2021-08-06T09:20:14-07:00 2020-09-30 990 2019-10-01 010198331 Maine Coast Regional Health Facilities DBA Northern Light Maine Coast Hospital MAIN 2079739081 50 Union Street Ellsworth ME 04605 John J Doyle NLH VP of Finance 2021-08-06 false 2019 2022-09-23 18:48:47Z John J Doyle 81450770 false X https://northernlighthealth.org/Maine-Coast-H X 1964 ME The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. 11 6 731 136 0 775700 618857 84192460 79943755 29889 28737 26120 858111 85024169 81449460 0 0 49453936 49048514 0 0 33492067 37603608 82946003 86652122 2078166 -5202662 99093575 64403049 84591341 54949431 14502234 9453618 X The Hospital is a not-for-profit entity established to provide health care services through its acute care facility and physician practices. false false 61630561 80799534 Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $6,332,572 of other uncompensated care (at cost).Admissions 1,863Patient Days 8,167Average Stay 4.4 daysClinic Visits:Eleanor Widener Dixon Memorial Clinic 7,675S.W. Harbor Medical Center 4,232Emergency Room Visits 10,317Surgical Cases - Inpatient 330Surgical Cases - Outpatient 1,460Laboratory Tests: 180,979Radiology Exams:Diagnostic Radiology 14,819Ultrasound 5,080CT Scan 6,308Mammography 3,302Nuclear Medicine 469MRI 1,744Physical, Occupational & Speech Therapy 64,471Births 194 11178746 Experienced Medicare shortfall (at cost). 7,275 persons served. 950504 Experienced Medicaid shortfall (at cost). 4,243 persons served. 425296 74185107 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 53 0 true 731 true false false false false false false false 0 false false false false false false false X 11 6 true false false false true true true true true false false true true true true true true true false false ME X X X John Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 M Michelle Hood Ex-Officio 1.00 50.00 X X 0 1756068 48356 Timothy Dentry Ex Officio 1.00 50.00 X X 0 730643 137680 Anthony Filer Treasurer 1.00 50.00 X 0 745697 54010 Bruce Hamilton-Dick Physician 50.00 0.00 708235 0 41263 Glenn Martin Secretary 1.00 50.00 X 0 613309 113066 Daniel B Kairys Physician 50.00 0.00 691287 0 27840 Davor Sklizovic Physician 50.00 0.00 547951 0 39734 Charles Therrien Former SVP & President 0.00 50.00 0 484856 98805 Paul Bolin VP, CHRO 0.00 50.00 X 0 435162 96820 John Ronan President 25.00 25.00 X X 224692 224691 78154 Martin Curlik Physician 50.00 0.00 479985 0 29763 Barbara Mercado-Stallard Physician 50.00 0.00 388510 0 31737 Sheena Whittaker MD VP Sr Phys Exec 50.00 0.00 X 358020 0 37943 Richard Littlefield DO Ex Officio 1.00 50.00 X 0 327548 35589 Chris D Frauenhofer Former VP, Finance 0.00 50.00 0 255975 48942 Wendy Merchant VP, Finance 25.00 25.00 X 121336 121336 41642 Kristin Cyr VP Patient Care 25.00 25.00 X 114610 114611 22588 Douglas MacGregor Ex-officio 50.00 0.00 X 207503 0 28141 Lisa Billings-Lindsey DO Ex Officio 1.00 50.00 X 0 181690 31552 Arthur Manning DO Ex Officio 1.00 50.00 X 0 70841 3950 Kevin Tesseo Trustee 1.00 0.00 X 0 0 0 Karen Stanley Trustee 1.00 0.00 X 0 0 0 Scott Hammond Trustee 1.00 0.00 X 0 0 0 Sally Hutchins Trustee/Vice Ch 1.00 0.00 X X 0 0 0 Edward Clayton Trustee 1.00 0.00 X 0 0 0 Scott Gray Trustee, Chair 2.00 0.00 X X 0 0 0 Scott Miller Trustee 1.00 0.00 X 0 0 0 3842129 6062427 1047575 51 true true false Simplifi Managed Services 5020 North Shore Drive Suite 2 North Little Rock AR 72118 Contract Labor 2164585 Emergency Physician Associates Inc PO Box 634850 Cincinnati OH 452634850 Contract Labor 1364579 Hospital Billing & Collection Services 118 Lukens Drive New Castle DE 19720 Collection Services 375238 Uniship Courier Services 10 Iron Road Hermon ME 044011136 Courier Services 317157 Nurse Anesthesia of Maine 141 N Main Street Suite 205 Brewer ME 04412 Anesthesia Services 314468 14 356434 17733 244690 45367 618857 Cafeteria 722514 177030 177030 Net Patient Service Rev 621990 79766725 79766725 79943755 19052 19052 0 0 2332 2332 2332 2332 10995 1310 9685 9685 9685 0 0 0 340B Pharmacy Benefits 621990 855779 855779 855779 81449460 80622504 208099 X 0 0 0 0 1163437 757511 405926 0 39213892 37150950 2062942 703018 667428 35590 5631539 5342529 289010 2336628 2218338 118290 0 60105 60105 25940 25940 0 0 0 14979214 7863652 7115562 105167 105167 1735259 1220613 514646 1137365 1079787 57578 0 2096026 1415559 680467 28188 27718 470 0 50064 48477 1587 453848 311410 142438 0 1844709 1265755 578954 704025 668384 35641 Medical Supplies 10697852 10697852 Taxes & Licensing 1994996 1994996 Repairs & Maintenance 1245730 850688 395042 Dues & Subscriptions 306612 300086 6526 138508 138102 406 86652122 74185107 12467015 0 4574 10726848 36269337 1423126 0 26532327 16423255 0 0 94853 100090 619896 519354 801477 159969 36084369 12634480 23589043 23449889 0 0 0 300000 300000 10882068 11300518 