2023-08-07T13:24:20-07:00 2022-09-30 990 2021-10-01 010211501 Eastern Maine Medical Center Northern Light Eastern Maine Medical Cen EAST 2079739081 PO Box 404 489 State Street Bangor ME 04402 John Doyle NLH VP of Finance 2023-08-07 false John Doyle 999009999 2 AAL1 IAL1 FAL1 2021 2023-04-26 12:10:37Z John Doyle 1066535353 false 5247 X https://northernlighthealth.org/Eastern-Maine X 1892 ME Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. 15 9 5175 207 12464832 640493 11441116 34415137 1023182751 952087839 1755842 52236 66192068 69085280 1102571777 1055640492 0 0 478830083 477116274 0 0 565714232 652203609 1044544315 1129319883 58027462 -73679391 991119374 888351906 637049858 592504647 354069516 295847259 X Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. false false 999999999 999999999 Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $5,901,142.Northern Light Eastern Maine Medical Center (EMMC) has served communities throughout our region for 130 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: https://northernlighthealth.org/Eastern-Maine-Medical-Center.Additional StatisticsTotal admissions 15,251Cardiac Catheterization Procedures 5,008Cardiac Surgery Cases 391Emergency Room Visits 31,299Medical Imaging Procedures 167,682Surgery Cases 14,522Live Births 1,694Family Practice Visits 119,730Total Outpatient Visits 805,703Patient Days 114,962Services provided to those who could not pay $22,554,676 35366485 21070922 Medicare shortfalls-$139,968,129 (at cost) 99,437 persons served.Charity care provided-$2,521,367 (at cost) 6,796 persons served.Medicaid shortfalls-$82,993,290 (at cost) 105,514 persons served. Please see the following excerpt from the Northern Light Health Annual Report 2022 to the Community for details of the community benefit projects at NLH members:Northern Light HealthPromisesAnnual Report 2022A promise made must be a promise kept. - AristotleWhen people keep their promises to us, we feel valued, respected, and appreciated. At Northern Light Health, we understand the importance of making a promise and doing the work to keep it.Our promise to the people and communities we serve across our great state of Maine is to make healthcare work for you. This means that we promise to get better every day by raising quality through teamwork, efficiency, and innovation. We promise to guide the way for our patients and their families, through the care experience. We live in a big, rural state, and we know access to care can be challenging for some people in our communities. So, we are committed to improving access. And last, but certainly not least, we promise to see patients as diverse individuals with their own unique needs.In this annual report, we highlight the ways our valued employees and community partners are working together to keep our promises to the communities we serve. From helping firefighters access lung cancer studies at world-class research hospitals, to helping busy parents schedule pediatrics appointments on their own time, and using the latest in diagnostic technology to help people with congestive heart failure stay out of the hospital. We are also helping the state address a critical shortage of psychiatric inpatient beds while addressing the state's long-term community-based mental and behavioral health needs.These stories in this report are just a few examples of the promises we work hard to keep every day. This work inspires us. We hope it inspires you too.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthKathy CoreyBoard ChairNorthern Light HealthAcadia for AllEmerald Forcier is walking an aisle of gleaming white chairs carefully set on a lush green lawn overlooking the Penobscot River. Her husband, Kurt is hustling along on a lawn tractor, making sure the lawn is short and neat for the upcoming wedding the couple plans to host at their venue, Penobscot Bay Weddings in Winterport. As her four-year-old daughter, Maisie picks wildflowers, Forcier is holding her 8-month-old son Miles in her arms while she thinks about all the work she has left to do in the wedding tent. I often say to friends and family when they ask how I'm doing, I'm like, I am exhausted. We're starting a new business. And yet the deep, important things are wonderful.But seven years ago, things were not wonderful for Forcier in terms of her mental health. She was living on the island of Bali; she was having difficulty getting the medications to manage her depression, and she was in a suicidal state. She moved back to the United States and attended an inpatient treatment program, which she credits with saving her life. After six months of hard work restarting her life, she was back in Maine, but her health insurance was due to expire at the beginning of the new year. Despite spending four weeks consistently trying, Forcier could not access any outpatient provider to renew her prescriptions. Desperate for help, she ended up in a hospital emergency department on New Year's Eve 2015. Even then, she was sent away multiple times because psychiatric care was not available.I remember what it was like when I had reached my rock bottom and I needed inpatient services. I also remember the fear and helplessness of being stuck in the emergency department, unable to access the care I needed. I frankly cannot even imagine the terror and the sadness of experiencing both of these things at once. The day a person needs inpatient care is one of the worst days of their life. To be stuck in an emergency department with nowhere to go is a devastating experience far too many people face, and I cannot imagine a child or their parent going through that.Forcier's experience is unfortunately all too common. Across Maine, there simply are not enough inpatient beds and people who end up in crisis situations turn to hospital emergency departments.Nadia Mendiola, MD, an adolescent psychiatrist at Northern Light Acadia Hospital, sees it all too often. She says it's particularly troubling when children get stuck in these emergency departments for several weeks, or even months, waiting for an inpatient bed. Emergency care physicians, they're wonderful at their job but they're not psychiatrists. They have limited options, they have limited space, and you're talking about kids who can't even function in a big home or a big school and now you're confining them to a little spot. It's just not conducive to good care.This is one of the reasons why Northern Light Acadia Hospital is undertaking an ambitious expansion project to double the number of its single occupancy rooms. The 