2022-08-03T10:12:28-07:00 2021-09-30 990 2020-10-01 043341666 Charles A Dean Memorial Hospital Northern Light CA Dean Hospital CHAR 2079739081 Pritham Avenue PO Box 1129 Greenville ME 04441 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 25356345 false 5247 X https://northernlighthealth.org/C-A-Dean-Hosp X 1996 ME The mission of Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is to provide a continuum of high quality holistic healthcare services. 13 8 186 13 0 187089 548879 19797882 24708587 40720 67239 4954 3448 20030645 25328153 2348 2612 0 12336499 12811253 0 0 6383397 7506258 18722244 20320123 1308401 5008030 22792734 24475739 15908118 11172800 6884616 13302939 X The mission of Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is to provide a continuum of high quality holistic healthcare services. false false 16796524 2612 24708682 The Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. Provided $463,574 other uncompensated care (at cost).Additional Statistics:Northwoods Healthcare & Specialty Clinic visits 21,445Hospital diagnostic and rehabilitation visits 26,367Emergency room visits 1,854 Hospital admissions 211Ambulance runs 370 219774 Experienced Medicare shortfall, $219,774 (at cost). 15,456 persons served. 134452 Provided charity care, $134,452 (at cost). 878 persons served. 17150750 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 false false false false false false true false false false false false false true false false false true 22 0 true 186 true false false false false false false false 0 false false false false false false false false false false X 13 8 true false false 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 044121006 Timothy Dentry NLH PresCEO Ex-Officio 1.00 50.00 X X 0 1055785 145096 Anthony J Filer NLH SVP CFO Treasurer 1.00 50.00 X 0 758458 57247 Glenn Martin VP Gen'l Counse Secretary 1.00 50.00 X 0 651790 112497 Teresa P Vieira Former SVP & President 0.00 50.00 0 618055 47089 Mary Michelle Hood Former NLH President & CEO 1.00 50.00 0 599997 18136 Paul Bolin SVP & CHRO 1.00 50.00 X 0 459978 106714 Joseph A Babbitt Physician 40.00 0.00 443852 0 52696 Gail E Lamb Physician 40.00 0.00 406169 0 18177 Darin M Peck Physician 40.00 0.00 371248 0 43197 Marie Vienneau Pres/Ex-Officio 20.00 30.00 X X 144059 216088 54241 David McDermott MD VP, Sr Phys Exe 13.00 37.00 X 93143 279429 38346 Scott A McLaughlin Physician 40.00 0.00 239644 0 48890 Jennifer Goodrich VP of Finance 25.00 25.00 X 117325 117325 35862 Lorraine Rodgerson RN VP-Nursing & Op 40.00 0.00 X 218966 0 37581 Shannon Meredith Ex-Officio 40.00 0.00 X 230696 0 21419 Yoosuf Siddiqui Former VP HR Northwest Region 0.50 50.00 0 191455 47853 Karl Frederick Liebermann Physician 40.00 0.00 212250 0 13277 Marion Huntley Director 0.50 0.00 X 0 0 0 Steven Bilodeau Director 0.50 0.00 X 0 0 0 Dwight Foote Jr Director 0.50 0.00 X 0 0 0 Stuart Watt Director/ViceCh 2.00 0.00 X X 0 0 0 Linda Gilbert Director/Chair 2.00 0.00 X X 0 0 0 Diane Bartley Director 0.50 0.00 X 0 0 0 Sharon Hastings Director 0.50 0.00 X 0 0 0 William Fletcher Esq Director 0.50 0.00 X 0 0 0 Genise Stern Director 0.50 0.00 X 0 0 0 Ronald Pelletier Director 0.50 0.00 X 0 0 0 2477352 4948360 898318 19 true true false 0 383453 149146 16280 125 548879 Cafeteria 722514 8460 8460 Net Patient Care Services 621990 24700127 24700127 24708587 2421 2421 0 0 7140 3787 3353 3353 3353 89223 24405 64818 64818 64818 0 0 0 Misc Revenue 621990 95 95 95 25328153 24700222 79052 X 2612 2612 0 0 0 912403 611392 301011 0 9135528 8534904 600624 533573 500019 33554 1596502 1459078 137424 633247 591231 42016 0 35 35 3609 3609 0 0 0 3398976 1861197 1537779 96374 96374 418233 275776 142457 569752 535179 34573 0 220194 147530 72664 35099 26805 8294 0 41755 40787 968 144133 144133 0 528422 355983 172439 280378 262967 17411 Medical Supplies Expense 1073295 1073295 Taxes and Licensing 333245 330593 2652 Repairs & Maintenance 303050 268020 35030 Dues and Subscriptions 37664 13250 24414 22044 19625 2419 20320123 17150750 3169373 0 8720292 12269295 4111921 184467 0 3472276 3999082 0 0 0 85982 85982 2248 13303 12948317 7746326 4935280 5201991 0 0 0 0 1464735 2721619 22792734 24475739 5469686 1985285 3916445 3057427 59542 6462445 6130088 15908118 11172800 X 5824879 11024034 1059737 2278905 6884616 13302939 22792734 24475739 X 5008030 1410293 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 4177 4177 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 691289 73193 -3044 761438 697354 2892 -8957 691289 699861 9872 -12379 697354 706316 13298 -19753 699861 1005313 -294567 2325 2105 706316 0.43000 0.57000 false true true 274801 274801 6039849 4069686 1970163 6069922 3676640 2393282 563745 563745 