2022-08-03T12:21:53-07:00 2021-09-30 990 2020-10-01 010372148 THE AROOSTOOK MEDICAL CENTER NORTHERN LIGHT AR GOULD HOSPITAL AROO 2079739081 PO BOX 151 PRESQUE ISLE ME 04769 John J Doyle NLH VP of Finance 2022-08-03 false John J Doyle 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z John J Doyle 151826671 false 5247 X https://northernlighthealth.org/A-R-Gould-Hos X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 14 9 1219 170 0 639055 1838816 135393787 136131577 -270645 266689 12663101 13512463 148425298 151749545 12000 5000 0 87971622 89818151 0 0 60735503 64777685 148719125 154600836 -293827 -2851291 90259120 82703031 66232141 60665459 24026979 22037572 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 119180425 5000 149595054 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 10,471 INPATIENT PATIENT DAYS, 15,643 LONG TERM CARE PATIENT DAYS, AND 334,437 OUTPATIENT VISITS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $2,060,914 13538474 MEDICARE SHORTFALLS (AT COST). 63,273 PERSONS SERVED 5505889 MEDICAID SHORTFALLS (AT COST). 39,256 PERSONS SERVED 219809 138444597 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true 52 0 true 1219 true false false false false false false false 0 false false false false false false false X 14 9 true false false false true true true true true false false true true true true true true true false true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 TIM DENTRY NLH PRESIDENT Ex-Officio 1.00 50.00 X X 0 1055785 145096 ALAN MAUTZ Trustee 50.00 0.00 X 873609 0 47863 ANTHONY FILER SVP CFO Treasurer 1.00 50.00 X 0 758458 57247 GLENN MARTIN SVP CHIEF LEGAL Secretary 1.00 50.00 X 0 651790 112497 FARID ZAYED Physician 40.00 0.00 667406 0 33702 ARG WB Physician 40.00 0.00 643705 0 26664 MARY MICHELLE HOOD FORMER NLH PRESIDENT & CEO 1.00 50.00 0 599997 18136 RICHARD DEBOWSKY Physician 40.00 0.00 548770 0 37757 KRISTINA MANION Physician 40.00 0.00 538772 0 29933 DAVID HORNE Physician 40.00 0.00 534600 0 16236 DAVID A WEED FORMER PRESIDENT OF MEDICAL STAFF 50.00 0.00 518661 0 28239 GREGORY LAFRANCOIS PRES Ex-Officio 50.00 0.00 X X 451809 0 74453 JAY REYNOLDS MD VP Senior Physi 50.00 0.00 X 384730 0 44624 MAURA KELLY VP Finance Svcs 50.00 0.00 X 330115 0 34389 ROGER PELLI DO VP, CMIO 50.00 0.00 X 306748 0 17418 C BRUCE SANDSTROM Former VP of Finance 0.00 50.00 0 277668 13120 DARYL BOUCHER VP Operations 50.00 0.00 X 231687 0 25097 YOOSUF SIDDIQUI VP HR/Emply Exp 50.00 0.00 X 191455 0 47853 JORGE PINEIRO MD Trustee 50.00 0.00 X 223499 0 15158 GLENDA E DWYER FORMER SVP-CLINICAL OPERATIONS 0.00 50.00 0 194488 17769 RICHARD DUNCAN Trustee/Chair 1.00 0.00 X X 0 0 0 CAROL BELL Trustee 1.00 0.00 X 0 0 0 HOLLY JOHNSON Trustee/V Chair 1.00 0.00 X X 0 0 0 JOHN HERWEH Trustee 1.00 0.00 X 0 0 0 JANE TOWLE Trustee 1.00 0.00 X 0 0 0 SCOTT VIOLETTE Trustee 1.00 0.00 X 0 0 0 STEVE ST PIERRE Trustee 1.00 0.00 X 0 0 0 DEBORAH ROARK Trustee 1.00 0.00 X 0 0 0 BRYAN THOMPSON Trustee 1.00 0.00 X 0 0 0 MARK WILCOX Trustee 1.00 0.00 X 0 0 0 6445566 3538186 843251 119 true true false SIMPLIFI 5020 NORTHSHORE DRIVE NORTH LITTLE ROCK AR 72118 TEMPORARY STAFFING 2768703 EMERGENCY PHYSICIAN ASSOCIATES PO BOX 634850 CINCINNATI OH 452634850 PHYSICIAN STAFFING 1044991 INSIGHT HEALTH CORP 5775 WAYZATA BLVD STE 400 ST LOUIS PARK MN 55416 DIAGNOSTIC SERVICES 643720 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 753972633 LOCUMS COVERAGE 621600 DAHL CHASE DIAGNOSTICS SERVICES 417 STATE STREET BANGOR ME 04401 DIAGNOSTICS SERVICES 609409 19 311864 1412106 114846 17171 1838816 Cafeteria 722514 507878 507878 Net Patient Care Services 621990 135623699 135623699 136131577 268923 268923 0 0 11006 14469 -3463 -3463 -3463 23448 25682 -2234 -2234 -2234 0 0 89424 36975 52449 52449 340B Revenue 621990 13463477 13463477 13463477 151749545 149087176 823553 X 5000 5000 0 0 0 3300507 2170433 1130074 0 69826824 65983899 3842925 2173358 2055684 117674 10127319 9570856 556463 4390143 4152443 237700 0 333 333 20681 20681 0 0 0 20041811 12698043 7343768 32851 32851 3066096 2333456 732640 3684238 3484256 199982 0 3201362 2636982 564380 259113 246305 12808 0 217776 212456 5320 839186 689208 149978 0 3463168 2844834 618334 1411709 1335274 76435 Medical Supplies Expense 23131105 23131105 Taxes & Licensing 2904753 2901256 3497 Repairs & Maintenance 2054665 1555149 499516 Dues & Subscriptions 209090 206075 