50,000 square feet expansion will add 50 pediatric inpatient rooms as well as new group and individual treatment spaces. The 50 existing inpatient rooms are being remodeled to single occupancy, adult inpatient rooms to better meet current behavioral healthcare standards.Acadia President Scott Oxley knows the expansion is needed. Unfortunately, the kids we see today are sicker than they were 30 years ago, so we need more circulation space, more room for group therapies. And really, our existing facility does not accommodate that, shares Oxley.In addition to the new inpatient rooms, there will also be an expansion of the Mood and Memory clinic for patients with Alzheimer's disease and dementia, and an endowment created for workforce development, recruitment, and retention. All this work requires substantial investment, and Oxley says community support thus far has been exceptional.Long term, the key to our success is early detection, early intervention, keeping folks in their communities, and keeping them out of the highest level of care. The reality is there's such a shortage of inpatient beds, that the need is urgent for inpatient beds while we work strategically and collaboratively on the longer-term plan.For more information about the Capital Campaign go to northernlight.org/AcadiaForAll Donors have given generously to the Acadia for All campaign including the Stephen and Tabitha King Foundation which donated one million dollars.Bingo!How's your heart health?Beverly Fowler is her name and Bingo is her game. Every Monday and Wednesday, Fowler leaves her Bangor apartment and heads to the Bangor Elks Lodge to have lunch with friends, play a few card games, and set up for evening Bingo. Usually on a Monday night, we get between 80 and 100 people, which is a good, good evening. Some winter nights, if it's snowing or something, we only get about 70, but that's still pretty good, she says. Fowler also plays Tuesdays, Thursdays, Fridays, and Sundays. Saturday is a free day, she says with a chuckle.At 83 years old, Fowler enjoys staying active and socializing, but managing her congestive heart failure was slowing her down. I kept filling up with fluids and ending up in the hospital for a week at a time. That's happened three or four times, says Fowler.Alan Jansujwicz, MD, general cardiologist and director of Northern Light Cardiovascular Care is working to improve the quality of life of patients like Beverly by keeping them out of the hospital. We know patients with heart failure end up being hospitalized over the course of time and each hospitalization matters. The statistics say that if you're hospitalized with heart failure, over the next six months to a year, your risk of not doing well is higher than before you were hospitalized, says Dr. Jansujwicz.Now, Northern Light Health is offering a new option to patients like Fowler, so they can monitor their condition and correct course before needing hospitalization. A remote monitoring device is implanted in the patient's pulmonary artery through a blood vessel in the groin. It measures pulmonary artery pressure and sends information to a receiver that resembles a giant pillow, which the patient lays on to take daily readings. The receiver records and sends the information to a secure website where a patient care manager like Janet Glidden, RN, BSN, MBA, reviews it. If Glidden sees troubling changes in a patient's numbers, she can call them and talk about what's happening. I'll look at their readings, and if I see they are ranging up, I'll call. They may not feel like there's any change, but I'll say, Your numbers are up. What did you do differently yesterday?' It almost always relates to diet or having too many fluids, Glidden shares.If the pressure's going up, it tells us the patient might be heading toward heart failure. Maybe we can stop that before it happens by increasing their therapies as opposed to them just slowly slipping into heart failure, getting past that early detection point, and ending up in the emergency department or hospitalized, 1035366484 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true true true true false false true true true true false false true 163 0 true 5175 true true true false false false false false false 0 false false false false false false false X 15 9 true false true false true true true true true false false true true true true true true true true true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Tim Dentry PresidentCEO Ex-Officio 20.00 30.00 X X 0 1840352 60782 Jessica Aronowitz MD Orthopedic Surgeon 40.00 0.00 1206950 0 50362 Stephen R Thompson MD 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Investment in Nursing Homes 3168977 Right-of-Use Operating Lease Assets 9244272 Self-Insurance Funds Held by Trustee 674877 67652619 Accrued Post Retirement Benefits 109099796 Amounts due to Related Org 148326535 Liability Under Lease Obligations 14656865 Other Liability-Commerce Bank 4235563 Reserve for Asset Disposal Costs 2617028 278935787 X Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases 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 X true X true X true true false false true true 6796 2521367 2521367 0.00220 105514 183936017 100942727 82993290 0.07350 112310 186457384 100942727 85514657 0.07570 5 1987 736471 45581 690890 0.00060 2 179 505576 505576 0.00040 1 1263109 1263109 0.00110 1 175 34451 34451 9 2341 2539607 45581 2494026 0.00210 9 114651 188996991 100988308 88008683 0.07780 true 5901142 306040525 446008654 -139968129 X true true Ross Manor Associates Nursing Home 0.50000 Dexter Manor Associates Nursing Home 0.50000 Colonial Acres Nursing Home Nursing Home 0.50000 Katahdin Healthcare LLC Nursing Home 0.50000 Stillwater Healthcare LLC Nursing Home 0.50000 Dover-Foxcroft Healthcare Nursing Home 0.50000 22 Walnut Street LLC Nursing Home 0.50000 1037 West Main Street LLC Nursing Home 0.50000 Park East Villa LLC Nursing Home 0.50000 1 1 NL Eastern Maine Medical Cente 489 State Street Bangor ME 04401 https://northernlighthealth.or 38447 X X X X NL Eastern Maine Medical Cente 1 false false true X X X X X X X X X 22 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 22 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2021 and January 2022. All forms of engagement included public forums, community sponsored events, and oral surveys. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Virtual community forums with residents and service providers were held in the county 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 23, 2021, Penobscot 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, page 23): Bangor Public Health and Community Services, Center for Community Inclusion & Disability Studies, University of Maine, City of Bangor, Community Health Leadership Board, Community members, Downeast Public Health District, Eastern Maine Community College, Eastern Maine Development Corporation, Elliotsville Foundation, Inc., Health Access Network, Maine Department of Health and Human Services, Midcoast Public Health District, Millinocket Regional Hospital, Mobilize Katahdin, Millinocket Memorial Library, Northeastern Workforce Development Board, Northern Light Health, Northern Light Acadia Hospital, Northern Light Beacon Health, Northern Light Eastern Maine Medical Center, Northern Light Eastern Maine Medical Center Board of Trustees, Northern Light Home Care & Hospice, Office of Child and Family Services, Maine Department of Health and Human Services, Partners for Peace, Penobscot Community Health Care, Penobscot Valley Hospital, Penquis Public Health District, Penquis Rape Response Services, Public Health Nursing, Maine Center for Disease Control and Prevention, St. Joseph Healthcare, St. Joseph Hospital, Town of Dexter, United Way of Eastern Maine. New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreach were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people with a disability; people with a mental health diagnosis; people with low income; and youth.Another effort included conducting oral surveys in collaboration with eight ethnic-based community organizations community health workers in order to better reach Maines immigrant population that included: 1,000 surveys were conducted in either English (32%), Somali, (24%), Arabic (23%), French (8%), Spanish (5%), Lingala (3%), and other languages including Swahili, Maay Maay, Portuguese, Oromo, Eretria, Kirundi, and Amara. When asked for their countries of origin, respondents most commonly cited the United States (212), Iraq (205), Somalia (157), The Democratic Republic of Congo (81), Djibouti (70), Kenya (30), and Mexico (29). Other countries of origin mentioned included Rwanda, Ethiopia, Angola, Syria, Guatemala, South Africa, Palestine, Puerto Rico, Morocco, Afghanistan, El Salvador, Nigeria, Canada, Burundi, Eritrea, France, Honduras, Uganda, Jamaica, Mali, Gabon, Sudan, Nicaragua, Peru, and Brazil. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, included other non-Northern Light Health hospitals who were consulted during the engagement process. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11 Northern Light Health recently conducted their 2022 Shared Community Health Needs Assessment that will inform priority work for implementation in FY23 FY25. In FY22, Northern Light Eastern Maine Medical Center developed our plan to address significant needs identified in our 2022 Community Health Strategy (aka, implementation strategy). Though priority work from the 2022 Shared CHNA wont begin until FY23, Eastern Maine Medical Center will be prepared to implement priority work from our 2022 strategy with no gap in implementation efforts between the two CHNA cycles. While conducting the 2022 Shared CHNA research and outreach, Eastern Maine Medical Center continued to implement priority work from the final year, FY22, of the three-year 2019 Community Health Strategy (implementation years FY20, FY21, and FY22). Below reflect these efforts related to the 2019 Community Health Strategy.The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Eastern Maine Medical Centers Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Eastern Maine Medical Center. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light Eastern Maine Medical Center identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Mental healthActions taken by Eastern Maine Medical Center to address this priority in FY22: Northern Light Eastern Maine Medical Center provided the Navigating a Care Pathway to Diagnose and Treat Depression education to providers in all seven primary care sites in quarter three and left open through quarter four. Social determinants of healthActions taken by Eastern Maine Medical Center to address this priority in FY22: Northern Light Eastern Maine Medical Center practices and inpatient units continued to discuss food insecurity screenings with staff to support and remind them of the process. Substance useActions taken by Eastern Maine Medical Center to address this priority in FY22: Northern Light Eastern Maine Medical Center continued to have six sites open for Medication-Assisted Treatment referrals.Access to careActions taken by Eastern Maine Medical Center to address this priority in FY22: Northern Light Eastern Maine Medical Center maintained primary care access for all seven primary care facilities open for new patients for the first two quarters, with five open in the third quarter, and six open in the fourth quarter. They started foundational work for implementation of direct book appointments (patients ability to self-schedule appointments within primary care) which went live on October 19, 2022.Physical activity, nutrition, weightActions taken by Eastern Maine Medical Center to address this priority in FY22: Northern Light Eastern Maine Medical Center conducted two speaking engagements focused on nutrition, hydration, and self-care at Bangor Christian School (25 attendees) and Hampden Academy (30 attendees). Athletic trainers also met with parents/athletes in August at Hampden Academy (150 attendees), Orono High School (70 attendees), Ellsworth High School (100 attendees), and Old Town High School (125 attendees) about proper self-care, hydration, nutrition, and other health related topics before the sports seasons began. Lastly, a workout flyer was created for Northern Light Eastern Maine Medical Center employees and distributed in the fourth quarter.Additional information related to actions taken by Northern Light Eastern Maine Medical Center on the above priorities can be found in their FY22 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Eastern Maine Medical Center considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Eastern Maine Medical Center is currently poised to focus only on the highest priorities identified within the Shared CHNA at this time. The top five priorities identified within the Penobscot County CHNA are being addressed by Eastern Maine Medical Center. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h Income Level Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Eastern-Maine-Medical-CenterResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Shared-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Eastern-Maine-Medical-Center under "Pay My Bill". Northern Light Health Center Union Street Bangor ME 04401 Medical Office Building - physician svc Northern Light Primary Care 7 Main Road North Hampden ME 04444 Medical Office Building - physician svc Northern Light Primary Care 234 State Street Brewer ME 04412 Medical Office Building - physician svc Northern Light Sleep Diagnostics 290 State Street Bangor ME 04401 Medical Office Building - outpatient svc Northern Light Primary Care 302 Husson Ave Bangor ME 04401 Medical Office Building - physician svc Northern Light Internal Medicine 302 Husson Ave Bangor ME 04401 Medical Office Building - physician svc Northern Light Primary Care 84 Kelly Road Orono ME 04473 Medical Office Building - physician svc Northern Light Cardiology 1 Northeast Drive Bangor ME 04401 Medical Office Building - physician svc Northern Light Urology 55 Broadway Suite 2 Bangor ME 04401 Medical Office Building - physician svc Northern Light Neurology 498 Essex St Suite 105 Bangor ME 04401 Medical Office Building - physician svc Physician Prac in Webber Bld 417 State Street Bangor ME 04401 Medical Office Building - physician svc Northern Light Cancer Care 33 Whiting Hill Road Brewer ME 04412 Medical Office Building - cancer treatment Northern Light Primary Care 5721 Cutler Health Center Universit Orono ME 044695721 Ambulatory Care Facility Northern Light Medical Weight Management 404 State St Suite 310 Bangor ME 04401 Medical Office Building - physician svc Northern Light Pediatric Primary Care 133 Corporate Drive Bangor ME 04401 Medical Office Building - physician svc Northern Light Pediatric Specialty Care 133 Corporate Drive Bangor ME 04401 Medical Office Building - physician svc Northern Light Surgical Endoscopy 489 State Street Kagan Bldg Bangor ME 044020404 Medical Office Building - physician svc Northern Light Pediatric Specialty Care 325D Kennedy Memorial Drive Waterville ME 04901 Medical Office Building - physician svc Northern Light Primary Care 600 Main Street Building 11 Bar Harbor ME 04609 Medical Office Building - physician svc Northern Light Vascular Care 489 State Street Kagan Bldg Bangor ME 044020404 Medical Office Building - physician svc Northern Light Rehabilitation 900 Hammond St Bangor ME 04401 Medical Office Building - physician svc Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Eastern Maine Medical Center community benefit report is contained in an annual community benefit report prepared by Northern LIght Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount reported is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Patient Service Revenue and Accounts Receivable section. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 2 - Needs Assessment Food Insecurity Screening in Primary Care and Specialty Care practices. MOU with GSFB in support of food bags provided to those patients in need at time of service, and information for other Community Partners to assist with ongoing Food Insecurity. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language SummaryEastern Maine Medical Center has various care team members, including care managers and leaders, who are knowledgeable about alternative sources of funding for supporting our patient population. Eastern Maine Medical Center's care team works collaboratively with the financial counselors to help navigate patients. Eastern Maine Medical Center also supports patients through the patients experience program to help navigate patient who articulate a need for assistance. Part VI, Line 4 - Community Information Located in Bangor, Maine, Northern Light Eastern Maine Medical Center has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Northern Light Eastern Maine Medical Center patients are community members from the following counties; Aroostook, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and Washington.Penobscot Countys race/ethnicity and selected demographics are provided below for Eastern Maine Medical Center based on the hospitals physical location in Penobscot County.Penobscot County - Race/Ethnicity: American Indian/Alaskan Native 1.3% (1,910), Asian 1.0% (1,492), Black/African American 0.9% (1,291), Native Hawaiian or Pacific Islander 0.0% (58), White 94.5% (143,465), Some other race 0.3% (462), Two or more races 2.0% (3,096), Hispanic 1.4% (2,061), Non-Hispanic 98.6% (149,713), Total county population 151,774.Penobscot County - Selected Demographics: Median household income $50,808, Unemployment rate 5.4%, Individuals living in poverty 14.8%, Children living in poverty 13.9%, 65+ living alone 29.4%, Veterans 9.1%, Gay, lesbian, and bisexual (high school students) 11.7%, Gay, lesbian, and bisexual (adults) 3.7%, Transgender youth (high school students) 1.4%, Persons with a disability 19.0%.Other hospitals serving the Northern Light Eastern Maine Medical Centers community: Based on the State of Maines definition of hospital service area, Northern Light Eastern Maine Medical Centers community is served by an additional two other hospitals, Northern Light Acadia Hospital, and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Eastern Maine Medical Centers service area as having a total of nine medically underserved populations/areas.Northern Light Eastern Maine Medical Centers patients also include community members from a number of other counties where their HSAs are designated as having medically underserved populations and/or medically underserved areas: Aroostook County has four hospitals; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Penobscot County has five hospitals including EMMC; Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; Washington County has two hospitals. Part VI, Line 5 - Promotion of Community Health Northern Light Eastern Maine Medical Center furthers its exempt purpose by promoting the health of the community through the following grant activity in FY22:Community Based Clinical Services: Pediatrics Specialty Clinics genetics clinics; Cleft Lip Cleft Palate Grant; MAKWI-Wabanaki Intertribal Initiative to Recovery; Cystic Fibrosis clinics; Maine Cancer Foundation breast cancer screening - Increasing breast cancer screening and reducing barriers through the Caring Connections program with the Bangor Region YMCA.Health Care Support Services: Maine Cancer Foundation Transportation - Creating a systematic approach to transportation and lodging assistance for rural cancer care