99093575 64403049 71647398 30958851 10749848 12943943 13240732 84591341 54949431 X 10202559 5051872 4299675 4401746 14502234 9453618 99093575 64403049 X -5202662 31879 122167 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 7567 7567 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 6788578 18890 56333 229847 6633954 6560028 2860 509635 283945 6788578 6064380 294678 454505 253535 6560028 18854258 494050 1815384 15099312 6064380 15420092 5298162 2019330 3883326 18854258 0.71900 0.28100 false true true 308479 308479 15128199 3627938 11500261 1480695 840994 639701 15657438 7563926 8093512 3509558 601622 2907936 23449889 Assets whose use is limited 52693 Benefits Trust Assets 1618554 Board Designated Other 6846078 Permanently Donor Restricted Funds 1527797 Temporarily Donor Restricted Funds 1255396 11300518 Amounts due to Related Org 11665474 Reserve for Asset Disposal Costs 37144 Reserve for Retiree Health Benefits 1538114 13240732 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 297 425296 425296 0.00490 4243 12445915 11495411 950504 0.01100 4540 12871211 11495411 1375800 0.01590 5 506 148208 148208 0.00170 2 9940 9940 0.00010 1 7617 7617 0.00010 8 506 165765 165765 0.00190 8 5046 13036976 11495411 1541565 0.01780 1 1977 1977 1 48759 48759 0.00060 2 50736 50736 0.00060 true 6332572 21708017 32886763 -11178746 X true true 1 1 Northern Light Maine Coast Hos 50 Union St Ellsworth ME 04605 northernlight.org/maine-coast- 38528 X X X Northern Light Maine Coast Hos 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 5 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 20, 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 Maine Coast Hos - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, Sebasticook Valley Hospital, and AR Gould Hospital. Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Maine Coast Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Maine Coast Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals board of directors. Northern Light Maine Coast Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by Maine Coast Hospital to address this priority in FY20:Northern Light Maine Coast Hospital exceeded their target for patients screened for food insecurity. Patients and families who screened positive were offered community resources, such as offering food boxes and other educational resources by partnering with Good Shepherd Food Bank and Loaves and Fishes. Substance useActions taken by Maine Coast Hospital to address this priority in FY20:Northern Light Maine Coast Hospital trained three providers in Medication-Assisted Treatment (MAT) to treat and refer patients identified in our service area for programmatic assistance for opioid use. Education was provided to the Medical Staff surrounding the use of Hub and Spoke care model for patients with Substance Use Disorders. This strategy will help to enhance the MAT referral process, access to treatment, and coordination of follow up care with primary health care providers.Access to careActions taken by Maine Coast Hospital to address this priority in FY20:Northern Light Maine Coast Hospital began operational planning which included hiring three additional primary care providers (PCP) to assist with increasing access for patients without an assigned PCP. Utilization of our engaged partners to identify patients with an unassigned PCP to facilitate referral for continued primary care services at Maine Coast Hospital.Additional information related to actions taken by Northern Light Maine Coast Hospital on the above priorities can be found in their FY20 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Maine Coast Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Maine Coast Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Mental Health - Northern Light Maine Coast Hospital has operationalized numerous mental health protocols in a number of our practices. Including, but not limited to the use of telepsychiatry services within our primary care sites, routine screenings for depression and suicide risk assessments with associated action plans for patients positively screened, and the institution of a Psychiatric Mental Health Nurse Practitioner in our primary care practice. In addition, our Access to Care priority plans will augment mental health access. Therefore, due to our current and ongoing engagement in many mental health initiatives, we have chosen to focus our efforts on other priority areas of need. Older Adult Health/Healthy Aging - This is an area that is being heavily and proactively addressed in our area on a sustained basis. Northern Light Maine Coast Hospital is participating in numerous healthy-aging related projects including the following Healthy Acadia collaborations: Aging in Place Age -Friendly Coastal Communities Collaborative, Choices That Matter (re: Advance Care Planning, end-of-life issues), Food security, healthy eating etc. (lunches, Magic Food Bus etc.), We also provide ongoing cancer screening and chronic disease screening through ACO and population health activities in primary care; and the Northern Light Palliative Care service line available now in Hancock County. Additionally, some of the work underway to augment elder health/healthy aging will fall within the access and social determinants of health community health priority. Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 13h FPG family income Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 16j Response for 7a (list url) is https://northernlighthealth.org/Maine-Coast-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list url) is https://northernlighthealth.org/2019-Community-Health-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Maine-Coast-Hospital under "Bill Pay & Financial Assistance" Northern Light Primary Care 32 Resort Way Ellsworth ME 04605 Physician Practice Northern Light Rehabilitation 37 Clinic Road Gouldsboro ME 04607 Clinic Northern Light Rehabilitation 65 Church Street Ellsworth ME 04605 Clinic Northern Light Rehabilitation Route 102 Mount Desert ME 04660 Clinic Northern Light Primary Care 37 Clinic Road Gouldsboro ME 04607 Physician Practice Northern Light Pediatric Care 32 Resort Way Ellsworth ME 04605 Physician Practice Northern Light Primary Care 45 Herrick Road Southwest Harbor ME 04679 Physician Practice Northern Light Dermatology 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Orthopedics 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Surgery 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Ear Nose and Throat Care 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Urology 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Womens Health 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Rheumatology 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Cardiovascular Care 50 Union Street Ellsworth ME 04605 Physician Practice Northern Light Cancer Care 50 Union Street Ellsworth ME 04605 Clinic Northern Light Wound Care 50 Union Street Ellsworth ME 04605 Clinic Northern Light Rehabilitation 306 Main Street Ellsworth ME 04605 Physician Practice Northern Light Podiatry 318 Main Street Ellsworth ME 04605 Clinic Part I, Line 6a - Related Organization Community Benefit Report Northern Light Maine Coast Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Revenue Recognition and Patient Accounts Receivable section. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Maine Coast Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance We notify patients and customers about access to Assistance in various ways. The simplest way is the signage, pamphlets and educational material located around the Organization and in the offices. In every Patient Access/Patient Financial Services area, is a sign explaining the availability of Free/Discounted care and the Federal Poverty guidelines. There are also pamphlets located in the outpatient areas explaining Free Care/Discounted Care and providing information on MaineCare. Part VI, Line 4 - Community Information Located in Ellsworth, Maine, Northern Light Maine Coast Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Maine Coast Hospitals primary service area include: Birch Harbor, Bucksport, Cherryfield, Corea, East Hancock County, East Orland, Ellsworth, Franklin, Gouldsboro, Hancock, Milbridge, Orland, Prospect Harbor, Sorrento, Steuben, Surry, and Winter Harbor.Towns representing Maine Coast Hospitals secondary service area include: Addison, Bar Harbor, Bass Harbor, Beals, Blue Hill, Castine, Blue Hill Falls, Brooklin, Brooksville, Columbia Falls, Cutler, Deer Isle, Dennysville, East Machias, Harborside, Harrington, Isle Au Haut, Jonesboro, Little Deer Isle, Lubec, Machias, Machiasport, Manset, Mount Desert, Pembroke, Penobscot, Sargentville, Sedgwick, South Central Washington County, Southwest Harbor, Stonington, Sunset, Swans Island, and Whiting.Hancock Countys demographic and social determinants of health data are provided below for Maine Coast Hospital based on the hospitals physical location in Hancock County.Hancock County - Demographic Data: American Indian/Alaskan Native 0.4% (211), Asian 1.0% (518), Black/African American 0.6% (320), Hispanic 1.3% (711), Some other race 0.0% (19), Two or more races 1.7% (938), White 96.3% (52,462). Total county population 54,483.Hancock County Social Determinants of Health Data: Median household income $50,037, Unemployment rate 4.7%, Individuals living in poverty 12.1%, Children living in poverty 15.5%, 65+ living alone 46.2%, People living in rural areas 90.1%, Food insecurity 15.3%.Other hospitals serving the Northern Light Maine Coast Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Maine