2019-08-07T09:27:57-07:00 2018-09-30 990 2017-10-01 010246804 VNA Home Health & Hospice VNAH 2079739081 50 Foden Road South Portland ME 04106 John J Doyle NLH VP of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John J Doyle 53252258 false false X www.vnahomehealth.org X 1921 ME Providing clinically excellent, compassionate home health and hospice care to individuals and families 15 13 617 259 0 425985 418369 46665295 52827840 7558 6049 0 47098838 53252258 0 0 31350356 34216645 0 0 16326842 20543117 47677198 54759762 -578360 -1507504 12321325 11662111 4874325 5958833 7447000 5703278 X Providing clinically excellent, compassionate home health and hospice care to individuals and families false false 48272366 52827840 Providing clinically excellent, compassionate home health and hospice care to individuals and familiesPlease see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:A New DayIn Maine, we have a tradition of leading the way and using our common sense and Yankee ingenuity to make life better for ourselves, our families, and our communities. It appears in our state motto Dirigo from the Latin word for I lead. We were the first state to elect a woman, Margaret Chase Smith, to both houses of Congress. We are home to the countrys first veterans hospital, and we are the first state to greet a new day as the rays of the sun touch our easternmost peaks and shores before any other place across the continental United States.The light of a new day symbolizes a rebirth or an awakening. And this renewed purpose to make healthcare work for people across our great state is what we are experiencing as we embrace our new name-Northern Light Health.In the pages of this years annual report, you will see examples of how we are rolling up our sleeves to raise quality through innovation, teamwork, and efficiency. We have fostered new clinical relationships with Massachusetts General Hospital, a world-class medical research hospital. We are using population health data in new ways to be smarter about how we deliver care. And we have created new programs that bring healthier locally-sourced foods to our hospitals while supporting the hard-working farmers and fishermen who make up the very core of our identity here in Maine.We are working to make healthcare more accessible and straightforward while also making great strides to reduce our costs and improve our operating margins. We are finding new ways to guide our patients and deliver care based on the needs of each person. Its a New Day in Maine. We invite you to join us on this new journey.M. Michelle Hood, FACHENorthern Light Health President and CEOBarry McCrumNorthern Light Health Board ChairA New LightWelcome to Northern Light HealthOpen up, give me a big ahhh, Sheena Whittaker, MD, a pediatrician at Northern Light Pediatrics in Ellsworth asks of her 12-year old patient, Ellis, as she shines a light in his mouth. They are in a pediatrics exam room where Ellis is getting a check up. The windows allow in a generous amount of light; the walls are warm yellow and decorated with Dr. Seuss decals like the Cat in the Hat. Dr. Whittaker wears many hats too. Not only is she a pediatrician, but she is also the senior physician executive for Northern Light Maine Coast Hospital in Ellsworth.Medicine is very controlled, and its very scientific and careful, and it should be; but kids bring a fun aspect to it, Dr. Whittaker explains. If we can fortify children to be strong mentally, physically, emotionally, and psychologically, were going to produce stronger, kinder, healthier children, a better adult population, and a stronger community.Dr. Whittaker may be based at Maine Coast Hospital, but she is part of Northern Light Health, formerly Eastern Maine Healthcare Systems. In addition to changing its name, Northern Light Health has re-identified its priorities and is becoming more integrated across the entire system which spans from Portland to Presque Isle and Greenville to Blue Hill.Dr. Whittaker sees the move to Northern Light Health as a step in the right direction that helps improve patient care. Being united medically means we have resources from the whole Northern Light Health system. Whether were at Northern Light Maine Coast, Northern Light Blue Hill, or Northern Light Eastern Maine Medical Center, we have access to all of the specialty services easily, consecutively, consistently. So, it doesnt matter which hospital a patient walks into, they are receiving the best medical care they possibly can get, explains Dr. Whittaker.Michelle Hood, FACHE, president and CEO of Northern Light Health, and Matt Weed, senior vice president and chief strategy officer have not only worked to implement this new brand identity but to spread the message of what it means beyond the name change. They also called on leaders and front line employees throughout the system to help.At Northern Light Health, we want to make healthcare work for everyone, whether thats an individual or a community. Were going to roll up our sleeves and bring a lot of energy and