patients; Ebola - Ensure Ebola Hospitals are prepared to receive, isolate, assess, and provide quality care to PUI. EMMC is engaged in training community members in areas of high need in youth mental health first aid as well as in the administration of Narcan to further spread a knowledge base to help intervene at earlier stages of need.Social and Environmental Improvement Activities: Good Shepherd Food Bank Community Health & Hunger - Increase the amount of healthy food distributed and/or the number of individuals that are served. EMMC participates in a community health leaders group to address community challenges such as opioid treatment, supporting the health needs of the unhoused population, and childhood mental health. EMMC Family Medicine Residency maintains a fresh food garden with produce available to any patient free of charge throughout the summer months. Northern Light Eastern Maine Medical Center (EMMC) is a collaborative organization led by a volunteer board of directors whose members reside in the organizations service area. The organization extends medical staff privileges to qualified physicians in the community. EMMCs physicians provide itinerant specialty care services in smaller hospitals throughout the region in order to ease the burden for patients who would otherwise need to travel for care. EMMC participates in community-wide coalitions to address the regions most important health needs, including opioid abuse, and a local community health advisory council to influence public health decision making. EMMC maintains a Community Volunteer Impact Team made up of staff members dedicated to the improvement of the community through volunteer engagement. This team has been engaged with activities to benefit area children, support the Ronald McDonald House, and to support other community events.As a nonprofit health organization, EMMC coordinates several initiatives designed to improve community health. EMMC invests in research through its Clinical Research Center and research initiatives at its cancer and heart care centers. The organization ensures the future of care in the region by providing medical education to future family medicine doctors, nurses, and other medical professionals. EMMC supports a health literacy initiative to improve the ability of those with low levels of literacy to access help. The goal of this program is to enhance patients understandings of discharge instructions, medication compliance, and other information, and, ultimately, to improve health outcomes. EMMC provides birthing classes free of charge to all patients in the community. EMMC hosts regular food drives within the organization that support community and patient needs. EMMC has engaged with the Good Shepherd Food Bank to provide take home nutritional support to women and children leaving the hospital through grants and distribution of formula and children's food. Part VI, Line 6 - Affilated Health Care System The 2022 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.Northern Light Eastern Maine Medical Center (EMMC) has a local implementation strategy and community health improvement plan tailored to meet the needs of the communities it serves. While EMMC is responsible for the development and implementation of this plan, the organization works closely with community health professionals from other NLH member hospitals to address state-wide health concerns and share ideas and best practices. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false Alison Worster VP/HR & Pt Exp 214508 55823 8891 12906 30975 323103 Anthony Filer SVPCFO Treasurer 574255 344462 15453 26100 35016 995286 Carolyn Fetha VP Provider Svs 111681 18310 4383 11298 29329 175001 David Pantino MD Cardiothoracic Sur 671618 229485 2983 16346 29830 950262 Deborah Sanford VP/Nursing&PCS 276478 65764 4072 26713 14326 387353 Eric Ralph Hafener Former VP Compliance & Privacy 188772 42792 3109 14840 976 250489 George Eaton SVP Chief Legal Secretary-Pt Yr 244831 9855 20537 22352 297575 Glenn Martin SVP Chief Legal Secretary-Pt Yr 426623 161695 124910 90651 22050 825929 80809 Holly Fanjoy Board Member 285729 28500 55007 20300 32523 422059 James Clarke MD Sr VP/Sr Phy Ex 418666 97221 25544 26100 35742 603273 James Jarvis Former SVP, Sr Physician Executive 333957 240 14800 23200 32665 404862 Jay Matthew Marston VP Pharmacy 152185 59025 500 9437 11676 232823 Jessica Aronowitz MD Orthopedic Surgeon 800891 384739 21320 17400 32962 1257312 John D Klemperer MD Physician 826243 226994 8499 26100 32483 1120319 Kathryn Rutledge MD Ex-Officio 230938 2901 19586 34172 287597 Marc Edelman Sr VP/COO 329459 74671 6482 23200 26247 460059 Michael Reid VP/Phy Services 263783 67085 23511 21543 22011 397933 Noah Lundy VP HR East Reg 5027 145940 1407 40826 735 21341 378 10979 382 11093 7929 230179 Philippe Morissette Sr VP Finance 334597 79923 5927 23200 4125 447772 Rand O'Leary Ex-Officio 548450 173553 15302 23200 23790 784295 Stephen R Thompson MD Orthopedic Surgeon 581279 493012 2743 20300 30051 1127385 Tim Dentry PresidentCEO Ex-Officio 1006465 377555 456332 25716 35066 1901134 436044 Tracey Roberts VP/Compliance 162228 35542 3708 14211 2644 218333 Wayne R Waterman MD Neurosurgeon 837367 25062 23200 33366 918995 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Holly Fanjoy, trustee $14,750Alison Worster, officer 2,250 The following received a gift card:Jay Matthew Marston, officer $ 200The following received a wellness program incentive:Marc Edelman, officer $ 400Carolyn Fetha, officer 30 James Jarvis, former officer 400Noah Lundy, officer 200Michael J. Reid, officer 400Kathryn Rutledge, trustee 160 Deborah M. Sanford, officer 400 The benefit is available for all employees. A Maine Health and Higher E 010314384 56042RVZ2 2020-04-03 49011499 Refund 2010A Issue false false false A 7865000 57103677 4594250 34485000 586471 17437956 2020 false true true true A false false false false false true A false true 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-Principle, and DSRF balance totalling $8,092,178. Richard Riemersma MD brd memb is director 129043 DCPA-Pathology servi false Ava Geaghan fam mem=officer 18309 compensation false Tracey Whitten brd mem=brd mem 252011 Husson Univ-nurse prog as false Alison Worster brd mem=brd mem 126145 Bangor YMCA-com sup assit false Schedule L, Part V Supplemental Information Richard Riemersma, MD, board member is a director of Dahl Chase Pathology Assoc (DCPA) board. Northern Light Eastern Maine Medical Center (NL EMMC) had business transactions with DCPA to provide