3015 239748 198699 41049 154600836 138444597 16156239 0 18781811 2891175 0 0 25617475 31782635 0 0 832555 885570 2058074 2200671 301784 243722 99313267 69669877 30207551 29643390 0 0 0 0 12459870 15055868 90259120 82703031 23843458 19873201 15839986 12684042 26548697 28108216 66232141 60665459 X 18135436 15284649 5891543 6752923 24026979 22037572 90259120 82703031 X -2851291 861884 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 14672 14672 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 5393717 5571 998131 190818 6206601 5599565 2872 18518 227238 5393717 6090471 200 120021 611127 5599565 2941700 3201633 -601 52260 6090472 3203458 365752 609560 17950 2941700 0.00050 0.99950 false true true 218198 218198 43711638 30969196 12742442 3253263 2687598 565665 48899630 33534438 15365192 3230538 2478645 751893 29643390 Assets whose use is limited 73616 Board Designated Other 7450915 Investments in County Physical Therapy 352512 Other Assets 87430 Permanently Donor Restricted Funds 2733017 Right-of-Use Operating Lease Assets 338471 Temporarily Donor Restricted Funds 4019907 15055868 Amounts due to Related Org 19903950 Reserve for Asset Disposal Costs 253564 Reserve for Retiree Health Benefits 7447784 Right-of-Use Finance Lease Liability 164835 Right-of-Use Operating Lease Liability 338083 28108216 X Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true false false true true 274 219809 219809 0.00140 39256 23502677 17996787 5505890 0.03560 39530 23722486 17996787 5725699 0.03700 12 29 828908 828908 0.00540 3 1132744 1132744 0.00730 1 5000 5000 16 29 1966652 1966652 0.01270 16 39559 25689138 17996787 7692351 0.04970 1 378 378 1 378 378 true 2060914 33106035 46644509 -13538474 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 Northern Light AR Gould Hospit 140 Academy Street Presque Isle ME 04769 northernlighthealth.org/A-R-Go 37937 X X X Northern Light AR Gould Hospit 1 false false true X X X X X X X X X 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 true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 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 September 17, 2018, Aroostook 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 Aroostook County CHNA report, pages 27-28): Aroostook Agency on Aging, Aroostook County Action Program, Aroostook County Health Network/Pines Health Services, Aroostook Mental Health Center, Aroostook Public Health District, Aroostook Substance Abuse Prevention, Cary Medical Center, Community Member, E.D. Bells, Fiddlehead Focus, Fish River Rural Health, Greater Fort Kent Chamber of Commerce, Health Services Foundation, Hope and Justice Project, Houlton Family Practice and Pain Clinic, Houlton-Pediatrics-Houlton Regional Hospital, Houlton Regional Hospital, Houlton Regional Hospital and Link for Hope, Katahdin Valley Health Center, Kristen Wells Consulting, Life by Design, Maine CDC, Maine CDC Public Health Nursing, MSAD #27, Northern Light Health, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light AR Gould Hospital, Northern Light Home Care & Hospice, Northern Maine Community College, Northern Maine Medical Center, Power of Prevention, Presque Isle Star-Herald, St. John Valley Pediatrics, Seniors Achieving Greater Education, The Northern Lighthouse, Inc., United Way of Aroostook, University of Maine Cooperative Extension.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group of in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light AR Gould Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Northern Light AR Gould Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light AR Gould Hospital identified four priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospital participated in the Social Determinants of Health (SDOH) 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 Health 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, which will ensure patient demographics and health history are documented in a consistent fashion across all Northern Light Health 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 (SVI) and developing recommendations for implementation of a social care network platform (Aunt Bertha). These additional Cerner functions are slated to go live in fiscal year 2022 and will provide Northern Light Health 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 the Northern Lights Quality Council and will be