2020-08-08T16:36:16-07:00 2019-09-30 990 2018-10-01 010211501 Eastern Maine Healthcare Systems EMMC Eastern Maine Medical Center EAST 2079739081 PO Box 404 489 State Street Bangor ME 04402 John Doyle NLH VP of Finance 2020-08-08 false 2018 2020-09-23 17:36:50Z John Doyle 945929670 false false 5247 X https://northernlighthealth.org/Eastern-Maine X 1892 ME Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. 18 12 5303 467 985097 338257 10800445 8405141 1937179030 885018965 1023701 2394837 25136510 36766885 1974139686 932585828 35000 0 482222681 449618458 0 0 1478858530 429815652 1961081211 879469110 13058475 53116718 839096058 898767782 538137586 576392397 300958472 322375385 X Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. false false 812893020 35000 922509880 Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $10,604,099.Northern Light Eastern Maine Medical Center (EMMC) has served communities throughout our region for 127 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: https://northernlighthealth.org/Eastern-Maine-Medical-Center.Additional StatisticsTotal admissions 20,321Cardiac Catheterization Procedures 6,336Cardiac Surgery Cases 632Emergency Room Visits 35,153Medical Imaging Procedures 169,225Surgery Cases 14,764Live Births 1,734Family Practice Visits 133,291Total Outpatient Visits 804,766Patient Days 115,516Services provided to those who could not pay $46,628,332 Medicare shortfalls-$47,044,004 (at cost) 145,749 persons served.Charity care provided-$6,695,914 (at cost) 4,067 persons served.Medicaid shortfalls-$50,611,792 (at cost) 78,646 persons served. Please see the following excerpt from the Northern Light Health Annual Report 2019 to the Community for details of community benefit projects at NLH members:Were making healthcare work for you.We are ChangemakersAll around us in todays world are people who challenge the status quo and aim to do more. History remembers those who have created changes that make our world a better place. Where would we be today if Alexander Graham Bell hadnt invented the telephone? Or, Thomas Edison didnt find a way to harness electricity to make light? Or, Marie Curie didnt discover the radioactive compounds that would lead to the use of radiation therapy to treat cancer?Of course, not all change is so grand, and not all changemakers are so iconic, but even small changes over time make a big difference. Here at Northern Light Health, among our thousands of dedicated employees, valued patients, generous donors, and committed community partners, we are grateful to have changemakers who work every day to improve the lives of people across our great state. In our 2019 Annual Report, we will introduce you to some of these changemakers. They are improving their communities, their workplaces, and themselves. They are finding better ways to treat people with Alzheimers disease. They are taking on extraordinary physical challenges to further cancer research. And, they are looking to make meaningful changes to how patients are cared for during their stays in our hospitals and healthcare facilities. At Northern Light Health, our purpose is to make healthcare work for you, and one way that we are doing that is by raising quality through innovation, teamwork, and efficiency. You will see examples of this throughout the pages of this years report. I am truly inspired by the great work that is happening here, and I know you will be inspired too. Sincerely, M. Michelle Hood, FACHE President and CEO, Northern Light HealthOrdinarily, Michelle and I co-author the introductory letter to our annual report, but this year, I felt it was important to add a few additional thoughts of my own. This will be the final annual report of Michelles 14-year tenure with Northern Light Health as she is moving on to an exciting new opportunity with the American Hospital Association to serve as executive vice president and chief operating officer. I think it is fitting that the theme of this years report is changemakers because Michelle has been a positive agent of change for our healthcare system. During her time as CEO, Northern Light Health has grown from a loosely organized confederation of hospitals to an integrated healthcare system that is poised to serve people across Maine for generations to come. I speak on behalf of our Board of Directors when I congratulate Michelle on her exciting new opportunity. She can feel proud of all that she has accomplished for Northern Light Health and the people of Maine. Sincerely,Barry McCrum Northern Light Health, Board ChairWe are HopefulWhen Memory Fades: Northern Light Alzheimers Research Program As Bill Doak runs a wooden board under a scroll saw in the woodworking shop behind his home, he pushes too hard, the board jumps, and the saw blade breaks. Bills wife, Nina, is standing nearby with a nervous look. Theres sawdust on the floor and projects in various stages of production and repair, including a chest of drawers. Bill has made thousands of dovetail joints but when he started this project for his grandson, he couldnt remember how to make a dovetail joint, explains Nina. Instead, Bill is fastening the drawers together with screws. For Nina, its a good sign that Bill is still problem-solving, but this scenario is just one of the many new realities they are learning to deal with since Bill has been living with Alzheimers disease. I built several boats over the years, and Ive built many pieces of furniture. The work gave me a sense of comfort, explains Bill, And, now, not so much. It takes a lot of time. Bill takes long walks on the roads near his coastal home in Surry, reads books, and solves crossword puzzles. He does these things to keep both his mind and body fit. As shes done for 40 years Nina is at his side supporting him. As the disease progresses, so does her worry. She and Bill cared for Bills parents, who both had Alzheimers disease. Bill is a very bright man who has held