Coast Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Northern Light Maine Coast Hospitals service area as having a total of 7 medically underserved areas/populations. Part VI, Line 4 - Community Building Activities Northern Light Maine Coast Hospital's community building activities include community education and health forums, community meals and support of the Downeast Treatment Center providing outpatient treatment for patients with Opiate Use Disorder through a hub and spokes care model. Part VI, Line 5 - Promotion of Community Health Northern Light Maine Coast Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY20:Health Care Support Services: HRSA Healthy Acadia - HRSA Rural Health Care Services Outreach ProgramNorthern Light Maine Coast Hospital is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Northern Light Maine Coast Hospital provides financial assistance and sliding scale discounts to self-pay and low-income patients. Also, the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Northern Light Maine Coast Hospital's non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area. Part VI, Line 6 - Affilated Health Care System The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false Anthony Filer Treasurer 547066 183558 15073 22400 31610 799707 Barbara Mercado-Stallard Physician 385304 3206 3952 27785 420247 Bruce Hamilton-Dick Physician 694429 13806 11670 29593 749498 Charles Therrien Former SVP & President 377211 81796 25849 78097 20708 583661 Chris D Frauenhofer Former VP, Finance 219024 32429 4522 18355 30587 304917 Daniel B Kairys Physician 433515 237356 20416 27840 719127 Davor Sklizovic Physician 541813 6138 9679 30055 587685 Douglas MacGregor Ex-officio 185783 7428 14292 4818 23323 235644 Glenn Martin Secretary 416405 153993 42911 90036 23030 726375 John Ronan President 164118 164118 32696 32696 27878 27877 33478 33478 5599 5599 263769 263768 Kristin Cyr VP Patient Care 100818 100818 12798 12798 994 995 5753 5753 5541 5541 125904 125905 Lisa Billings-Lindsey DO Ex Officio 173441 8003 246 12026 19526 213242 M Michelle Hood Ex-Officio 973213 756271 26584 25200 23156 1804424 Martin Curlik Physician 374742 62616 42627 8780 20983 509748 Paul Bolin VP, CHRO 320588 52165 62409 64214 32606 531982 Richard Littlefield DO Ex Officio 302519 25029 25446 10143 363137 Sheena Whittaker MD VP Sr Phys Exec 281187 63670 13163 8371 29572 395963 Timothy Dentry Ex Officio 604626 112673 13344 104720 32960 868323 Wendy Merchant VP, Finance 104045 104045 15936 15936 1355 1355 9713 9713 11108 11108 142157 142157 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:John Ronan, director/officer $240 The benefit is available for all employees. X 1136 FMV X 2 25049 FMV X 6 1279 FMV X Gift Certificate 1 5000 FMV X Gift Certificat 38 10169 FMV X Med Equip/Suppl 1 1734 FMV X Jewelry 1 1000 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Experienced Medicare shortfall (at cost). 7,275 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2020 to the Community for details of community benefit projects at NLH members:HEROES AMONG US Healthcare Heroes As we reflect on 2020, people around the world would do well to remember these words by Nelson Mandela, Do not judge me by my successes, judge me by how many times I fell down and got back up again. We faced a global pandemic that took the lives of more than 500,000 of our fellow Americans and more than 2.5 million people worldwide and counting. We also faced deadly wildfires and hurricanes, racial unrest, and a country divided by politics. But during this turbulent time, we also saw the very best in people, including those whom we work alongside every day to deliver compassionate healthcare to the people of Maine. We saw our colleagues rise to the challenges of an unprecedented global pandemic, show courage in the face of adversity, and make selfless sacrifices to heal the sick and protect our communities. These people are heroes. They are the front line workers who provided direct patient care to those who became infected with coronavirus. They are also the people who worked behind the scenes to ensure our staff had the personal protective equipment and telehealth technology they needed to continue to provide care safely. They are the support staff that cleaned and disinfected rooms, prepared meals, and countless other tasks to support our direct care workers. In this years annual report, we celebrate these heroes. They may not have flashy costumes or superpowers like the comic book heroes or those in Hollywood films. But like those heroes, they must don masks as they face a genuine and dangerous enemy. In the pages of this years annual report, you will learn more about who they are and what they do. We will take you behind their masks to discover the true