pathology services during the fiscal year.Ava Geaghan is a family member of an officer and is an employee of NL EMMC.Tracey Whitten, board member is a board member of Husson University. NL EMMC had business transactions with Husson University to provide nursing program assistance during the fiscal year.Alison Worster, officer is a board member of Bangor YMCA. NL EMMC had business transactions with Bangor YMCA to provide community support assistance during the fiscal year. X 1 25570 FMV X 5482 FMV X 6 6560 FMV X Wheelchair 1 36000 FMV X Gas Grill 1 300 FMV X Gift Bags 1 1000 FMV X Gift Cards 18 5335 FMV X Jewlery 1 599 FMV X Tickets 4 2234 FMV X Tote Bags 1 1851 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Yes, PleaseSelf-Scheduling for busy peopleEmily Tadlock is a busy working mom with a blended family that includes her partner, Jim Bertolino, his three children, James 16, Isabella 14, Ruby 6, and their infant daughter, six-month-old Elena. A typical day starts preparing formula and getting diapers changed, making breakfast and packing lunches, and getting kids to school and daycare. Then, it's time to work a full day, and juggle after school pickups and activities such as theater practice or track practice. It's nonstop. There's always something going on, shares Tadlock. While Tadlock and Bertolino are tech savvy (he's a software engineer and she's a marketing manager for Northern Light Health), they use a very low-tech, giant white-board calendar in their kitchen to help keep all six schedules straight. We try to keep track of meals and our grocery list on there, too. If we don't have any more chocolate milk or we're almost out, we write it down there.With so much going on in their daily lives, flexibility is something they covet. Tadlock is a big fan of Northern Light Health's new online self-scheduling tool for pediatric and primary care appointments. A lot of times when I call a doctor's office, I have to sit down in front of my calendar to compare with their calendar. They have to say, okay, we have this time. Nope, that doesn't work. Okay, we have this time; that doesn't work either. Whereas with this, I can just pull it up and see what's open and it's easy for me to go, Oh this is the perfect time; here it is.' Even if I get distracted; if Ruby comes over and asks me for a paper towel or whatever, I can still come right back to it. I don't have to try to hold her off while I'm on the phone.Mary Archdeacon, a patient service representative at Northern Light Pediatric Care in Bangor agrees scheduling takes a lot of time. If somebody calls with three kids to schedule three well child visits, that's a long time on the phone, and we could be doing other tasks such as answering patient questions, shares Archdeacon.Darmita Wilson, vice president of operations for the Northern Light Medical Group says self-scheduling is just one of the new digital offerings designed to improve patient access and experience, staff experience, and employee job satisfaction.It is a splendid way for us to bring healthcare to patients. We can provide care how patients want it, when they want it, and where they want it. Self-scheduling is one of the basic tenets of all things going forward, shares Wilson. Other digital experience applications allow patients to fill out their paperwork electronically before coming to the medical practice, saving time in reception.Northern Light Health offers self-scheduling for many pediatric and adult primary care visits, as well as screening mammograms at most locations. Current patients can get to the tool through the patient portal, but even new patients can schedule appointments online using the Provider Finder or the Schedule an Appointment links found on Northern Light Health websites. Access is what Northern Light is really all about, adds Wilson.For Tadlock, less time on the phone and more time with her family is something to be celebrated. It's a game changer for busy families for sure.A Different Kind of PharmacistAre you in control of your diabetes?Darlene Ouellette is a retired schoolteacher who often put her health needs behind the rest of her family. Caring for her children, including a son with autism, was her priority. On a recent visit with her primary care provider, who happened to be a former student, she had a frank conversation about her health.I felt very comfortable talking to my provider about what was going on in my life, the stress levels and everything. She said she was concerned; she said, Would you mind talking with Jessica, our pharmacist, and we'll see where we can go with it?' I said, Sure. I knew at that point I had to do something, recalls Ouellette, who was struggling to keep her blood pressure and diabetes in check.What Ouellette, did not realize, was that Jessica Bates, PharmD, is not the type of pharmacist that you visit in a retail pharmacy and have a conversation with while picking up medications. Bates is an ambulatory care pharmacist.Primary care practitioners refer patients to meet with me for a variety of reasons ranging from diabetes to high blood pressure to medication management. I work directly with the practitioner which allows me to adjust people's medication and provide education about their medications. I also review their medication list for drug interactions and streamline their therapy to ensure they're on the optimal medications, shares Bates. But limiting the number of medications they have to take is the primary goal.Patients like Ouellette, meet with Bates in her office, typically for 20-40 minutes. The discussion is primarily about medications and Bates says she can learn a lot about her patients in those meetings that she can share with the primary care practitioners in addition to information she learns about new and existing medications.We have monthly meetings, and I usually provide updates for them about clinical guideline changes, new and emerging therapies, or clinical trials that have been published. This relationship is mutually beneficial for the provider, for me, and ultimately the patients, says Bates.Ouellette is a huge fan of this added level of collaboration and care. After ignoring her own medical needs for so long, she's now making progress. She is more careful about her diet and goes for walks every day. She says Bates helped get her blood pressure medications adjusted and her diabetes in check.If people come up to me and say, what are you doing? I tell them it's a collaboration between me, my pharmacist, and my physician. We talk all together. It makes it so