2020-08-08T16:38:27-07:00 2019-09-30 990 2018-10-01 010217211 EASTERN MAINE HEALTHCARE SYSTEMS IH INLAND HOSPITAL IH EAST 2079739081 200 KENNEDY MEMORIAL DRIVE WATERVILLE ME 04901 John J Doyle NLH VP OF Finance 2020-08-08 false 2018 2020-09-23 17:36:50Z John J Doyle 69714657 false false 5247 X https://northernlighthealth.org/Inland-Hospit X 1945 ME Inland Hospital d/b/a Northern Light Inland Hospital operates a 48-bed non-profit hospital and outlying clinics in the Waterville area, that provides medical, surgical, and acute care to all, regardless of ability to pay. 16 11 671 140 60950 -77546 41558 196423 147388704 69456902 29012 20778 -1568 5920 147457706 69680023 59986 44450 0 48694170 44373838 0 0 101702210 30490707 150456366 74908995 -2998660 -5228972 38521108 39378521 28636753 34875048 9884355 4503473 X To care for and serve our community by providing Healthcare Services. false false 59709611 44450 69457865 Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,361,803 other uncompensated care (at cost).Northern Light Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Northern Light Inland Hospital is a non-profit hospital, serving all who need care, regardless of ability to pay. Northern Light Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 2,046Percent Occupancy of Available Beds 26%Emergency Room Visits 11,531Surgery Cases 2,400Services provided to those who could not pay $5,715,023 4488540 Medicare shortfalls (at cost). 31,971 persons served. 1905783 Medicaid shortfalls (at cost). 16,504 persons served. 476350 66580284 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 true false false false false false false false false true false false false false false false true true true false false true 104 0 true 671 true true true false false false false false false 0 false false false false false false false false false false false false X 16 11 true false true false true true true true true false false true true true true true true true true false ME X X X John Doyle 2079739081 43 WHITING HILL ROAD BREWER ME 04412 BETH GIBBS Board Member 0.50 0.00 X 0 0 0 MARY M HOOD EMHS CEO Ex-officio 0.50 50.00 X X 0 3977600 296423 THOMAS DAVIS Chairman 0.50 0.00 X X 0 0 0 BRYAN WARD ESQ Board Member 0.50 0.00 X 0 0 0 CHRISTOPHER L GAUNCE Board Member 0.50 0.00 X 0 0 0 BRIAN GILLIS DO Board Member 0.50 0.00 X 0 0 0 CATHERINE KIMBALL DO CHF OF STAFF/EX 40.00 0.00 X 354243 0 26593 KARLENE BURRELL-MCRAE Board Member 0.50 0.00 X 0 0 0 MICHAEL F PHILLIPS JR ESQ Board Member 0.50 0.00 X 0 0 0 SUZANNE UHL-MELANSON Board Member 0.50 0.00 X 0 0 0 JOHN E MARDEN Board Member 0.50 0.00 X 0 0 0 WILLIAM BRADFIELD MD Board Member 40.00 0.00 X 326060 0 50216 GAVIN DUCKER DO Board Member 40.00 0.00 X X 317447 0 49377 JOHN DALTON Pres/Ex-Officio 40.00 0.00 X X 353286 0 44754 ALLAN L RANCOURT Board Member 0.50 0.00 X 0 0 0 P JAMES NICHOLSON Vice Chair 0.50 0.00 X X 0 0 0 BRENT BURGER Board Member 0.50 0.00 X 0 0 0 LORI ROMING Board Member 0.50 0.00 X 0 0 0 GLENN MARTIN VP GEN COUNSEL Secretary 0.50 50.00 X 0 493200 109084 PAUL BOLIN VP and CHRO 0.50 50.00 X 0 388352 93018 ANTHONY FILER SENIOR VPCFO Treasurer 0.50 50.00 X 0 577280 64222 WALTER RICK BARRY VP OF PT CARE 40.00 0.00 X 237778 0 24138 CHRIS FRAUENHOFER VP, FINANCE 40.00 0.00 X 237421 0 49271 ANGELA GIBBS VP Quality 40.00 0.00 X 146001 0 3722 DANIEL J BOOTH VP of Operation 40.00 0.00 X 250111 0 22835 SIMON GIBBS Physician 40.00 0.00 X 349453 0 47433 LORAINE PARADIS Physician 40.00 0.00 X 323297 0 44906 RICHARD T SAMSON Physician 40.00 0.00 X 300798 0 40428 JARED T WILKINSON PHYSICIAN 40.00 0.00 X 286787 0 47105 JAMES W DOUGLAS Physician 40.00 0.00 X 295750 0 33070 3778432 5436432 1046595 48 false true false COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSCN FEES-P.S. 985295 NURSE ANESTHESIA OF MAINE 141 N MAIN ST STE 205 BREWER ME 04412 PROF FEES-CRNA 528593 AMERICAN MOBILE NURSE DBA AMN HEALTHCARE INC 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 P.S. TEMP STAFF EXP 497955 INSIGHT HEALTH CORP PO BOX 847689 DALLAS TX 75284 P.S. X-RAY SVCS 409050 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 Physician Services 379344 14 145366 10000 41057 2475 196423 CAFETERIA 722514 197589 197589 EDUCATION REVENUE 611710 9680 9680 NET PATIENT SERVICE REV 621990 69249633 69188683 60950 69456902 30743 30743 0 0 3424 3424 3424 3424 9965 -9965 -9965 -9965 0 0 26202 24669 1533 1533 Misc Revenue 621990 963 963 963 69680023 69396915 60950 25735 X 44450 44450 0 0 0 2493253 1808521 684732 0 34960873 32648170 2312703 431144 403895 27249 