identity of the heroes among us. Timothy J. Dentry, MBA President & CEO Kathy Corey Northern Light Health, Board Chair HEROES ON THE FRONT LINES When it comes to caring for sick patients, Northern Light Healths front line staff put themselves at risk to provide exceptional care. We know they are brave and compassionate people, but COVID-19 has shown how far they are willing to go to help others. The following are a few of the many examples of courage and caring that we witnessed during this global pandemic. Cathy Bean, RNManager of Clinical and Community Health Services Northern Light Home Care & Hospice In late March, Portland saw a spike in the population of homeless people who were getting sick with COVID-19. To help protect the citys homeless residents, city leaders immediately opened the Portland Expo as an alternative shelter site that would allow them to maintain their shelter capacity while adhering to the Centers for Disease Controls (CDC) social distancing guidelines. But how would they separate the healthy population from those with the virus? Cathy Bean, RN stepped up to help. Donning protective gear, she and her staff went into the shelters daily to screen and test the residents. Northern Light Home Care & Hospice also equipped the city of Portland with a telehealth system so home care nurses could provide follow up appointments. As a result, they were able to help shelter residents with other medical conditions that may have been missed. Many of these people, due to COVID-19, were in quarantine, and meals brought outside their door with no one able to check on them. Now, we could get in there and take care of these people, and thats been very rewarding. Cathy Bean, RNElizabeth Bigler, RN Emergency Department Northern Light Blue Hill Hospital Elizabeth Bigler, RN thinks the most significant change to her job since COVID-19 is how much more physically exhausting it has become. She must often wear respirators, hoods, and other personal protective equipment, which can get quite hot and stuffy during a shift in the Emergency Department. Her biggest concern is making sure she doesnt bring this virus into her home. Its why she enters through a basement door, places her clothing directly into the wash, and showers before interacting with her family. My daughter who is eight is a sensitive, insightful soul. And shes had a lot of fears about me getting sick, not being able to see me if I did get sick, or me not coming home. Her daughter wrote her a touching letter one morning, telling her to be safe and that she loved her. Shes a really strong little girl. I had to tell her that this is a community effort. I cant not go because its scary. Some people still need help, and our job as community members is to help them. Elizabeth Bigler, RNJames Jarvis, MDSenior Physician ExecutiveIncident Command, Northern Light Health When Northern Light Health knew COVID-19 would arrive in Maine, James Jarvis, MD was chosen to coordinate the systems response among its member hospitals in addition to coordinating with state and local governments and the other major healthcare systems in Maine. Another unexpected role that Dr. Jarvis fulfilled during the pandemic was to be the primary spokesperson for Northern Light Health for weekly statewide news conferences via Zoom. Several times a week he would convey critical information to members of the media and our communities. One of the pleasant surprises Ive had during this time was somebody randomly driving by, lowering their window, and saying, Dr. Jarvis, how are you doing? You always ask how were doing through TV, we want to make sure youre okay. I teared up a little because, sure its neat to be recognized, but it was that sense of community that Mainers have to say, we need to make sure youre okay because we appreciate what youre doing. James Jarvis, MDCaroline Joyce, PACNorthern Light Primary Care Northern Light CA Dean Hospital Caroline Joyce loves the outdoors and dreams of retiring in a small rural community where hiking, fishing, and camping abound. She and her husband built their retirement home in Greenville, and she took a job at Northern Light CA Dean Hospital in September of 2019. Little did she realize how good her timing was to move to a rural community before the outbreak of COVID-19. As a primary and acute care provider, she willingly staffed the drive-up screening tent outside CA Dean. She endured wind and rain and snow to screen patients. And, she did all this while her mother, living in a nursing home in another state, was diagnosed with COVID-19. Luckily, my mom experienced mild symptoms, and while I wanted to see her, she was in an area of Massachusetts that was really hit hard by the coronavirus, and I was here seeing patients. I couldnt risk exposing them or my family. Caroline