2020-08-08T16:28:51-07:00 2019-09-30 990 2018-10-01 010459837 Eastern Maine Healthcare Systems AHC Acadia Hospital Corp AHC EAST 2079739081 43 Whiting Hill Road Brewer ME 04412 John J Doyle NLH VP of Finance 2020-08-08 false 2018 2020-09-22 18:59:49Z John J Doyle 63914068 false false 5247 X https://northernlighthealth.org/Acadia-Hospit X 1987 ME The primary mission and significant activities of Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. 16 11 799 20 0 198991 203267 114563972 63401741 64024 74229 110696 229692 114937683 63908929 0 0 41371663 41726633 0 0 70121672 12268564 111493335 53995197 3444348 9913732 31382165 36247693 22351038 19830641 9031127 16417052 X The primary mission and significant activities of Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. false false 46767277 63631241 Northern Light Acadia Hospital's 36-bed adult inpatient service provided 11,794 patient days of care to 940 patients. Patients are referred primarily from a large, nine county area of northern, eastern, and central Maine. Northern Light Acadia Hospital's 32-bed child and adolescent inpatient service provided 10,394 patient days of care to 544 patients. The adult outpatient clinic provided the following number of patient encounters: 12,921 - intensive outpatient program; 21,821 medication management; 14,208 therapy and 3,890 geriatric. 46767277 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false true false false false false false false false false false true true true false false true 48 0 false 799 true false false 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 J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 John Campbell MD Vice President 50.00 0.00 X X 272585 0 28697 Allan D Currie MD Trustee 0.50 10.00 X 0 32197 0 Craig Hadley CPA Trustee 0.50 0.00 X 0 0 0 Judith A Horan Trustee 0.50 0.00 X 0 0 0 Regan Nickels Trustee 0.50 0.00 X 0 0 0 Charles T McHugh MD Trustee 0.50 0.00 X 0 0 0 Richard Rosen Trustee 0.50 0.00 X 0 0 0 Anne E Pooler EdD Trustee/Chair 2.00 0.00 X X 0 0 0 Scott Oxley SVP, President 50.00 0.00 X X 363163 0 81625 Kara Hay Trustee/Vice Ch 0.50 0.00 X X 0 0 0 Sandra L Rothera Esquire Trustee 0.50 0.00 X 0 0 0 Edward Gould Esq Trustee 0.50 0.00 X 0 0 0 Teresa Willett Steele RN PhD Trustee 0.50 0.00 X 0 0 0 Shirar Patterson Trustee 0.50 0.00 X 0 0 0 James E Rogers Jr Trustee 0.50 0.00 X 0 0 0 Mary Michelle Hood Ex-Officio 0.50 50.00 X X 0 3977600 296423 Anthony Ng MD VP/CMO 50.00 0.00 X X 387538 0 52248 Sarah Smiley Trustee 0.50 0.00 X 0 0 0 Glenn Martin Esq Secretary 2.00 50.00 X 0 493200 109084 Wayne Stellar PMHNP VP, NPCS 50.00 0.00 X 247553 0 43901 Marie KDickinson VP, Fin & Ops 50.00 0.00 X 297982 0 35176 Anthony Filer Treasurer 2.00 50.00 X 0 577280 64222 Paul Bolin VP, HR & CHRO 0.50 50.00 X 0 388352 93018 Brent Scobie VP, CSQ 50.00 0.00 X 154984 0 48166 Charmaine Patel Medical Director 40.00 0.00 X 313837 0 32614 Mahdieh Bodaghi Psychiatrist 40.00 0.00 X 314453 0 17585 Mark R Allen Medical Director 40.00 0.00 X 308479 0 32721 Nicole Wimberger Medical Director 40.00 0.00 X 283424 0 16299 Eric Kuntz Medical Director 40.00 0.00 X 276363 0 54522 3220361 5468629 1006301 48 false true false Massachusetts General Hospital PO Box 3662 Boston MA 021143682 Physician Services 354306 American Mobile Nurse DBA AMN Healthcare Inc 2735 Collection Center Drive Chicago IL 60693 RN Services 344817 Securitas Security Services USA Inc PO Box 403412 Atlanta GA 303843412 Security Services 137878 Nurse Anesthesia of Maine 141 N Main St STE 205 Brewer ME 04412 CRNA Services 106318 MModal Services LTD PO BOX 538504 Atlanta GA 303538504 Transcription 158311 5 61337 141930 3400 203267 Cafeteria 722514 159776 159776 Net Patient Care Services 621990 63241965 63241965 63401741 79368 79368 0 0 0 5139 -5139 -5139 -5139 0 0 0 Meaningful Use 621990 229500 229500 Miscellaneous 812900 192 192 229692 63908929 63471465 234197 0 0 0 0 2013618 1235672 777946 0 30161006 27658331 2502675 1673014 1541450 131564 5680187 5203841 476346 2198808 2043122 155686 0 8035 8035 8972 8972 2813 2813 0 1413 1413 4220955 2338375 1882580 56766 56766 1142731 615714 527017 2244679 2065733 178946 0 806515 598992 207523 117692 102840 14852 0 97591 91035 6556 119393 119025 368 0 882938 653101 229837 441997 406570 35427 Taxes and Licenses 1255439 1253837 1602 Medical Supplies 467078 467078 Repairs & Maintenance 146069 86225 59844 Dues & Subscriptions 124766 118222 6544 122722 99087 23635 53995197 46767277 7227920 0 15587645 21097376 0 0 5693839 5198970 7806 4806 0 19407 66511 111035 95897 196945 175115 33320080 24817405 8805639 8502675 0 0 0 0 959849 1106343 