2022-08-03T09:29:43-07:00 2021-09-30 990 2020-10-01 010459837 Acadia Hospital Corp Northern Light Acadia Hospital ACAD 2079739081 43 Whiting Hill Road Brewer ME 04412 John J Doyle NLH VP of Finance 2022-08-03 false John J Doyle 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z John J Doyle 66802787 false 5247 X https://northernlighthealth.org/Acadia-Hospit X 1987 ME The primary mission and significant activities of Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. 15 11 818 16 0 252396 213248 62552466 66416856 68018 53645 136 119038 62873016 66802787 0 0 43592388 44650591 0 0 12752575 15061181 56344963 59711772 6528053 7091015 44827005 52256268 23896037 21495957 20930968 30760311 X The primary mission and significant activities of Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital are the provision of inpatient and outpatient psychiatric and mental health services to children, adolescents, and adults. false false 52207082 66535856 Northern Light Acadia Hospital's 36-bed adult inpatient service provided 10,265 patient days of care to 695 patients. Patients are referred primarily from a large, nine county area of northern, eastern, and central Maine. Northern Light Acadia Hospital's 32-bed child and adolescent inpatient service provided 10,550 patient days of care to 465 patients. The adult outpatient clinic provided the following number of patient encounters: 9,274 - intensive outpatient program; 20,199 medication management; 21,400 therapy and 4,597 geriatric. 52207082 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true false false false true false false false false false false false false false true true true false false true 27 0 true 818 true false false false false false false false 0 false false false false false false false X 15 11 false false false false true true true true true false false true true true true true true true true false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Timothy Dentry Ex-Officio 0.50 50.00 X X 0 1055785 145096 Anthony Filer Treasurer 2.00 50.00 X 0 758458 57247 Glenn Martin Esq Secretary 2.00 50.00 X 0 651790 112497 Mary Michelle Hood Former NLH President & CEO 0.50 50.00 0 599997 18136 Paul Bolin SVP & CHRO 0.50 50.00 X 0 459978 106714 Scott Oxley SVP, President 50.00 0.00 X X 455849 0 91922 John Campbell MD Ex-Officio 50.00 0.00 X X 371572 0 52695 Mark Allen Physician-Psychiat 40.00 0.00 384620 0 38056 Joshua Newman Medical Director 40.00 0.00 327741 0 52115 Charmaine Patel Medical Director 40.00 0.00 342734 0 36611 Clifford Singer Chief-Geri Psych 40.00 0.00 319367 0 36195 Marie KDickinson VP, Fin & Ops 50.00 0.00 X 310591 0 40556 Mahdieh Bodaghi Physician-Psychiat 40.00 0.00 293192 0 18441 Brent Scobie VP, CSQ 50.00 0.00 X 215290 0 54362 Wayne Stellar PMHNP Former VP, NPCS 50.00 0.00 212325 0 45202 Allan D Currie MD Trustee 0.50 10.00 X 0 12861 0 Craig Hadley CPA Trustee 0.50 0.00 X 0 0 0 Judith A Horan Trustee 0.50 0.00 X 0 0 0 Regan Nickels Trustee 0.50 0.00 X 0 0 0 Charles T McHugh MD Trustee 0.50 0.00 X 0 0 0 Richard Rosen Trustee/Vice Ch 2.00 0.00 X X 0 0 0 Anne E Pooler EdD Trustee 0.50 0.00 X 0 0 0 Kara Hay Trustee/Chair 2.00 0.00 X X 0 0 0 Edward Gould Esq Trustee 0.50 0.00 X 0 0 0 Teresa Willett Steele RN PhD Trustee 0.50 0.00 X 0 0 0 Shirar Patterson Trustee 0.50 0.00 X 0 0 0 James E Rogers Jr Trustee 0.50 0.00 X 0 0 0 Dyan Walsh Trustee 0.50 0.00 X 0 0 0 Winston Chung MD Trustee 0.50 0.00 X 0 0 0 3233281 3538869 905845 49 true true false Massachusetts General Physicians Organization PO Box 3662 Boston MA 022413662 Phys & Leadership Svcs 214311 Securitas Sec Svs USA Inc PO Box 403412 Atlanta GA 303843412 Security Services 197657 Locumtenenscom 2655 Northwinds Parkway Alpharetta GA 30009 Physician Services 993243 Simplifi 5020 Northshore Drive Suite 2 North Little Rock AR 72118 RN Services 277381 Augmedix Inc 1161 Mission Street Ste B-100 San Francisco CA 94103 Scribing Services 176472 7 73428 132006 7814 1930 213248 Cafeteria 722514 85378 85378 Net Patient Care Services 621990 66331478 66331478 66416856 53645 53645 0 0 0 0 0 0 0 Meaningful Use 621990 119000 119000 Miscellaneous 812900 38 38 119038 66802787 66450478 139061 X 0 0 0 0 1592837 693919 898918 0 33367503 31404457 1963046 1955007 1838342 116665 5418154 5120287 297867 2317090 2179765 137325 0 3925 3530 395 9355 9355 0 0 798 798 7294318 4193748 3100570 100961 100961 1000792 559247 441545 2427653 2290189 137464 0 637850 501088 136762 11112 10142 970 0 95182 92884 2298 -967 -968 1 0 794101 621213 172888 628527 592419 36108 Taxes and Licenses 1305780 1305126 654 Medical Supplies 494527 494527 Repairs & Maintenance 111714 77023 34691 Dues & Subscriptions 71928 64919 7009 73625 63466 10159 59711772 52207082 7504690 0 24477833 23346258 0 1173 10959410 18477464 2496 996 0 43444 34828 89000 62793 110849 133201 34383448 26084610 8365808 8298838 0 0 0 0 778165 1900717 44827005 52256268 8258052 8706975 1047384 622526 47491 14543110 12166456 23896037 21495957 X 20386299 29136579 544669 1623732 20930968 30760311 44827005 52256268 X 7091015 2738328 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 8594 8594 false false Part II-B, Line 1i - Other Activities Description Non deductible portion of dues and coalition lobbying fees. 494724 201850 