2021-08-06T08:32:37-07:00 2020-09-30 990 2019-10-01 010459837 Eastern Maine Healthcare Systems AHC Acadia Hospital Corp AHC EAST 2079739081 43 Whiting Hill Road Brewer ME 04412 John J Doyle NLH VP of Finance 2021-08-06 false 2019 2022-09-23 18:48:47Z John J Doyle 62872978 false 5247 X https://northernlighthealth.org/Acadia-Hospit X 1987 ME The primary mission and significant activities of Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. 16 12 796 20 0 203267 252396 63401741 62552466 74229 68018 229692 136 63908929 62873016 0 0 41726633 43592388 0 0 12268564 12752575 53995197 56344963 9913732 6528053 36247693 44827005 19830641 23896037 16417052 20930968 X The primary mission and significant activities of Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. false false 47978807 62561287 Northern Light Acadia Hospital's 36-bed adult inpatient service provided 11,503 patient days of care to 758 patients. Patients are referred primarily from a large, nine county area of northern, eastern, and central Maine. Northern Light Acadia Hospital's 32-bed child and adolescent inpatient service provided 10,722 patient days of care to 560 patients. The adult outpatient clinic provided the following number of patient encounters: 10,184 - intensive outpatient program; 20,661 medication management; 17,397 therapy and 3,765 geriatric. 47978807 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false true false false false false false false false false false true true true false false true 39 0 false 796 true false false false false false false false 0 false false false false false false false X 16 12 false false false false true true true true true false false true true true true true true true true false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Mary Michelle Hood Ex-Officio 0.50 50.00 X X 0 1756068 48356 Timothy Dentry Ex-Officio 0.50 50.00 X X 0 730643 137680 Anthony Filer Treasurer 2.00 50.00 X 0 745697 54010 Glenn Martin Esq Secretary 2.00 50.00 X 0 613309 113066 Paul Bolin SVP & CHRO 0.50 50.00 X 0 435162 96820 Scott Oxley SVP, President 50.00 0.00 X X 414415 0 83222 Anthony Ng Physician-Psychiat 40.00 0.00 356796 0 42085 Charmaine Patel Medical Director 40.00 0.00 322652 0 34766 John Campbell MD Ex-Officio 50.00 0.00 X X 287520 0 47149 Joshua Newman Medical Director 40.00 0.00 279061 0 53025 Mahdieh Bodaghi Physician-Psychiat 40.00 0.00 302936 0 18233 Marie KDickinson VP, Fin & Ops 50.00 0.00 X 280991 0 38880 Nicole Wimberger Medical Director 40.00 0.00 294205 0 15140 Wayne Stellar PMHNP VP, NPCS 50.00 0.00 X 243310 0 46432 Brent Scobie VP, CSQ 50.00 0.00 X 187532 0 49404 Allan D Currie MD Trustee 0.50 10.00 X 0 32235 0 Craig Hadley CPA Trustee 0.50 0.00 X 0 0 0 Judith A Horan Trustee 0.50 0.00 X 0 0 0 Regan Nickels Trustee 0.50 0.00 X 0 0 0 Charles T McHugh MD Trustee 0.50 0.00 X 0 0 0 Richard Rosen Trustee/Vice Ch 2.00 0.00 X X 0 0 0 Anne E Pooler EdD Trustee 0.50 0.00 X 0 0 0 Kara Hay Trustee/Chair 2.00 0.00 X X 0 0 0 Edward Gould Esq Trustee 0.50 0.00 X 0 0 0 Teresa Willett Steele RN PhD Trustee 0.50 0.00 X 0 0 0 Shirar Patterson Trustee 0.50 0.00 X 0 0 0 James E Rogers Jr Trustee 0.50 0.00 X 0 0 0 Sarah Smiley Trustee 0.50 0.00 X 0 0 0 2969418 4313114 878268 48 false true false Massachusetts General Hospital PO Box 3662 Boston MA 022413662 Physician Services 254858 American Mobile Nurse DBA AMN Healthcare Inc 2735 Collection Center Drive Chicago IL 60693 RN Services 104321 Locumtenenscom 2655 Northwinds Parkway Alpharetta GA 30009 RN Services 304372 Simplifi 5020 Northshore Drive Suite 2 North Little Rock AR 72118 RN Services 178082 Atrium Health PO Box 32861 Charlotte NC 282322861 Consulting 101175 5 104643 15733 132020 7194 252396 Cafeteria 722514 111008 111008 Net Patient Care Services 621990 62441458 62441458 62552466 59197 59197 0 0 0 8783 -38 8821 8821 8821 0 0 0 Miscellaneous 812900 136 136 136 62873016 62450279 170341 0 0 0 0 1678855 861347 817508 0 31992175 29610303 2381872 1879647 1735384 144263 5824359 5414031 410328 2217352 2061930 155422 0 10091 9033 1058 9128 9128 159 159 0 1414 1197 217 4885342 1738155 3147187 45960 45960 1229196 627468 601728 2283597 2118598 164999 0 714186 534243 179943 55659 48640 7019 0 59345 56498 2847 55948 55923 25 0 820133 610822 209311 412722 382669 30053 Taxes and Licenses 1293516 1292176 1340 Medical Supplies 492386 492386 Repairs & Maintenance 182816 116527 66289 Miscellaneous 111863 98392 13471 89114 66966 22148 56344963 47978807 8366156 0 21097376 24477833 0 0 5198970 10959410 4806 2496 0 66511 43444 95897 89000 175115 110849 33644391 25278583 8502675 8365808 0 0 0 0 1106343 778165 36247693 44827005 