2021-08-06T09:27:16-07:00 2020-09-30 990 2019-10-01 010246804 VNA Home Health & Hospice VNAH 2079739081 50 Foden Road Suite 1 South Portland ME 04106 John J Doyle NLH VP of Finance 2021-08-06 false 2019 2022-09-23 18:48:47Z John J Doyle 49782148 false X www.northernlighthealth.org/homecare-hospice X 1921 ME VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families 15 13 677 188 0 203688 220029 48384352 49544210 -1509 10353 0 48586531 49774592 0 0 38354990 38512901 0 0 10133790 11105960 48488780 49618861 97751 155731 12667197 24331547 6619162 17665191 6048035 6666356 X VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families false false 47518749 49544210 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 home, she and her team assembled a care package for Mercy nurses. We look out for one another. Thats what nurses do. An Jenica Achey, CNA Northern Light Continuing Care, Lakewood Caring for elderly residents at Northern Light Continuing Care, Lakewood is an enormous responsibility that Jenica Achey understands all too well. She works with a vulnerable population, and is living with someone at high risk. Jenica, who rarely leaves her house except for work, canceled out of state travel plans to ensure her family and Lakewood residents are safe. For me, its the gratitude that they all show. You can see it in their faces when you put on their make-up or help them pick out an outfit. During COVID-19, as residents can only communicate with family through closed windows, by phone, or electronically, she says its more important than ever to show comfort and compassion. They cant see your smile with a mask over your face, but your eyes smile too. And they can see that. And that helps them. Jenica Achey, CNAShane Mack Mcpherson Psychiatric Technician Northern Light Acadia Hospital Mack Mcpherson says his co-workers are like his extended family, and they pulled together even more during the extraordinary challenges of running a psychiatric hospital during a global pandemic. Were in the business of working with people who are in some form of crisis, either medical needs or mental health needs. Its just what we do naturally. As a psych tech, Mack considers his job to do what needs to be done to support patients and clinicians. He says the only change for him during COVID-19 is that hes helping other staff with needs too. Hes cleaning, doing small repairs, getting batteries for a thermometer, whatever is needed. The most challenging part of the pandemic for Mack personally is not having face-to-face interactions with co-workers. Acadia is known for being able to recognize when somebody on the team is having a rough day or a rough couple of days. And, we are great at surprising them with their favorite candy or coffee, or writing a card. Shane Mack McphersonCassie CraigParamedic Northern Light Medical Transport Since the start of the pandemic, when a 911 call comes into Northern Light Medical Transport, the caller is screened to see if the patient has COVID-19 symptoms. That way, Cassie Craig knows if she must suit up in full gear, including respirator masks, goggles, gloves, and gowns. This adds some time to the response, but is an important step to protect her and her co-workers, to stop the spread of the virus, and to make sure she can continue her job. She also makes sure to wash her clothes at the station in order to limit any exposure to family members. I would come to work in a pandemic as I would come to work on a Tuesday, this is the job that I signed up for. Its become more difficult lately, but Im going to come to work anyway. Im here to do my job. Cassie CraigBrent Watson, RN, BSN, MLT, CEN, CFRNDirector of Nursing for Emergency Department / Laboratory Services As the director of the Emergency Department at Northern Light Mayo Hospital, Brent Watson spent long hours informing people of evolving CDC guidelines in the early stages of the COVID pandemic. He also spent considerable time traveling to Northern Light Eastern Maine Medical Center to study how they were equipped to handle a potential influx of patients. Since Mayos emergency staff is relatively small, he cross-trained other Mayo nursing staff to work in the Emergency department. Personally, I wouldnt consider myself a hero in any aspect; this is something I signed up for. I am a professional nurse. I love taking care of people; I love taking care of the community in which I live. Brent Watson, RN, BSN, MLT, CEN, CFRNMatt GrantCardiopulmonary Respiratory TherapistNorthern Light Mayo Hospital Matt Grant is one of two full-time respiratory therapists at Northern Light Mayo. Understanding