131507 131507 27674 Robert Baroody Physician 50.00 0.00 238120 0 47084 Anthony Lee Fusco Physician 50.00 0.00 228747 0 30704 Noah Lundy VP, HR-East Reg 25.00 25.00 X 78015 89193 19204 Kathy Lirakis Former VP, CNO 0.00 25.00 0 146669 14124 Jacqueline Carter FNP Ex-Officio CoS 50.00 0.00 X 116598 0 25866 Joseph Gaetano VP, Operations 25.00 25.00 X 61939 61939 1164 Scott Hammond Trustee 2.00 0.00 X 0 0 0 Sally Hutchins Trustee-Vice Ch 2.00 0.00 X X 0 0 0 Karen Stanley Trustee 2.00 0.00 X 0 0 0 Kevin Tesseo Trustee 2.00 0.00 X 0 0 0 Jacob Taylor Trustee 2.00 0.00 X 0 0 0 Tyler Smith Trustee 2.00 0.00 X 0 0 0 Michael Hockenbury Trustee 2.00 0.00 X 0 0 0 Edward Clayton Trustee 2.00 0.00 X 0 0 0 Scott Gray Chairman 2.00 0.00 X X 0 0 0 Arthur Manning DO Ex-officio 2.00 0.00 X 0 0 0 Scott Miller Trustee 2.00 0.00 X 0 0 0 3265498 4366601 958378 28 true true false Emergency Physician Associates Inc PO Box 634850 Cincinnati OH 452634850 Physician Fees 2611895 Insight Health Corp PO Box 414025 Boston MA 022414025 Imaging Services 124470 2 177488 193485 267855 7907 638828 Cafeteria 722514 112506 112506 Exempt Affiliate Rental 532000 6000 6000 Net Patient Care Service 621990 44613271 44613271 44731777 6516 6516 0 0 15950 11370 4580 4580 4580 4053 -4053 -4053 -4053 0 0 0 0 45377648 44619271 119549 X 0 0 0 0 1600132 1066951 533181 0 17569697 16500219 1069478 916436 865143 51293 2742788 2582319 160469 1050842 992026 58816 0 35 35 10558 10558 0 0 0 6503393 3870279 2633114 93240 93240 878418 564992 313426 1621605 1531154 90451 0 661961 504998 156963 18846 14062 4784 0 21998 20704 1294 92042 92042 0 709396 532047 177349 419449 395972 23477 Medical Supplies 2826720 2826720 Taxes and Licensing 919145 917697 1448 Repairs & Maintenance 541288 422206 119082 Miscellaneous expenses 44866 43705 1161 50379 40555 9824 39293234 33877066 5416168 0 19402685 24954652 724357 142317 84317 0 4371447 7214955 8515 0 1738 209290 296850 14304 64993 29680444 23391979 6072803 6288465 0 0 0 0 3138789 8223873 34017992 47196358 6751146 10632224 6113996 4212398 6244659 6274619 19109801 21119241 X 12144531 18314576 2763660 7762541 14908191 26077117 34017992 47196358 X 6084414 195147 4889365 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 7404 7404 39293235 39300639 1000000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 6221 4997 4899 7404 23521 250000 250000 250000 250000 1000000 1500000 815838 150963 28404 938397 844104 2928 31194 815838 863496 17244 36636 844104 774947 108305 22950 42706 863496 708759 8347 79381 21540 774947 0.00350 0.99650 false true true 601486 601486 12223019 9730576 2492443 2810 2810 15002639 12910259 2092380 1850490 748334 1102156 6288465 Assets whose use is limited 22138 Beneficial Interest in Perpetual Trusts 1557016 Board Designated Funds-Other 413519 Org costs & other long term investments 25675 Temp & Perm Donor Restr Funds 6205525 8223873 Amounts due to Related Org 1912752 Deferred Compensation 4033658 Lease Obligation-Finance Lease 328209 6274619 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 the 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 basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true true false true true 2021 151551 151551 0.00390 2021 151551 151551 0.00390 7 30 216229 216229 0.00550 2 10102 10102 0.00030 9 30 226331 226331 0.00580 9 2051 377882 377882 0.00970 1 10084 10084 0.00030 1 3250 3250 0.00010 2 13334 13334 0.00040 true 401276 22634866 25158190 -2523324 X true true 1 1 Northern Light Blue Hill Hospi 57 Water Street Blue Hill ME 04614 northernlight.org/Blue-Hill-Ho 38155 X X X X Northern Light Blue Hill Hospi 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 Blue Hill Hospi - 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 30, 2018 Hancock County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Hancock County CHNA report, pages 25-26): Amyotrophic Lateral Sclerosis (ALS) Maine Collaborative, Mount Desert Island Regional School District AOS 91, Deer Isle-Stonington Central School District (CSD 13), Downeast Community Partners, Downeast Public Health District, Eastern Area Agency on Aging, Friends in Action, George Stevens Academy, Hancock County Emergency Management Agency, Healthy Acadia, Healthy Island Project, Healthy Peninsula, Hospice Volunteers of Hancock County, Island Health & Wellness Foundation, Maine CDC, Maine Community Foundation, Mount Desert Island Hospital, Next Step Domestic Violence Project, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Blue Hill Hospital, Northern Light Health, Northern Light Home Health & Hospice, Northern Light Maine Coast Hospital, Parker Ridge Retirement Community, Peninsula Ambulance, School Union 76 (Brooklin and Sedgwick Schools), State of Maine DHHS, Maine CDC, Town of Deer Isle.