2021-08-06T09:08:01-07:00 2020-09-30 990 2019-10-01 010372148 EASTERN MAINE HEALTHCARE SYSTEMS TAMC THE AROOSTOOK MEDICAL CENTER TAMC EAST 2079739081 PO BOX 151 PRESQUE ISLE ME 04769 John J Doyle NLH VP of Finance 2021-08-06 false 2019 2022-09-23 18:48:47Z John J Doyle 148762445 false 5247 X https://northernlighthealth.org/A-R-Gould-Hos X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 14 9 1279 57 0 1024754 639055 130812580 135393787 -79106 -270645 9066030 12663101 140824258 148425298 32965 12000 0 89291968 87971622 0 0 51242774 60735503 140567707 148719125 256551 -293827 72739947 90259120 48273701 66232141 24466246 24026979 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 114513872 12000 148006985 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 8,748 INPATIENT PATIENT DAYS, 21,027 LONG TERM CARE PATIENT DAYS, AND 268,977 OUTPATIENT VISITS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $2,782,042 13589437 MEDICARE SHORTFALLS (AT COST). 57,901 PERSONS SERVED 4464622 MEDICAID SHORTFALLS (AT COST). 28,901 PERSONS SERVED 484857 133052788 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true 84 0 true 1279 true false false false false false false false 0 false false false false false false false X 14 9 true false false false true true true true true false false true true true true true true true false true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 MARY M HOOD NLH PRESIDENT Ex-officio 1.00 50.00 X X 0 1756068 48356 TIM DENTRY NLH PRESIDENT Ex-officio 1.00 50.00 X X 0 730643 137680 ALAN MAUTZ Trustee 50.00 0.00 X 802533 0 32145 ANTHONY FILER Sr VP/CFO/Treas 1.00 50.00 X 0 745697 54010 GLENN MARTIN Chief Legal Offi SVP, Secretary 1.00 50.00 X 0 613309 113066 ARG WB Physician 40.00 0.00 552690 0 19517 RICHARD DEBOWSKY Physician 40.00 0.00 542826 0 20209 RICHARD LEIDINGER Physician 40.00 0.00 527544 0 27217 DIANE TRAN Physician 40.00 0.00 540250 0 10392 CHARLES HECHTMAN Physician 40.00 0.00 525482 0 23726 DAVID WEED MD Pres Med Staff 50.00 0.00 X 494907 0 13423 GREGORY LAFRANCOIS SVP, President 50.00 0.00 X X 410858 0 66387 JAY REYNOLDS MD VP Senior Physi 50.00 0.00 X 382429 0 27303 C BRUCE SANDSTROM Former VP of Finance 0.00 50.00 0 346482 34622 GLENDA DWYER SVP Clinical Op 50.00 0.00 X 331006 0 13938 MAURA KELLY VP Finance Svcs 50.00 0.00 X 305704 0 38587 ROGER PELLI DO VP, CMIO 50.00 0.00 X 287471 0 1739 YOOSUF SIDDIQUI VP HR/Emply Exp 1.00 50.00 X 0 171822 44844 DARYL BOUCHER VP Operations 50.00 0.00 X 187670 0 11059 RICHARD DUNCAN Trustee/ViceChr 1.00 0.00 X X 0 0 0 CAROL BELL Trustee/Chair 1.00 0.00 X X 0 0 0 HOLLY JOHNSON Trustee 1.00 0.00 X 0 0 0 JOHN HERWEH Trustee 1.00 0.00 X 0 0 0 JANE TOWLE Trustee 1.00 0.00 X 0 0 0 SCOTT VIOLETTE Trustee 1.00 0.00 X 0 0 0 STEVE ST PIERRE Trustee 1.00 0.00 X 0 0 0 DEBORAH ROARK Trustee 1.00 0.00 X 0 0 0 BRYAN THOMPSON Trustee 1.00 0.00 X 0 0 0 MARK WILCOX Trustee 1.00 0.00 X 0 0 0 5891370 4364021 738220 114 true true false SIMPLIFI 5020 NORTHSHORE DRIVE SUITE 2 NORTH LITTLE ROCK AR 72118 TEMP STAFF 2779343 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSICIAN FEES LOCUMS 2627140 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 753972633 PHYSCN FEES-LOCUMS 2210202 AMN HEALTHCARE 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 TEMP STAFF 732659 INSIGHT HEALTH CORP 5775 WAYZATA BLVD STE400 ST LOUIS PARK MN 55416 PURCHASE SERVICE 591640 20 500999 15733 122323 7911 639055 Cafeteria 722514 470464 470464 Net Patient Care Services 621990 134923323 134923323 135393787 -161408 -161408 0 0 15923 15926 -3 -3 -3 162351 271588 -109237 -109237 -109237 0 0 99536 49633 49903 49903 340B Revenue 621990 12613201 12613201 12613201 148425298 147536521 249722 X 12000 12000 0 0 0 3407159 2585623 821536 0 68151576 64073978 4077598 2288201 2140390 147811 9952226 9367728 584498 4172460 3929838 242622 0 950 950 15412 15412 0 0 0 18711754 11781095 6930659 143861 143861 2691432 1849543 841889 3659304 3434875 224429 0 3008032 2479646 528386 283302 271634 11668 0 128434 113927 14507 835816 685369 150447 0 3439037 2820010 619027 1073429 1011011 62418 Medical Supplies Expense 21556104 21556104 Taxes & Licensing 2780083 2815908 -35825 Repairs & Maintenance 1895988 1560872 335116 Dues & Subscriptions 226753 222966 3787 285812 195460 90352 148719125 133052788 15666337 0 3505 18781811 27113 0 0 25364315 25617475 0 0 747573 832555 2025307 2058074 1005547 301784 96754758 66547207 31011448 30207551 0 0 0 0 12555139 12459870 72739947 90259120 21785247 23843458 15839986 26488454 26548697 48273701 66232141 X 18429226 18135436 6037020 5891543 24466246 24026979 