much easier to know everyone's on the same page. They want to do what's right for you, and they want to try to make sure you're doing well in terms of not only your physical health but your mental health too!Keeping it LocalHow was your trip to see us?Nearly 20 years ago, Gavin Ducker, MD, joined Northern Light Health to become what he calls a country doctor. Since that time, Dr. Ducker has provided primary care to thousands of patients in towns throughout central Maine at Northern Light Primary Care in Waterville. He's made the wellness of others his professional commitment and has seen the importance and benefits of screenings for the early detection of lung cancer. He also knows the importance of keeping care close to home. Over the years, I've had many patients die from lung cancer. It's a sad moment, and I've often wondered how we could have effectively detected those cancers early on to try and cure them. Despite years and years of research, we've never come up with an effective way of doing that until about six or seven years ago. OTHER PROGRAM SERVICES 5: When it comes to lung cancer, early detection is key. Seventy-five percent of cancer cases in Maine are detected too late and, as a result, are less likely to be curable. So, when Dr. Ducker has a patient who may qualify for Northern Light Eastern Maine Medical Center's Lung Cancer Screening Program, patient navigator Amy McClary, RN, steps in. The Lung Cancer Screening Program is helping patients discover potential issues earlier, resulting in more treatment options, and leading to brighter and better outcomes. To make the process more convenient for people in rural areas, Eastern Maine Medical Center partners with hospitals in smaller communities, allowing patients to have a low-dose CT scan done closer to home. Once complete, Amy and her team take it from there, handling everything from tracking appointments to working with the patient's local primary care provider, like Dr. Ducker.Having this program is so important because early-stage lung cancer is asymptomatic. A lot of the cancers we find are people who just came in for their normal scan, had no symptoms, and didn't even realize they were walking around with this cancerous lung nodule in them. The symptoms for lung cancer don't appear until very late stage when there are fewer treatment options available, explains McClary.Ryan Saucier, BS, RDMS, RT(R), CRA, director of Medical Imaging at Northern Light Inland Hospital has witnessed first-hand how the collaboration helps patients stay close to home. Instead of driving to Bangor for a five minute scan, patients are scanned with state-of-the-art equipment right at Inland Hospital. When I think of providing this service to the community and the potential to make a difference in catching a cancer that 75 percent of the time is found too late, it's a wonderful opportunity to make a difference in someone's life by participating in this kind of work. I ask myself, how do we find a way to serve our patients in a meaningful way?X And this is a great way that we're able to do it, and it feels good.The Nat Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et George Eaton, officer and Susan Hammond, board member are board members of Bangor Savings Bank Foundation. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Bylaws as follows:(1)Amended Article I (Name, Purpose, Registered Agent, Office, Seal), Section 1 (Name) added The Corporation is duly registered in the State of Maine to carry on activities under the assumed name Northern Light Eastern Maine Medical Center..(2)Amended Article III (Board), Section 2 (Number and Tenure; Qualifications) removed subsection c.a.(3)Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings) (a)Removed in Bangor, Maine from the first sentence in Section 5: The Annual Meeting of the Corporation for the election of the Board of Trustees shall be held in Bangor, Maine during the months of (XXXX or YYYY) in each year, at such time and place as shall be fixed by the Board of Trustees and set forth in the notice of the meeting.(b)Changed (XXXX or YYYY) to January or February in the sentence listed in 2(a) above.(4)Amended Article III (Board), Section 12 (Participation in Meeting by Telephone) (a)Changed Section name to Remote Participation in Meeting(b)Changed to Board members, or members of any Board committee, may participate in a meeting of the Board or such committee by, or conduct the meeting through the use of, any means of communication by which all persons participating in the meeting may simultaneously hear each other during the meeting, and such participation in a meeting shall constitute presence in person at such meeting(5)Amended Article V (Committees), Section 4 (Designations) - added although a non-Trustee committee member may chair a committee meeting in the absence of the committee chair to the end of the third sentence in Section 4, which now reads: Individuals other than Trustees may serve on all committees, provided nevertheless that the chair of each committee shall always be a Trustee, although a non-Trustee committee member may chair a committee meeting in the absence of the committee chair.(6)Amended Article V (Committees), Section 8 (Quality and Professional Affairs Committee) removed the last sentence of Section 8: A majority of the Committee must be independent as defined in Article VIII when functioning with such delegated authority.(7)Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustee) (a)Changed in subsection b.$10,000 to $100,000 in Neither the Trustee nor any member of the immediate family of the Trustee has, within any of the last three fiscal years of the Corporation, accepted payments from the Corporation and/or its affiliates aggregating in excess of $10,000 other than compensation to an immediate family member employed by the Corporation or any of its affiliates in a non-executive capacity, compensation for former services as chair or president, or benefits received under a tax-qualified retirement plan.(b)Changed in subsection e. $80,000 to $100,000 and $4,000,000 to $5,000,000 in Neither the Trustee nor any member of the immediate family of the Trustee is, or has been within the last three years, a partner, member, shareholder or executive officer of a company that made payments to, or received payments from, the Corporation and/or its affiliates in an amount which, in any of the last three fiscal years of the Corporation, 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.