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included: Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group 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 Blue Hill Hospi - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maine's 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 Blue Hill Hospi - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Blue Hill Hospital's 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 Blue Hill 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 hospital's governing board. Northern Light Blue Hill Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social Determinants of HealthActions taken by Blue Hill Hospital to address this priority in FY21:Northern Light Blue Hill 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 Blue Hill Hospital to address this priority in FY21: Northern Light Blue Hill Hospital maintained a focus on substance use, specifically the use of medication-assisted treatment (MAT), through educational and training offerings for providers and staff. Education allowed for new providers to become MAT trained, refresh protocols, and to reinforce the addition of the rapid access into MAT in the Emergency Department for those patients with most limited access. Blue Hill Hospital providers were also able to provide peer support and training to their Hancock County team members at Northern Light Maine Coast Hospital through Grand Rounds and shared medical staff meetings focused on substance use and treatment options for our healthcare teams to best serve our community members in need.Access to CareActions taken by Blue Hill Hospital to address this priority in FY21: Northern Light Blue Hill Hospital utilized community partnership with Memorial Ambulance Corps and pivoted to meet the current needs of the community amidst the pandemic. Our Community Paramedicine program was impacted greatly by legislative, staffing, and financial resources, and we found our community program with one paramedicine program provider rather than five. This team, small in numbers, partnered with all available agencies and utilized any resources available to provide COVID-19 vaccinations, complete medication refill visits, vital sign checks, call patients to check in, and assist in several other ways. The team served 73 patients over the course of the year, and over 500 unique patient encounters. Whenever patients were well enough to come out of the program, paramedicine coordinators would communicate with case workers and the hospital staff to add additional patients to their roster to maximize their impact in the community. The community paramedicine team, care managers, and families also were in frequent communication of patient needs, making calls to help find resources, including volunteer programs for house repairs and Meals on Wheels to our most vulnerable patients, aligning with our brand promise to improve the health of the communities we serve.Additional information related to actions taken by Northern Light Blue Hill 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 Blue Hill 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, Blue Hill Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below: Mental Health - Northern Light Blue Hill Hospital has operationalized numerous mental health protocols in many of our practices. Including, but not limited to the use of telepsychiatry services and licensed clinical social workers (LCSW) within our primary care sites, routine screenings for depression and suicide risk assessments with associated action plans for patients positively screened, LACE scores (identifies patients that are at risk for readmission or death within thirty days of discharge) across inpatient and outpatient sites of care include behavioral health diagnoses which are then flagged to primary care nurse care managers, a medical social worker who covers both primary care and inpatient settings, and an embedded LCSW who provides services to our local high school. In addition, our Access to Care priority plans will augment mental health access. Therefore, due to our current and ongoing engagement in a number of mental health initiatives, we have chosen to focus our efforts on other priority areas of need. Older Adult Health/Healthy Aging - Northern Light Blue Hill Hospital is currently engaged in numerous Elder Health and Healthy Aging initiatives in our community inclusive of the following initiatives, with whom we collaborate with Healthy Peninsula (HP), a local not for profit agency focused on community health needs such as Age-Friendly Coastal Communities Collaborative, Choices That Matter (re: Advance Care Planning, end of-life issues), food insecurity, healthy eating (lunches, Magic Food Bus, etc.), and Catalyzing Rural Healthcare Transformation (MEHAF grant focused on Community Paramedicine). Blue Hill Heritage Trust is also actively addressing Age Friendly Access to exercise and nature in our community through accessible trails in the community, Northern Light Blue Hill Hospital participates in planning and supporting this work. We also provide ongoing cancer screening and chronic disease screening through our Accountable Care Organization and population health activities in primary care, and the Northern Light Palliative Care service line available now in Hancock County. In addition, our Access to Care and Social Determinants of Health priority plans will augment this priority area. Therefore, due to our current and ongoing collaborative work and initiatives focused on elder health and healthy aging, we have chosen to focus our efforts on other priority areas of need. Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 13h FPG family income Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Blue-Hill-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-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Blue-Hill-Hospital under "Pay My Bill". Northern Light Primary Care 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Orthopedic Care 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Pathology 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Womens Health 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Primary Care 354 Airport Road Stonington ME 04681 Physician Offices Northern Light Cardiovascular Care 57 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Rehabilitation 58 Main Street Bucksport ME 04416 Physician Offices Northern Light Urology 58 Main Street Bucksport ME 04416 Physician Offices Northern Light Primary Care 102 Court Street Castine ME 04421 Physician Offices Northern Light Blue Hill Hospital Infusion and Oncology Dept 57 Water Street Blue Hill ME 04614 Physician Offices Northern Light Endocrine and Diabetes Care 65 Water Street Blue Hill ME 04614 Physician Offices Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Blue Hill 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 Blue Hill Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:- Offered by receiving a conspicuous written notice on their billing statements- Listed on the Northern Light Health web portal www.northernlighthealth.org/billing- Posters are displayed in public locations in each hospital facility- Community 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 Blue Hill, Maine, Northern Light Blue Hill 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 hospital's inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Towns representing Blue Hill Hospital's primary service area include: Blue Hill, Penobscot, Castine, Brooksville, Harborside, Sargentville, Sedgwick, Brooklin, Blue Hill falls, Little Deer Isle, Deer Isle, Sunset, Stonington, and Isle Au Haut.Towns representing Blue Hill Hospital's secondary service area include: Surry, Ellsworth, East Orland, Bucksport and Orland.Hancock County's demographic and social determinants of health data are provided below for Blue Hill Hospital based on the hospital's physical location in Hancock County.Hancock County - Demographic Data: American Indian/Alaskan Native 0.4% (211), Asian 1.0% (518), Black/African American 0.6% (320), Hispanic 1.3% (711), Some other race 0.0% (19), Two or more races 1.7% (938), White 96.3% (52,462). Total county population 54,483.Hancock County Social Determinants of Health Data: Median household income $50,037, Unemployment rate 4.7%, Individuals living in poverty 12.1%, Children living in poverty 15.5%, 65+ living alone 46.2%, People living in rural areas 90.1%, Food insecurity 15.3%.Other hospitals serving the Northern Light Blue Hill Hospital's community: Based on the State of Maine's definition of hospital service area, Northern Light Blue Hill Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Blue Hill Hospital's service area as not having medically underserved areas/populations. Part VI, Line 4 - Community Building Activities Northern Light Blue Hill Hospital's community building activities include community meals/ food insecurity initiatives, vaccine efforts, COVID education and information, educational presence at local fairs and festivals, mens health event, ongoing work with local schools. Ongoing collaborative efforts with strategic partners including Healthy Peninsula, Healthy Acadia, Downeast Treatment Center, Island Health and Wellness, Community Compass, local libraries, and others. We provide tours and "hands on" experiences to local young school children and offer independent study programs for high school students. Part VI, Line 5 - Promotion of Community Health Northern Light Blue Hill Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Based Clinical Services: Downeast Maine MAT Expansion Project Provide medical or behavioral health treatment for Opioid Use Disorder to patients in accordance with the Downeast Maine MAT Expansion Project. Part VI, Line 6 - Affilated Health Care System The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false Anthony Filer