that COVID-19 is a respiratory virus, he knew his services would be in demand if there were an influx of patients. So, he also spent time training staff to make sure they were ready. Both Brent and Matt say its all part of the job, even in a global pandemic. People have been very appreciative, and Id be remiss not to acknowledge that, but I dont consider myself a hero. We havent been hit as hard as some hospitals across the country. They are working nonstop overtime and going out and being in the face of this. I would consider myself lucky, but I wouldnt consider myself a hero by any means. Matt GrantTiffany BennerClinical SupervisorNorthern Light Maine Coast Hospital As a supervisor, Tiffany Benner says the most challenging part of the pandemic was when she didnt have immediate answers for staff. Early on, there were many unknowns would they have enough personal protective equipment? How long would this last? Would there be staff reassignments? She learned to communicate what she knew when she knew it, which helped alleviate fears. She did have a very well laid out plan at home. Once the pandemic reached her county, she would not leave the house, except for work, and her newlywed husband would do the shopping. "I dont think of myself as a hero. I didnt decide to become a nurse because I thought in 2020 there would be a worldwide pandemic, and it would look awesome when I leave work. I do my job because I like to help people. I like to help the community. Tiffany BennerTammy Violette, RNDirector, Physician PracticesNorthern Light Eastern Maine Medical Center In regular times, Tammy Violettes job involves supporting clinical services and staff of Northern Light Eastern Maine Medical Centers Primary Care. But since COVID-19, she has also become an expert in swab and go sites screening and testing people for COVID-19. Tammy helped coordinate staff at the testing site, which was a partnership with the City of Bangor, EMMC, St. Joseph Hospital, and Penobscot Community Health Care (PCHC). How was traffic going to flow? What type of staff were we going to use? How were the swabs going to get collected? How are they going to be housed? So, there was a lot of logistics in terms of details, she explains. Everyone in our community, our eyes have been opened to everyday heroes. Individuals that continue to keep the grocery store stocked so that people can eat during this time. I think that we all just have to remember that were in this together, and we should be thankful for the efforts of all. Tammy Violette, RNLisa Boutwell, PTAPhysical Therapist Assistant Northern Light Sebasticook Valley Hospital Physical Therapy was a service that completely shut down at the start of the pandemic. Lisa Boutwell, PTA went from seeing patients in outpatient rehabilitation to staffing Northern Light Sebasticook Valley Hospitals drive-up site to screening and testing patients. As a runner, she took the test bag from providers administering the tests to the hospital or lab. Lisa is one of many healthcare staff members who stepped up to serve the community in all kinds of ways, in all kinds of weather. One day out in the testing tent, it was very windy, the walls were blowing in. We also had a snowstorm and large snow piles outside of the tent, but we made do, and our community was safer because of it. Lisa Boutwell, PTAA Leader to HeroesA good leader inspires people to have confidence in the leader; a great leader inspires people to have confidence in themselves. Eleanor Roosevelt A leader who empowers others to act decisively is precisely the type of leader a healthcare system needs during a global pandemic. As the coronavirus began forcing the state of Maine to shut down, Tim Dentry was settling in as president and CEO of Northern Light Health and facing an immediate crisis that would put his experience and leadership skills to the test. On March 24, I was offered the position. It was announced on March 25, and April 1 is when I began these responsibilities, Dentry explains. He had already been with Northern Light Health as chief operating officer for three years and was very familiar with the system. Also, he spent several years in Western Africa and the Middle East working to improve healthcare systems for Johns Hopkins University. During the Ebola outbreak, I was in Abu Dhabi, the United Arab Emirates. The Ministry of Health advised us on a Thursday that this is a big issue, and they want us to be the chosen hospital for Ebola response, and by Sunday, we had our first patient, recalls Tim. That experience helped Tim when the first case of COVID-19 appeared in Maine. By the time