(8)Amended Article IX (Indemnification), Section 1 (Indemnification) - changed to read as follows:(a)The Corporation (i) shall in all cases indemnify any person who is or was at the time of the conduct in question, a trustee, officer or member of a committee of the Board of Trustees, or a director, officer or a member of a committee of the Board of Directors of the Corporations Member (Mandatory Indemnitees), and (ii) may (subject to subsection (c) of this section) indemnify any other person, who is or was a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative, by reason of the fact that such person is or was a trustee, officer, employee or agent of the Corporation or the Corporations Member, or is or was serving at the request of the Corporation as a director, officer, trustee, partner, fiduciary, employee or agent of another corporation, partnership, joint venture, trust, pension or other employee benefit plan or other enterprise (Discretionary Indemnitees) by reason of the fact that such person is or was a Board member, officer, employee or agent of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against expenses, including attorneys' fees, judgments, fines and amounts paid in settlement, actually and reasonably incurred by such person in connection with such action, suit or proceeding. Nevertheless, no indemnification shall be provided for any person with respect to any matter as to which such person shall have been finally adjudicated in any action, suit or proceeding not to have acted in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful. The termination of any action, suit or proceeding by judgment, order or conviction adverse to such person or by settlement or plea of nolo contendere or its equivalent shall not of itself create a presumption that such person did not act in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful.(b)Indemnification of Mandatory Indemnitees shall be required in all cases regardless of the capacity in which such Trustee or a Director of the Corporations Member is or was made or threatened to be made a party to the action, suit or proceeding.(c)Indemnification of Discretionary Indemnitees under subsection (a)(ii), unless ordered by a court or required by these Bylaws, shall be made by the Corporation only as authorized in the specific case upon a determination that indemnification is proper in the circumstances and in the best interests of the Corporation. Where such a determination is required under this subsection, that determination shall be made by the Board of Directors of the Member and a majority vote of the Board of Trustees by Trustees who were not parties to that action, suit or proceeding. Provided, however, that if more than half of the Trustees are involved in such action, suit or proceeding, the determination shall be made by a majority vote of a committee of five disinterested Trustees chosen by the disinterested Trustees at a regular or special meeting. If there are fewer than five (5) disinterested Trustees, the determination shall be based upon the opinion of independent legal counsel retained by the Corporation for such purpose. Such a determination once made may not be revoked and, upon the making of that determination, the person being indemnified may enforce the indemnification against the Corporation by a separate action notwithstanding any attempted or actual subsequent action by the Board of Trustees or the Board of Directors of the Member.(9)Amended Article IX (Indemnification), Section 2 (Advances Against Expenses) added by a Mandatory or Discretionary Indemnitee and provided, however that advances for expenses incurred by Discretionary Indemnitees shall be made to the extent authorized for such Discretionary Indemnitee in accordance with Section 1(c) above. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the SVP of Finance. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Eastern Maine Medical Center and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and EMMC Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Net Change in Funds Held at Affiliates = -$6589565 Other Changes In Net Assets Or Fund Balances - Other Increases Post Retirement Health Benefit FAS158 = $22674626 M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 79241772 14440346 EMMC LTC LLC 43 WHITING HILL ROAD BREWER ME 04412 010211501 Operation of Nursing Homes ME 286716 3168977 EMMC Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II N/A false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Northern Light Health Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false 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 false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 225 Gorham Rd STE 200 South Portland ME 04106 010246804 Provide home health & hospice services ME 501(c)(3) 10 EMHS false WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Maine Coast Regional Health Facilities d 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCH false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street DoverFoxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false Colonial Acres Nursing Home 100 Waterman Dr South Portland ME 04106 010456929 Nursing Home ME N/A Related 26116 2213889 false true 0.50000 Katahdin Healthcare LLC 100 Waterman Dr South Portland ME 04106 270855625 Nursing Home ME N/A Related 90186 780902 false true 0.50000 Stillwater Healthcare LLC 100 Waterman Dr South Portland ME 04106 273000166 Nursing Home ME N/A Related 431283 2566973 false true 0.50000 Dover-Foxcroft Healthcare LLC DBA Hib 100 Waterman Drive 4th Floor South Portland ME 04106 463813555 Nursing Home ME N/A Related 15440 1897341 false true 0.50000 22 Walnut Street LLC 100 Waterman Dr South Portland ME 04106 270855521 Real Estate ME N/A Related 11333 132895 false true 0.50000 1037 West Main Street LLC 100 Waterman Drive South Portland ME 04106 463807922 Real Estate ME N/A Related 4778 1991677 false true 0.50000 Park East Villa LLC 100 Waterman Dr South Portland ME 04106 833527254 Nursing Home ME N/A Related 4470 805434 false true 0.50000 Ross Manor Associates 100 Waterman Dr South Portland ME 04106 010448532 Nursing Home ME N/A Related 667849 7708455 false true 0.50000 Dexter Manor Associates 100 Waterman Dr South Portland ME 04106 010435902 Nursing Home ME N/A Related 35943 808884 false true 0.50000 Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical lab ME AHS C false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C false false false false false false false false false false true true true true false false true false false true