4503876 3999095 504781 1984692 1815215 169477 0 489 489 28047 28047 0 0 454 356 98 10601791 8023024 2578767 201871 201871 1220891 700535 520356 2877399 2667131 210268 0 2622541 2056882 565659 107210 98111 9099 0 94153 94063 90 455111 356948 98163 0 1730123 1356951 373172 901145 844191 56954 Medical Supplies 6724127 6724127 Taxes and Licensing 1677329 1676584 745 Repairs & Maintenance 812496 637248 175248 Miscellaneous 287084 281383 5701 148446 141533 6913 74908995 66580284 8328711 0 4350 4450 0 7897 14808276 16352900 0 0 0 593532 579832 510922 474212 47166688 32474715 15680503 14691973 0 0 0 45795 45795 6877730 7221462 38521108 39378521 13808088 20353953 3063241 2918653 287886 85823 11477538 11516619 28636753 34875048 X 6845976 1357389 753656 2284723 3146084 9884355 4503473 38521108 39378521 X -5228972 -150909 -1001 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 11963 11963 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues 1927542 -25111 15692 1886739 1952322 -9372 15408 1927542 313844 1491112 162332 14966 1952322 300947 27062 14165 313844 316625 -3010 12668 300947 0.04000 0.96000 false true true 83162 83162 18575621 12552021 6023600 1427896 785618 642278 25489225 18168002 7321223 1590784 969074 621710 14691973 Assets Held Under Trust Indenture 130983 Beneficial Interest in Perpetual Trusts 604372 Board Designated Other 3944395 Interest in net assets held at EMHSF 2460776 Permanently Donor Restricted Funds 5000 Temporarily Donor Restricted Funds 75936 7221462 Amounts due to Related Org 7635486 Deferred Compensation 3590457 Liability Under Cap Lease Obligation 52314 Reserve for Asset Disposal Costs 238362 11516619 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within the organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by 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. 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 426 476350 476350 0.00640 16504 10834930 8929146 1905784 0.02540 159760 159760 0.00210 16930 11471040 8929146 2541894 0.03390 9 34858 159330 159330 0.00210 3 55 65594 65594 0.00090 3 144349 144349 0.00190 15 34913 369273 369273 0.00490 15 51843 11840313 8929146 2911167 0.03880 1 10000 10000 0.00010 1 1373 1373 2 11373 11373 0.00010 true 2361803 14814275 19302815 -4488540 X true true 1 1 Northern Light Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 northernlighthealth.org/Inland State lic #38139 X X X Northern Light Inland Hospital 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Inland Hospital - 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 October 18, 2018 or December 6, 2018 Kennebec 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 Kennebec County CHNA report, pages 27-29): Alcom LLC, Anthem, Inc., Backyard Farms, Bath Iron Works/General Dynamics, Central Public Health District, City of Waterville, Cives Steel Company, CM Almy, Colby College, Community Member, Cross Benefit Solutions, Daniel Hanley Center for Health Leadership, Family Violence Project, Friends of Quarry Road, G&E Roofing Company, Inc., Healthy Communities of the Capital Area, Healthy Northern Kennebec, HealthReach Community Health Centers, HUB International New England, LLC, Huhtamaki, Jennifer Kierstead Consulting, Inc., Kennebec Behavioral Health, Kennebec Valley Community Action Program, Maine CDC, MaineGeneral Health, MaineGeneral Medical Center, MaineGeneral Prevention & Healthy Living Drug Overdose Prevention Program, MaineGeneral Workplace Health, Maine Oral Health Coalition, Maine Public Health Association, Maine Veterans' Homes, Mastering Worksite Wellness, MaineGeneral Employee Assistance Program, Mid Maine Homeless Shelter & Services, Northern Light Acadia Hospital, Northern Light Health, Northern Light Inland Hospital, Peachey Builders, Retired community member, Sappi North America, Sharon Lee, Writer, Spectrum Generations, Steve Miller, Writer, Summit Natural Gas of Maine, The Maine Children's Home for Little Wanderers, United Way of Mid-Maine, University of Maine system, Winslow Baptist Church, Winslow Township School District.