31382165 36247693 9547007 6362098 2788246 1411256 10015785 12057287 22351038 19830641 X 8598662 15862885 163963 268502 554167 9031127 16417052 31382165 36247693 X 9913732 -2527807 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 10768 10768 false false Part II-B, Line 1i - Other Activities Description Non deductible portion of dues and coalition lobbying fees. 413464 2600 8580 17769 406875 415576 2400 11904 16417 413463 394598 4100 31732 14854 415576 258564 142800 35977 42743 394598 230720 39200 -2779 8577 258564 0.04040 0.95960 false true true 447123 447123 16428095 11395517 5032578 13253333 10806426 2446907 3191529 2615462 576067 8502675 Deferred Liab-Post Retirement Benefits 12056572 Liability Under Cap Lease Obligation 715 12057287 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the 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 886 8028979 8028979 0.14870 49135 49135 0.00090 886 8078114 8078114 0.14960 4 8902 181969 181969 0.00340 7 25 585593 585593 0.01080 3 38 386 386 14 8965 767948 767948 0.01420 14 9851 8846062 8846062 0.16380 true 1880813 9441282 15819658 -6378376 X true true 1 1 Northern Light Acadia Hospital 268 Stillwater Avenue Brewer ME 04401 northernlighthealth.org/Acadia 38093 X Northern Light Acadia Hospital 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Acadia Hospital - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide 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: Northern Light Acadia Hospital - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (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 Acadia 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 Acadia 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 Acadia 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 Acadia Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals Board of Trustees. Northern Light Acadia Hospital identified three priorities of focus addressing the significant needs identified in its 2016 CHNA as follows:Drug and Alcohol Actions taken by Northern Light Acadia Hospital to address this priority in FY19: Northern Light Acadia Hospital, with the advent of a new program out of Maine Department of Health and Human Services, was able to convert its daily suboxone dosing program to an Opioid Health Home which wraps more services and structure around the person receiving daily dosing.Mental Health Actions taken by Northern Light Acadia Hospital to address this priority in FY19: Northern Light Acadia Hospital expanded partnerships to a few more primary care practices and emergency departments. There was a heavy reliance on televideo engagement with an improved platform. Northern Light Acadia Hospital was able to increase tele-therapy to home.Access to Behavioral Care/Mental Healthcare Actions taken by Northern Light Acadia Hospital to address this priority in FY19: The Mental Health priority and this priority were considered one in the same in Northern Light Acadia Hospitals progress reporting. Therefore, the summary statements are the same. Northern Light Acadia Hospital expanded partnerships to a few more primary care practices and emergency departments. There was a heavy reliance on televideo engagement with an improved platform. Northern Light Acadia Hospital was able to increase tele-therapy to home.Additional information related to actions taken by Northern Light Acadia 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-StrategyNorthern Light Acadia Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Northern Light Acadia Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities were not selected by Northern Light Acadia Hospital due to lack of resources to address the non-selected priorities at this time. Priorities not selected include Obesity, Physical Activity and Nutrition, Cardiovascular diseases, Poverty, Employment, Health Care Insurance, and Health Literacy Facility: Northern Light Acadia Hospital - Part V, Section B, Line 13h Income Level Facility: Northern Light Acadia Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Acadia-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2019-CHNA-Reports/Community-Health-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Acadia-Hospital under "Bill Pay & Financial Assistance." Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Acadia Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. 