72739947 90259120 X -293827 -145440 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 13795 13795 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 5599565 2872 18518 227238 5393717 6090471 200 120021 611127 5599565 2941700 3201633 -601 52260 6090472 3203458 365752 609560 17950 2941700 2948531 265032 4859 5246 3203458 0.00050 0.99950 false true true 218198 218198 43101748 29875440 13226308 3253263 2486626 766637 45658814 31836847 13821967 4522735 2348294 2174441 30207551 Assets whose use is limited 152842 Board Designated Other 6204801 Investments in County Physical Therapy 123253 Other Assets 87430 Permanently Donor Restricted Funds 2727446 Temporarily Donor Restricted Funds 3164098 12459870 Amounts due to Related Org 20083908 Reserve for Asset Disposal Costs 262618 Reserve for Retiree Health Benefits 6202171 26548697 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 474 484857 484857 0.00330 28901 19142331 14677709 4464622 0.03000 29375 19627188 14677709 4949479 0.03330 8 3046 226591 3339 223252 0.00150 3 974065 974065 0.00650 8 100 55822 55822 0.00040 19 3146 1256478 3339 1253139 0.00840 19 32521 20883666 14681048 6202618 0.04170 2 16 6416 6416 2 16 6416 6416 true 2782042 33230656 46820093 -13589437 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 Northern Light AR Gould Hospit 140 Academy Street Presque Isle ME 04769 northernlighthealth.org/A-R-Go 37937 X X X Northern Light AR Gould Hospit 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 17, 2018 Aroostook County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Aroostook County CHNA report, pages 27-28): Aroostook Agency on Aging, Aroostook County Action Program, Aroostook County Health Network/Pines Health Services, Aroostook Mental Health Center, Aroostook Public Health District, Aroostook Substance Abuse Prevention, Cary Medical Center, Community Member, E.D. Bells, Fiddlehead Focus, Fish River Rural Health, Greater Fort Kent Chamber of Commerce, Health Services Foundation, Hope and Justice Project, Houlton Family Practice and Pain Clinic, Houlton-Pediatrics-Houlton Regional Hospital, Houlton Regional Hospital, Houlton Regional Hospital and Link for Hope, Katahdin Valley Health Center, Kristen Wells Consulting, Life by Design, Maine CDC, Maine CDC Public Health Nursing, MSAD #27, Northern Light Health, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light AR Gould Hospital, Northern Light Home Care & Hospice, Northern Maine Community College, Northern Maine Medical Center, Power of Prevention, Presque Isle Star-Herald, St. John Valley Pediatrics, Seniors Achieving Greater Education, The Northern Lighthouse, Inc., United Way of Aroostook, University of Maine Cooperative Extension.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group of in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, 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 AR Gould Hospit - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light AR Gould Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with AR Gould Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals board of directors. Northern Light AR Gould Hospital identified four priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by AR Gould Hospital to address this priority in FY20:Northern Light AR Gould Hospital participated on a Northern Light Health system-wide Social Determinants of Health (SDOH) work group responsible for developing, implementing, and monitoring the effectiveness of a system approach to SDOH screening and intervention inclusive of food security and other social needs. To date, the workgroups focus has been on the identification of the SDOH screening and referral process, local resource development, provider training and education requirements for the screening tools implementation, quality review and management of these efforts. Northern Light defined SDOH screening and intervention as a strategic priority to improve the health of the patients it serves.As Northern Light AR Gould Hospital continues to participate in the system-wide SDOH workgroup, it became apparent that it would be helpful to explore the possibility of providing food bags at our outpatient clinics. Since we have been doing the food insecurity screening for several years, we have a good understanding of what clinics would benefit from having these on hand. Fort Fairfield Health Center was chosen due to their accountability of screenings and the high number of positive screens they continue to have. We worked with folks at Good Shepherd Food Bank (GSFB) to make this happen. GSFB