Treasurer 584879 158088 15491 22800 34447 815705 Anthony Lee Fusco Physician 207221 21526 9856 20848 259451 Charles J Zelnick Physician 215158 69741 21038 20858 326795 Dennis Desilvey Physician 327142 5317 27080 26394 385933 Glenn Martin Secretary 443589 165077 43124 88916 23581 764287 John Ronan SVP & President 168775 168775 44821 44821 23111 23111 35512 35512 5986 5986 278205 278205 Kathy Lirakis Former VP, CNO 121653 17536 7480 11785 2339 160793 Kristin Cyr VP Patient Care 107144 107144 22755 22755 1608 1608 7919 7919 5918 5918 145344 145344 Mary Michelle Hood Former NLH President & CEO 277407 322590 10317 7819 618133 Mike Murnik MD VP Senior Phys 266305 29589 24835 2759 2591 288 18471 2052 28998 3222 341200 37910 Noah Lundy VP, HR-East Reg 66163 75643 10996 12572 856 978 3928 4491 5032 5753 86975 99437 Paul F Bolin Former SVP & CHRO 365022 59878 35078 71686 35028 566692 Richard Littlefield DO Ex-officio 312837 26068 25650 10867 375422 Robert Baroody Physician 169201 68919 17939 29145 285204 Surapaneni Ramanadha Rao Surgeon 654836 52616 74477 21261 11863 815053 Timothy Dentry NLH PresCEO Ex-officio 860379 182026 13380 112598 32498 1200881 Wendy Merchant VP of Finance 117059 117059 21644 21644 3239 3239 11447 11447 14612 14612 168001 168001 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Anthony Lee Fusco, highest compensated emloyee $20,769The following received a wellness program incentive:Robert Baroody, highest compensated employee $400Dennis Desilvey, highest compensated employee 150John Ronan, director/officer 240 Charles Zelnick, highest compensated employee 400 The benefit is available for all employees. Anthony Lee Fusco Employee Educ Loan X 20000 8515 false false true 8515 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost)22,587 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President & CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care & Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in underserved populations vaccinated. As some Asian Americans show up, she speaks with them in their native language and offers assurances. She has a welcoming smile and charisma, which seems to make her a natural fit for this kind of work. "They couldn't ask for a better place to get vaccinated," explains Himm, "because they've got the nurses here that care so much about them. And then they've got their cultural brokersthe ones doing the translations, the community leaders standing right behind them and letting them know that they're going to be okay. What more can someone ask for?" Himm is not just offering lip service when she compliments the Northern Light Home Care & Hospice nurses doing the clinics. Both Akers and Robbins have been doing this kind of work for a long time with community partners and have earned praise for their compassion and sensitivity. "I feel so lucky in a way to be part of this journey. Doing these vaccines has just been such a gift," shares Akers.If you would like to learn more about the COVID-19 vaccine or get vaccinated, please visit https://covid.northernlighthealth.org/Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities." 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 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Blue Hill Memorial Hospital, d/b/a Northern Light Blue Hill 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 Blue Hill Hospital. It is 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 arms 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 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 arms length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP & President of Northern Light Blue Hill Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Northern Light Blue Hill Hospital President/SVP and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Blue Hill 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 @ Northern Light Health Foundation = $4804291 Other Changes In Net Assets Or Fund Balances - Other Increases Pension Liab FAS158 = $85074 Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Eastern Maine Healthcare System 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II NA false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC false Northern Light Health Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II EMHS false Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital 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 Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS false 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 MCMH false LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC 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 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 co. ME EMHS C false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt 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 false false true true false false true false false true