responsible for developing, implementing, monitoring, and evaluating the effectiveness of Northern Light Health systems implementation of SDOH screening and intervention.Substance useActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospitals Community Health and Volunteer Coordinator, Dawn Roberts, continued to increase partnerships with community-based substance use prevention efforts by attending meetings of local coalitions and continuing to make connections. Some of the 17 partnerships include: Aroostook County Action Programs (ACAP) Drug Free Aroostook Coalition, MicMac Drug Task Force, Aroostook District Coordinating Council, Aroostook Mental Health Centers (AMHC), HRSA RCORP Planning Consortium, Aroostook County Collaborative and Health Service Advisory Committee (please see the list below for additional partnerships). Each of these groups brings several participants from different backgrounds to the table with information around what is happening, services that are available, and opportunities for collaboration. These partnerships also explore the gaps in services that exist in Aroostook County. AR Gould Hospital participated in several events that were related to substance use prevention, these included; The Great American Smoke Out, Walk with a Doc program, Party at the Pad Celebrations (Tobacco Prevention), Smoking Cessation Classes, Promotion of Naloxone Training classes, Air out Tobaccos Dirty Laundry (Easton Recreation Center), Drug Take Back Days, Gold Star Standards of Excellence Program (Platinum Award), New Year - New You!- Smoking Cessation information Display, Dont host handouts, Quarterly Prevention Booklets, DFA signage- You Matter, Community Needs Assessment Planning, and a local Health Fair. We partnered with AMHC by resourcing one of our providers, trained to prescribe Medication-Assisted Treatment, one day a week in the AMHC Caribou office and we are now offering Medication-Assisted Treatment in our Emergency Department. This is an operational effort, and a contracted, paid for service.Access to careActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospital worked to increase the number of educational opportunities in the community. While the traditional methods of spreading information such as health fairs were not an option due to COVID, we were able to find ways to engage the community regarding colorectal cancer information. We developed a video about colonoscopies with a general surgeon with a special interest in colorectal health, and played it in all primary care locations. We also updated and distributed an educational brochure on Colorectal Cancer, handed out the brochure at our drive through flu shot clinics, displayed posters in primary care wait rooms in the Fort Fairfield Clinic, featured a Medical Monday segment on colorectal exams with a Colorectal Surgeon, ran a press release in the local paper about the Maine Cancer Foundation (MCF) Colorectal Grant award containing information on why and how to get tested, sent information cards to our Healthy Aging group and attended one health fair at ACME Monaco where we provided information for employees. Through these methods we were able to reach over 76,000 people with colorectal cancer education. Physical activity, nutrition, and weightActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospital provided 31 programs focused on increasing access to and availability of physical activity and nutrition opportunities in our community. This number is short of our anticipated goal of 43, several planned activities were unfortunately postponed due to COVID outbreaks and restrictions. Fortunately, the programs that were offered featured a wide array of opportunities for people of all ages and abilities to attend. Using different mediums to engage participants we were able to reach our target audience. Methodologies employed included: educational cards mailed, in person events, Facebook Contests/posts, handouts and other types of mailings encouraging people who may not have felt comfortable joining a group in person to participate within their own circle and benefiting from some type of physical activity or nutrition activity that we provided.In FY21, Northern Light AR Gould Hospital, provided 31 programs focused on increasing access to and availability of physical activity and nutrition opportunities in our