the state had issued stay-at-home orders, Northern Light Health had already enacted its Incident Command team and its supply chain team had already started preparing for a nationwide shortage of personal protective equipment (PPE). Information Systems and Operational Excellence teams worked to increase delivery of healthcare services through telehealth. Under Tims leadership, Northern Light Health also set up alternative care sites and COVID-19 screening sites. I spent a lot of my time doing what Im doing now, getting out and talking to staff, asking questions, Tim traveled to member hospitals across the state to gather insight and perspective. He visited the Intensive Care Unit at Northern Light Mercy Hospital to see staff caring for COVID-19 patients. It was an emotional moment. So inspiring to me. It gave me strength. When I went to Mercy and AR Gould, I could see the face behind the mask; the eyes behind the mask. I could see fear, and I felt that fear. I could also see determination, and I fed off of that. Tim says he adheres to a philosophy called servant leadership, which he learned early in his career while working in Catholic health systems. He says its an approach that demands humility, which is why he doesnt consider himself a hero. But Tim does believe the people he leads are heroes. Everybodys a hero who has a part to play in this, he says. We have a culture of quality and within that culture of quality is a culture of caring and within the culture of caring is a culture of caring for one another. I want people to know thats what were in the business of doing. HEROES BEHIND THE SCENES While Northern Light Health employs many direct care providers, there are many more working behind the scenes to support them. When the COVID-19 pandemic arrived in Maine, these people helped keep our front line workers and patients safe during an unprecedented public health crisis. These unsung heroes worked in such areas as supply chain, facilities management, information systems, incident command, and environmental services. Kathy Knight, RNDirector of Emergency PreparednessNorthern Light Health Whenever a natural disaster or emergency strikes, Northern Light Health is prepared, thanks in part to Kathy Knight and her teams work. It is their job to prepare, respond, and recover from emergencies. They hold training throughout the year, and know what to do in an emergency. One priority is activating an incident command structure, which streamlines communications between key decision-makers. For the first time in its history, Northern Light Health had a unified response involving all member organizations. The incident command team had to resolve several issues all at once, including a disruption of the supply chain for personal protective equipment, new work plans based on the latest CDC guidance, and an immediate ramp-up of our information systems to accommodate an increased demand for telehealth services. While there are lessons learned from every emergency, Kathy was pleased with everyones work throughout the system. I look at what we have accomplished from maximizing resources, developing a single coordinated response, delivering transparent, timely, accurate, and standardized communications to all employees, and meeting the challenges of COVID-19 head on by remaining flexible, open-minded and imaginative, and I am just amazed! Kathy Knight, RNPaula Dietrich Behavioral Health ProfessionalNorthern Light Acadia HospitalUnder normal circumstances, Paula would be assisting teachers at Northern Light Acadias Pediatric Day Treatment Program. But, when COVID-19 hit, that program was provided via teleconferencing, and Paulas services were not needed as much. I said, put me where you need me, so here is where I am. The here is the main entrance of the hospital. With a sign-in sheet, a list of questions, and a digital thermometer, her job is to screen visitors, patients, and staff. Like everything she does, Paula takes it to the next level. Ive decorated the entry with butterflies throughout, and I have a beautiful silk flower arrangement with roses and peonies. I love to play string quartet music. And, I try to be calm and welcoming and let people know that we care, explains Paula. I think of what I do as being a part of the team here, and I dont think Im any more heroic than anyone else who is here on staff. Im just doing a little part of what everyone else is doing during the day, and thats it. Paula DietrichDavid ValcikVice President, Information Systems Northern Light Health In mid-February David and the Information Systems (IS) team started testing scenarios