important administrative positions at the National Institutes of Health. He was great with numbers, and thats not there anymore, says Nina, Bill says that Im angry. Yes, I am angry, but not at him. This disease is slowly taking away my best friend. Bill is doing all he can to slow the diseases progression. He is part of a clinical research trial offered through Northern Light Acadia Hospitals Mood and Memory Clinic, in which he is a patient of Clifford Singer, MD, chief of Geriatrics and principal investigator for Northern Lights Alzheimers Disease Research Program. Acadia Hospital, together with the University of California San Diego and the National Institute on Aging is testing a drug currently used to treat ALS to see if it slows Alzheimers disease. Bill is part of that trial. There is a critical public health need. Because of our aging society, there is a doubling of the numbers of people with Alzheimers disease nationally and in Maine. The best hope we have of coping is to either prevent or at least slow the disease down, Dr. Singer explains. Northern Light Acadia Hospital is also partnering with Jackson Laboratory, a world-class genetics research institute. The hospital has clinicians and access to potential research study participants while Jackson Laboratory has state-of-the-art genetics laboratories, grant writing expertise, and researchers. Gareth Howell, PhD, associate professor at Jackson Laboratory, and his team of researchers are studying the effects of Alzheimers disease on mice at the genetic level. Dr. Howell says collaborating with a clinician with a national reputation such as Dr. Singer allows them to not only enhance research but also attract grants. Our partnership with Dr. Singer allows us to go backward and forward between human patients and mouse models. You can understand more about the disease in the mouse if you have mouse models that look like the human condition. And so, there are benefits of having a close partnership with somebody studying the disease in humans, Dr. Howell explains. Northern Light Acadia Hospital also collaborates with the University of Maine and Activas Diagnostics, an Orono-based company, co-founded by Marie Hayes, PhD. Dr. Hayes is the principal investigator and project director for an NIH grant-funded research project. She was instrumental in securing a $1 million grant to develop and test technology that allows researchers to study sleeping patterns on a group of 120 study participants at their homes. What if disruption of sleep is the earliest signs of neurodegenerationnot just Alzheimers disease, but Parkinsons disease and other kinds of diseases associated with sleep disorders? asks Dr. Hayes, Early detection is the secret to treatment thats successful.Ali Abedi, PhD, UMaine professor of Electrical and Computer Engineering, and his team are collaborating with Activas, of which he is also co-founder, to help develop and test the home-based sleep diagnostics technology that Dr. Hayes and he patented. They created a prototype sleep monitoring device that looks like a mattress pad, but it has 32 sensors that can measure respiration and movement during sleep. And its much easier to operate because its in peoples homes. Its not invasive; its in your own comfortable home. The idea is we create sets of signals that indirectly measure whats going on inside your brain in terms of cognitive impairment, explains Dr. Abedi. Whether its studying sleep patterns, conducting genetic research on mice, or attracting human clinical trials to Maine, the best and brightest research, engineering, and clinical minds in Maine are coming together to find a cure for a brain disease that is affecting Bill Doak and many thousands of other people in Maine. I hope there can be a pill that would stop the progression and, if possible, help me gain back some of the things that Ive lost, thats what I hope, explains Bill, I also hope the clinical trials Im involved in can help find a cure for future generations. *Northern Light Acadia is also exploring opportunities to collaborate with Massachusetts General Hospital on Alzheimers Research.Want to learn more about what we do? MAINAH (Maine Initiative for Neurologic Aging and Health) offers healthy brain aging tips. You can sign up for our newsletter or join a study. Visit https://northernlighthealth.org/Acadia/HealthyBrainAging We are MotivatedThe Heart of a Friar: Northern Light Cardiovascular Care As the sun rises over the Franciscan Friars monastery on Orcutt Mountain on a warm summer morning, Brother Donald Paul is already heading into a small clapboard outbuilding that houses the friars 812893020 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 true false true true false false false false false true false false true true true true false false false true true true false false true 232 0 true 5303 true true true false false false false false false 0 false false false false false false false false false false false false X 18 12 false false true false true true true true true false false true true true true true true true true true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Mary M Hood PresidentCEO Ex-Officio 20.00 30.00 X X 0 3977600 296423 Charles Staley MD Board Member 50.00 0.00 X 350412 0 43788 Michael McGoldrick MD Board Member 0.50 0.00 X 0 0 0 Richard Riemersma MD Board Member 0.50 0.00 X 0 0 0 John Miller Board Member 0.50 0.00 X 0 0 0 Fredrick Parke Oldenburg MD Med Staff Pres 50.00 0.00 X 725108 0 49625 Tim Dentry Inter President 25.00 25.00 X X 0 637318 127199 John Simpson Board Member 0.50 0.00 X 0 0 0 Lynne Spooner Chairman 1.00 0.00 X X 0 0 0 Robert Ziegelaar Board Member 0.50 0.00 X 0 0 0 John M Long Sr MD Board Member 0.50 0.00 X 0 0 0 Donald Hagstrom Vice Chair 1.00 0.00 X X 0 0 0 Kevin L Raye Board Member 0.50 0.00 X 0 0 0 John A Vickery Sr Board Member 0.50 0.00 X 0 0 0 Donna Russell-Cook President Ex-Officio 50.00 0.00 X X 580670 0 112946 Scott