provided us with a $1200 mini grant to continue providing this service to our patients.Substance useActions taken by AR Gould Hospital to address this priority in FY20:Northern Light AR Gould Hospitals Community Health and Volunteer Coordinator, Dawn Roberts, sought out opportunities to increase partnerships with community-based substance use prevention efforts by joining local coalitions and making connections. The partnerships joined included; Aroostook County Action Programs (ACAP) Drug Free Aroostook Coalition, Aroostook County Marijuana Work Group, MicMac Drug Task Force, Aroostook District Coordinating Council, Aroostook Mental Health Centers (AMHC), HRSA RCORP Planning Consortium, Aroostook County Collaborative Meeting, Health Service Advisory Committee, and Working on Wellness Meetings at Northern Maine Community College. Each of these groups brings several participants from different backgrounds to the table with information around what is happening, services that are available, and opportunities for collaboration.AR Gould Hospital participated in several events that were related to substance use prevention, these included AR Goulds annual health fair, The Great American Smoke Out, Community Health Talks, and the Walk with A Doc program. Drug Deactivation Bags were provided to community members at the following venues: Senior Connections meetings, health fairs, outpatient clinics, and upon request. Drug Takeback magnets and cards were provided to patients in our primary care offices and at AR Goulds reception desks. We held a Wear Red for Heart Health Event and had Tobacco Cessation and Prevention representatives from Aroostook County Action Program join us to share resources join us. We partnered with AMHC by resourcing one of our providers, trained to prescribe Medication Assisted Treatment, one day a week in the AMHC Caribou office. AR Gould Hospital partnered with ACAP on an event titled IMPACT for youth to engage in substance use and prevention activities offered by a collaborative of service and prevention partners. Our Walk with A Doc event engaged participants to discuss exercise and aging and how to keep yourself from needing medication for joint pain.Access to careActions taken by AR Gould Hospital to address this priority in FY20:Northern Light AR Gould Hospital implemented many different approaches to provide colorectal cancer educational opportunities to the community. Prior to COVID-19, we offered five in-person educational opportunities. After COVID-19 arrived and changed the way we previously conducted business, we had to re-think how we would provide educational opportunities moving forward. We incorporated the use of the following outlets to provide colorectal cancer education via hospital monitors, Facebook videos, pamphlets in offices, and radio. With valuable help from AR Goulds marketing and communications department we were able to meet our objective while faced with the challenges of the pandemic.Physical activity, nutrition, and weightActions taken by AR Gould Hospital to address this priority in FY20:Northern Light AR Gould Hospital provided several programs focused on increasing access to and availability of physical activity and nutrition to the community. We leveraged many local partnerships to achieve these goals. Activities provided were either free or offered at a reduced cost to participants. We partnered with the AR Goulds Total Health Team to provide a fall hike up Haystack and a winter snowshoe hike at Nordic. We partnered with Supplemental Nutritional Assistance Program (SNAP), Good Shepherd Food Bank (GSFB), and Graves Shop and Save to provide grocery store tours and a series of nutrition classes. We provided four Healthy Aging luncheons for seniors and participated in local health fairs to promote our Fit-n-Fun Series of events. We offered two free skate days, reduced cost ski passes/ rentals, and reduced cost tubing passes. Also offered was a new program, Walk with A Doc, which allowed the public to walk and talk with a provider in a casual out-of-office environment while getting out and getting physically active. In February our Wear Red for Womens Heart Health event featured information on healthy eating, physical activity, and weight management. March brought about our partnership with Nordic for the Winter Frolic Event that provided free ski lessons, snowshoe lessons, and fat bike demonstrations. Beginning March 15th, our planned events were canceled and replaced with Facebook messaging and on line contests due to COVID-19 restrictions. A very successful