if large numbers of employees had to work remotely. They also looked to ramp-up telehealth services. Luckily, they had already started to improve our telehealth and teleconferencing platforms. Northern Light Acadia Hospital had been using Zoom telepsychiatry. Dave and the IS team had to quickly figure out how to expand it to the rest of the system. Before COVID-19, in January, we did approximately 1,500 to 1,700 telehealth visits. By April, we ramped-up to about 34,000. The technology we put in place allowed us to provide care to our patients who could not come in, says Dave. It meant a lot of work in a short time to modify these systems. The IS team played a crucial role in allowing front line staff and support staff to continue working safely while providing exceptional care for patients. Dave, who is also a pilot of a single-engine plane, literally went above and beyond his duties and organized a three plane flyover of Northern Light Hospitals last spring to honor our employees. We do this for a reason, the same as anyone else in the organizationto take care of our patients. The frontline people need our assistance, and were proud to offer that. David Valcik Dani Reardon, CPT, CHWCWellness CoordinatorBeacon Health Dani Reardon leads a virtual fitness class for Northern Light Health employees from a bright and welcoming home gym in the finished basement of her home. They try to follow along as she calls out instructions. Music is playing in the background. We all know that physical activity helps manage stress, depression, and anxiety in addition to keeping your body well, so by offering these noon classes, they can take the class and feel better, explains Dani. I love that Im able to do this; a big part of who I am is helping others. I want people to be well. Im glad I am able to introduce different types of exercise and hopefully participants find a love for it and continue. Dani Reardon, CPT, CHWCCarla LeinoEnvironmental Services Northern Light Blue Hill Hospital Whenever a patient with COVID-19 is treated in the Emergency Department at Northern Light Blue Hill Hospital, they can take comfort in knowing that Carla Leino is on the job. Dressed from head to toe in personal protective equipment, she goes into patient rooms to clean once patients are discharged. She is armed with cleaning chemicals and wipes down every surface as she sanitizes the room from floor to ceiling. We make sure that the cleaning were doing is the best that it can be, not only to protect ourselves but anyone else that will go into the room. When the next patient is coming through the door, that room is ready for them, says Carla. I dont have a special prayer, but I talk to God every day when I leave my house, and I ask him for strength to carry-on and do what I have to do no matter how it makes me feel. Im doing this for the greater good. Im doing his work. It gets me through. Carla LeinoMark Noble Supply Specialist II, Materials Management Department Northern Light Inland Hospital Whenever you need supplies to do your job, Mark Noble is the man who gets you what you need. I dont want anybody to say I dont have what I need when I need it. Until this point, not one person has had to say that, he says with pride. Mark is hoping he can continue to keep that record. Still, having personal protective equipment (PPE) in stock has been challenging during a pandemic that caused a global shortage of PPE and disrupted the entire supply chain. Fortunately, Mark and his team could see the warning signs and took proactive measures to increase ordering and find alternative vendors. We always look out for one another. My whole job is to make sure our patients and employees are safe and they have the equipment they need to stay safe. I take pride in that. Mark NobleCOVID 19: A patients story Baballa Adam knew something was wrong when he couldnt get out of bed on a Thursday morning in early June. He just lay in bed in the top floor apartment of his home in Portlands Valley Street neighborhood. His wife, Saida, called for help to get him to the Emergency Department at Northern Light Mercy Hospital. Baballa would spend the next week in the hospital recovering from COVID-19. He says that he never had difficulty breathing but that he was exhausted. It was very, very scary. I felt like I might not get out of here, like I was going to die, recalls Baballa. Despite regaining his strength and returning home, Baballa did have some lingering effects that required follow-up care. So, Northern Light Home Care & Hospice helped set him up at home with some monitoring equipment to check his temperature and