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: Northern Light Inland Hospital - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (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: Northern Light Inland Hospital - 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 Inland Hospital 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 Inland Hospitals 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 Inland 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 Trustees. Northern Light Inland Hospital identified four priorities of focus addressing the significant needs identified in its 2016 CHNA as follows:Obesity Physical Activity/Nutrition Actions taken by Northern Light Inland Hospital to address this priority in FY19: Northern Light Inland Hospital was able to exceed its objective by working with 29 registered Lets Go! school, out-of-school and child care sites in Northern Kennebec County. We built relationships by establishing a regular communication process with all Lets Go! site champions. We worked with our site champions and their individual Lets Go! teams to assess their environments, which helped to inform individual action plans developed by each site. Action plans targeted youth, families and staff and resulted in changes to environment and policies around the 5210 messages (5 or more fruits and veggies, 2 hours or less screen time, 1 hour or more of physical activity, and 0 sugary drinks). We developed a monthly To Do List tracking system that highlighted the action steps of each site as well as our coordinators role in the action plan, allowing for accountability and follow through by all parties. We also provided technical support to school districts for the Department of Educations mandated Wellness policies, further helping to support wellness initiatives for our sites and to continue to build relationships. We provided learning opportunities and technical support for all of our sites and recognized them for their efforts.Substance Abuse Actions taken by Northern Light Inland Hospital to address this priority in FY19: Northern Light Inland Hospital expanded the Psychiatric Mental Health Nurse Practitioners scope to provide services in all primary care settings through additional marketing and increased awareness among providers.Mental Health/DepressionActions taken by Northern Light Inland Hospital to address this priority in FY19: Northern Light Inland Hospital collaborated with National Alliance on Mental Illness (NAMI) to hold two Mental Health First Aid trainings. This training is a national best practice, evidence-based certification course that teaches participants how to help someone who has a mental health challenge or is experiencing a mental health crisis. The training helps people identify, understand, and respond to signs of addiction and mental illness, as well as where to turn for help professional, peer, and self-help resources. Mental Health First Aid teaches about recovery and resiliency the belief that individuals experiencing these challenges can and do get better and use their strengths to stay well.Poverty Actions taken by Northern Light Inland Hospital to address this priority in FY19: With transportation identified as a priority need, we earmarked funds through our Community Benefit Grant Program for KVCAP. The Community Benefit Advisory Committee reviewed KVCAPs transportation ride data and plans. KVCAP received funds in February 2019.Additional information related to actions taken by Northern Light Inland Hospital 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 Inland Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Northern Light Inland Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Health Care Insurance was not selected by Northern Light Inland Hospital. Our local Community Action Program (KVCAP) has a health navigator on staff to provide community outreach and marketplace enrollment assistance. Northern Light Inland Hospital has two trained staff members to provide information about insurance, enrollment opportunities, and financial aid to consumers.Transportation was not selected by Northern Light Inland Hospital. Northern Light Inland Hospital staff assists patients to access transportation for services when needed. Northern Light Inland Hospital will continue to support local organizations addressing transportation gaps through our Community Benefit funding program. As a small healthcare organization, it is outside our scope to lead efforts around this issue.Health Literacy was not selected Northern Light Inland Hospital. Maine CDC area of focus is to improve the development and sharing of plain language resources as outlined in the 2013-2017 State Health Improvement Plan. Northern Light Inland Hospital screens current patient education materials and will share additional resources as developed and appropriate. Facility: Northern Light Inland Hospital - Part V, Section B, Line 13h Income Level Facility: Northern Light Inland Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Inland-HospitalResponse 