enthusiasm to our continuing work, explains Michelle. Were raising the bar and that is a simple but substantive way of saying we cant rest. Were always looking for a better way to do things. Our system is very broad not just in geography but in the types of services that we offer, and we want to meet people where they are.Northern Light Health is accomplishing this by making investments in telemedicine, converting to one unified electronic health record system that links all member hospitals together, and creating new clinical relationships with world-class organizations like Massachusetts General Hospital and Dana Farber Cancer Institute.A rebrand to Northern Light Health spans timeit celebrates how far we as a system have come, but it also creates a single shared starting line for where we need to go next, Matt explains. As chief strategy officer, Matt was instrumental in the rebranding effort which was a necessary evolution as healthcare in America is moving toward integrated systems. This in part is driven by economics and financial sustainabilityin all states including Maine, the healthcare industry is being required to coordinate expertise in a way that avoids unnecessary costs.Businesses, governments, and individual consumers are looking to contract with systems for their healthcare needs because this is how they will get the highest quality at the lowest cost. More importantly still, Matt feels that what people want is to know that when the need arises, they or their loved one will receive competent, compassionate care.This is the brand promise, concludes Matt. Its what our neighbors and our family members and a person were meeting for the first time can expect when they come to our physicians and to our hospitals, and when they interact with any other person or service in the system. If were not doing it perfectly today, were motivated and driven by the brand promise to improve; and if we are doing it perfectly today, the brand promise says we wake up and do it again tomorrow. A New FocusOncology Pharmacy Management ProgramLori Boynton is at her happiest at home in her backyard, a spacious spread of land in Lamoine with barns, a paddock, and animals. She finds a shady spot on a sunny summer day to feed afternoon snacks to her donkey, Clementine, and her mule, Mr. Tibbs. She cracks a smile and laughs as Clementine quickly scoffs down a fresh carrot. Im the beast of burden. They dont do any work at all, she laughs, I do all the work and thats my therapy which has been awesome.To look at Lori, with her thick wavy brown hair and healthy complexion, its hard to imagine that just months ago she was battling cancer and undergoing chemotherapy and radiation treatments.Its such a shocking thing when you hear you have cancer, and I just thought its going to be stage one, itll be no problem; it was actually stage three! It makes you think much differently about your time here, she says.Lori was diagnosed with stage III colon cancer in October 2017 and would undergo treatments through May 2018. She had to go to Northern Light Cancer Care for radiation treatments but was able to take oral chemotherapy medication at home. Having already started on chemotherapy treatments at the hospital, Lori knew how it made her feel.Youre kind of in the cloud. Its kind of foggy for lack of a better word. Before, I could multi-task and I could just keep things going in my brain and then it was gone!What Lori was experiencing is not uncommon, explains Sheila Pascual, MD, who was Loris oncologist, A lot of literature has been written about what they call chemo brain or brain fog and its a neural-cognitive dysfunction where theres a decline or deficit in memory, learning new things, attention.Lori might have been worried about trying to keep track of her medications, appointments, bills, and daily chores, except that she was an outpatient in Northern Light Pharmacys Oncology Pharmacy Management Program and she had help keeping track of it all. A team of pharmacists, nurses, and financial patient advocates occupy a room on the first floor of the Lafayette Family Cancer Institute. They spend their time on the phone with patients, helping them with everything from finding discount drugs to managing their medications, and coordinating care with their medical team.Before this program was implemented, patients had no local source to obtain these medications and were forced to go through national mail order specialty pharmacies that were not integrated with the oncology practice so the physicians had a very difficult time coordinating their patients care, explains Matt Marston, manager of the Specialty Pharmacy Program. Lori reaped the benefits of that level of care. Every week on Fridays, she would receive a phone call from Renee Vachon, RN, staff nurse at the Oral Pharmacy Management program. The two instantly hit it off.Lori was the type of person that I connected with immediately. Its funny when you speak with someone on the phone and you know that you get along. Shes a really special person. I followed her