6362098 8258052 1047384 1411256 47491 12057287 14543110 19830641 23896037 X 15862885 20386299 554167 544669 16417052 20930968 36247693 44827005 X 6528053 -2014137 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 10582 10582 false false Part II-B, Line 1i - Other Activities Description Non deductible portion of dues and coalition lobbying fees. 406875 101700 1166 15017 494724 413464 2600 8580 17769 406875 415576 2400 11904 16417 413463 394598 4100 31732 14854 415576 258564 142800 35977 42743 394598 0.03230 0.96770 false true true 447123 447123 16859468 11827265 5032203 13205092 10772185 2432907 3132708 2679133 453575 8365808 Deferred Liab-Post Retirement Benefits 14542963 Liability Under Cap Lease Obligation 147 14543110 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 the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true false false true true 663 8570140 8570140 0.15210 663 8570140 8570140 0.15210 7 1997 194411 194411 0.00350 6 803396 803396 0.01430 1 500 500 14 1997 998307 998307 0.01780 14 2660 9568447 9568447 0.16990 true 1982824 6623474 9876693 -3253219 X true true 1 1 Northern Light Acadia Hospital 268 Stillwater Avenue Bangor ME 04401 northernlighthealth.org/Acadia 38093 X Northern Light Acadia Hospital 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 Acadia Hospital - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 19, 2018 Penobscot 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 Penobscot County CHNA report, pages 27-29): Bangor Area Public Health Advisory Board, Bangor Public Health and Community Services, Bangor Public Health Department, Catholic Charities, Center for Community Inclusion and Disability Studies, University of Maine, Charlotte White Center, Eastern Area Agency on Aging, Health Access Network, Health Equity Alliance, Husson University - Nursing, Maine CDC/DHHS, Maine Quality Counts, Millinocket Regional Hospital, Missionary Sisters of the Immaculate Conception, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Eastern Maine Medical Center, Northern Light Eastern Maine Medical Center Auxiliary, Northern Light Health, Northern Light Home Care & Hospice, Northern Light Sebasticook Valley Hospital, Partners for Peace, Penobscot Community Health Care, Penobscot Valley Hospital, Penquis, Penquis Public Health District, Retiree, St. Joseph Healthcare, St. Joseph Hospital, St. Joseph Internal Medicine, Starboard Leadership, United Methodist Church, United Way of Eastern Maine, University of Maine, University of Maine School of Nursing, University of Maine School of Nursing - Community Nursing 452, U.S. Senator Angus King's Office, Wellspring, Inc.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group of in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light Acadia Hospital - 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 neame 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 Acadia Hospital - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Acadia 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 Acadia 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 Acadia Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by Acadia Hospital to address this priority in FY20: Northern Light Acadia Hospital gained access to the Northern Light Food Insecurity Screening in Cerner, our electronic medical record, and initiated its use across pediatric and adult inpatient and outpatient treatment programs. Treatment Team members were instructed on its use and it was built into the admission evaluation workflow. Substance useActions taken by Acadia Hospital to address this priority in FY20: Northern Light Acadia Hospital continued to expand our collaboration on issues of Medication-Assisted Treatment by working with Dr. Billings-Lindsey, who oversees primary care for Northern Light Eastern Maine Medical Center (to start) along with leaders in the Emergency Department at EMMC. The primary care provider office collaborative focus will be on supporting the providers with patients prescribed Suboxone for MAT. We are providing expertise resources as well as an option to refer high risk patients needing stability to Acadia.Mental healthActions taken by Acadia Hospital to address this priority in FY20: Northern Light Acadia Hospital continued to provide outreach, training, and technical assistance to school districts and organizations all across Maine using the Acadia CARES series and curriculum. Through partnerships with school providers, media outlets, community groups, and other stakeholders, we were able to spread the word about this series and build excitement and enthusiasm.Additional information