2021-08-06T08:57:33-07:00 2020-09-30 990 2019-10-01 010211501 Eastern Maine Healthcare Systems EMMC Eastern Maine Medical Center EAST 2079739081 PO Box 404 489 State Street Bangor ME 04402 John Doyle NLH VP of Finance 2021-08-06 false 2019 2022-09-23 18:48:47Z John Doyle 950148484 false 5247 X https://northernlighthealth.org/Eastern-Maine X 1892 ME Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. 17 12 5454 263 7957915 845365 8405141 9579518 885018965 876808685 2394837 3618933 36766885 50824148 932585828 940831284 35000 0 0 449618458 469016289 0 0 429815652 501826278 879469110 970842567 53116718 -30011283 898767782 1005801244 576392397 736104038 322375385 269697206 X Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another. false false 886393277 928228449 Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $16,884,700.Northern Light Eastern Maine Medical Center (EMMC) has served communities throughout our region for 128 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: https://northernlighthealth.org/Eastern-Maine-Medical-Center.Additional StatisticsTotal admissions 18,910Cardiac Catheterization Procedures 5,903Cardiac Surgery Cases 404Emergency Room Visits 32,071Medical Imaging Procedures 157,941Surgery Cases 13,257Live Births 1,778Family Practice Visits 114,994Total Outpatient Visits 697,230Patient Days 111,131Services provided to those who could not pay $52,543,762 Medicare shortfalls-$79,159,055 (at cost) 120,638 persons served.Charity care provided-$3,314,632 (at cost) 2,623 persons served.Medicaid shortfalls-$68,853,765 (at cost) 82,017 persons served. Please see the following excerpt from the Northern Light Health Annual Report 2020 to the Community for details of community benefit projects at NLH members:HEROES AMONG US Healthcare Heroes As we reflect on 2020, people around the world would do well to remember these words by Nelson Mandela, Do not judge me by my successes, judge me by how many times I fell down and got back up again. We faced a global pandemic that took the lives of more than 500,000 of our fellow Americans and more than 2.5 million people worldwide and counting. We also faced deadly wildfires and hurricanes, racial unrest, and a country divided by politics. But during this turbulent time, we also saw the very best in people, including those whom we work alongside every day to deliver compassionate healthcare to the people of Maine. We saw our colleagues rise to the challenges of an unprecedented global pandemic, show courage in the face of adversity, and make selfless sacrifices to heal the sick and protect our communities. These people are heroes. They are the front line workers who provided direct patient care to those who became infected with coronavirus. They are also the people who worked behind the scenes to ensure our staff had the personal protective equipment and telehealth technology they needed to continue to provide care safely. They are the support staff that cleaned and disinfected rooms, prepared meals, and countless other tasks to support our direct care workers. In this years annual report, we celebrate these heroes. They may not have flashy costumes or superpowers like the comic book heroes or those in Hollywood films. But like those heroes, they must don masks as they face a genuine and dangerous enemy. In the pages of this years annual report, you will learn more about who they are and what they do. We will take you behind their masks to discover the true identity of the heroes among us. Timothy J. Dentry, MBA President & CEO Kathy Corey Northern Light Health, Board Chair HEROES ON THE FRONT LINES When it comes to caring for sick patients, Northern Light Healths front line staff put themselves at risk to provide exceptional care. We know they are brave and compassionate people, but COVID-19 has shown how far they are willing to go to help others. The following are a few of the many examples of courage and caring that we witnessed during this global pandemic. Cathy Bean, RNManager of Clinical and Community Health Services Northern Light Home Care & Hospice In late March, Portland saw a spike in the population of homeless people who were getting sick with COVID-19. To help protect the citys homeless residents, city leaders immediately opened the Portland Expo as an alternative shelter site that would allow them to maintain their shelter capacity while adhering to the Centers for Disease Controls (CDC) social distancing guidelines. But how would they separate the healthy population from those with the virus? Cathy Bean, RN stepped up to help. Donning protective gear, she and her staff went into the shelters daily to screen and test the residents. Northern Light Home Care & Hospice also equipped the city of Portland with a telehealth system so home care nurses could provide follow up appointments. As a result, they were able to help shelter residents with other medical conditions that may have been missed. Many of these people, due to COVID-19, were in quarantine, and meals brought outside their door with no one able