Solman Board Member 0.50 0.00 X 0 0 0 Heather Furth Board Member 0.50 0.00 X 0 0 0 Susan Hunter Board Member 0.50 0.00 X 0 0 0 Tracey Whitten Board Member 0.50 0.00 X 0 0 0 Helen Q McKinnon RN VP/SUPPORT SVC 50.00 0.00 X 288363 0 49291 Glenn Martin VP Gen Counsel Secretary 14.00 36.00 X 0 493200 109084 Anthony Filer VPCFO Treasurer 14.00 36.00 X 0 577280 64222 Deborah Sanford VP/Nursing&PCS 50.00 0.00 X 318567 0 33654 Philippe Morissette Sr VP Finance 50.00 0.00 X 207425 0 7298 Ali Worster VP/HR East Regi 0.00 50.00 X 0 186943 33980 James Jarvis MD Sr VP/Sr Phy Ex 50.00 0.00 X 398820 0 54255 Marc Edelman Sr VP/Operation 50.00 0.00 X 307761 0 42407 James Clarke MD Sr VP/Sr Phy Ex 50.00 0.00 X 406425 0 59005 Michael Reid VP/Phy Services 50.00 0.00 X 325918 0 44841 Eric Hafener VP/Compliance 0.00 50.00 X 0 178160 2046 Stephen R Thompson MD Orthopedic Surgeon 40.00 0.00 X 872784 0 45671 Wayne R Waterman MD Neurosurgeon 40.00 0.00 X 870913 0 51273 Jessica Aronowitz MD Orthopedic Surgeon 40.00 0.00 X 977737 0 47699 Michael A Johnson MD Retinal Surgeon 40.00 0.00 X 1105330 0 33520 John D Klemperer MD Physician 40.00 0.00 X 1155086 0 53778 Larry McManus Former VP, Finance 50.00 0.00 X 147500 0 0 9038819 6050501 1362005 670 true true false NURSE ANESTHESIA OF MAINE 141 N MAIN ST STE 205 BREWER ME 04412 COVERAGE SERVICES 10342822 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 STAFFING SERVICES 4628746 AMERICAN MOBIL NURSE 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 STAFFING SERVICES 4428124 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 STAFFING SERVICES 3921190 DAHL CHASE DIAGNOSTIC SERVICES 417 State St Suite 441 BANGOR ME 04401 DIAGNOSTIC SERVICES 3830170 77 4750784 556220 3098137 76959 8405141 Cafeteria 722514 3940076 4176 3935900 Healthcare Education 611710 969575 969575 Lodging 721110 481543 481543 Net Patient Care Service 621990 879627771 879627771 885018965 2338768 930192 1408576 0 0 355610 12000 161448 194162 12000 206162 206162 13202086 36377 13156830 25564 45256 10813 56069 56069 0 0 0 340B Pharmacy Benefits 621990 34609255 34609255 Clinical Engineering 541300 1143705 1124282 19423 Telephone 517000 495223 495223 312540 281234 31306 36560723 932585828 917107340 985097 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Investment in New England Life Care 100000 Investment in Nursing Homes 5015862 Self-Insurance Funds Held by Trustee 674877 81893335 Accrued Post Retirement Benefits 131723511 Amounts due to Related Org 149892156 Liability Under Cap Lease Obligation 216741 Reserve for Asset Disposal Costs 2380925 284213333 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 Income TaxesNorthern 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 Financial Accounting Standards Board (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. The 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 the 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 4067 6695914 6695914 0.00760 78646 142562307 91950515 50611792 0.05750 1357763 1357763 0.00150 82713 150615984 91950515 58665469 0.06660 10 23394 1130803 1130803 0.00130 3 133994 133994 0.00020 2 1833726 1833726 0.00210 1 300 3530 3530 16 23694 3102053 3102053 0.00360 16 106407 153718037 91950515 61767522 0.07020 1 542 542 1 45 36192 36192 2 45 36734 36734 true 10604099 226799957 273843961 -47044004 X true true Ross Manor Associates Nursing Home 0.50000 Dexter Manor Associates Nursing Home 0.50000 Colonial Acres Nursing Home Nursing Home 0.50000 Katahdin Healthcare LLC Nursing Home 0.50000 Stillwater Healthcare LLC Nursing Home 0.50000 Dover-Foxcroft Healthcare Nursing Home 0.50000 22 Walnut Street LLC Nursing Home 0.50000 1037 West Main Street LLC Nursing Home 0.50000 1 1 NL Eastern Maine Medical Cente 489 State Street Bangor ME 04401 https://northernlighthealth.or 38447 X X X X NL Eastern Maine Medical Cente 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: NL Eastern Maine Medical Cente - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, 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 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. 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: NL Eastern Maine Medical Cente - 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 (formerly known as EMHS), 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, Mercy Hospital, Sebasticook Valley Hospital, and AR Gould Hospital. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11 Northern Light Health recently conducted their 2019 Shared Community Health Needs Assessment that will inform priority work to be implemented FY20 FY22. In FY20, our members will provide information on how they addressed significant needs identified in their 2019 Community Health Strategy. While conducting the 2019 Shared CHNA research and outreach, Northern Light Eastern Maine Medical Center continued to implement priority work from their final year, FY19, of their three-year 2016 Community Health Strategy. Below reflect these efforts related to the 2016 Community Health Strategy. The data gathered from the 2016 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Eastern Maine Medical Centers Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, local Public Health District Liaisons, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Northern Light Eastern Maine Medical Center. 