on line event was the spring Garden Kit Project that provided a garden growing kit to anyone that requested one; we were able to provide 101 garden kits all over Aroostook County to help youth understand where their nutritious vegetable come from. Another on line activity that had a positive response was the Spring Get Out and Get Moving challenge. Each week in May participants who sent in a photo of a healthy activity would be entered into a drawing for a gift basket. We provided a Yoga in the park activity in June that was well attended and utilized COVID-19 precautions. Our objectives were met with this goal, and despite the pandemic, AR Gould was able to pivot in ways that allowed for creative forms of engagements to ensure our community members still had physical activity and nutrition opportunities available.Additional information related to actions taken by Northern Light AR Gould 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 AR Gould considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, AR Gould Hospital is currently poised to focus only on the highest priorities at this time. A few priorities not selected, due to a variety of reasons are listed below: Mental Health - The Aroostook Mental Health Center takes the lead on mental health services in Aroostook County and therefore, Northern Light AR Gould Hospital will continue to collaborate with them in the future as needed. In addition, we have developed a formal service line for behavioral health including two psychiatric nurse practitioners, a licensed clinical social worker, and psychiatrist who are embedded in primary care offices. Cardiovascular Disease - While we ant Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 16j Response for 7a (list url) is https://northernlighthealth.org/A-R-Gould-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10 (list url) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/A-R-Gould-Hospital under "Bill Pay & Financial Assistance" NORTHERN LIGHT SURGERY 146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 23 NORTH STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OBGYN 140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PEDIATRICS 23 NORTH STREET STE 1 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET STE 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT DIALYSIS 23 NORTH STREET SUITE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CONTINUING CARE 15 HIGHLAND AVENUE MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC NORTHERN LIGHT PRIMARY CARE 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OUTPATIENT SPECIALTY CLINICS 146 ACADEMY STREET SUITE 1B PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS NORTHERN LIGHT URGENT CARE 23 NORTH STREET STE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT HEART AND LUNG 146 ACADEMY STREET STE 11 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT UROLOGY 140 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 118 BENNETT DRIVE STE 130 CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 106 MAIN STREET MARS HILL ME 04758 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WOMENS HEALTH 140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT EYE CARE 146 ACADEMY STREET SUITE D PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 AMBULANCE SERVICE NORTHERN LIGHT ORTHOPEDICS 140 ACADEMY STREET SUITE 10 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET SUITE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS NORTHERN LIGHT EARS NOSE and THROAT CARE 140 ACADEMY STREET SUITE 12 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 18 HIGHLAND AVENUE MARS HILL ME 04769 AMBULANCE SERVICE NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 18 COMMUNITY CENTER DRIVE FORT FAIRFIELD ME 04742 AMBULANCE SERVICE NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 6 VICTORIA STREET WASHBURN ME 04786 AMBULANCE SERVICE NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 119 WEINMAN DRIVE LIMESTONE ME 04750 AMBULANCE SERVICE Part I, Line 6a - Related Organization Community Benefit Report Northern Light AR Gould Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 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 AR Gould Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 2 - Needs Assessment Northern Light AR Gould Hospital had no additional assessment of health care needs conducted in 2020.Northern Light AR Gould Hospital uses quality and accountable care data to identify readmission trends. This data has resulted in additional hospital-based services including: A COPD clinic, Social Workers embedded in palliative care settings, food bags offered at Fort Fairfield Health Center and a driver hired for our handicap accessible van. Part VI, Line 3 - Patient Education of Eligibility for Assistance Financial assistance or free care is available. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to take calls and to answer questions. Part VI, Line 4 - Community Information Located in Aroostook County, Presque Isle, Maine, Northern Light AR Gould Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which most of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing AR Gould Hospitals primary service area include Ashland, Blaine, Bridgewater, Central Aroostook County, Easton, Fort Fairfield, Mapleton, Mars Hill, Oxbow, Portage, Presque Isle, Washburn, Westfield. Towns representing AR Goulds secondary service area include: Caribou, Limestone, New Sweden, Perham, Stockholm, Van Buren.Aroostook Countys demographic and social determinants of health data are provided below for AR Gould Hospital based on the hospitals physical location in Aroostook County.According to the shared CHNA research captured in the County Health Profile from 2018.Aroostook County - Demographic Data: Aroostook County - Demographic Data: American Indian/Alaskan Native 1.6% (1,144), Asian 0.5% (320), Black/African American 0.9% (597), Hispanic 1.1% (736), Some other race 0.2% (161), Two or more races 1.6% (1,122), White 95.2% (66,055). Total county population 69,405.Aroostook County Social Determinants of Health Data: Median household income $38,087, Unemployment rate 5.5%, Individuals living in poverty 17.7%, Children living in poverty 23.6%, 65+ living alone 47.7%, People living in rural areas 80.3%, Food insecurity 16.9%.Other hospitals serving the AR Gould Hospital community: Based on the State of Maines definition of hospital service area, Northern Light AR Gould Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated AR Gould Hospitals service area as having a total of 7 medically underserved areas/populations. Part VI, Line 4 - Community Building Activities There are two programs that we are using to help with Community Building Activities: The Aroostook Career Exploration program (ACE) and Job Shadow program. The Job Shadow is designed for any person over the age of 14 can come and spend time in any career field within the hospital. The ACE program guides itself towards incoming Freshman but takes all levels from high school. This program collaborates with the local colleges as well, to also explore all career fields in healthcare. Which includes nursing, plumbing & heating, phlebotomy, dietary etc. Both are designed to help with ARGs expanding / building workforce development initiative with young adults. Part VI, Line 5 - Promotion of Community Health Northern Light AR Gould Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY20:Community Based Clinical Services: Maine Cancer Foundation increasing cancer screenings opportunitiesIn FY20, Northern Light AR Gould Hospital applied for and received a two-year Maine Cancer Foundation Colorectal screening Grant to increase the community's awareness about the benefits and the different types of colorectal screenings, availability and demystifying fears that surround these tests by providing quarterly educational opportunities for the public. AR Gould focused on screenings within primary care offices with the use of updated materials and resources. The $70,710. grant is for 2 years and will help us with these goals. We also still have Screen Me flyers in all our outpatient clinics, show clips on the monitors and Facebook and continue to provide colorectal cancer educational opportunities to our community. In FY20, Northern Light AR Gould Hospital was able to achieve our goals to increase the number of colorectal cancer educational opportunities by using many different techniques. Due to COVID 19 in person activities were limited from March on. We held our annual health fair in October, added colorectal information to several events we held before the pandemic, conducted a virtual Walk With a Doc on Colorectal health, provided a radio advertisement called medical minute on colorectal health, had our general Surgeon speak at a Healthy Aging luncheon, in addition to other efforts. In total we provided 9 educational opportunities to the community that reached over 81,000 people. Collaboration is imperative in Aroostook County as Northern Light AR Gould Hospital works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, Northern Light AR Gould Hospital has partnered with each of the Countys hospitals, the higher education institutions, the local Community Action Program, the local Agency on Aging, municipal recreation departments, local ski facilities, school departments, The United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity, identifying those with food insecurity challenges, providing education about chronic disease management, working on cutting smoking rates, to provide education about opioid abuse, Northern Light AR Gould Hospital has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. Northern Light AR Gould Hospital provided 1,527 flu vaccines to the community in the Fall of 2018. 