community. Some of these programs included: 6- Walk with a Doc Events, 2- Hikes, 8- Cooking classes, 2- Party at the Splash Pad events, 2- bike rodeo/safety events and many more activities designed to engage our community in physical activity and nutrition opportunities. Through different mediums we were able to engage participants in order to reach our target audience resulting in over 73,000 individuals being exposed to programming and messaging. While we came up short on the target goal of 43, the opportunities that the programming offered provided outstanding information for people of all ages and activity levels to create new and healthy habits for the future. Additional information related to actions taken by Northern Light AR Gould 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 AR Gould 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, AR Gould Hospital is currently poised to focus only on the highest priorities at this time. A few priorities not selected, due to a variety of reasons are listed below: Mental Health - The Aroostook Mental Health Center takes the lead on mental health services in Aroostook County and therefore, Northern Light AR Gould Hospital will continue to collaborate with them in the future as needed. In addition, we have developed a formal service Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 16j Response for 7a (list url) is https://northernlighthealth.org/A-R-Gould-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10 (list url) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/A-R-Gould-Hospital under "Pay My Bill" NORTHERN LIGHT SURGERY 146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 23 NORTH STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OBGYN 140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PEDIATRICS 23 NORTH STREET STE 1 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET STE 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT DIALYSIS 23 NORTH STREET SUITE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CONTINUING CARE 15 HIGHLAND AVENUE MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC NORTHERN LIGHT PRIMARY CARE 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OUTPATIENT SPECIALTY CLINICS 146 ACADEMY STREET SUITE 1B PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WALK-IN CARE 23 NORTH STREET STE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT HEART AND LUNG 146 ACADEMY STREET STE 11 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT UROLOGY 140 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 118 BENNETT DRIVE STE 130 CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 106 MAIN STREET MARS HILL ME 04758 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WOMENS HEALTH 140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT EYE CARE 146 ACADEMY STREET SUITE D PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 AMBULANCE SERVICE NORTHERN LIGHT ORTHOPEDICS 140 ACADEMY STREET SUITE 10 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET SUITE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT EARS NOSE and THROAT CARE 140 ACADEMY STREET SUITE 12 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC Part I, Line 6a - Related Organization Community Benefit Report Northern Light AR Gould 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 methology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 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 AR Gould Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs. Brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary Part VI, Line 4 - Community Information Located in Aroostook County, Presque Isle, Maine, Northern Light AR Gould Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which most of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing AR Gould Hospitals primary service area include Ashland, Blaine, Bridgewater, Central Aroostook County, Easton, Fort Fairfield, Mapleton, Mars Hill, Oxbow, Portage, Presque Isle, Washburn, Westfield. Towns representing AR Goulds secondary service area include Caribou, Limestone, New Sweden, Perham, Stockholm, Van Buren.Aroostook Countys demographic and social determinants of health data are provided below for AR Gould Hospital based on the hospitals physical location in Aroostook County.Aroostook County - Demographic Data: American Indian/Alaskan Native 1.88% (1,275), Asian 