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 Trustees. Northern Light Eastern Maine Medical Center identified three priorities of focus addressing the significant needs identified in its 2016 CHNA as follows:Substance Use Disorder Actions taken by Northern Light Eastern Maine Medical Center to address this priority in FY19: Northern Light Eastern Maine Medical Center continued education of its providers and worked with the Maine Prescription Monitoring program to get provider-specific data available to the chief medical officer. Obesity Actions taken by Northern Light Eastern Maine Medical Center to address this priority in FY19: Northern Light Eastern Maine Medical Center performed the foundational work on this initiative, which is becoming a cornerstone for a larger healthcare system initiative under the Real. Easy.Good. program. Health Literacy Actions taken by Northern Light Eastern Maine Medical Center to address this priority in FY19: Northern Light Eastern Maine Medical Center partnered with Literacy Volunteers of Bangor to provide in-person education to our financial counselors, care management, and Northeast Cardiologys care managers. Brochures were distributed to 100% of inpatients in every hospital to home packet and the brochures are in every primary care practice. All materials, including hospital signage, have been updated to reflect the new brand. Additional information related to actions taken by Northern Light Eastern Maine Medical Center on the above priorities can be found in their FY19 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2016-CHNA-Reports/Community-Health-Strategy Northern Light Eastern Maine Medical Center 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, Northern Light Eastern Maine Medical Center 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:1. Physical Activity and Nutrition was not selected by Northern Light Eastern Maine Medical Center as this will be covered as a component of obesity focus.2. Mental Health/Access to Care was not selected by Northern Light Eastern Maine Medical Center as this focus area is primarily addressed by Northern Light Acadia Hospital. 3. Cardiovascular Disease was not selected by Northern Light Eastern Maine Medical Center. Will reassess in FY17 after new heart center is complete.4. Poverty was not selected by Northern Light Eastern Maine Medical Center as this focus area is outside of the scope of acute care hospitals.5. Employment was not selected by Northern Light Eastern Maine Medical Center as this focus area is outside of the scope of acute care hospitals.6. Health Care Insurance/Cost of Care was not selected by Northern LightEastern Maine Medical Center. This was a priority in NL EMMCs FY15 plan, and an infrastructure is now in place to identify and assist people who need assistance with learning about and securing insurance coverage. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h Income Level Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Eastern-Maine-Medical-CenterResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-Reports/Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Eastern-Maine-Medical-Center under "Bill Pay & Financial Assistance". Northern Light Health Center Union Street Bangor ME 04401 Medical Office Building - physician svc Northern Light Primary Care 7 Main Road North Hampden ME 04444 Med Office Building-physician svc Northern Light Primary Care 234 State Street Brewer ME 04412 Med Office Building-physician svc Northern Light Sleep Diagnostics 290 State Street Bangor ME 04401 Med Office Building-outpatient svc Northern Light Primary Care 302 Husson Ave Suite 2 Bangor ME 04401 Med Office Building-physician svc Northern Light Internal Medicine 302 Husson Ave Suite 1 Bangor ME 04401 Med Office Building-physician svc Northern Light Primary Care 84 Kelly Road Orono ME 04473 Med Office Building-physician svc Northern Light Cardiovascular Care 1 Northeast Drive Bangor ME 04401 Med Office Building-physician svc Northern Light Surgery 55 Broadway Suite 2 Bangor ME 04401 Med Office Building-physician svc Northern Light Neurology 498 Essex St Suite 105 Bangor ME 04401 Med Office Building-physician svc Physician Prac in Webber Bld 417 State Street Bangor ME 04401 Med Office Building-physician svc Northern Light Cancer Care 33 Whiting Hill Road Brewer ME 04412 Med Office Building-Cancer treatment Northern Light Primary Care 5721 Cutler Health Center Universit Orono ME 044695721 Ambulatory Care Facility Northern Light Surgery 404 State St Suite 310 Bangor ME 04401 Med Office Building - physician svc Northern Light Pediatric Primary Care 133 Corporate Drive Bangor ME 04401 Med Office Building - physician svc Northern Light Pediatric Endocrinology & Diabetes 133 Corporate Drive Bangor ME 04401 Med Office Building - physician svc Northern Light Primary Care Human Performance Lab 5721 Cutler Health Center Universit Orono ME 044695721 Ambulatory Care Facility Northern Light Rheumatology 174 Kennedy Memorial Drive Waterville ME 04901 Med Office Building - physician svc Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Eastern Maine Medical Center 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 calculation Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount reported 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. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. 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 Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Financial assistance and free care for medically necessary services are available to patients who qualify. Posters in patient care areas as well as information and forms on the hospital website outline the guidelines and provide information on how to apply. In recent years, Northern Light Eastern Maine Medical Center engaged in a significant outreach effort to provide both patients and the community information about and assistance with enrolling in the Health Insurance Marketplace and other insurance programs. Additionally, financial counselors are available to assist patients with enrolling in public insurance programs on a routine basis. Part VI, Line 4 - Community Information Located in Bangor, Maine, Northern Light Eastern Maine Medical Center 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 hospital's inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Northern Light Eastern Maine Medical Center patients are community members from the following counties; Aroostook, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and Washington. Penobscot County's demographic and social determinants of health data are provided below for Northern Light Eastern Maine Medical Center based on the hospital's physical location in Penobscot County.