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 AR Gould Hospital is a member of Northern Light Health. Northern Light Health) includes nine hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. Northern Light Health has a proven record of quality outcomes, cost reduction, and highly engaged patients. The Northern Light Health statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for Northern light Health. Northern Light Health leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. Northern Light Health coordinates several state-wide wellness initiatives. All hospitals are engaged around specific initiatives related to combatting opioid abuse and food insecurity.In FY20, Northern Light AR Gould Hospital provided several programs focused on increasing access to and availability of physical activity and nutrition to the community. We leveraged many local partnerships to achieve these goals. Activities provided were either free or offered at a reduced cost to participants. We partnered with the AR Goulds Total Health Team, to provide a fall hike up Haystack and a winter snowshoe hike at Nordic. We partnered with Supplemental Nutritional Assistance Program (SNAP), Good Shepard Food Bank (GSFB) and Graves Shop and Save to provide Grocery Store Tours and a series of Nutrition Classes. We provided 4 Healthy Aging Luncheons for seniors. Participated in local health fairs to promote our Fit-N-Fun Series of events. Offered 2 free skate days, reduced cost ski passes/ rentals and reduced cost tubing passes. Also offered was a new program entitled Walk with a Doc, this program allowed the public to walk and talk with a provider in a casual out of office environment while getting out and getting physically activity. In February our Wear Red for Womens Heart Health event featured information on healthy eating, physical activity, and weight management. March brought about our partnership with Nordic for the Winter Frolic Event that provided free ski lessons, snowshoe lessons and fat bike demonstrations. From March 15th on our planned events were cancelled and replaced with Facebook messaging and online contests due to COVID-19 restrictions. A few very successful online events were the spring Garden Kit Project that provided a garden growing kit to anyone that requested one, we were able to provide 101 garden kits all over Aroostook County to help youth understand where their nutritious vegetable come from. Another online activity that had a positive response was the Spring Get Out and Get Moving challenge, each week in May if a participant sent in a photo of a healthy activity, they would be entered into a drawing for a gift basket. We provided a Yoga in the park activity in June that was well attended and utilized COVID-19 precautions. Our objectives were met with this goal and due to the COVID-19 pandemic AR Gould was able to pivot in ways that allowed for creative forms of engagements to ensure our community members still had physical activity and nutrition opportunities available. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false ALAN MAUTZ Trustee 487877 312216 2440 32145 834678 ANTHONY FILER Sr VP/CFO/Treas 547066 183558 15073 22400 31610 799707 ARG WB Physician 550562 2128 19517 572207 C BRUCE SANDSTROM Former VP of Finance 259523 44522 42437 22916 11706 381104 CHARLES HECHTMAN Physician 466632 58850 23726 549208 DARYL BOUCHER VP Operations 156512 16077 15081 11059 198729 DAVID WEED MD Pres Med Staff 470424 24483 13423 508330 DIANE TRAN Physician 499012 41238 10392 550642 GLENDA DWYER SVP Clinical Op 247493 40534 42979 13938 344944 GLENN MARTIN Chief Legal Offi SVP, Secretary 416405 153993 42911 90036 23030 726375 GREGORY LAFRANCOIS SVP, President 320537 64203 26118 62929 3458 477245 JAY REYNOLDS MD VP Senior Physi 281131 47904 53394 27303 409732 MARY M HOOD NLH PRESIDENT Ex-officio 973213 756271 26584 25200 23156 1804424 MAURA KELLY VP Finance Svcs 235290 