0.5% (318), Black/African American 1.01% (682), Hispanic 1.1% (736), Some other race 0.14% (96), Two or more races 1.55% (1,053), White 94.93% (64,373). Total county population 67,809.Aroostook County Social Determinants of Health Data: Median household income $41,123, Unemployment rate 5.4%, Individuals living in poverty 15.3%, Children living in poverty 18.3%, 65+ living alone 47.7%, People living in rural areas 80.3%, Food insecurity 15.4%.Other hospitals serving the AR Gould Hospital community: Based on the State of Maines definition of hospital service area, Northern Light AR Gould Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated AR Gould Hospitals service area as having a total of 11 medically underserved areas/populations. Part VI, Line 4 - Community Building Activities There are two programs that we are using to help with workforce development: The Job Shadow Program and The Volunteering Program. The Job Shadow Program is designed for any person over the age of 14, they can come and spend time in any career field within the hospital, this is observational only. Volunteering brings a student into the setting to see first-hand what the career is all about and has resulted in 3 job placements in 2021. We have been collaborating with a local college and all local high schools to encourage students to take advantage of these opportunities. These programs are designed to help with Northern Light AR Goulds expanding / building workforce development initiative with young adults by allowing them to explore different areas of healthcare before making a lifelong commitment. Part VI, Line 5 - Promotion of Community Health Northern Light AR Gould Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Based Clinical Services: Maine Cancer Foundation Increasing cancer screenings In FY21, Northern Light AR Gould Hospital continued their work with the Maine Cancer Foundation Colorectal screening Grant to increase the communitys awareness about the benefits and the different types of colorectal screenings, availability and demystifying fears that surround these tests by providing posters in all outpatient clinics, letters sent to uninsured patients, informational videos on hospital monitors, newspaper ads, information provided to flu shot recipients and television interviews with a Colorectal Surgeon. AR Gould focused on screenings within primary care offices with the use of updated materials and resources. We also have updated our Colorectal Cancer information flyers and provided them to all our outpatient clinics. In FY21, Northern Light AR Gould Hospital was able to achieve our goals to increase the number of colorectal cancer educational opportunities by using many different techniques. Due to COVID 19 in person activities were limited. In all we provided 10 educational opportunities to the community that reached over 76,000 people. Collaboration is imperative in Aroostook County as Northern Light AR Gould Hospital works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, Northern Light AR Gould Hospital has partnered with each of the Countys hospitals, the local Community Action Program, the local Agency on Aging, municipal recreation departments, school departments, The United Way of Aroostook, local colleges and several other organizations to bring a variety of programs to the community. From promoting physical activity, identifying those with food insecurity challenges, providing education about chronic disease management, working on cutting smoking rates and providing education about opioid use, Northern Light AR Gould Hospital has helped positively affect the lives of thousands of residents in Northern Maine across the age spectrum. Northern Light AR Gould Hospital was able to provide 1241 flu vaccines to the community in the fall 2021 and opened a Walk in Clinic Extension for COVID testing and vaccination extending access to care for Aroostook County citizens. 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.Northern Light AR Gould Hospital is a member of Northern Light Health. Northern Light Health includes ten hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. Northern Light Health has a proven record of quality outcomes, cost reduction, and highly engaged patients. The Northern Light Health statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for Northern Light Health. Northern Light Health leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. Northern Light Health coordinates several state-wide wellness initiatives. All hospitals are engaged around specific initiatives related to combatting opioid abuse and food insecurity.