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/Inland-Hospital under "Bill Pay & Financial Assistance". Northern Light Cardiovascular Care 244 Kennedy Memorial Drive Waterville ME 04901 Medical Office Building - Physician Service Northern Light Primary Care 80 Main Street Unity ME 04988 Medical Office Building - Physician Service Northern Light Primary Care 74 Water Street Oakland ME 04963 Medical Office Building - Physician Service Northern Light Neurology 180 Kennedy Memorial Drive Suite 20 Waterville ME 04901 Medical Office Building - Physician Service Northern Light Womens Health 180 Kennedy Memorial Drive Suite 10 Waterville ME 04901 Medical Office Building - Physician Service Northern Light Primary Care 16 Concourse West Waterville ME 04901 Medical Office Building - Physician Service Northern Light Primary 344 Lakewood Road Madison ME 04950 Medical Office Building - Physician Service Northern Light Primary Care 246 Kennedy Memorial Drive Suite 20 Waterville ME 04901 Medical Office Building - Physician Service Northern Light Endocrinology and Diabetes Care 180 Kennedy Memorial Drive Waterville ME 04901 Medical Office Building - Physician Service Northern Light Rheumatology 180 Kennedy Memorial Drive Suite 20 Waterville ME 04901 Medical Office Building - Physician Service Northern Light Orthopedics 25 First Park Drive Suite C Oakland ME 04963 Medical Office Building - Physician Service Northern Light Surgery 180 Kennedy Memorial Drive Suite 20 Waterville ME 04901 Medical Office Building - Physician Service Northern Light Podiatry 25 First Park Drive Suite D Oakland ME 04963 Medical Office Building - Physician Service Northern Light Imaging 25 First Park Drive Oakland ME 04963 Medical Office Building - Physician Service Northern Light Imaging 244 Kennedy Memorial Drive Waterville ME 04901 Medical Office Building - Physician Service Northern Light Wound Care 25 First Park Drive Suite C Oakland ME 04963 Medical Office Building - Physician Service Northern Light Imaging 180 Kennedy Memorial Drive Waterville ME 04901 Medical Office Building - Physician Service Northern Light Osteopathic Care 180 Kennedy Memorial Drive Suite 20 Waterville ME 04901 Medical Office Building - Physician Service Northern Light Rehabilitation 180 Kennedy Memorial Drive Waterville ME 04901 Medical Office Building - Physician Service Northern Light Rehabilitation 80 Main Street Unity ME 04988 Medical Office Building - Physician Service Northern Light Rehabilitation 30 Elm Plaza Waterville ME 04901 Medical Office Building - Physician Service Northern Light Sleep Diagnostics 180 Kennedy Memorial Drive Suite 20 Waterville ME 04901 Medical Office Building - Physician Service Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Inland Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. 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 Inland Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance At Northern Light Inland Hospital, Financial Counselors are available to assist and answer any questions our patients may have regarding Financial Assistance. Additional interactive strategies are in places that include billing statements that have contact information added for the patient's convenience, providing all uninsured patients with financial assistance packets at point of registration. When a patient states that they are under-insured, Financial Assistance Packet information is provided. For any other patient requests we receive (via emails and phone calls) packets are mailed. All patient accessible areas, such as hospital waiting areas, contain information to direct patients on how to receive financial assistance. Additionally, Northern Light Inland Hospital provides online resources and tools to assist our patients with the necessary information regarding charity/financial assistance via www.northernlighthealth.org. Northern Light Inland Hospital Financial Counselors are Certified Application Counselors for the Federal Market Place and will assist customers with the Healthcare Market Place as requested.It is the policy of Northern Light Inland Hospital to treat all patients requiring care without regard for ability to pay and to assist patients in arranging for settlement of their financial obligation. Under this program, medically necessary services will be provided to Maine residents at no cost. If a patient does not qualify for financial assistance, he or she is entitled to ask for a fair hearing. Part VI, Line 4 - Community Information Located in Kennebec