2023-08-07T13:37:30-07:00 2022-09-30 990 2021-10-01 010421234 Lakewood Northern Light Continuing Care Lakewood LAKE 2079739081 220 Kennedy Memorial Drive Waterville ME 04901 John J Doyle NLH VP of Finance 2023-08-07 false John J Doyle 999009999 2 AAL1 IAL1 FAL1 2021 2023-04-26 12:10:37Z John J Doyle 11754616 false 5247 X https://northernlighthealth.org/Lakewood X 1983 ME Lakewood d/b/a Northern Light Continuing Care Lakewood is a 105 bed long-term care facility that provides skilled, dementia and long-term nursing care. 7 6 152 11 0 314165 283135 9326562 11459376 12445 12105 22244 0 9675416 11754616 0 0 6193766 6549661 0 0 4479411 5814566 10673177 12364227 -997761 -609611 8416936 8327167 7561158 8025760 855778 301407 X Lakewood d/b/a Northern Light Continuing Care Lakewood is a 105 bed long-term care facility that provides skilled, dementia and long-term nursing care. false false 10621266 11459376 Provide Skilled, Dementia and Long-Term Nursing Care Northern Light Continuing Care Lakewood is a 105 bed long-term care facility in Waterville, Maine. Northern Light Continuing Care Lakewood is a not-for-profit skilled nursing facility that has cared for the residents of Central Maine for more than thirty years. During fiscal year 2022 Northern Light Continuing Care Lakewood had a 85% occupancy rate. Northern Light Continuing Care Lakewood is a member of Eastern Maine Healthcare Systems d/b/a Northern Light Health. Please see the following excerpt from the Northern Light Health Annual Report 2022 to the Community for detail of 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. 10621266 true true false true false false false false false true true false false false true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 13 0 true 152 true false false false false false false false 0 false false false false false false false X 7 6 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 J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Paul Bolin SVP & CPO 0.50 50.00 X 0 429549 105611 Theresa Vieira President-Pt Yr 0.50 50.00 X X 0 386782 48892 Chris Frauenhofer VP Fin-Pt Yr 5.00 45.00 X 10352 278071 58105 Randall Clark VP-Fin-Pt Yr 10.00 40.00 X 0 273570 41311 Walter Rick Barry President-Pt Yr 0.50 50.00 X X 0 274345 22909 Patti J Gagne Registered Nurse I 40.00 0.00 180647 0 23836 Diane Lessard CNA III 40.00 0.00 162080 0 20285 Nympha Ferris CNA III 40.00 0.00 159873 0 21130 Tricia Costigan President-Pt Yr 0.50 50.00 X X 0 153439 25129 Luigi S Tacadena Clinical House Sup 40.00 0.00 131403 0 10446 Kendall Bailey Administrator 40.00 0.00 X 47593 0 7175 Christopher L Gaunce Director 0.50 0.00 X 0 0 0 Crystal Olsen Director 0.50 0.00 X 0 0 0 Bryan Ward Esquire Chairman 0.50 0.00 X X 0 0 0 John Marden Director 0.50 0.00 X 0 0 0 P James Nicholason Vice Chr-Pt Yr 0.50 0.00 X X 0 0 0 691948 1795756 384829 4 false true false Select Rehabilitation LLC PO Box 71985 Chicago IL 606941985 Temporary Staffing 340985 Expert Staffing of Maine 2 Menzone Drive Dudley MA 01571 Temporary Staffing 217266 MAS Medical Staffing PO Box 4473 Houston TX 772104473 Temporary Staffing 258014 Pine Tree Home Health Care PO Box 88 New Gloucester ME 04260 Temporary Staffing 106536 All Med Staffing of New England 744 Roosevelt Trail Ste 301 Windham ME 04062 Temporary Staffing 266043 6 170987 35041 77107 7754 283135 Cafeteria Revenue 722210 5573 5573 Net Patient Care Revenue 623000 11453803 11453803 11459376 12105 12105 0 0 0 0 0 0 0 0 11754616 11453803 17678 X 0 0 0 0 67205 67205 0 5019303 4134267 885036 49939 39535 10404 1024090 843797 180293 389124 317412 71712 0 190 190 1664 1664 0 0 1882 1788 94 2735378 2454440 280938 0 488958 413185 75773 339253 276331 62922 0 403686 364223 39463 665 383 282 0 4661 2755 1906 168769 160327 8442 0 291541 262353 29188 82115 66885 15230 Taxes and Licensing 690610 690240 370 Medical Supplies Expense 493198 493198 Maintenance & Repair 84302 74753 9549 Dues & Subscriptions 13871 13871 13823 11333 2490 12364227 10621266 1742961 0 2832259 2607213 82083 3008 0 1352962 1639574 0 0 0 5988 5596 17792 0 12135720 8920383 3328753 3215337 0 0 0 474000 474000 323099 382439 8416936 8327167 1965125 2212746 1155634 1585128 4440399 4224756 3130 7561158 8025760 X 652690 41623 203088 259784 855778 301407 8416936 8327167 X -609611 55240 X false true X true false X Part I: Additional Information Although Northern Light Continuing Care Lakewood is classified as a public charity hospital under Internal Revenue Code Section 170(b)(1)(A)(iii), Northern Light Continuing Care Lakewood is not licensed by the State of Maine as a hospital facility and therefore is not required to file Schedule H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 2378 2378 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues Part IV - Additional Information 55282 194711 -40060 1965 207968 47059 9129 906 55282 22875 25500 -404 912 47059 23448 564 1137 22875 23324 500 738 1114 23448 0.04000 0.96000 false true true 5781415 4080978 1700437 5433694 4061833 1371861 920611 777572 143039 3215337 Lease Obligation-Finance Lease 3130 3130 X 11575875 11575875 178741 178741 11754616 12294874 12294874 69353 69353 12364227 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax 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. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Contributions from Fund Bal $7754 Interentity Equity Trans. from Fund Bal $170987 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Expenses from Fund Bal $69353 X true true false true false false false false false false false Chris Frauenhofer VP Fin-Pt Yr 7639 205213 2002 53766 711 19092 832 22367 1253 33653 12437 334091 Diane Lessard CNA III 154881 2141 5058 20285 182365 Nympha Ferris CNA III 152948 1192 5733 1744 19386 181003 Patti J Gagne Registered Nurse I 170006 541 10100 3526 20310 204483 Paul Bolin SVP & CPO 381000 19733 28816 74824 30787 535160 Randall Clark VP-Fin-Pt Yr 213375 56118 4077 7214 34097 314881 Theresa Vieira President-Pt Yr 274360 84394 28028 25082 23810 435674 Tricia Costigan President-Pt Yr 131190 20882 1367 3152 21977 178568 Walter Rick Barry President-Pt Yr 211002 47766 15577 11638 11271 297254 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Nympha Ferris, highest compensated employee $400 Patti Gagne, highest compensated employee 400 Diane Lessard, highest compensated employee 400 The benefit is available for all employees. A Maine Health and Higher E 010314384 56042RQL9 2017-12-28 6230992 To refund the 2007B Bond false false true A 785000 6230992 394900 4235000 61966 1539126 2017 true false true true A false false false false false true A false true false false false true A true Part VI Part IV, Line 2c, Column A, date the rebate computation was performed - 2/24/20 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: 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, adds Dr. Jansujwicz.Fowler says the device is indeed working, she thinks it's kept her out of the hospital at least five times so far and she's had it for less than a year. It does require the patient to commit to taking a daily reading, every week of the year even when traveling. For Fowler, it's a necessary inconvenience that keeps her out of the hospital so she can spend her time where she wants to be, which most days, is at bingo.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. OTHER PROGRAM SERVICES 5: 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 provide Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Tricia Costigan, board member/officer and Christopher Gaunce, board member are board members of Central Maine Growth Committee. 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 Continuing Care Lakewood.(2)Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings) removed held in Waterville, Maine from the first sentence of Section 5: The Annual Meeting of the Corporation for the election of the Board of Directors shall be held in Waterville, Maine during the month of January in each year, at such time and place as shall be fixed by the Board of Directors and set forth in the notice of the meeting.(3)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(4)Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Director) (a)Changed in subsection b. $10,000 to $100,000 in Neither the Director nor any member of the immediate family of the Director 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 Director nor any member of the immediate family of the Director 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.(5)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 Director, officer or member of a committee of the Board of Directors, or a trustee, director, officer or a member of a committee of the Board of Trustees or Directors, as the case may be, of the Corporations Member or of Eastern Maine Healthcare Systems (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, director, officer, employee or agent of the Corporation or the Corporations Member of Eastern Maine Healthcare Systems, 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 Director or a trustee or director of the Corporations Member or of Eastern Maine Healthcare Systems 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 by the Board of Directors of Eastern Maine Healthcare Systems and a majority vote of the respective boards by Trustees and Directors who were not parties to that action, suit or proceeding. Provided, however, that if more than half of the Trustees and Directors are involved in such action, suit or proceeding, the determination shall be made by a majority vote of a committee of five disinterested Directors of Eastern Maine Healthcare Systems chosen by the disinterested Directors of Eastern Maine Healthcare Systems at a regular or special meeting. If there are fewer than five (5) disinterested Directors of Eastern Maine Healthcare Systems, the determination shall be based upon the opinion of independent legal counsel retained by Eastern Maine Healthcare Systems 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 Directors or the Board of Trustees of the Member or by the Board of Directors of Eastern Maine Healthcare Systems.(6)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 Lakewood d/b/a Northern Light Continuing Care Lakewood (the "Corporation") is a Maine nonprofit corporation. Inland Hospital d/b/a Northern Light Inland Hospital (the "Member"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Member has authority to elect directors of the Corporation. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The Member has authority to approve amendments to the Corporation's articles of incorporation and to its bylaws. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP, 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 Northern Light Continuing Care Lakewood's SVP, President is employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Health Light (NLH) and reports directly to the NLH Chief Executive Officer (CEO). 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 & 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 Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Continuing Care Lakewood makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in net assets held @ NLH Foundation = $54277 Other Changes In Net Assets Or Fund Balances - Other Increases Interentity Equity Transfer-NLH Foundation = $963 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 service 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 false 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 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II EMHS 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 Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS false 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 Rd Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 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 and 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 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 LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC 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 Affiliated Healthcare System 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 false true true true false false true false false true