blood pressure. He was also introduced to Laura Webber, post-acute care manager, Northern Light Beacon Health. Laura explains, When I received the referral, he was in the hospital at Mercy, and I followed him daily to see what was going on. He was discharged to Home Care & Hospice with a coup 47518749 true true false true false false false false false true true false false true false true false true false false false false false false false false false false false true false false false false false false true false false false false false false true false false false true 31 0 true 677 true false false false false false false false 0 false false false false false false false X 15 13 true false false false true true true true true false false true true true true true true true false false ME X X X John Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 Michelle Hood Ex-Officio 1.00 50.00 X X 0 1756068 48356 Tim Dentry Ex-Officio 1.00 50.00 X X 0 730643 137680 Anthony Filer Treasurer 1.00 50.00 X 0 745697 54010 Glenn Martin Secretary 1.00 50.00 X 0 613309 113066 Paul Bolin SVP & CHRO 1.00 50.00 X 0 435162 96820 Colleen Hilton Ex-Officio 40.00 0.00 X X 321682 0 69727 Elizabeth Rolfe VP Quality 40.00 0.00 X 189647 0 27175 Leah Wright VP Clinical Op 40.00 0.00 X 148854 0 34261 Joseph Kellner VP, Finance 46.00 4.00 X 165163 0 8681 Leigh Ann Howard AVP Home Care 40.00 0.00 112778 0 34550 Christine Turner AVP Hospice Care 40.00 0.00 118919 0 6207 Elizabeth White-Randall Med Dir-Hospice 40.00 0.00 105056 0 17883 Robin Hirsh-Wright DIR - Palliative C 40.00 0.00 103759 0 2542 Doreen Roy Mgr - Clinical Svc 40.00 0.00 101203 0 3022 Suzi Tracy Former VP, Finance 40.00 0.00 71948 0 12462 Peter Bagg Director 1.00 0.00 X 0 0 0 Carol Bell Director 1.00 0.00 X 0 0 0 Ann Marie Briggs Director 1.00 0.00 X 0 0 0 Claire Connor Director 1.00 0.00 X 0 0 0 Richard Duncan Director 1.00 0.00 X 0 0 0 Michael Quinlan Director 1.00 0.00 X 0 0 0 Joanne Hale Director 1.00 0.00 X 0 0 0 Bruce Reddy Director 1.00 0.00 X 0 0 0 Edward Gould Esq Director 1.00 0.00 X 0 0 0 Patricia Small Director 1.00 0.00 X 0 0 0 Debra D Taylor Director /Chair 1.00 0.00 X X 0 0 0 James Violette Director 1.00 0.00 X 0 0 0 Dr Isabella Thurston Director 1.00 0.00 X 0 0 0 Troy Heald Director 1.00 0.00 X 0 0 0 1439009 4280879 666442 9 true true false Avant Healthcare Professionals PO BOX 744554 Atlanta GA 303744554 Temp Staff 603620 SimpliFi 5020 Northshore Drive STE 2 North Little Rock AR 72118 Temp Staffing 142913 American Medical Alert Corp 36-36 33rd st STE B100 Long Island City NY 11106 Monitoring Services 111511 David Jones MD PO Box 1268 Presque Isle ME 04769 Medical Director Fees 103538 4 207066 12963 3853 220029 Net Home Care Revenue 621610 49544210 49544210 49544210 5064 5064 0 0 0 12845 7556 5289 5289 5289 0 0 0 0 49774592 49544210 10353 0 0 0 0 965190 399937 565253 0 29012046 28566469 445577 955052 941796 13256 5433349 5360493 72856 2147264 2115489 31775 0 35 35 33515 33515 0 0 0 2927649 2049865 877784 63650 63650 800965 784351 16614 1056444 1041780 14664 0 941609 928539 13070 1836036 1833991 2045 0 54171 53793 378 0 0 167367 165044 2323 160912 158678 2234 Medical Supplies Expense 2624051 2624051 Repairs & Maintenance 293907 292903 1004 Dues and Subscriptions 73951 73951 Miscellaneous 51039 44006 7033 20659 19928 731 49618861 47518749 2100112 0 900 8364703 1110167 2876244 0 5936142 7129101 0 0 36770 39937 0 222332 157026 2668301 1940007 806579 728294 0 0 0 0 4554307 5036242 12667197 24331547 5184240 8506797 1434922 9158394 6619162 17665191 X 5075542 5273288 972493 1393068 6048035 6666356 12667197 24331547 X 155731 462590 X false true X true false X 549067 425985 418369 203688 220029 1817138 36885285 46665295 52827840 48384352 49544210 234306982 0 0 0 37434352 47091280 53246209 48588040 49764239 236124120 0 0 236124120 4042 7558 6049 5880 5064 28593 0 4042 7558 6049 5880 5064 28593 0 0 37438394 47098838 53252258 48593920 49769303 236152713 0.99990 0.99980 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 8712 8712 false false Part II-B, Line 1i - Other Activities Description Non-Deductible Dues 3094618 32631 43386 108418 3062217 3118487 18570 92535 134974 3094618 3137365 2500 110039 131417 3118487 3024870 4750 235757 128012 3137365 10272 2865091 274766 125259 3024870 0.92000 0.08000 false true true 244096 118591 125505 2424205 1821416 602789 728294 Board Designated Funds - Other 3524925 Other Assets 11545 Permanently Donor Restricted Funds 205532 Self Insurance funds held by trustee 106704 Temporarily Donor Restricted Funds 1187536 5036242 X 49777092 2500 2500 49774592 49774592 49621361 2500 2500 