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 Eastern Maine Medical Center community: Based on the State of Maine's definition of hospital service area (HSA), Northern Light Eastern Maine Medical Center's community is served by an additional two other hospitals, Northern Light Acadia Hospital and St. Joseph Hospital. Additionally, the Health Resources & Services Administration designated this hospital service area as having medically under-served populations (MUP) present in the community.Northern Light Eastern Maine Medical Center's patients also include community members from a number of other counties where their HSAs are designated as having both medically under-served populations and medically under-served areas: Aroostook County has four hospitals; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Penobscot County has five hospitals including EMMC); Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; Washington County has two hospitals. Part VI, Line 4 - Community Building Activities Northern Light Eastern Maine Medical Centers (EMMC) community building activities improve the lives of the people living in the organizations service area. EMMC provides job shadowing opportunities for individuals who are interested in clinical healthcare careers, resulting in creating interest in our younger generations to support this critical need for our communities health. Additionally, EMMC allows students to explore healthcare careers they are interested in pursuing by providing the opportunity for observational experiences in a clinical setting. EMMC also provides enhanced medical home model to children with autism, ongoing education of patients newly diagnosed with cancer, and provides genetic clinics, cleft lip/cleft palate clinics, and cystic fibrosis clinics as part of the Chempack grant. Additionally, the grant allows for EMMC to ensure ebola hospitals are prepared to receive, isolate, assess, and provide quality care to PUI, cancer clinical research studies, studies to explore the use of micronutrients in the treatment of bipolar disorder, and extensive cancer research. EMMC continually strives to improve access to quality care for uninsured individuals. Part VI, Line 5 - Promotion of Community Health Northern Light Eastern Maine Medical Center (EMMC) is a collaborative organization led by a volunteer board of directors whose members reside in the organizations service area. The organization extends medical staff privileges to qualified physicians in the community. EMMCs physicians provide itinerant specialty care services in smaller hospitals throughout the region in order to ease the burden for patients who would otherwise need to travel for care. EMMC participates in community-wide coalitions to address the regions most important health needs, including opioid abuse, and a local community health advisory council to influence public health decision making. As a nonprofit health organization, EMMC coordinates several initiatives designed to improve community health. EMMC invests in research through its Clinical Research Center and research initiatives at its cancer and heart care centers. The organization ensures the future of care in the region by providing medical education to future family medicine doctors, nurses, and other medical professionals. EMMC continues to improve the health status of youth through the Way to Optimal Weight (WOW) program for children, a program that coaches children with morbid obesity to address their weight and the resulting health issues by improving eating and fitness habits, boosting self-esteem, and engaging in family coaching. EMMC supports a health literacy initiative to improve the ability of those with low levels of literacy to access help. The goal of this program is to enhance patients understandings of discharge instructions, medication compliance, and other information, and, ultimately, to improve health outcomes. 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 Eastern Maine Medical Center (EMMC) has a local implementation strategy and community health improvement plan tailored to meet the needs of the communities it serves. While EMMC is responsible for the development and implementation of this plan, the organization works closely with community health professionals from other NLH member hospitals to address state-wide health concerns and share ideas and best practices. Part VI, Line 7 - States Filing of Community Benefit Report N/A true The Foundation for ME Communi 54 Lighthouse Circle SPortland ME 04106 271363414 501(c)(3) 35000 0 Support of Respiratory Therapy Prog 0 1 Grantmaker's Description of How Grants are Used The Organization makes payments only to other not-for-profit organizations. Therefore, additional monitoring was not deemed necessary. X X true true false true false false false false false false false false Ali Worster VP/HR East Regi 177363 7763 1817 4808 29172 220923 Anthony Filer VPCFO Treasurer 497426 71027 8827 31517 32705 641502 Charles Staley MD Board Member 321472 26100 2840 21799 21989 394200 Deborah Sanford VP/Nursing&PCS 260061 28287 30219 19927 13727 352221 Donna Russell-Cook President Ex-Officio 456128 73860 50682 80707 32239 693616 Eric Hafener VP/Compliance 173346 1766 3048 2046 180206 Fredrick Parke Oldenburg MD Med Staff Pres 621268 101803 2037 17622 32003 774733 Glenn Martin VP Gen Counsel Secretary 415555 72710 4935 86309 22775 602284 Helen Q McKinnon RN VP/SUPPORT SVC 210119 31504 46740 21211 28080 337654 James Clarke MD Sr VP/Sr Phy Ex 400854 5571 24750 34255 465430 James Jarvis MD Sr VP/Sr Phy Ex 391134 4800 2886 22000 32255 453075 Jessica Aronowitz MD Orthopedic Surgeon 563293 399107 15337 16500 31199 1025436 John D Klemperer MD Physician 910799 240800 