to check on them. Now, we could get in there and take care of these people, and thats been very rewarding. Cathy Bean, RNElizabeth Bigler, RN Emergency Department Northern Light Blue Hill Hospital Elizabeth Bigler, RN thinks the most significant change to her job since COVID-19 is how much more physically exhausting it has become. She must often wear respirators, hoods, and other personal protective equipment, which can get quite hot and stuffy during a shift in the Emergency Department. Her biggest concern is making sure she doesnt bring this virus into her home. Its why she enters through a basement door, places her clothing directly into the wash, and showers before interacting with her family. My daughter who is eight is a sensitive, insightful soul. And shes had a lot of fears about me getting sick, not being able to see me if I did get sick, or me not coming home. Her daughter wrote her a touching letter one morning, telling her to be safe and that she loved her. Shes a really strong little girl. I had to tell her that this is a community effort. I cant not go because its scary. Some people still need help, and our job as community members is to help them. Elizabeth Bigler, RNJames Jarvis, MDSenior Physician ExecutiveIncident Command, Northern Light Health When Northern Light Health knew COVID-19 would arrive in Maine, James Jarvis, MD was chosen to coordinate the systems response among its member hospitals in addition to coordinating with state and local governments and the other major healthcare systems in Maine. Another unexpected role that Dr. Jarvis fulfilled during the pandemic was to be the primary spokesperson for Northern Light Health for weekly statewide news conferences via Zoom. Several times a week he would convey critical information to members of the media and our communities. One of the pleasant surprises Ive had during this time was somebody randomly driving by, lowering their window, and saying, Dr. Jarvis, how are you doing? You always ask how were doing through TV, we want to make sure youre okay. I teared up a little because, sure its neat to be recognized, but it was that sense of community that Mainers have to say, we need to make sure youre okay because we appreciate what youre doing. James Jarvis, MDCaroline Joyce, PACNorthern Light Primary Care Northern Light CA Dean Hospital Caroline Joyce loves the outdoors and dreams of retiring in a small rural community where hiking, fishing, and camping abound. She and her husband built their retirement home in Greenville, and she took a job at Northern Light CA Dean Hospital in September of 2019. Little did she realize how good her timing was to move to a rural community before the outbreak of COVID-19. As a primary and acute care provider, she willingly staffed the drive-up screening tent outside CA Dean. She endured wind and rain and snow to screen patients. And, she did all this while her mother, living in a nursing home in another state, was diagnosed with COVID-19. Luckily, my mom experienced mild symptoms, and while I wanted to see her, she was in an area of Massachusetts that was really hit hard by the coronavirus, and I was here seeing patients. I couldnt risk exposing them or my family. Caroline Joyce, PACSue-Anne Hammond, DOMedical Director of Primary CareNorthern Light Mercy Hospital For Dr. Hammond, COVID-19 became personal very quickly as one of her long-time patients, with whom shed experienced many ups and downs, was among the first in Maine to die of the deadly coronavirus. It was a curve ball, and it felt so unfair, she said. Dr. Hammond was instrumental in setting up the COVID-19 response plan for Northern Light Mercy Hospital, which became a model shared with other Northern Light Health hospitals across the state. The drive-up swab and go tent at Mercys Fore River campus allowed people to safely and easily get tested for the coronavirus. The plan also included a respiratory tent site in Westbrook to assess whether people with symptoms needed to be admitted to the emergency department or sent home with care instructions. And it included a virtual clinic to keep patients out of hospital and primary care settings through telehealth for follow-up appointments. She worked seven days a week while her children were being schooled at home. She and her husband, also a front line provider, tried to allay their familys fears and correct misinformation in their communities. On the hardest days I still love what I do. I dont feel like Im a hero; Im doing what was asked of me and what I chose to do as a doctor. This is a hard time, but I dont think I want to be anywhere else in the middle of all of this. Sue-Anne Hammond, DOJodi Kierstead, RNNurse Manager, Specialty ICU Northern Light AR Gould Hospital As a nurse manager, Jodis Kiersteads world radically changed when COVID-19 showed up in Maine. She went from managing budgets and staff training to suddenly responding to a pandemic. She enjoyed watching her staff pull together. Youre taking a bunch of people out of their comfort zone and putting