49618861 49618861 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. X true true false true false false false false false false false Anthony Filer Treasurer 547066 183558 15073 22400 31610 799707 Colleen Hilton Ex-Officio 227266 48948 45468 55929 13798 391409 Elizabeth Rolfe VP Quality 160465 25958 3224 4877 22298 216822 Glenn Martin Secretary 416405 153993 42911 90036 23030 726375 Joseph Kellner VP, Finance 138043 21353 5767 3616 5065 173844 Leah Wright VP Clinical Op 114097 19517 15240 2701 31560 183115 Michelle Hood Ex-Officio 973213 756271 26584 25200 23156 1804424 Paul Bolin SVP & CHRO 320588 52165 62409 64214 32606 531982 Suzi Tracy Former VP, Finance 45365 19144 7439 2796 9666 84410 Tim Dentry Ex-Officio 604626 112673 13344 104720 32960 868323 Part I, Line 1a: Relevant information in regards to selections on 1a. Leigh Ann Howard, highly compensated employee, received a wellness program incentive of $400. The benefit is available for all employees.Joseph Kellner, officer, received a gift card of $75. William Hilton fam mem=officer 30454 compensation false Schedule L, Part V Supplemental Information William Hilton is a family member of a board member/officer and is an employee of Northern Light Home Care & Hospice. There is a signed conflict of interest management agreement. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Tim traveled to member hospitals across the state to gather insight and perspective. He visited the Intensive Care Unit at Northern Light Mercy Hospital to see staff caring for COVID-19 patients. It was an emotional moment. So inspiring to me. It gave me strength. When I went to Mercy and AR Gould, I could see the face behind the mask; the eyes behind the mask. I could see fear, and I felt that fear. I could also see determination, and I fed off of that. Tim says he adheres to a philosophy called servant leadership, which he learned early in his career while working in Catholic health systems. He says its an approach that demands humility, which is why he doesnt consider himself a hero. But Tim does believe the people he leads are heroes. Everybodys a hero who has a part to play in this, he says. We have a culture of quality and within that culture of quality is a culture of caring and within the culture of caring is a culture of caring for one another. I want people to know thats what were in the business of doing. HEROES BEHIND THE SCENES While Northern Light Health employs many direct care providers, there are many more working behind the scenes to support them. When the COVID-19 pandemic arrived in Maine, these people helped keep our front line workers and patients safe during an unprecedented public health crisis. These unsung heroes worked in such areas as supply chain, facilities management, information systems, incident command, and environmental services. Kathy Knight, RNDirector of Emergency PreparednessNorthern Light Health Whenever a natural disaster or emergency strikes, Northern Light Health is prepared, thanks in part to Kathy Knight and her teams work. It is their job to prepare, respond, and recover from emergencies. They hold training throughout the year, and know what to do in an emergency. One priority is activating an incident command structure, which streamlines communications between key decision-makers. For the first time in its history, Northern Light Health had a unified response involving all member organizations. The incident command team had to resolve several issues all at once, including a disruption of the supply chain for personal protective equipment, new work plans based on the latest CDC guidance, and an immediate ramp-up of our information systems to accommodate an increased demand for telehealth services. While there are lessons learned from every emergency, Kathy was pleased with everyones work throughout the system. I look at what we have accomplished from maximizing resources, developing a single coordinated response, delivering transparent, timely, accurate, and standardized communications to all employees, and meeting the challenges of COVID-19 head on by remaining flexible, open-minded and imaginative, and I am just amazed! Kathy Knight, RNPaula Dietrich Behavioral Health ProfessionalNorthern Light Acadia HospitalUnder normal circumstances, Paula would be assisting teachers at Northern Light Acadias Pediatric Day Treatment Program. But, when COVID-19 hit, that program was provided via teleconferencing, and Paulas services were not needed as much. I said, put me where you need me, so here is where I am. The here is the main entrance of the hospital. With a sign-in sheet, a list