80931 15426 762079 406875 101700 1166 15017 494724 413464 2600 8580 17769 406875 415576 2400 11905 16417 413464 394598 4100 31732 14854 415576 0.02420 0.97580 false true true 447123 447123 16955555 12244730 4710825 13548977 11109960 2439017 3431793 2729920 701873 8298838 Deferred Liab-Post Retirement Benefits 12153753 Lease Obligation-Finance Lease 12703 12166456 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items, including unrelated business income or tax status. Under guidance issued by 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. true true true X true X true true false false true true 544 7940767 7940767 0.13300 544 7940767 7940767 0.13300 9 2105 520744 520744 0.00870 7 454554 454554 0.00760 1 1643 1643 17 2105 976941 976941 0.01630 17 2649 8917708 8917708 0.14930 true 1121745 4894419 8732652 -3838233 X true true 1 1 Northern Light Acadia Hospital 268 Stillwater Avenue Bangor ME 04401 northernlighthealth.org/Acadia 38093 X Northern Light Acadia Hospital 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Acadia Hospital - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide 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 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 19, 2018 Penobscot County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Penobscot County CHNA report, pages 27-29): Bangor Area Public Health Advisory Board, Bangor Public Health and Community Services, Bangor Public Health Department, Catholic Charities, Center for Community Inclusion and Disability Studies, University of Maine, Charlotte White Center, Eastern Area Agency on Aging, Health Access Network, Health Equity Alliance, Husson University - Nursing, Maine CDC/DHHS, Maine Quality Counts, Millinocket Regional Hospital, Missionary Sisters of the Immaculate Conception, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Eastern Maine Medical Center, Northern Light Eastern Maine Medical Center Auxiliary, Northern Light Health, Northern Light Home Care & Hospice, Northern Light Sebasticook Valley Hospital, Partners for Peace, Penobscot Community Health Care, Penobscot Valley Hospital, Penquis, Penquis Public Health District, Retiree, St. Joseph Healthcare, St. Joseph Hospital, St. Joseph Internal Medicine, Starboard Leadership, United Methodist Church, United Way of Eastern Maine, University of Maine, University of Maine School of Nursing, University of Maine School of Nursing - Community Nursing 452, U.S. Senator Angus King's Office, Wellspring, Inc.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light Acadia Hospital - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (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. Facility: Northern Light Acadia Hospital - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Acadia Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, 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 Acadia Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light Acadia Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by Acadia Hospital to address this priority in FY21: Northern Light Acadia Hospital continued to use the food insecurity screening with patients admitted for Acadia services. Positive responses were recorded, and community services discussed based on needs. A total of 99 food bags were distributed and 59 referrals made.Substance useActions taken by Acadia Hospital to address this priority in FY21: Northern Light Acadia Hospital worked to continue building and deepening connections as well as working relationships with Integrated Behavioral Health programs, Northern Light Eastern Maine Medical Centers emergency department, and other primary care providers.Mental healthActions taken by Acadia Hospital to address this priority in FY21: Northern Light Acadia Hospital worked to get education and resources out to community stakeholders and partner organizations. In addition to the promotion of CARES and youth behavioral health and wellness topics, Acadia provided training and professional development around issues of COVID, grief/loss, leadership, and self-care/resiliency. We were able to give our CARES Package thumb drive to all participants at the NASW Maine annual conference at the end of September. We also distributed thousands of CARES calendars to staff at Acadia as well as to our school-based clinical services partners in eight districts in Maine.Additional information related to actions taken by Northern Light Acadia Hospital on the above priorities can be found in their FY21 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Acadia Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Acadia Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Chronic Disease as a psychiatric hospital, mental health was deemed most appropriate Physical Activity, Nutrition and Healthy Weight - As a psychiatric hospital, mental health was deemed most appropriate Access to Care - While important, access to care was not chosen because the three that were chosen were deemed to be higher priorities Facility: Northern Light Acadia Hospital - Part V, Section B, Line 13h Income Level Facility: Northern Light Acadia Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Acadia-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/2019-Community-Health-Strategy16j. Response for 16a, 16b, 16c (list URL) is https://northernlighthealth.org/Acadia-Hospital under "Pay My Bill". Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Acadia Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 17 to 20 - Revenue Recognition and Patient 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 Acadia Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light 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 statements Listed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facility Community 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 Summary Part VI, Line 4 - Community Information Located in Bangor, Maine, Northern Light Acadia Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Acadia patients are community members from all 16 counties in Maine.Penobscot Countys demographic and social determinants of health data are provided below for Acadia Hospital based on the hospitals physical location.Penobscot County - Demographic Data: American Indian/Alaskan Native 1.1% (1,751), Asian 1.1% (1,724), Black/African American 0.8% (1,174), Hispanic 1.2% (1,895), Some other race 0.2% (258), Two or more races 1.7% (2,571), White 95.1% (145,472). Total county population 152,978.Penobscot County Social Determinants of Health Data: Median household income $45,302, Unemployment rate 4.3%, Individuals living in poverty 16.3%, Children living in poverty 18.3%, 65+ living alone 44.5%, People living in rural areas 57.7%, Food insecurity 16.2%. Other hospitals serving the Northern Light Acadia Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Acadia Hospitals community is served by an additional two other hospitals, Northern Light Eastern Maine Medical Center and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Acadia Hospitals service area as having a total of 10 medically underserved areas/populations.Northern Light Acadia Hospitals patients also include community members from 15 counties in Maine where the HSAs are designated as having both medically underserved populations and medically underserved areas: Androscoggin County has two hospitals; Aroostook County has four hospitals; Cumberland County has six hospitals; Franklin County has one hospital; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Lincoln County has one hospital; Oxford County has two hospitals; Penobscot County has five hospitals including Acadia); Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; and Washington County has two hospitals. Part VI, Line 5 - Promotion of Community Health Northern Light Acadia Hospital furthers its exempt purpose by promoting the health of the community through the following activity in FY21: Health Care Support Services: CCBHC - Support development of programs to improve mental health services.Northern Light Acadia Hospitals board is comprised of persons who reside in the hospitals primary service area. All board members are volunteers and work closely with Northern Light Acadia Hospital administrative leadership on governance of the organization, in order to serve the interests of the communities it serves. In compliance with Maine non-profit regulations, at least 51 percent of trustees are not financially interested persons and the majority of trustees are deemed independent status. Surplus funds are used to support charity care and to fund certain mental health services that are not self-funding.Northern Light Acadia Hospital also features a Citizens Advisory Council comprised of individuals in the community who have an interest in learning more about mental health and substance abuse, and also have an interest in knowing more about Northern Light Acadia Hospital and serving as advocates for its mission in the community.The hospital does a lot of work with public outreach in an effort to educate people about mental health and substance abuse, particularly with youth. Northern Light Acadia Hospital continues to offer its CARES (Child-Adolescent Resources and Educational Series) campaign, which features short educational videos on topics such as: suicide prevention, bullying, eating disorders, anxiety, substance abuse, LGBTQ youth and resiliency. During the COVID-19 pandemic, Northern Light Acadia Hospital has offered many topical presentations to the community, including public schools and businesses on topics related to mental wellness and resiliency.Additionally, Northern Light Acadia Hospital supports community events such as the Out of Darkness, Steps for Souls, and Alzheimers walks. Part VI, Line 6 - Affilated Health Care System The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, 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 Acadia Hospital is the regional referral psychiatric hospital providing psychiatric and mental health services to all members of Northern Light Health and other non-affiliated hospitals in the region via a combination of in-person and tele-health technology. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false Anthony Filer Treasurer 584879 158088 15491 22800 34447 815705 Brent Scobie VP, CSQ 164380 35964 14946 20388 33974 269652 Charmaine Patel Medical Director 328842 300 13592 16387 20224 379345 Clifford Singer Chief-Geri Psych 287435 300 31632 20678 15517 355562 Glenn Martin Esq Secretary 443589 165077 43124 88916 23581 764287 John Campbell MD Ex-Officio 344011 23709 3852 22800 29895 424267 Joshua Newman Medical Director 290722 300 36719 18002 34113 379856 Mahdieh Bodaghi Physician-Psychiat 256948 300 35944 15591 2850 311633 Marie KDickinson VP, Fin & Ops 254273 51338 4980 28030 12526 351147 Mark Allen Physician-Psychiat 362361 300 21959 17353 20703 422676 Mary Michelle Hood Former NLH President & CEO 277407 322590 10317 7819 618133 Paul Bolin SVP & CHRO 365022 59878 35078 71686 35028 566692 Scott Oxley SVP, President 307957 134728 13164 71532 20390 547771 Timothy Dentry Ex-Officio 860379 182026 13380 112598 32498 1200881 Wayne Stellar PMHNP Former VP, NPCS 175424 33216 3685 22303 22899 257527 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Mahdieh Bodaghi, highest compensated employee $12,462Charmaine Patel, highest compensated employee 12,459 The following received a wellness program incentive:Mark Allen, highest compensated employee $322Marie Dickinson, officer 360Joshua Newman, highest compensated employee 100 Scott A. Oxley, director/officer 400 The benefit is available for all employees. Brent Scobie Employee Educational Loan X 9996 996 false false true 996 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Provided mental health services regardless of ability to pay. Provided other uncompensated care (at cost) of $1,121,745. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President & CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care & Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in underserved populations vaccinated. As some Asian Americans show up, she speaks with them in their native language and offers assurances. She has a welcoming smile and charisma, which seems to make her a natural fit for this kind of work. "They couldn't ask for a better place to get vaccinated," explains Himm, "because they've got the nurses here that care so much about them. And then they've got their cultural brokersthe ones doing the translations, the community leaders standing right behind them and letting them know that they're going to be okay. What more can someone ask for?" Himm is not just offering lip service when she compliments the Northern Light Home Care & Hospice nurses doing the clinics. Both Akers and Robbins have been doing this kind of work for a long time with community partners and have earned praise for their compassion and sensitivity. "I feel so lucky in a way to be part of this journey. Doing these vaccines has just been such a gift," shares Akers.If you would like to learn more about the COVID-19 vaccine or get vaccinated, please visit https://covid.northernlighthealth.org/Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities." OTHER PROGRAM SERVICES 6: Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern Maine Medical Center in 2017, she had already worked as a nurse for several years in Nigeria. She had clinical experience and a nursing education but didn't know how steep the cultural curve would be. She remembers one particularly difficult exchange with a patient's wife who was mad at Ngozi because she wouldn't make constant eye contact with her or her husband. "In Nigeria, when you're talking to an elder, you're not supposed to look eye-to-eye because thats a sign of rudeness," Ngozi explains. She now understand Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Acadia Hospital, Corp. d/b/a Northern Light Acadia Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporation's operating budget and capital expenditures;V. the Corporation's acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporation's role in the NLH Strategic Plan;XII. action concerning the Corporation's participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance of Northern Light Acadia Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Acadia Hospital and the system 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 Northern Light Acadia Hospital SVP, President and Northern Light Acadia Hospital Executive Committee.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Acadia Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Net Change in Funds Held at NLH Foundation = $1077528 Other Changes In Net Assets Or Fund Balances - Other Increases Post Retirement Health Benefit FAS 158 = $1656434 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiary - NLH Foundation = $5916 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - NLH Foundation = -$1550 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A 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 Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC 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 true Northern Light Health Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 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 M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 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 Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 50 Foden Road 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 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 Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. 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