throughout her treatment of oral chemotherapy, explains Renee. She was very warm and very receptive and no matter what question I had for her, even if to my own ears it sounded stupid, she was just so sweet to me. I felt like I was talking to someone in my family or that I had known all my life because her response to my concerns and my needs was awesome, Lori says.In addition to helping them get appointments and manage their medications they also help patients get discounts and financial aid for their medications. Matt says many of their patients pay nothing out of pocket for drugs that can cost up to 20 thousand dollars a month. And they can get their drugs, in many cases, on the same day that they go in for their treatment, unlike through mail order pharmacies which can sometimes take several weeks.My hope would be that patients feel supported and feel very comfortable reaching out to us. They are the reason why were here and I want them to feel very comfortable, explained Renee. Its clear she achieved that goal with Lori. It just makes me smile to think of her, Lori says about Renee.The oral oncology pharmacy management program launched in January 2018 at Northern Light Health Eastern Maine Medical Center. There are plans to expand it to other Northern Light hospitals soon.A New SolutionUsing data to improve population health Her alarm sounds at 5:30 in the morning, signaling the all too sudden start to another busy day. Like most single moms, Bre Erickson does a lot of juggling. Her first order of the day is motivating her sleepy six-year-old son, Owen, to get out of bed. Owen is an active boy with dirty blonde hair, deep brown eyes, and a heartwarming smile that his mom coaxes out of him as she stands behind him, squeezes him with a hug, and plants a kiss on his cheek. He likes to sleep in, so hes a tough one to get going in the morning. We get ready, kennel the dogs, and head off to daycare or rec or whatever is on the agenda for the day. Then I go to work sometimes in Greenville, sometimes in Pittsfield, explains Bre. She serves as communications manager for two Northern Light Health hospitalsCA Dean Hospital in Greenville and Sebasticook Valley Hospital in Pittsfield. Its a hectic balance, managing her career and her time with her son.Time with him is very important, and its limited because youre working 40 hours a week and traveling a minimum of 50 miles a day on top of that.While Bre wants to take care of herself, she doesnt want to sacrifice any more time with Owen. So, she is happy to have her medical needs met close to home. In addition to a primary care provider, she also has an OB/GYN physician who sees her in GreenvilleKyrsten Sutton, MD.When you live in rural Maine, you have to make some sacrifices, and its nice that these women dont need to make sacrifices in their healthcare and can get quality healthcare close to home, Dr. Sutton explains.Dr. Sutton is an employee of Mayo Regional Hospital, but under a clinical affiliation agreement between Mayo and Northern Light Health, she travels to Northern Light Health Center in Greenville to see patients like Bre once a month. She also sees patients at the Northern Light Health Center in Sangerville once a month.If not for this partnership between Mayo and CA Dean, many women from the Greenville and Sangerville areas of Piscataquis County would have to travel to Bangor or Pittsfield for their OB/GYN care. Megan Ryder, who is the practice director for the Northern Light Health Center, Greenville, says Mayo and Northern Light Health formed this partnership for the greater good of the people of Piscataquis County.We have the patients that needed that gynecology service, and we have space in this brand-new expansion in Sangerville and in our clinic in Greenville. Mayo had the gynecologist. So, just combining our resources made a great service line for both of our hospitals, explains Megan.Megan says CA Dean did need the proof that their alliance with Mayo would meet the need in a cost-effective way for both hospitals, so they turned to Beacon Health, the population health office of Northern Light Health.The mission of Beacon Health is to analyze claims data and find ways to improve population health for the various regions of our state. Patients in the Sangerville and Greenville areas sometimes travel up to 90 minutes each way to get this care and thats a real burden for patients, especially in winter when they might have to make several visits in a short period of time. And if that means missing work, they might skip those appointments and not get the care they need, explains Will Seavery, PharmD, BCPS, associate vice president of Population Health for Beacon Health, adding that the data showed the need existed and the care could be provided if Northern Light Health could partner with Mayo.Bre is grateful that the partnership is making healthcare work for not only her, but all her friends and neighbors in Greenville. Following a recent visit with Dr. Sutton, she was able to pick up Owen from daycare and head over to the