5201991 Board designated funds-Other 416849 Org costs & other long term investments 12552 Permanently Donor Restricted Funds 360483 Self-Insurance Funds Held by Trustee 13013 Temporarily Donor Restricted Funds 1918422 Unrestricted Pledges Receivable 300 2721619 Accrual for Post Retirement Benefit 2570306 Amounts due to Related Org 3536917 Capital Lease Obligation 22865 6130088 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 true false true true 878 134452 134452 0.00660 878 134452 134452 0.00660 7 67 141738 141738 0.00700 2 5 47810 47810 0.00240 2 69 1218 1218 0.00010 11 141 190766 190766 0.00950 11 1019 325218 325218 0.01610 true 463574 10430100 10649874 -219774 X true true 1 1 Northern Light CA Dean Hospita 364 Pritham Ave PO Box 1129 Greenville ME 04441 northernlight.org/C-A-Dean-Hos 37959 X X X X Northern Light CA Dean Hospita 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 CA Dean Hospita - 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 18, 2018 Piscataquis 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 Piscataquis County CHNA report, pages 25-27): Bangor Public Health and Community Services, Bangor Public Health Department, Charlotte White Center, Division for the Blind and Visually Impaired, Eastern Area Agency on Aging, Helping Hands with Heart, Maine CDC, Maine Family Planning, Maine Highlands Senior Center, Maine Resilience Building Network, Mayo Regional Hospital, Mayo Regional Hospital Community Outreach, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light CA Dean Hospital, Northern Light CA Dean Hospital Foundation, Northern Light Health, Northern Light Health Foundation, Northern Light Home Care & Hospice, Partners for Peace, Penquis, Penquis Public Health District, Pine Tree Hospice, Piscataquis County Economic Development Council, Piscataquis Democratic Committee, Piscataquis Regional Food Center, Regional School Unit 68, Retired individual, The Commons at Central Hall, United Way of Eastern Maine, University of Maine Cooperative Extension, U.S. Senator Angus Kings Office.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 of 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 CA Dean Hospita - 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 CA Dean Hospita - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light CA Dean 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 CA Dean 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 CA Dean Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by CA Dean Hospital to address this priority in FY21:Northern Light CA Dean Hospital participated in the Northern Light Health Social Determinants of Health (SDOH) system workgroup, which met bi-weekly through November 2020. The workgroup suspended meetings after this date to accommodate new system-level SDOH efforts. In January 2021, Northern Light activated four critical path project teams to plan and operationalize a system approach to identifying patients with social health needs. These groups oversaw standardization of the Cerner Social History Tool in the medical record, which will ensure patient demographics and health history are documented in a consistent fashion across all Northern Light member hospitals. The existing Food Insecurity form in Cerner was then updated to include six additional evidence-based questions to assess patients housing status and safety, transportation, utilities, daily activities, and isolation. The updated screening form aligns with most of the recommendations developed by the SDOH workgroup members. Both the SDOH Screening form and the updated Social History Tool went live in Cerner on 5/18/21 and are now available for use. Additional efforts during this year included foundational work to operationalize the Social Vulnerability Index and developing recommendations for implementation of a social care network platform (called Aunt Bertha). These additional Cerner functions are slated to go live in fiscal year 2022 (FY22) and will provide Northern Light with enhanced ability to understand social needs by populations and geographic location and provide seamless patient referrals to community-based organizations for assistance with social needs. Moving forward, the SDOH workgroup will be re-established in FY22 as the SDOH Team and report to Northern Lights Quality Council and will be responsible for developing, implementing, monitoring, and evaluating the effectiveness of the systems implementation of SDOH screening and intervention.Substance useActions taken by CA Dean Hospital to address this priority in FY21:Northern Light CA Dean Hospital established relationships with local and county law enforcement in order to offer an alternate site