related to actions taken by Northern Light Acadia 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 Acadia 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, Acadia 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: Chronic Disease as a psychiatric hospital, mental health was deemed most appropriate Physical Activity, Nutrition and Healthy Weight - As a psychiatric hospital, mental health was deemed most appropriate Access to Care - While important, access to care was not chosen because the three that were chosen were deemed to be higher priorities Facility: Northern Light Acadia Hospital - Part V, Section B, Line 13h Income Level Facility: Northern Light Acadia Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Acadia-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/Acadia-Hospital under "Bill Pay & Financial Assistance." Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Acadia 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 Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Acadia Hospital utilizes a full-time patient counselor to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs and under the organizations financial assistance policy. Part VI, Line 4 - Community Information Located in Bangor, Maine, Northern Light Acadia 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. Acadia patients are community members from all 16 counties in Maine.Penobscot Countys demographic and social determinants of health data are provided below for Acadia Hospital based on the hospitals physical location.Penobscot County - Demographic Data: American Indian/Alaskan Native 1.1% (1,751), Asian 1.1% (1,724), Black/African American 0.8% (1,174), Hispanic 1.2% (1,895), Some other race 0.2% (258), Two or more races 1.7% (2,571), White 95.1% (145,472). Total county population 152,978.Penobscot County Social Determinants of Health Data: Median household income $45,302, Unemployment rate 4.3%, Individuals living in poverty 16.3%, Children living in poverty 18.3%, 65+ living alone 44.5%, People living in rural areas 57.7%, Food insecurity 16.2%. Other hospitals serving the Northern Light Acadia Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Acadia Hospitals community is served by an additional two other hospitals, Northern Light Eastern Maine Medical Center and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Acadia Hospitals service area as having a total of 24 medically underserved areas/populations.Northern Light Acadia Hospitals patients also include community members from 15 counties in Maine where the HSAs are designated as having both medically underserved populations and medically underserved areas: Androscoggin County has two hospitals; Aroostook County has four hospitals; Cumberland County has six hospitals; Franklin County has one hospital; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Lincoln County has one hospital; Oxford County has two hospitals; Penobscot County has five hospitals including Acadia); Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; and Washington County has two hospitals. Part VI, Line 5 - Promotion of Community Health Northern Light Acadia Hospitals board is comprised of persons who reside in the hospitals primary service area. All board members are volunteers and work closely with Northern Light Acadia Hospital administrative leadership on governance of the organization, in order to serve the interests of the communities it serves. In compliance with Maine non-profit regulations, at least 51 percent of trustees are not financially interested persons and the majority of trustees are deemed independent status. Surplus funds are used to support charity care and to fund certain mental health services that are not self-funding.Northern Light Acadia Hospital also features a Citizens Advisory Council comprised of individuals in the community who have an interest in learning more about mental health and substance abuse, and also have an interest in knowing more about Northern Light Acadia Hospital and serving as advocates for its mission in the community.The hospital does a lot of work with public outreach in an effort to educate people about mental health and substance abuse, particularly with youth. Northern Light Acadia Hospital continues to offer its CARES (Child-Adolescent Resources and Educational Series) campaign, which features short educational videos on topics such as: suicide prevention, bullying, eating disorders, anxiety, substance abuse, LGBTQ youth and resiliency. During the COVID-19 pandemic, Northern Light Acadia Hospital has offered many topical presentations to the community, including public schools and businesses on topics related to mental wellness and resiliency.Additionally, Northern Light Acadia Hospital supports community events such as the Out of Darkness, Steps for Souls, and Alzheimers walks. 