County, Waterville, Maine, Northern Light Inland Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Inlands primary service area include: Albion, Belgrade Lakes, Belgrade, Burnham, Clinton, Fairfield, Freedom, Jackman, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Towns representing Inlands secondary service area include: Anson, Athens, Augusta, Bingham, Canaan, Caratunk, Coopers Mills, Farmingdale, Gardiner, Hallowell, Harmony, Jefferson, Madison, Manchester, Mount Vernon, New Portland, Norridgewock, North Anson, Randolph, Readfield, Skowhegan, Solon, West Forks, Whitefield, Windsor, and Winthrop.Kennebec Countys demographic and social determinants of health data are provided below for Northern Light Inland Hospital based on the hospitals physical location in Kennebec County.Kennebec County - Demographic Data: American Indian/Alaskan Native 0.6% (685), Asian 0.8% (1,006), Black/African American 0.9% (1,139), Hispanic 1.4% (1,730), Some other race 0.4% (476), Two or more races 1.4% (1,658), White 95.9% (115,938). Total county population 120,953.Kennebec County Social Determinants of Health Data: Median household income $48,570, Unemployment rate 3.7%, Individuals living in poverty 14.6%, Children living in poverty 20.3%, 65+ living alone 46.1%, People living in rural areas 62.8%, Food insecurity 14.7%.Other hospitals serving the Northern Light Inland Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Inland Hospital is the only inpatient hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Northern Light Inland Hospitals service area as being a medically underserved area. Part VI, Line 4 - Community Building Activities Northern Light Inland Hospital gets involved and gives back to our community to improve quality of life in Greater Waterville its how we help fulfill our community service mission to improve the health of the people and communities we serve. Whether its sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, funding local public transportation, or supporting a cultural or economic development effort, Northern Light Inland Hospital is proud to support and collaborate with groups that foster health and well-being. Our Community Benefit Grant Program contributed nearly $55,000 in 2019 towards health and community organizations and initiatives. Northern Light Inland Hospital donated $5,000 to Waterville Creates!, which is part of the continued revitalization of Watervilles downtown area. $5,000 was granted to the Central Maine Growth Council for economic and workforce development efforts in our community. Part VI, Line 5 - Promotion of Community Health At Northern Light Inland Hospital we strive to live up to our non-profit mission every day by caring for community members who otherwise would have limited access to quality healthcare. Besides providing charity care and financial assistance, we believe we can also affect the health of the communities we serve beyond the walls of our hospital and medical practices. We agree with the World Health Organization which states, Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. We have a vision to be a responsible corporate citizen whose actions can impact our communitys overall well-being through commitments to priority issues. A hospital task force considered priority issues from the 2016 Community Health Needs Assessment and other data, and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An Implementation Strategy was developed and consisted of actions the hospital took to address the health need. Programs/resources the hospital committed to address the health need were identified along with planned collaborations with other area organizations. Northern Light Inland Hospital focused on four key areas: Childhood obesity; Mental health; Substance abuse; Poverty/Economic Opportunity.In addition to efforts led by Northern Light Inland Hospital and our collaborating partners on the issues above through our Community Health Strategy, resources such as in-kind staff time and community benefit funding were dedicated to the following secondary issues:-Domestic Violence-Homelessness-Economic development-Education-Cultural supportNorthern Light Inland Hospital's 2019 Community Wellness initiatives included:a)"Womens Wellness Walk", an organized community walk held at established walking routes. The event shares with our community the safe, easy, local places to walk for good health.b)In an effort to combat the childhood obesity epidemic, in 2019 we continued our year-long program to reach families with children