playground at his school. She watched him navigate the maze of obstacles, slide down the slide and climb back up, and then she pushed him on the swings. As he laughed, Bre cracked a smile of her own from ear to earleaving no mystery as to where Owen gets his heartwarming smile.Its so important to have healthcare close to home because its not only difficult for me to take time from my work schedule but time away from my son. So, if you dont have healthcare here in this area, you can lose an entire day once you figure in a couple of hours of travel and the time of the appointment, Bre says, and I feel like Northern Light Health really gets that.A New ReachUsing telemedicine to treat sleep disordersArtemas Coffin and his wife, Rosemary, walk with a spring in their step as they navigate the wooded pathways behind their farmhouse in Ashland. Leaping down the path ahead of them is their giant malamute, Bullet, a rescue dog that has found a new, loving home with the Coffins. They are each dressed in jeans and matching green t-shirts, embroidered with an American Flag that Art sewed himself. He keeps us busy, Rosemary explains as she pats the scruff of Bullets neck.Art and Rosemary are retired. They worked at the Aroostook County Sheriffs Department and Art also worked at a sawmill. They like to keep busy in retirement. In addition to taking Bullet for walks, Rosemary enjoys working in her vegetable gardens and Art enjoys riding around on his four-wheeler. They have the energy to enjoy their hobbies, in large part, due to Arts decision (at Rosemarys insistence) to seek treatment for a medical condition known as obstructive sleep apnea. I wasnt resting. I could be at work standing at the lathe and go to sleep standing up, Art recalls. Art was tired during the day because he wasnt sleeping well at night. He said that due to his condition, he would stop breathing as many as 60 times an hour and wake up gasping for breath. In addition to that, he would snore so loudly it would keep Rosemary awake. I could not rest because he was either snoring and keeping me awake, or I was laying there awake so I could poke him when he didnt breathe, Rosemary recalls.Finally, Art made an appointment to see David Weed, DO, a physician who is board-certified in sleep medicine by the American Academy of Sleep Medicine, and heads the Sleep Medicine program at Northern Light AR Gould Hospital in Presque Isle. Art Coffin came to me many years ago with symptoms of daytime tiredness and fatigue, Dr. Weed recalls. He was the first patient we saw here.AR Goulds Sleep Medicine Program has evolved considerably since then. It now includes a state-of-the-art four-bed sleep disorders center that is fully accredited by the American Academy of Sleep Medicine. Dr. Weed conducts sleep studies for patients like Art Coffin in the sleep center. You go there, and you sleep for eight hours or thereabouts, and they have you hooked up and monitor your breathing and your pulse and respiration, Art said. Dr. Weed was able to diagnose Art with obstructive sleep apnea and get him set up with a CPAP (continuous positive airway pressure) machine, a device which increases air pressure in the throat so that the airway does not collapse when a person breathes in. It took a little while to get used to it, the constant pressure, says Art. Now when I go to bed, I put the mask on and the machine starts automatically, and I get a good nights sleep.Art and Rosemarys situation is not uncommon. In fact, according to the U.S. Centers for Disease Control, one out of every three Americans report not getting enough sleep. We know that untreated sleep apnea is associated with diabetes, high-blood pressure, heart disease, stroke, memory change, anxiety, depression, and irritability; a lot of patients would describe themselves as being in a fog, says Dr. Weed.Because sleep disorders are such a widespread concern, Northern Light Health is using telemedicine to bring Dr. Weeds expertise to even more patients in Maine. Telemedicine affords us an opportunity to be more far-reaching in our effect. When I dont have to rely on the patient coming to us, I can go to them using an iPad, he says. Dr. Weed uses that iPad to chat with patients weekly at Northern Light Inland Hospitals sleep lab in Waterville.Darrel Conner comes in to Inland to speak with Dr. Weed routinely via telemedicine technology. Like Art Coffin, he too suffers from obstructive sleep apnea and must use a CPAP machine. My wife kept nudging me at night time and said youre not breathing, you should be breathing. She nudged me quite a few times and said maybe we should have you checked out to see whats going on, he says.Darrel is glad he sought help. He too sleeps much better using his CPAP machine and says talking with Dr. Weed via an electronic screen is just as good as in person. I feel like I get very excellent care here. When we talk on Skype, it is just like you and I talking right here, Darrel says. Besides Inland, Dr. Weed provides sleep medicine services to other Northern Light Health member hospitals. 