for disposal of expired or unneeded medications during scheduled federal drug takeback days.Access to careActions taken by CA Dean Hospital to address this priority in FY21:Northern Light CA Dean Hospital was not able to complete this work due to the extreme staffing shortages at the practices as well as the high demand for COVID testing and vaccination.Additional information related to actions taken by Northern Light CA Dean 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 CA Dean 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, CA Dean 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:Mental Health - Northern Light CA Dean Hospital did not choose this priority area of focus because previous efforts have been put into place to meet this need. Through partnership with Northern Light Acadia Hospital, clinical services in mental health have been offered to our patients though telepsych or telemedicine. Our focus in the Access to Care initiative will also contribute to meeting this need starting in FY 2020 and a priority with focus in mental health will be reconsidered in the years to come. Older Adult Health/Healthy Aging - Northern Light CA Dean Hospital did not choose this priority area of focus because we believe that our resources are focused in this area in a meaningful way already. Northern Light CA Dean Hospitals staff Licensed Clinical Social Worker is a facilitating member of the Age Friendly Community Group in our community. The hospital also offers access to our physical therapy gym in our Community Fitness program to meet the needs of our elderly population looking for fitness options at an affordable price. Our focus in the Social Determinants of Health initiative will also contribute to this need starting in FY 2020. This priority will be reconsidered in the years to come. Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 13h Income Level Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/C-A-Dean-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-StrategyResponse for 16a, 16b, 16c (list URL) is https://northernlighthealth.org/C-A-Dean-Hospital under "Pay My Bill" Northern Light Primary Care 364 Pritham Avenue Greenville ME 04441 Outpatient clinic Northern Light Primary Care 7 Greenville Road Monson ME 04464 Outpatient clinic Northern Light Primary Care 22 Haley Court Road Sangerville ME 04479 Outpatient clinic Northern Light Primary Care 364 Pritham Avenue Greenville ME 04441 Specialty Clinics Part I, Line 6a - Related Organization Community Benefit Report The Northern Light CA Dean 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 CA Dean Hospital. 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 No other formal assessment of community needs beyond the CHNA is completed, rather we listen to our providers and employees as members of the community at large. Whether specific needs or overall concerns from one or many community members, Northern Light CA Dean Hospital works to care for our community, whether its members are patients of the hospital or not. 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 Summary Part VI, Line 4 - Community Information Located in Greenville, Maine, Northern Light CA Dean 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.Towns representing CA Dean Hospitals primary service area include Brownville, E. Central Somerset County, Greenville, Greenville Junction, North Somerset County, Northern Piscataquis County; Rockwood.Towns representing CA Dean Hospitals secondary service area include Abbot, Brownville, Cambridge, Dexter, Dover Foxcroft, Guilford, Jackman, Milo, Monson, Sangerville, Sebec.Piscataquis Countys demographic and social determinants of health data are provided below for CA Dean Hospital based on the hospitals physical location in Piscataquis County.Piscataquis County - Demographic Data: American Indian/Alaskan Native 0.6% (94), Asian 0.4% (64), Black/African American 0.5% (88), Hispanic 1.2% (210), Some other race 0.4% (69), Two or more races 1.9% (328), White 96.2% (16,401). Total county population 17,044.Piscataquis County Social Determinants of Health Data: Median household income $36,938, Unemployment rate 5.1%, Individuals living in poverty 20.6%, Children living in poverty 31.4%, 65+ living alone NA%, People living in rural areas 100.0%, Food insecurity 16.8%.Other hospitals serving the Northern Light CA Dean Hospital community: Based on the State of Maines definition of hospital service area, Northern Light CA Dean Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated CA Deans service area as having a total of 2 medically underserved population/areas. Part VI, Line 5 - Promotion of Community Health Northern Light CA Dean Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Health Education: Rural Health Clinic Vaccine Confidence Program Improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas. Northern Light CA Dean Hospital Board of Directors majority is independent. Northern Light CA Dean Hospital extends medical staff privileges to all qualified physicians in the community for some of its departments. We offer training and educational programs on site and invite medical staff to participate at no charge to them. 