*Please reference line 11 of part V for further information. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false ALAN MAUTZ Trustee 508226 362928 2455 13481 34382 921472 ANTHONY FILER SVP CFO Treasurer 584879 158088 15491 22800 34447 815705 ARG WB Physician 639717 1250 2738 5700 20964 670369 C BRUCE SANDSTROM Former VP of Finance 189593 43562 44513 3538 9582 290788 DARYL BOUCHER VP Operations 197573 32913 1201 12827 12270 256784 DAVID A WEED FORMER PRESIDENT OF MEDICAL STAFF 500024 1250 17387 15675 12564 546900 DAVID HORNE Physician 510115 3668 20817 15675 561 550836 FARID ZAYED Physician 628165 15722 23519 33702 701108 GLENDA E DWYER FORMER SVP-CLINICAL OPERATIONS 174690 16875 2923 10757 7012 212257 GLENN MARTIN SVP CHIEF LEGAL Secretary 443589 165077 43124 88916 23581 764287 GREGORY LAFRANCOIS PRES Ex-Officio 339489 88632 23688 70794 3659 526262 JAY REYNOLDS MD VP Senior Physi 301925 60284 22521 15326 29298 429354 JORGE PINEIRO MD Trustee 221406 1250 843 12349 2809 238657 KRISTINA MANION Physician 517658 1042 20072 29933 568705 MARY MICHELLE HOOD FORMER NLH PRESIDENT & CEO 277407 322590 10317 7819 618133 MAURA KELLY VP Finance Svcs 252668 50165 27282 22371 12018 364504 RICHARD DEBOWSKY Physician 516819 1250 30701 16076 21681 586527 ROGER PELLI DO VP, CMIO 275224 6250 25274 15675 1743 324166 TIM DENTRY NLH PRESIDENT Ex-Officio 860379 182026 13380 112598 32498 1200881 YOOSUF SIDDIQUI VP HR/Emply Exp 156998 31674 2783 14186 33667 239308 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Daryl Boucher, officer $ 25Alan Mautz, director 400 The benefit is available for all employees.The following received a giftcard:Daryl Boucher, officer $15ARG WB, highest compensated employee 30Richard Debowsky, highest compensated employee 30David Horne, highest compensated employee 30Maura Kelly, officer 15Gregory Lafrancois, director/officer 15Kristina Manion, highest compensated employee 30Alan Mautz, director 22 Roger Pelli, officer 15Jorge Pineiro, director 15Jay Reynolds, officer 15David Weed, former director 22 Farid Zayed, highest compensated employee 15 Danhong Zhao fam mem=officer 245612 compensation false Rachael St Pierre fam mem=brd mem 55171 compensation false Schedule L, Part V Supplemental Information Danhong Zhao is a family member of a board member/officer and is an employee of Northern Light AR Gould.Rachael St. Pierre is a family member of a board member and is an employee of Northern Light AR Gould. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 274 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 under-served 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/ OTHER PROGRAM SERVICES 6: 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 that's a sign of rudeness," Ngozi explains. She now understands that generally, eye contact is important in western culture. Ngoz Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Carol Bell, board member and Bryan Thompson, board member are board members of Maine Community Foundation and Jane Towle, board member is board member of Northern Maine Community College Foundation.Deborah Roark, board member is board member/treasurer of University of Maine Presque Isle Foundation. Jay Reynolds, officer and Bryan Thompson, board member are board members of University of Maine Presque Isle Foundation.John Herweh, board member and Yoosuf Siddiqui, officer are board members of Maine School of Science & Mathematics Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Aroostook Medical Center d/b/a Northern Light A.R. Gould Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, 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 A.R. Gould Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, 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 A.R. Gould Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and A.R. Gould Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Aroostook Medical Center d/b/a Northern Light A.R. Gould makes its governing documents, conflict of interest policy and financial statements available to the public upon request. 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