48272366 true true false true false false false false false true true false false true false true false true false false false false false false false false false false false true false false false false false false false false false true false false false false false true true true true false false true 50 0 true 617 true false false false false false false false false 0 false false false false false false false false false false X 15 13 true false true false true true true true true false false true true true true true true true false false ME X X X John Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 Colleen Hilton SVP, President 40.00 0.00 X X 240765 0 72237 Peter Bagg Director 1.00 0.00 X 0 0 0 Carol Bell Director 1.00 0.00 X 0 0 0 Ann Marie Briggs Director 1.00 0.00 X 0 0 0 Clair Connor Director 1.00 0.00 X 0 0 0 Richard Duncan Director 1.00 0.00 X 0 0 0 Michael Quinlan Director 1.00 0.00 X 0 0 0 Joanne Hale Director 1.00 0.00 X 0 0 0 Mary M Hood Ex-Officio 1.00 50.00 X X 0 958052 284585 Michael Lynch Director 1.00 0.00 X 0 0 0 Kerry Peabody Director 1.00 0.00 X 0 0 0 Bruce Reddy Chair 1.00 0.00 X X 0 0 0 Patricia Small Director 1.00 0.00 X 0 0 0 Debra D Taylor Director 1.00 0.00 X 0 0 0 James Violette Director 1.00 0.00 X 0 0 0 Dr Isabella Thurston Director 1.00 0.00 X 0 0 0 Suzi Tracy VP, Finance 40.00 0.00 X 113390 0 25165 Glenn Martin Secretary 1.00 50.00 X 0 445839 94023 Elizabeth Rolfe VP, Clinical Op 40.00 0.00 X 137510 0 25400 Leah Wright VP Quality 40.00 0.00 X 113355 0 36520 Anthony Filer Treasurer 1.00 50.00 X 0 496014 29454 Paul Bolin VP & CHRO 1.00 50.00 X 0 336066 47158 Joseph Kellner VP Emergency Sv 40.00 40.00 X 47389 54820 21136 Allan Sturges Teel Medical Director 40.00 0.00 X 219119 0 1560 William P Anderson Dir-Therapy Pract 40.00 0.00 X 104456 0 3870 Christine M Turner Dir-Hospice Prgms 40.00 0.00 X 104133 0 6850 1080117 2290791 647958 9 false true false American Mobile Nurses 2735 Collection Center Drive Chicago IL 60693 Temp Staff 1134889 Avant Healthcare Professionals PO Box 744554 Atlanta GA 303744554 Temp Staff 638670 McBee Associates Inc PO Box 37135 Baltimore MD 212973135 Consulting 374798 3 2083 162441 5426 248419 23914 418369 Home Care 621610 52827840 52827840 52827840 6049 6049 0 0 0 0 0 0 0 0 53252258 52827840 6049 0 0 0 0 822798 221366 601432 0 25989946 22457909 3532037 758550 653567 104983 4729808 4267692 462116 1915543 1643313 272230 0 89 89 31062 31062 0 0 0 3859220 2940114 919106 111251 100203 11048 1071110 938587 132523 911338 785209 126129 0 638190 549864 88326 1420838 1335969 84869 0 39675 36576 3099 0 0 256768 221231 35537 169061 145663 23398 Contractual Allowances 9139846 9139846 Medical Supplies Expense 2118791 2118510 281 Bad Debt Expense 439820 439820 Charity Care 164390 164390 171668 112537 59131 54759762 48272366 6487396 0 900 900 128390 328984 1648 1086 6814478 6165501 0 0 56126 35943 30039 53261 215657 243940 2115749 1426122 790017 689627 0 0 0 0 4284070 4142869 12321325 11662111 3368849 4394244 1505476 1564589 4874325 5958833 X 6751607 5046676 532316 491025 163077 165577 7447000 5703278 12321325 11662111 X -1507504 -236218 X false true X true false X 99564 221208 549067 425985 418369 1714193 15403155 18424551 36885285 46665295 52827840 170206126 0 0 0 15502719 18645759 37434352 47091280 53246209 171920319 0 0 171920319 14838 10325 4042 7558 6049 42812 0 14838 10325 4042 7558 6049 42812 0 0 15517557 18656084 37438394 47098838 53252258 171963131 0.99980 0.99910 0.00020 0.00090 X false false false false false false false false false false true 4500 4500 false false Part II-B, Line 1i - Other Activities Description Non-Deductible Dues 3137365 2500 110039 131417 3118487 3024870 4750 235757 128012 3137365 10272 2865091 274766 125259 3024870 10257 15 10272 10031 226 10257 0.93000 0.07000 false true true 124023 73072 50951 1991726 1353050 638676 689627 Board Designated Funds - Other 3419475 Other Assets 11545 Permanently Donor Restricted Funds 165577 Self-Insurance Funds Held by Trustee 55247 Temporarily Donor Restricted Funds 491025 4142869 X 43512619 1000 -9740639 -9739639 53252258 53252258 45020123 1000 1000 45019123 9740639 9740639 54759762 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 EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System'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. Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Contractual Allow Reclass to Expense $9139846 FreeCare Reclass to Expense $164390 Bad Debt Reclass to Expense $436507 Reimbursed Expenses Reclassed to Expense $-104 X true true false true false false false false false false false false Allan Sturges Teel Medical Director 189423 29696 1560 220679 Anthony Filer Treasurer 491229 4785 29454 525468 Colleen Hilton SVP, President 226756 10183 3826 49111 23126 313002 Elizabeth Rolfe VP, Clinical Op 129048 4955 3507 3565 21835 162910 Glenn Martin Secretary 420922 18282 6635 72657 21366 539862 Mary M Hood Ex-Officio 898292 51886 7874 262793 21792 1242637 Paul Bolin VP & CHRO 318091 7834 10141 15626 31532 383224 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Colleen Hilton, director/officer $ 15William Anderson, highest compensated employee 180Elizabeth Rolfe, officer 32The benefit is available for all employees. William Hilton fam mem=officer 26466 compensation false Schedule L, Part V Supplemental Information William Hilton is the spouse of a board member/officer and is an employee of VNA. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: patients like Bre once a month. She also sees patients at the Northern Light Health Center in Sangerville once a month.If not for this partnership between Mayo and CA Dean, many women from the Greenville and Sangerville areas of Piscataquis County would have to travel to Bangor or Pittsfield for their OB/GYN care. Megan Ryder, who is the practice director for the Northern Light Health Center, Greenville, says Mayo and Northern Light Health formed this partnership for the greater good of the people of Piscataquis County.We have the patients that needed that gynecology service, and we have space in this brand-new expansion in Sangerville and in our clinic in Greenville. Mayo had the gynecologist. So, just combining our resources made a great service line for both of our hospitals, explains Megan.Megan says CA Dean did need the proof that their alliance with Mayo would meet the need in a cost-effective way for both hospitals, so they turned to Beacon Health, the population health office of Northern Light Health.The mission of Beacon Health is to analyze claims data and find ways to improve population health for the various regions of our state. Patients in the Sangerville and Greenville areas sometimes travel up to 90 minutes each way to get this care and thats a real burden for patients, especially in winter when they might have to make several visits in a short period of time. And if that means missing work, they might skip those appointments and not get the care they need, explains Will Seavery, PharmD, BCPS, associate vice president of Population Health for Beacon Health, adding that the data showed the need existed and the care could be provided if Northern Light Health could partner with Mayo.Bre is grateful that the partnership is making healthcare work for not only her, but all her friends and neighbors in Greenville. Following a recent visit with Dr. Sutton, she was able to pick up Owen from daycare and head over to the playground at his school. She watched him navigate the maze of obstacles, slide down the slide and climb back up, and then she pushed him on the swings. As he laughed, Bre cracked a smile of her own from ear to earleaving no mystery as to where Owen gets his heartwarming smile.Its so important to have healthcare close to home because its not only difficult for me to take time from my work schedule but time away from my son. So, if you dont have healthcare here in this area, you can lose an entire day once you figure in a couple of hours of travel and the time of the appointment, Bre says, and I feel like Northern Light Health really gets that.A New ReachUsing telemedicine to treat sleep disordersArtemas Coffin and his wife, Rosemary, walk with a spring in their step as they navigate the wooded pathways behind their farmhouse in Ashland. Leaping down the path ahead of them is their giant malamute, Bullet, a rescue dog that has found a new, loving home with the Coffins. They are each dressed in jeans and matching green t-shirts, embroidered with an American Flag that Art sewed himself. He keeps us busy, Rosemary explains as she pats the scruff of Bullets neck.Art and Rosemary are retired. They worked at the Aroostook County Sheriffs Department and Art also worked at a sawmill. They like to keep busy in retirement. In addition to taking Bullet for walks, Rosemary enjoys working in her vegetable gardens and Art enjoys riding around on his four-wheeler. They have the energy to enjoy their hobbies, in large part, due to Arts decision (at Rosemarys insistence) to seek treatment for a medical condition known as obstructive sleep apnea. I wasnt resting. I could be at work standing at the lathe and go to sleep standing up, Art recalls. Art was tired during the day because he wasnt sleeping well at night. He said that due to his condition, he would stop breathing as many as 60 times an hour and wake up gasping for breath. In addition to that, he would snore so loudly it would keep Rosemary awake. I could not rest because he was either snoring and keeping me awake, or I was laying there awake so I could poke him when he didnt breathe, Rosemary recalls.Finally, Art made an appointment to see David Weed, DO, a physician who is board-certified in sleep medicine by the American Academy of Sleep Medicine, and heads the Sleep Medicine program at Northern Light AR Gould Hospital in Presque Isle. Art Coffin came to me many years ago with symptoms of daytime tiredness and fatigue, Dr. Weed recalls. He was the first patient we saw here.AR Goulds Sleep Medicine Program has evolved considerably since then. It now includes a state-of-the-art four-bed