Joyce, PACSue-Anne Hammond, DOMedical Director of Primary CareNorthern Light Mercy Hospital For Dr. Hammond, COVID-19 became personal very quickly as one of her long-time patients, with whom shed experienced many ups and downs, was among the first in Maine to die of the deadly coronavirus. It was a curve ball, and it felt so unfair, she said. Dr. Hammond was instrumental in setting up the COVID-19 response plan for Northern Light Mercy Hospital, which became a model shared with other Northern Light Health hospitals across the state. The drive-up swab and go tent at Mercys Fore River campus allowed people to safely and easily get tested for the coronavirus. The plan also included a respiratory tent site in Westbrook to assess whether people with symptoms needed to be admitted to the emergency department or sent home with care instructions. And it included a virtual clinic to keep patients out of hospital and primary care settings through telehealth for follow-up appointments. She worked seven days a week while her children were being schooled at home. She and her husband, also a front line provider, tried to allay their familys fears and correct misinformation in their communities. On the hardest days I still love what I do. I dont feel like Im a hero; Im doing what was asked of me and what I chose to do as a doctor. This is a hard time, but I dont think I want to be anywhere else in the middle of all of this. Sue-Anne Hammond, DOJodi Kierstead, RNNurse Manager, Specialty ICU Northern Light AR Gould Hospital As a nurse manager, Jodis Kiersteads world radically changed when COVID-19 showed up in Maine. She went from managing budgets and staff training to suddenly responding to a pandemic. She enjoyed watching her staff pull together. Youre taking a bunch of people out of their comfort zone and putting them through huge changes and for them to do it with a smile it was amazing! And Jodi did her part to help too. As Northern Light Mercy Hospital in Portland was becoming inundated with patients, they put out a call for additional staff to help. Not only did Jodi travel to Portland and support her colleagues, despite having a 10-month-old baby at hom Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary M. Hood, board member/officer is board member of Maine Hospital Association and John Ronan, board member/officer if chair/board member of Maine Hospital Association. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Maine Coast Regional Health Facilities d/b/a Northern Light Maine Coast Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP, Finance of Northern Light Maine Coast Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Maine Coast Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the MCH SVP, President and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Maine Coast Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Changes in Net Assets Held @ NLH Foundation = $30324 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary-NLH Foundation = $91843 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A false WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Acadia Hospital CorpAHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC false EMHS Foundation 43 Whiting Hill Rd Suite 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS false Rosscare 43 Whiting Hill Rd Suite 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and LT nursing care ME 501(c)(3) 3 Inland Hospital false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH false The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCH true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS false Beacon Health LLC 43 Whiting Hill Rd Brewer ME 04412 452967056 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Rd Brewer ME 04412 474483187 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Rd Brewer ME 04412 364903784 Accountable Care Organization ME 501(c)(3) 12 Type II EMHS false LTC LLC 43 Whiting Hill Rd Brewer ME 04412 010211501 Operation of Nursing Homes ME 501(c)(3) 3 EMMC false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street Dover Foxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false Meridian Mobile Health LLC 43 Whiting Hill Rd Brewer ME 04412 010512673 Ambulance ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Rd Brewer ME 04412 462751855 Transcription ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding company ME EMHS C false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Healthcare management ME AHS C false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical lab ME AHS C false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C false false false false false false false false false false false true true true false false true true true true Maine Coast Medical Realty k 145279 Maine Coast Medical Realty q 70536