to encourage active lifestyles and healthier eating. Our "Let's Go! Family Fun Series" offers regular activities to engage families with children to be physically active and eat healthier through free and low-cost resources and activities such as hiking, swimming, and cross-country skiing. Lets Go! is a nationally recognized childhood obesity prevention program that focuses on healthy habits and changing environments where children and families live, learn, work, and play.c)We continued to dedicate Community Wellness Coordinator staff time to provide Lets Go! technical support to local schools, after-schools, and childcare sites.d)We also utilized the Lets Go! program in the healthcare sector. Four out of Northern Light Inland Hospitals six Lets Go registered practices were recognized in 2019 for their efforts to curb childhood obesity in our patient populations. Components of the program include displaying posters with the 5210 healthy habits messages, tracking weight classification for patients ages 2-18, and using the Healthy Habits survey at all well-child visits to inspire respectful conversations around weight status and lifestyle behaviors. e)We continued to maintain the Inland Woods Trail on the hospital campus (created in 2010) with support from several local organizations. The trails were developed to create a lasting way to impact health, and give residents an easy, free resource for regular activity. The trails are used regularly by residents, hospital staff, and local schools for walking, biking, and snowshoeing. The trailhead was enhanced by adding a family-friendly Little Free Library in 2017.f)We provided ongoing support for the Quarry Road Recreation Area to support event and youth program sponsorships, and in-kind contributions of staff volunteer hours and board participation. g)Northern Light Inland Hospital provided the following Community Benefit funding in 2019: $5,000 to Kennebec Behavioral Health to support outreach to homeless youth; $2,000 to Family Violence Project to support their efforts to reduce domestic violence; $2,000 to Maine Childrens Home for Little Wanderers to provide summer counseling and play therapy for teen parents; $2,000 to Mid-Maine Homeless Shelter to support homeless in our community; $5,000 to Spectrum Generations Meals on Wheels program for homebound elderly; and $1,900 to NAMI Maine for Mental Health First Aid training for youth and adults. h)We employ a full-time Community Health Navigator to help patients connect to local resources that help them overcome barriers to good health, such as housing, medication support, transportation, food support, and health care access. In 2019, our Navigator managed a pilot project with the Good Shepard Food Bank to provide food bags to Northern Light Inland Hospital patients who were identified during hospital or primary care visits to face immediate food insecurity.A majority of Northern Light Inland Hospitals board of trustees is comprised of people who reside in our primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. Northern Light Inland Hospital extends medical staff privileges to qualified physicians in its community for some or all of its departments or specialties.The Northern Light Inland Hospital Foundation helps by raising funds for everything from capital expansion projects to residential activities to help offset normal operating expenses.Northern Light Inland Hospital utilizes surplus funds to support a medical simulation center on the hospital campus that is used for training of clinical staff. Examples of training include Advanced Cardiac Life Support, Neonatal Resuscitation Program, and Pediatric Advanced Life Support. Training is not limited to employees at Northern Light Inland Hospital - we also offer courses to local Emergency Medical Technicians and to clinicians at other hospitals in our region. Northern Light Inland Hospital invites men, women, and young adults to volunteer their time to further the hospital's mission. In 2019, volunteers from our community donated 10,461 hours of their time to Northern Light Inland Hospital. Some volunteers work in areas with direct contact with patients and families; others are involved in behind the scene activities, which enhance the care provided by the hospital.In 2019, Northern Light Inland Hospital and Northern Light Continuing Care Lakewood employees engaged in our community by volunteering on 20+ local boards, committees and projects that helped contribute to a vital community. 