3487 24750 29028 1208864 Larry McManus Former VP, Finance 147500 147500 Marc Edelman Sr VP/Operation 289620 14735 3406 9900 32507 350168 Mary M Hood PresidentCEO Ex-Officio 3773999 196017 7584 273147 23276 4274023 2839409 Michael A Johnson MD Retinal Surgeon 643147 458928 3255 22000 11520 1138850 Michael Reid VP/Phy Services 266176 31725 28017 14446 30395 370759 Philippe Morissette Sr VP Finance 171001 36424 7298 214723 Stephen R Thompson MD Orthopedic Surgeon 603529 267300 1955 16500 29171 918455 Tim Dentry Inter President 543857 68269 25192 95500 31699 764517 Wayne R Waterman MD Neurosurgeon 863789 2990 4134 22000 29273 922186 Part I, Line 1a: Relevant information in regards to selections on 1a. Deborah Sanford, officer, received a $75 employee stipend towards a fitness center, John D. Klemperer, MD, highly compensated employee, received a $130 employee stipend towards a fitness center, Frederick Parke Oldenburge, trustee, received a $60 employee stipend towards a fitness center, Marc D. Edelman, officer, received a $130 employee stipend towards a fitness center and Michael Reid, officer, received a $85 stipend towards a fitness center. The benefit is available for all employees. The NL EMMC Employee Wellness Department structured a Fitness Center Network for NL EMMC employees. Any NL EMMC employee who participates in wellness activities at an NL EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by NL EMMC on a bi-weekly or yearly basis at one facility.The following received a wellness program incentive:Marc Edelman, officer $ 15James Jarvis, officer 500 Michael J. Reid, officer 105 Deborah M. Sanford, officer 500 The benefit is available for all employees. A Maine Health and Higher Educational Facilities Authority 010314384 560427GX3 2010-04-22 72656251 Refund 1998 & 1999 issue, Outpatient Cancer Center, Parking false false true B Maine Health and Higher E 010314384 560427WE2 2013-02-13 155196340 Modernization Phase I false false false A 20190000 76541297 5354450 11125000 652336 39500000 19909511 2010 false true true true B 2460000 196092047 12521895 17915749 1717540 163936863 2016 false false false true A false false false false false true B false false false false false true A false true false NA false NA false true B false true false NA false NA false true A true B 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 $3,885,046.Part II, Line 3, Column B, does not equal Part I, line B, column E as a result of other sources of funds from equity from Maine Care Settlement, dialysis sale, already spent funds, and contributions from operations totaling $40,895,707. Part IV, Line 2c, Column A, date the rebate computation was performed - 5/15/2018.Part IV, Line 2c, Column B, date the rebate computation was performed - 2/26/2018. Jessica Aronowitz MD Employee Educ Loan X 60000 7014 false false true 7014 Richard Riemersma MD brd memb is director 227113 DCPA-Pathology servi false Mary Hood officer=brd member 301629 MHA membership dues false Rosalie Davis fam mem=officer 14450 compensation false Schedule L, Part V Supplemental Information Richard Riemersma, MD, board member is a director of Dahl Chase Pathology Assoc (DCPA) board. EMMC had business transactions with DCPA to provide pathology services during the fiscal year.Mary M. Hood, board member/officer is a board member of Maine Hospital Association.Rosalie Davis is a family member of an officer and is an employee of Northern Light Eastern Maine Medical Center. X 1 10000 FMV X 14078 FMV X 1 35 FMV X 14 18238 FMV X Gift Cards 1 9000 FMV X VIP Concert Package 1 8750 FMV X Gift Cards 17 6262 FMV X Detailing 1 200 FMV X Green Fees 3 704 FMV X Tickets 6 1812 FMV X Hotel 3 1685 FMV X Golf Balls 1 1200 FMV X Equine Massage 1 65 FMV X Sky Box Rental 2 1530 FMV X Jewelry 1 700 FMV X Fitbits 1 2700 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Please see the following excerpt from the Northern Light Health Annual Report 2019 to the Community for details of community benefit projects at NLH members:Were making healthcare work for you.We are ChangemakersAll around us in todays world are people who challenge the status quo and aim to do more. History remembers those who have created changes that make our world a better place. Where would we be today if Alexander Graham Bell hadnt invented the telephone? Or, Thomas Edison didnt find a way to harness electricity to make light? Or, Marie Curie didnt discover the radioactive compounds that would lead to the use of radiation therapy to treat cancer?Of course, not all change is so grand, and not all changemakers are so iconic, but even small changes over time make a big difference. Here at Northern Light Health, among our thousands of dedicated employees, valued patients, generous donors, and committed community partners, we are grateful to have changemakers who work every day to improve the lives of people across our great state. In our 2019 Annual Report, we will introduce you to some of these changemakers. They are improving their communities, their workplaces, and themselves. They are finding better ways to treat people with Alzheimers disease. They are taking on extraordinary physical challenges to further cancer research. And, they are looking to make meaningful changes to how patients are cared for during their stays in our hospitals and healthcare facilities. At Northern Light Health, our purpose is to make healthcare work for you, and one way that we are doing that is by raising quality through innovation, teamwork, and efficiency. You will see examples of this throughout the pages of this years report. I am truly inspired by the great work that is happening here, and I know you will be inspired too. Sincerely, M. Michelle Hood, FACHE President and CEO, Northern Light HealthOrdinarily, Michelle and I co-author the introductory letter to our annual report, but this year, I felt it was important to add a few additional thoughts of my own. This will