of questions, and a digital thermometer, her job is to screen visitors, patients, and staff. Like everything she does, Paula takes it to the next level. Ive decorated the entry with butterflies throughout, and I have a beautiful silk flower arrangement with roses and peonies. I love to play string quartet music. And, I try to be calm and welcoming and let people know that we care, explains Paula. I think of what I do as being a part of the team here, and I dont think Im any more heroic than anyone else who is here on staff. Im just doing a little part of what everyone else is doing during the day, and thats it. Paula DietrichDavid ValcikVice President, Information Systems Northern Light Health In mid-February David and the Information Systems (IS) team started testing scenarios if large numbers of employees had to work remotely. They also looked to ramp-up telehealth services. Luckily, they had already started to improve our telehealth and teleconferencing platforms. Northern Light Acadia Hospital had been using Zoom telepsychiatry. Dave and the IS team had to quickly figure out how to expand it to the rest of the system. Before COVID-19, in January, we did approximately 1,500 to 1,700 telehealth visits. By April, we ramped-up to about 34,000. The technology we put in place allowed us to provide care to our patients who could not come in, says Dave. It meant a lot of work in a short time to modify these systems. The IS team played a crucial role in allowing front line staff and support staff to continue working safely while providing exceptional care for patients. Dave, who is also a pilot of a single-engine plane, literally went above and beyond his duties and organized a three plane flyover of Northern Light Hospitals last spring to honor our employees. We do this for a reason, the same as anyone else in the organizationto take care of our patients. The frontline people need our assistance, and were proud to offer that. David Valcik Dani Reardon, CPT, CHWCWellness CoordinatorBeacon Health Dani Reardon leads a virtual fitness class for Northern Light Health employees from a bright and welcoming home gym in the finished basement of her home. They try to follow along as she calls out instructions. Music is playing in the background. We all know that physical activity helps manage stress, depression, and anxiety in addition to keeping your body well, so by offering these noon classes, they can take the class and feel better, explains Dani. I love that Im able to do this; a big part of who I am is helping others. I want people to be well. Im glad I am able to introduce different types of exercise and hopefully participants find a love for it and continue. Dani Reardon, CPT, CHWCCarla LeinoEnvironmental Services Northern Light Blue Hill Hospital Whenever a patient with COVID-19 is treated in the Emergency Department at Northern Light Blue Hill Hospital, they can take comfort in knowing that Carla Leino is on the job. Dressed from head to toe in personal protective equipment, she goes into patient rooms to clean once patients are discharged. She is armed with cleaning chemicals and wipes down every surface as she sanitizes the room from floor to ceiling. We make sure that the cleaning were doing is the best that it can be, not only to protect ourselves but anyone else that will go into the room. When the next patient is coming through the door, that room is ready for them, says Carla. I dont have a special prayer, but I talk to God every day when I leave my house, and I ask him for strength to carry-on and do what I have to do no matter how it makes me feel. Im doing this for the greater good. Im doing his work. It gets me through. Carla LeinoMark Noble Supply Specialist II, Materials Management Department Northern Light Inland Hospital Whenever you need supplies to do your job, Mark Noble is the man who gets you what you need. I dont want anybody to say I dont have what I need when I need it. Until this point, not one person has had to say that, he says with pride. Mark is hoping he can continue to keep that record. Still, having personal protective equipment (PPE) in stock has been challenging during a pandemic that caused a global shortage of PPE and disrupted the entire supply chain. Fortunately, Mark and his team could see the warning signs and took proactive measures to increase ordering and find alternative vendors. We always look out for one another. My whole job is to make sure our patients and employees are safe and they have the equipment they need to stay safe. I take pride in that. Mark NobleCOVID 19: A patients story Baballa Adam knew something