sleep disorders center that is fully accredited by the American Academy of Sleep Medicine. Dr. Weed conducts sleep studies for patients like Art Coffin in the sleep center. You go there, and you sleep for eight hours or thereabouts, and they have you hooked up and monitor your breathing and your pulse and respiration, Art said. Dr. Weed was able to diagnose Art with obstructive sleep apnea and get him set up with a CPAP (continuous positive airway pressure) machine, a device which increases air pressure in the throat so that the airway does not collapse when a person breathes in. It took a little while to get used to it, the constant pressure, says Art. Now when I go to bed, I put the mask on and the machine starts automatically, and I get a good nights sleep.Art and Rosemarys situation is not uncommon. In fact, according to the U.S. Centers for Disease Control, one out of every three Americans report not getting enough sleep. We know that untreated sleep apnea is associated with diabetes, high-blood pressure, heart disease, stroke, memory change, anxiety, depression, and irritability; a lot of patients would describe themselves as being in a fog, says Dr. Weed.Because sleep disorders are such a widespread concern, Northern Light Health is using telemedicine to bring Dr. Weeds expertise to even more patients in Maine. Telemedicine affords us an opportunity to be more far-reaching in our effect. When I dont have to rely on the patient coming to us, I can go to them using an iPad, he says. Dr. Weed uses that iPad to chat with patients weekly at Northern Light Inland Hospitals sleep lab in Waterville.Darrel Conner comes in to Inland to speak with Dr. Weed routinely via telemedicine technology. Like Art Coffin, he too suffers from obstructive sleep apnea and must use a CPAP machine. My wife kept nudging me at night time and said youre not breathing, you should be breathing. She nudged me quite a few times and said maybe we should have you checked out to see whats going on, he says.Darrel is glad he sought help. He too sleeps much better using his CPAP machine and says talking with Dr. Weed via an electronic screen is just as good as in person. I feel like I get very excellent care here. When we talk on Skype, it is just like you and I talking right here, Darrel says. Besides Inland, Dr. Weed provides sleep medicine services to other Northern Light Health member hospitals. OTHER PROGRAM SERVICES 5: Its made a difference in the lives of the Coffins and the Conners. Darrel has the energy to tinker on old cars with his wife in their garage. Art and Rosemary Coffin are also both getting a better nights sleep as a result.He has made a difference in our lives by improving the quality of Arts life, Rosemary says. If it hadnt been for him, I might not even be alive now, Art chimed in.A New RelationshipOur affiliation with Massachusetts General HospitalAs a hospitalist at Northern Light Mercy Hospital, Daniel Goodman, DO, typically starts his day reviewing patient charts and determining which patients he should visit and in which priority. But one day last fall Dr. Goodman was interrupted on his daily rounds by his medical student.He told me that one of my patients who had come into the hospital with a serious infection had a concerning facial droop and a level of lethargy that was worrisome, explains Dr. Goodman. Upon seeing the patient, he agreed with his medical students assessment and immediately ordered a CT scan to make sure there wasnt any bleeding in the brain. If it had been a bleed it wouldve been an acute emergency and neurosurgery wouldve been notified immediately. For this patient, once I learned he was not bleeding, I needed to get more information, says Dr. Goodman.Because this patient had several underlying medical conditions, Dr. Goodman decided to consult with one of the neurologists at Massachusetts General Hospital (MGH), a resource at his disposal thanks to a full spectrum of TeleNeurology services available to Mercy through MGH. Within a relatively short amount of time of reaching out to them I was on the phone with the neurologist from MGH, and she was brilliant, he said. I had told her all my neurological findings, and she gave me some tremendous recommendations. An MRI would reveal the patient indeed had an acute stroke but would end up with no last Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Patricia Small, board member is a board member of Sweetser and Debra Tayor, board member is President & CEO of Sweetser. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article IX (General Provisions), Section 3 (Fiscal Year) to change the end of the fiscal year of the Corporation from the last Saturday in September to September 30. Amended Article IX (General Provisions), Section 4 (Bonding) to remove the Bonding section in its entirety and replace it with: Fidelity Coverage. The Corporation shall maintain appropriate fidelity coverage protecting the Corporation from losses caused by the fraudulent or dishonest acts of individuals handling or directing the use of corporate funds. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder VNA (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems (EMHS), 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 EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS 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 EMHS Strategic Plan;XII. Action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. Dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance & SVP, President of VNA. 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 VNA and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS).The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS 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 EMHS 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 EMHS executive compensation philosophy.-Reviews and updates the EMHS 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 EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS 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 EMHS deemed appropriate.-Maintains minutes of the meeting and communicates actions to the EMHS 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 EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS 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 & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available VNA 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 Changes in Net Assets Held @ EMHS Foundation = $65042 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$301260 Lifestages Physician Services LLC 50 Foden Road South Portland ME 04106 821043752 Provide home health and hospice services ME VNA Home Health & Hospice Mercy Hospital 144 State St Portland ME 04101 010211534 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II NA true Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 04402 010211501 Provides Healthcare Services ME 501(c)(3) 3 EMHS true Rosscare 43 Whiting Hill Rd Brewer ME 04412 010391038 Provide Services to Elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Home Inc 43 Whiting Hill Rd Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Acadia Hospital AHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Povides Healthcare Services ME 501(c)(3) 3 EMHS true EMHS Foundation 43 Whiting Hill Rd Brewer ME 04412 222514163 Raise and Manage Funds for Expt Org ME 501(c)(3) 12 Type II EMHS true Inland Hospital 200 Kennedy Memorial Dr Waterville ME 04901 010217211 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Dr Wateville ME 04901 010421234 Provide Skilled and Long Term Care Nurse ME 501(c)(3) 3 Inland true CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 04441 043341666 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main St Pittsfield ME 04967 010263628 Critical Care Hospital ME 501(c)(3) 3 EMHS true The Aroostook Medical Center TAMC PO Box 151 140 Academy St Presque Isle ME 04769 010372148 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Blue Hill Memorial Hospital 57 Water St Blue HIll ME 04614 010227195 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases Real Estate ME 501(c)(2) EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Brewer ME 04412 010377901 Fund Raising for Exempt EMMC ME 501(c)(3) 10 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provides healthcare services ME 501(c)(3) 10 AHC true Norumbega Medical Specialists LTD 43 Whiting Hill Rd Brewer ME 04412 010465231 Provide Patient Care and Education ME 501(c)(3) 10 EMMC true Restoration Health LLC 43 Whiting Hill Rd Brewer ME 04412 352449986 Provide Mental & Behavorial Health ME 501(c)(3) 10 AHI true Horizons Health Services PO Box 151 140 Academy St Presque Isle ME 04769 010504393 Provide Patient Care ME 501(c)(3) 3 TAMC true Sebasticook Valley Family Practice Assoc 447 North Main St Pittsfield ME 04967 010357854 Provdie Patient Care ME 501(c)(3) 10 SVH true WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union St Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union St 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 Merdian 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 Company ME EMHS C Corp true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Healthcare Mgt ME AHS C Corp true Affiliated Laboratory 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical Lab ME AHS C Corp true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C Corp true Maine Coast Physician Affiliates 50 Union Street Ellsworth ME 04605 010479952 Patient Care ME MCMH C Corp true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C Corp true false false false false false false false false false false true true true false false true false true true Mercy Hospital m 90205 FMV Eastern Maine Healthcare Systems EMHS k 81296 FMV Eastern Maine Healthcare Systems EMHS m 1817174 FMV Eastern Maine Healthcare Systems EMHS p 5554477 FMV Eastern Maine Healthcare Systems EMHS r 301260 FMV Eastern Maine Medical Center EMMC m 216586 FMV Rosscare l 73831 FMV EMHS Foundation m 214073 FMV EMHS Foundation s 162441 FMV WorkHealth LLC m 67200 FMV Merdian Mobile Health LLC l 52881 FMV