be the final annual report of Michelles 14-year tenure with Northern Light Health as she is moving on to an exciting new opportunity with the American Hospital Association to serve as executive vice president and chief operating officer. I think it is fitting that the theme of this years report is changemakers because Michelle has been a positive agent of change for our healthcare system. During her time as CEO, Northern Light Health has grown from a loosely organized confederation of hospitals to an integrated healthcare system that is poised to serve people across Maine for generations to come. I speak on behalf of our Board of Directors when I congratulate Michelle on her exciting new opportunity. She can feel proud of all that she has accomplished for Northern Light Health and the people of Maine. Sincerely,Barry McCrum Northern Light Health, Board ChairWe are HopefulWhen Memory Fades: Northern Light Alzheimers Research Program As Bill Doak runs a wooden board under a scroll saw in the woodworking shop behind his home, he pushes too hard, the board jumps, and the saw blade breaks. Bills wife, Nina, is standing nearby with a nervous look. Theres sawdust on the floor and projects in various stages of production and repair, including a chest of drawers. Bill has made thousands of dovetail joints but when he started this project for his grandson, he couldnt remember how to make a dovetail joint, explains Nina. Instead, Bill is fastening the drawers together with screws. For Nina, its a good sign that Bill is still problem-solving, but this scenario is just one of the many new realities they are learning to deal with since Bill has been living with Alzheimers disease. I built several boats over the years, and Ive built many pieces of furniture. The work gave me a sense of comfort, explains Bill, And, now, not so much. It takes a lot of time. Bill takes long walks on the roads near his coastal home in Surry, reads books, and solves crossword puzzles. He does these things to keep both his mind and body fit. As shes done for 40 years Nina is at his side supporting him. As the disease progresses, so does her worry. She and Bill cared for Bills parents, who both had Alzheimers disease. Bill is a very bright man who has held important administrative positions at the National Institutes of Health. He was great with numbers, and thats not there anymore, says Nina, Bill says that Im angry. Yes, I am angry, but not at him. This disease is slowly taking away my best friend. Bill is doing all he can to slow the diseases progression. He is part of a clinical research trial offered through Northern Light Acadia Hospitals Mood and Memory Clinic, in which he is a patient of Clifford Singer, MD, chief of Geriatrics and principal investigator for Northern Lights Alzheimers Disease Research Program. Acadia Hospital, together with the University of California San Diego and the National Institute on Aging is testing a drug currently used to treat ALS to see if it slows Alzheimers disease. Bill is part of that trial. There is a critical public health need. Because of our aging society, there is a doubling of the numbers of people with Alzheimers disease nationally and in Maine. The best hope we have of coping is to either prevent or at least slow the disease down, Dr. Singer explains. Northern Light Acadia Hospital is also partnering with Jackson Laboratory, a world-class genetics research institute. The hospital has clinicians and access to potential research study participants while Jackson Laboratory has state-of-the-art genetics laboratories, grant writing expertise, and researchers. Gareth Howell, PhD, associate professor at Jackson Laboratory, and his team of researchers are studying the effects of Alzheimers disease on mice at the genetic level. Dr. Howell says collaborating with a clinician with a national reputation such as Dr. Singer allows them to not only enhance research but also attract grants. Our partnership with Dr. Singer allows us to go backward and forward between human patients and mouse models. You can understand more about the disease in the mouse if you have mouse models that look like the human condition. And so, there are benefits of having a close partnership with somebody studying the disease in humans, Dr. Howell explains. Northern Light Acadia Hospital also collaborates with the University of Maine and Activas Diagnostics, an Orono-based company, co-founded by Marie Hayes, PhD. Dr. Hayes is the principal investigator and project director for an NIH grant-funded research project. She was instrumental in securing a $1 million grant to develop and test technology that allows researchers to study sleeping patterns on a group of 120 study participants at their homes. What if disruption of sleep is the earliest signs of neurodegenerationnot just Alzheimers disease, but Parkinsons disease and other kinds of diseases associated with sleep disorders? asks Dr. Hayes, Early detection is the secret to treatment thats successful.Ali Abedi, PhD, UMaine professor of Electrical and Computer Engineering, and his team are collaborating with Activas, of which he is also co-founder, to help develop and test the home-based sleep diagnostics technology that Dr. Hayes and he patented. They created a prototype sleep monitoring device that looks like a mattress pad, but it has 32 sensors that can measure respiration and movement during sleep. And its much easier to operate because its in peoples homes. Its not invasive; its in your own comfortable home. The idea is we create sets of signals that indirectly measure whats going on inside your brain in terms of cognitive impairment, explains Dr. Abedi. Whether its studying sleep patterns, conducting genetic research on mice, or attracting human clinical trials to Maine, the best and brightest research, engineering, and clinical minds in Maine are coming together to find a cure for a brain disease that is affecting Bill