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 Inland Hospital has been part of Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH") since 1998. As part of NLH, we conducted the 2016 Shared Community Health Needs Assessment in collaboration with several member/affiliated hospitals and many public health and community organizations across eight Maine counties. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false false ANTHONY FILER SENIOR VPCFO Treasurer 497426 71027 8827 31517 32705 641502 CATHERINE KIMBALL DO CHF OF STAFF/EX 276289 71802 6152 13623 12970 380836 CHRIS FRAUENHOFER VP, FINANCE 208748 24132 4541 17255 32016 286692 DANIEL J BOOTH VP of Operation 216035 26485 7591 9254 13581 272946 GAVIN DUCKER DO Board Member 284352 29933 3162 16032 33345 366824 GLENN MARTIN VP GEN COUNSEL Secretary 415555 72710 4935 86309 22775 602284 JAMES W DOUGLAS Physician 266111 27895 1744 16928 16142 328820 JARED T WILKINSON PHYSICIAN 254241 30929 1617 13785 33320 333892 JOHN DALTON Pres/Ex-Officio 290228 50109 12949 24750 20004 398040 LORAINE PARADIS Physician 239062 82583 1652 18145 26761 368203 MARY M HOOD EMHS CEO Ex-officio 3773999 196017 7584 273147 23276 4274023 2839409 PAUL BOLIN VP and CHRO 302485 39933 45934 59033 33985 481370 RICHARD T SAMSON Physician 272285 27250 1263 11806 28622 341226 SIMON GIBBS Physician 345305 100 4048 14002 33431 396886 WALTER RICK BARRY VP OF PT CARE 210072 24718 2988 13204 10934 261916 WILLIAM BRADFIELD MD Board Member 323741 2319 18348 31868 376276 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Walter Barry, officer $450 Catherine Kimball, board member 500 The benefit is available for all employees.The following received a giftcard for $30:William Bradfield, board memberGavin Ducker, board member/officerSimon Gibbs, highest compensated employee A Maine Health and Higher Educational Facilities Authority 010314384 56042RQL9 2017-12-28 2842714 To refund the 2007B Bond false false true B Maine Health and Higher E 010314384 5604273W4 2015-07-14 1169738 To refund the 2006A Bond false false true A 115000 2842714 181175 2175000 36458 450081 2017 true false true true B 215000 1169738 92638 780000 25336 282 271482 2015 false true true true A false false false false false true B false false false false 0.00200 0.00200 true false true A false true false NA false false true B false true false NA false false true A true B true Sara Barry fam mem of officer 119076 compensation false Schedule L, Part V Supplemental Information Sara Barry is a family member of a former officer of Northern Light Inland Hospital. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $2,361,803 other uncompensated care (at cost).Northern Light Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Northern Light Inland Hospital is a non-profit hospital, serving all who need care, regardless of ability to pay. Northern Light Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 2,046Percent Occupancy of Available Beds 26%Emergency Room Visits 11,531Surgery Cases 2,400Services provided to those who could not pay $5,715,023 OTHER PROGRAM SERVICES 5: 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 c Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary M. Hood, board member/officer is board member of Maine Hospital Association and John Dalton, board member/officer is committee member of Maine Hospital Association Public Policy Committee.John Dalton, board member/officer and Lori Roming board member are board members of Waterville Creates.Michael Phillips, officer and Bryan Ward, officer are employees of O'Donnell, Lee, & Phillips, LLC. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents 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 companys consolidated gross revenues if such companys 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 Inland Hospital d/b/a Northern Light Inland 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 Inland Hospital. It is 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 Inland Hospital(Inland) is employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH) and reports directly to the NLH President/CEO (President). 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 Northern Light Inland Hospital's board of trustees.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Inland Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in interest in nets assets held @ EMHSF = $327558 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$328559 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. 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