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.In FY21, Northern Light CA Dean Hospitals focus was placed on social determinants of health, substance use, and access to care. 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 J Filer NLH SVP CFO Treasurer 584879 158088 15491 22800 34447 815705 Darin M Peck Physician 228723 139068 3457 22188 21009 414445 David McDermott MD VP, Sr Phys Exe 90168 270504 2802 8405 173 520 6797 20391 2790 8368 102730 308188 Gail E Lamb Physician 367537 38632 17100 1077 424346 Glenn Martin VP Gen'l Counse Secretary 443589 165077 43124 88916 23581 764287 Jennifer Goodrich VP of Finance 92445 92445 17741 17741 7139 7139 8265 8265 9666 9666 135256 135256 Joseph A Babbitt Physician 436227 7625 22800 29896 496548 Karl Frederick Liebermann Physician 212250 13277 225527 Lorraine Rodgerson RN VP-Nursing & Op 180721 35765 2480 16775 20806 256547 Marie Vienneau Pres/Ex-Officio 131676 197514 11929 17894 454 680 11128 16692 10568 15853 165755 248633 Mary Michelle Hood Former NLH President & CEO 277407 322590 10317 7819 618133 Paul Bolin SVP & CHRO 365022 59878 35078 71686 35028 566692 Scott A McLaughlin Physician 234126 3975 1543 19628 29262 288534 Shannon Meredith Ex-Officio 226508 2500 1688 16335 5084 252115 Teresa P Vieira Former SVP & President 287427 291935 38693 23196 23893 665144 Timothy Dentry NLH PresCEO Ex-Officio 860379 182026 13380 112598 32498 1200881 Yoosuf Siddiqui Former VP HR Northwest Region 156998 31674 2783 14186 33667 239308 Part I, Line 1a: Relevant information in regards to selections on 1a. Gail Lamb, highest compensated employee, received tuition of $20,769.The following received a wellness program incentive: Gail Lamb, highest compensated employee $400 Darin Peck, highest compensated employee 400 This benefit is available for all employees. Eric Johnsen fam mem=brd mem 25632 compensation false Jaquelyn Gaudet fam mem=brd mem 43278 compensation false Rodney Gaudet fam mem=brd mem 27764 compensation false Schedule L, Part V Supplemental Information Eric Johnsen is a family member of a board member and is an employee of NL CA Dean Hospital.Jaquelyn Gaudit is a family member of a board member/officer and is an employee of NL CA Dean Hospital.Rodney Gaudet is a family member of a board member/officer and is an employee of NL CA Dean Hospital. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: 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 health care 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 Health OTHER PROGRAM SERVICES 5: A 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/ OTHER PROGRAM SERVICES 6: 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 health care 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 7: 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 understands that generally, eye contact is important in western culture. Ngozi was recruited to work a Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et William Fletcher, board member is board member of Moosehead Marine Museum and Jennifer Goodrich, officer is treasurer of Moosehead Marine Museum. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean 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 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 VP of Finance of Northern Light CA Dean Hospital. It is 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 CA Dean 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 & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light CA Dean 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 = $1223782 Other Changes In Net Assets Or Fund Balances - Other Increases Pension Liab FAS158 = $186511 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 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 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 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 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 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 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 1 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 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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