Doak and many thousands of other people in Maine. I hope there can be a pill that would stop the progression and, if possible, help me gain back some of the things that Ive lost, thats what I hope, explains Bill, I also hope the clinical trials Im involved in can help find a cure for future generations. *Northern Light Acadia is also exploring opportunities to collaborate with Massachusetts General Hospital on Alzheimers Research.Want to learn more about what we do? MAINAH (Maine Initiative for Neurologic Aging and Health) offers healthy brain aging tips. You can sign up for our newsletter or join a study. Visit https://northernlighthealth.org/Acadia/HealthyBrainAging We are MotivatedThe Heart of a Friar: Northern Light Cardiovascular Care As the sun rises over the Franciscan Friars monastery on Orcutt Mountain on a warm summer morning, Brother Donald Paul is already heading into a small clapboard outbuild Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Article of Incorporations:LTC, LLC Certificate of Formation was filed which Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center is the sole member. Statement of Merger was filed to merge Rosscare Nursing Homes, Inc into LTC, LLC with LTC, LLC as the surviving organization.Amended Bylaws as follows:Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustee) Subsection (e) to change the amount from aggregated more than $10,000 to equaled or exceeded (i) $80,000, or (ii) 2% of such company's consolidated gross revenues if such company's consolidated gross revenues were less than $4,000,000, in any of such three fiscal years. To add payments made by the company to the Corporation for healthcare services shall not be deemed to constitute payments. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center (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 SVP of Finance. 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 Eastern Maine Medical Center and the system President/CEO (President) 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 President, to set compensation of the NLH President, and to review recommendations of the NLH President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the NLH President. 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 President.- 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 President reviews all direct report compensation actions with the committee. In addition, the NLH President 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 system President/CEO and EMMC 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 Northern Light Eastern Maine Medical Center 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 Contribution To Strat Pool Per Affiliation Agreement = -$3236129 Other Changes In Net Assets Or Fund Balances - Other Increases Equity transfer from EMHS Foundation = $359216 Other Changes In Net Assets Or Fund Balances - Other Increases Equity transfer from Rosscare = $4613056 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Change in Funds Held at Affiliates = -$3165285 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$30591635 Form 990, Part I, Summary A change was made this year to change reporting of Patient Service Revenue under Program Service Revenue from gross patient service revenue to net patient service revenue, which is now the hospital industry standard. The outcome offsets contractual allowance, charity care, and bad debt expense from Part IX line 24 to Part VIII line 2 against patient service revenue. As a result, Part I Summary line 9 (Program service revenue), line 12 (Total revenue), line 17 (other expenses) and line 18 (Total expenses) are not comparative to prior year. Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II N/A true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC true 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 organizations ME 501(c)(3) 12 Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Rd Ste 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 EMMC true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS true 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 true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health & hospice services ME 501(c)(3) 10 EMHS true WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities d 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS true Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS true Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS true LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC true Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS true M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false Alliance Heath Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Ross Manor Associates 100 Waterman Dr South Portland ME 04106 010448532 nursing hme ME N/A related 272474 8487526 false true 0.50000 Dexter Manor Associates 100 Waterman Dr South Portland ME 04106 010435902 nursing hme ME N/A related 164982 1051213 false true 0.50000 Colonial Acres Nursing Home 100 Waterman Dr South Portland ME 04106 010456929 nursing hme ME N/A related 65323 1305759 false true 0.50000 Katahdin Healthcare LLC 100 Waterman Dr South Portland ME 04106 270855625 nursing hme ME N/A related 75996 681679 false true 0.50000 Stillwater Healthcare LLC 100 Waterman Dr South Portland ME 04106 273000166 nursing hme ME N/A related -24276 1543971 false true 0.50000 Dover-Foxcroft Healthcare LLC DBA Hib 100 Waterman Drive 4th Floor South Portland ME 04106 463813555 nursing hme ME N/A related 185226 825678 false true 0.50000 22 Walnut Street LLC 100 Waterman Dr South Portland ME 04106 270855521 real estate ME N/A related 13747 119071 false true 0.50000 1037 West Main Street LLC 100 Waterman Drive 4th Floor South Portland ME 04106 463807922 real estate ME N/A related -64007 2607195 false true 0.50000 Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. 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