was wrong when he couldnt get out of bed on a Thursday morning in early June. He just lay in bed in the top floor apartment of his home in Portlands Valley Street neighborhood. His wife, Saida, called for help to get him to the Emergency Department at Northern Light Mercy Hospital. Baballa would spend the next week in the hospital recovering from COVID-19. He says that he never had difficulty breathing but that he was exhausted. It was very, very scary. I felt like I might not get out of here, like I was going to die, recalls Baballa. Despite regaining his strength and returning home, Baballa did have some lingering effects that required follow-up care. So, Northern Light Home Care & Hospice helped set him up at home with some monitoring equipment to check his temperature and blood pressure. He was also introduced to Laura Webber, post-acute care manager, Northern Light Beacon Health. Laura explains, When I received the referral, he was in the hospital at Mercy, and I followed him daily to see what was going on. He was discharged to Home Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Patricia Small, board member is a board member of Sweetser and Debra Tayor, board member/officer is President & CEO of Sweetser. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance & SVP, President of Northern Light Home Care & Hospice. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction.The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter.All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Home Care & Hospice and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meeting and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Home Care & Hospice makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Changes in Net Assets Held @ NLH Foundation = $432760 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary-NLH Foundation = $29830 Mercy Hospital 144 State St Portland ME 04101 010211534 Provide Healthcare Services ME 501(c)(3) 3 EMHS false 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 NA false Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 04402 010211501 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Rosscare 43 Whiting Hill Rd Brewer ME 04412 010391038 Provide Services to Elderly ME 501(c)(3) PF EMHS false Acadia Hospital AHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Provide Healthcare Services ME 501(c)(3) 3 EMHS false EMHS Foundation 43 Whiting Hill Rd Brewer ME 04412 222514163 Raise & Manage Funds for Exempt Orgs ME 501(c)(3) 12 Type II EMHS false Inland Hospital 200 Kennedy Memorial Dr Waterville ME 04901 010217211 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Dr Wateville ME 04901 010421234 Provide Skilled & Long-Term Nursing Care ME 501(c)(3) 3 Inland false CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 04441 043341666 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main St Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false The Aroostook Medical Center TAMC PO Box 151 140 Academy St Presque Isle ME 04769 010372148 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Blue Hill Memorial Hospital 57 Water St Blue HIll ME 04614 010227195 Provide Healthcare Services ME 501(c)(3) 3 EMHS false Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases Real Estate ME 501(c)(2) 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 Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Sebasticook Valley Family Practice Assoc 447 North Main St Pittsfield ME 04967 010357854 Provide Patient Care ME 501(c)(3) 10 SVH false WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Maine Coast Regional Health Facilities 50 Union St Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union St Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCH false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC false Northern Light Medical Transport 43 Whiting Hill Rd Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street DoverFoxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false M Drug LLC 43 Whiting Hill Rd Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false Merdian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Rd Brewer ME 04412 010385322 Holding Company ME EMHS C Corp false Affiliated Healthcare Management 43 Whiting Hill Rd Brewer ME 04412 010349339 Healthcare Mgt ME AHS C Corp false Affiliated Laboratory 43 Whiting Hill Rd Brewer ME 04412 010381283 Clinical Lab ME AHS C Corp false Beacon Direct 43 Whiting Hill Rd Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C Corp false false false false false false false false false false true true true true false false true false false true