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.Northern Light Acadia Hospital is the regional referral psychiatric hospital providing psychiatric and mental health services to all members of Northern Light Health and other non-affiliated hospitals in the region via a combination of in-person and tele-health technology. 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 Anthony Ng Physician-Psychiat 272495 53680 30621 17572 24513 398881 Brent Scobie VP, CSQ 156276 26876 4380 17689 31715 236936 Charmaine Patel Medical Director 308827 854 12971 15891 18875 357418 Glenn Martin Esq Secretary 416405 153993 42911 90036 23030 726375 John Campbell MD Ex-Officio 284712 405 2403 19849 27300 334669 Joshua Newman Medical Director 270326 449 8286 21116 31909 332086 Mahdieh Bodaghi Physician-Psychiat 287290 449 15197 17002 1231 321169 Marie KDickinson VP, Fin & Ops 237960 38354 4677 27374 11506 319871 Mary Michelle Hood Ex-Officio 973213 756271 26584 25200 23156 1804424 Nicole Wimberger Medical Director 250120 405 43680 4264 10876 309345 Paul Bolin SVP & CHRO 320588 52165 62409 64214 32606 531982 Scott Oxley SVP, President 278659 104489 31267 64128 19094 497637 Timothy Dentry Ex-Officio 604626 112673 13344 104720 32960 868323 Wayne Stellar PMHNP VP, NPCS 199580 28519 15211 24632 21800 289742 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Mahdieh Bodaghi, highest compensated employee $12,000Charmaine Patel, highest compensated employee 11,998Nicole Wimberger, highest compensated employee 11,998Brent Scobie, officer 1,500Wayne Steller, officer 1,500The following received a wellness program incentive:Marie Dickinson, officer $320 Scott A. Oxley, director/officer 400 The benefit is available for all employees. A Maine Health and Higher Educational Facilities Authority 010314384 560427GW0 2010-04-22 13522505 to refund 1998 issue false false true A 11320000 15948483 1513225 1445000 121118 12869140 2010 false true true true A false false false false false true A false false false NA false NA false true A true Part VI Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $2,425,978.Part IV, line 2c, column A - 6/22/2020 - Date of Rebate Computation. Brent Scobie Employee Educational Loan X 9996 2496 false false true 2496 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided mental health services regardless of ability to pay. Provided other uncompensated care (at cost) of $1,982,824.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 hav Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Acadia Hospital, Corp. d/b/a Northern Light Acadia 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 Corporation's operating budget and capital expenditures;V. the Corporation's 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 Corporation's role in the NLH Strategic Plan;XII. action concerning the Corporation's participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance of Northern Light Acadia 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 Acadia Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Northern Light Acadia Hospital SVP, President and Northern Light Acadia Hospital Executive Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department 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 Acadia 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 Decreases Net Change in Funds Held at Affiliates = -$9039 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$2004599 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$499 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A 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 Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC false Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital false Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH false 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 WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Maine Coast Regional Health Facilities 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street DoverFoxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false Meridian 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 Road Brewer ME 04412 010385322 Holding co. ME EMHS C false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare self-funded TPA ME EMHS C false false false false false false false false false false false false true true false false true false true true Acadia Healthcare Inc AHI l 448821 FMV