39936 30478 21883 16704 344291 RICHARD DEBOWSKY Physician 512726 30100 20209 563035 RICHARD LEIDINGER Physician 509220 10200 8124 27217 554761 ROGER PELLI DO VP, CMIO 266275 400 20796 1739 289210 TIM DENTRY NLH PRESIDENT Ex-officio 604626 112673 13344 104720 32960 868323 YOOSUF SIDDIQUI VP HR/Emply Exp 142231 22849 6742 12819 32025 216666 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Charles Hechtman, highest compensated employee $29,231Diane Tran, highest compensated employee 40,000The following received a wellness program incentive:Glenda Dwyer, officer $305Alan Mautz, officer 400 Diane Tran, highest compensated employee 400 The benefit is available for all employees.The following received a giftcard:Daryl Boucher, officer $22ARG WB, highest compensated employee 7Charles Hechtman, highest compensated employee 15Maura Kelly, officer 15Richard Liedinger, highest compensated employee 7Alan Mautz, officer 7Roger Pelli, officer 25Diane Tran, highest compensated employee 7Jay Reynolds, officer 40 David Weed, director 62 Tina Weed fam mem=officer 63018 compensation false Danhong Zhao fam mem=officer 252555 compensation false Rachael St Pierre fam mem=brd mem 52637 compensation false Julie Foster fam mem=brd mem 42253 compensation false Schedule L, Part V Supplemental Information Tina Weed is a family member of a board member and is an employee of Northern Light AR Gould.Danhong Zhao is a family member of a board member/officer and is an employee of Northern Light AR Gould.Rachael St. Pierre is a family member of a board member and is an employee of Northern Light AR Gould.Julie Foster is a family member of a board member and is an employee of Northern Light AR Gould. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 474 PERSONS SERVED OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2020 to the Community for details of community benefit projects at NLH members:HEROES AMONG US Healthcare Heroes As we reflect on 2020, people around the world would do well to remember these words by Nelson Mandela, Do not judge me by my successes, judge me by how many times I fell down and got back up again. We faced a global pandemic that took the lives of more than 500,000 of our fellow Americans and more than 2.5 million people worldwide and counting. We also faced deadly wildfires and hurricanes, racial unrest, and a country divided by politics. But during this turbulent time, we also saw the very best in people, including those whom we work alongside every day to deliver compassionate healthcare to the people of Maine. We saw our colleagues rise to the challenges of an unprecedented global pandemic, show courage in the face of adversity, and make selfless sacrifices to heal the sick and protect our communities. These people are heroes. They are the front line workers who provided direct patient care to those who became infected with corona virus. 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 city's 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 Control's (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 that's 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 doesn't 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, Caroline 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 corona virus, 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 a Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Carol Bell, board member/officer is board member/treasurer of Loring Development Authority of Maine and Mark Wilcox, board member is board member/chair of Loring Development Authority of MaineCarol Bell, board member/officer is board member of Maine Community Foundation and Jane Towle, board member is board member of Maine Community Foundation, Aroostook Committee.Deborah Roark, board member is board member/treasurer of University at Maine Presque Isle Foundation. Jay Reynolds, officer and Bryan Thompson, board member are board members of University of Maine Presque Isle Foundation. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Aroostook Medical Center d/b/a Northern Light A.R. Gould Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance of Northern Light A.R. Gould Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light A.R. Gould Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and A.R. Gould Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Aroostook Medical Center d/b/a Northern Light A.R. Gould makes its governing documents, conflict of interest policy and financial statements available to the public upon request. 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