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 Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Acadia Hospital utilizes a full time patient counselor to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs and under the organization's financial assistance policy. Part VI, Line 4 - Community Information Located in Bangor, Maine, Northern Light Acadia Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Northern Light Acadia Hospital patients are community members from all 16 counties in Maine.Penobscot Countys demographic and social determinants of health data are provided below for Northern Light Acadia Hospital based on the hospitals physical location.Penobscot County - Demographic Data: American Indian/Alaskan Native 1.1% (1,751), Asian 1.1% (1,724), Black/African American 0.8% (1,174), Hispanic 1.2% (1,895), Some other race 0.2% (258), Two or more races 1.7% (2,571), White 95.1% (145,472). Total county population 152,978.Penobscot County Social Determinants of Health Data: Median household income $45,302, Unemployment rate 4.3%, Individuals living in poverty 16.3%, Children living in poverty 18.3%, 65+ living alone 44.5%, People living in rural areas 57.7%, Food insecurity 16.2%.Other hospitals serving the Northern Light Acadia Hospital community: Northern Light Acadia Hospital is one of two private behavioral health hospitals in the State of Maine. Based on the State of Maines definition of hospital service area, Northern Light Acadia Hospitals community is served by an additional two other hospitals, Northern Light Eastern Maine Medical Center and St. Joseph Hospital. Additionally, the Health Resources & Services Administration designated this hospital service area as having both medically underserved populations and medically underserved areas present in the community.Northern Light Acadia Hospitals patients also include community members from 15 counties in Maine where the HSAs are designated as having both medically underserved populations and medically underserved areas: Androscoggin County has two hospitals; Aroostook County has four hospitals; Cumberland County has six hospitals; Franklin County has one hospital; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Lincoln County has one hospital; Oxford County has two hospitals; Penobscot County has five hospitals including Acadia); Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; and Washington County has two hospitals. Part VI, Line 5 - Promotion of Community Health Northern Light Acadia Hospitals board is comprised of persons who reside in the hospitals primary service area. All board members are volunteers and work closely with Northern Light Acadia Hospital administrative leadership on governance of the organization, in order to serve the interests of the communities it serves. In compliance with Maine non-profit regulations, at least 51 percent of trustees are not financially interested persons and the majority of trustees are deemed independent status. Surplus funds are used to support charity care and to fund certain mental health services that are not self-funding.Northern Light Acadia Hospital also features a Citizens Advisory Council comprised of individuals in the community who have an interest in learning more about mental health and substance abuse, and also have an interest in knowing more about Northern Light Acadia Hospital and serving as advocates for its mission in the community. The hospital does a lot of work with public outreach in an effort to educate people about mental health and substance abuse, particularly with youth. Northern Light Acadia Hospital continues to offer its CARES (Child-Adolescent Resources and Educational Series) campaign, which features short educational videos on topics such as: suicide prevention, bullying, eating disorders, anxiety, substance abuse, LGBTQ youth and resiliency. Additionally, Northern Light Acadia Hospital supports community events such as the Out of Darkness, Steps for Souls, and Alzheimers walks. Part VI, Line 6 - Affilated Health Care System The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.Northern Light Acadia Hospital is the regional referral psychiatric hospital providing psychiatric and mental health services to all members of Northern Light Health and other non-affiliated hospitals in the region via a combination of in-person and tele-health technology. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false false Anthony Filer Treasurer 497426 71027 8827 31517 32705 641502 Anthony Ng MD VP/CMO 328950 41378 17210 18157 34091 439786 Brent Scobie VP, CSQ 141281 11321 2382 14968 33198 203150 Charmaine Patel Medical Director 297568 16269 12778 19836 346451 Eric Kuntz Medical Director 263739 12624 32526 21996 330885 Glenn Martin Esq Secretary 415555 72710 4935 86309 22775 602284 John Campbell MD Vice President 255274 6250 11061 28697 301282 Mahdieh Bodaghi Psychiatrist 285344 405 28704 16500 1085 332038 Marie KDickinson VP, Fin & Ops 226344 23547 48091 23058 12118 333158 Mark R Allen Medical Director 306585 1894 12409 20312 341200 Mary Michelle Hood Ex-Officio 3773999 196017 7584 273147 23276 4274023 2839409 Nicole Wimberger Medical Director 255749 10000 17675 5396 10903 299723 Paul Bolin VP, HR & CHRO 302485 39933 45934 59033 33985 481370 Scott Oxley SVP, President 281278 35943 45942 60933 20692 444788 Wayne Stellar PMHNP VP, NPCS 195513 21631 30409 20803 23098 291454 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition of $7,431 with a $2,181 gross-up payment:Mahdieh Bodaghi, highest compensated employeeCharmaine Patel, highest compensated employeeNicole Wimberger, highest compensated employeeThe following received a wellness program incentive:Mark R. Allen, highest compensated employee $500Marie Dickinson, officer 450Scott A. Oxley, director/officer 500 Wayne Steller, officer 500The benefit is available for all employees.The following received a giftcard for $150:Marie Dickinson, officerScott A. Oxley, director/officerWayne Steller, officer A Maine Health and Higher Educational Facilities Authority 010314384 560427GW0 2010-04-22 13522505 to refund 1998 issue false false true A 9945000 15948483 1513225 2920000 121118 11394140 2010 false true true true A false false false false false true A false false false NA false NA false true A true Part VI Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $2,425,978.Part IV, line 2c, column A - 5/15/2018 - Date of Rebate Computation. Brent Scobie Employee Educational Loan X 9996 3996 false false true Wayne Stellar Employee Educational Loan X 18811 810 false false true 4806 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided mental health services regardless of ability to pay. Provided other uncompensated care (at cost) of $1,880,813.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 OTHER PROGRAM SERVICES 5: We are MotivatedThe Heart of a Friar: Northern Light Cardiovascular Care As the sun rises over t Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Scott Oxley, trustee/officer and Mary M. Hood, trustee/officer are board members of Maine Hospital Association. Edward Gould, trustee and Sandra L. Rothera, trustee are partners with Gross, Minsky, & Mogul PA. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents 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 Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporation's operating budget and capital expenditures;V. the Corporation's acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporation's role in the NLH Strategic Plan;XII. action concerning the Corporation's participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance of Northern Light Acadia Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Acadia Hospital and the system 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 Northern Light Acadia Hospital SVP, President and Northern Light Acadia Hospital Executive Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Acadia Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Net Change in Funds Held at Affiliates = $123790 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$2404598 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$245999 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$1000 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 Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS true 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 Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC 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 Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 EMMC true EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS 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 Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital 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 and 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 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 Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare self-funded TPA ME EMHS C true false false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 4884586 FMV Eastern Maine Healthcare Systems EMHS p 6399274 FMV Eastern Maine Healthcare Systems EMHS r 245999 FMV Eastern Maine Medical Center EMMC l 256064 FMV Eastern Maine Medical Center EMMC m 463656 FMV Eastern Maine Medical Center EMMC p 544088 FMV Acadia Healthcare Inc AHI l 551557 FMV EMHS Foundation m 125940 FMV EMHS Foundation s 61337 FMV Mercy Hospital l 93105 FMV Affiliated Laboratory Inc m 81295 FMV