them through huge changes and for them to do it with a smile it was amazing! And Jodi did her part to help too. As Northern Light Mercy Hospital in Portland was becoming inundated with patients, they put out a call for additional staff to help. Not only did Jodi travel to Portland and support her colleagues, despite having a 10-month-old baby at home, she and her team assembled a care package for Mercy nurses. We look out for one another. Thats what nurses do. An 886393277 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true true true false false false true true true true false false true 205 0 true 5454 true true true false false false false false false 0 false false false false false false false X 17 12 true false true false true true true true true false false true true true true true true true true true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Mary M Hood PresidentCEO Ex-Officio 20.00 30.00 X X 0 1756068 48356 Michael A Johnson MD Retinal Surgeon 40.00 0.00 1597112 0 36331 Jessica Aronowitz MD Orthopedic Surgeon 40.00 0.00 1130391 0 45529 John D Klemperer MD Physician 40.00 0.00 1079719 0 52982 Stephen R Thompson MD Orthopedic Surgeon 40.00 0.00 903873 0 44151 Wayne R Waterman MD Neurosurgeon 40.00 0.00 873565 0 51255 Donna D Russell-Cook Former SVP, President 50.00 0.00 789337 0 85485 Tim Dentry PresidentCEO Ex-Officio 20.00 30.00 X X 0 730643 137680 Anthony Filer SVPCFO Treasurer 14.00 36.00 X 0 745697 54010 Glenn Martin VP Gen Counsel Secretary 14.00 36.00 X 0 613309 113066 James Jarvis MD Sr VP/Sr Phy Ex 50.00 0.00 X 488418 0 56674 James Clarke MD Sr VP/Sr Phy Ex 50.00 0.00 X 447823 0 59225 Charles Staley MD Ex-Officio 50.00 0.00 X 373822 0 44989 Marc Edelman Sr VP/Operation 50.00 0.00 X 352345 0 54313 Michael Reid VP/Phy Services 50.00 0.00 X 342930 0 43488 Deborah Sanford VP/Nursing&PCS 50.00 0.00 X 340937 0 33564 Philippe Morissette Sr VP Finance 50.00 0.00 X 301652 0 34018 Ali Worster VP/HR East Regi 0.00 50.00 X 0 221686 39149 Kathryn Rutledge MD Board Member 50.00 0.00 X 205023 0 47586 Eric Hafener VP/Compliance 0.00 50.00 X 0 212297 18064 Rand O'Leary President Ex-Officio 50.00 0.00 X X 50141 0 13 Michael McGoldrick MD Board Member 0.50 0.00 X 0 0 0 Richard Riemersma MD Board Member 0.50 0.00 X 0 0 0 John Miller Board Member 0.50 0.00 X 0 0 0 John Simpson Board Member 0.50 0.00 X 0 0 0 Lynne Spooner Chairman 1.00 0.00 X X 0 0 0 Robert Ziegelaar Board Member 0.50 0.00 X 0 0 0 Donald Hagstrom Vice Chair 1.00 0.00 X X 0 0 0 Kevin L Raye Board Member 0.50 0.00 X 0 0 0 John A Vickery Sr Board Member 0.50 0.00 X 0 0 0 Scott Solman Board Member 0.50 0.00 X 0 0 0 Heather Furth Board Member 0.50 0.00 X 0 0 0 Susan Hunter Board Member 0.50 0.00 X 0 0 0 Tracey Whitten Board Member 0.50 0.00 X 0 0 0 9277088 4279700 1099928 703 true true false NURSE ANESTHESIA OF MAINE 141 N MAIN ST STE 205 BREWER ME 04412 COVERAGE SERVICES 14737517 SIMPLIFI 5020 NORTHSHORE DRIVE NORTH LITTLE ROCK AR 72118 STAFFING SERVICES 5331930 COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 STAFFING SERVICES 4628277 DAHL CHASE DIAGNOSTIC SERVICES 417 State St Suite 441 BANGOR ME 04401 DIAGNOSTIC SERVICES 4379366 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 753972633 STAFFING SERVICES 4262522 50 6585350 551249 2442919 76415 9579518 Cafeteria 722514 3342947 3869 3339078 Healthcare Education 611710 1104407 1104407 Lodging 721110 402120 402120 Net Patient Care Service 621990 871959211 865007803 6951408 876808685 3232071 900376 2331695 0 0 298254 12000 5494 292760 12000 304760 304760 9311236 387332 9311706 -470 387332 386862 386862 0 0 0 340B Pharmacy Benefits 621990 49512283 49512283 Clinical Engineering 541300 662927 602204 60723 Telephone 517000 300984 300984 43194 1655 41539 50519388 940831284 916529336 7957915 6764515 X 0 0 0 0 3276961 2891137 385824 0 371128342 367845002 3283340 20195450 19532753 662697 52636937 49523107 3113830 21778599 20829706 948893 0 133538 97210 36328 180896 180896 0 0 98836 23012 75824 153295291 97809425 55485866 1754377 1754114 263 15299415 9996615 5302800 45109593 43552976 1556617 0 15226940 11068443 4158497 460448 455653 4795 0 1256350 1243997 12353 14496521 14396262 100259 0 29857010 23330401 6526609 11396377 11027761 368616 Medical Supplies 183343250 183343250 Taxes and Licensing 17910891 17897727 13164 Repairs & Maintenance 10364990 8183381 2181609 Dues and Subscriptions 1008780 1004837 3943 632775 586508 46267 970842567 886393277 84449290 0 150899471 257591176 811558 841550 1141039 931361 177957445 183808379 7014 0 0 3396401 2656752 4551199 11560376 7645115 3520476 844402285 423075835 431686334 421326450 38778871 41598895 0 0 1584445 81893335 80381384 898767782 1005801244 95807217 139985729 316360 93840444 194404337 187785929 1651150 1416678 284213333 313075258 576392397 736104038 X 282092925 231664186 40282460 38033020 322375385 269697206 898767782 1005801244 X -30011283 99437 -22766333 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 52646 52646 false false Part II-B, Line 1i - Other Activities Description Non-deductible dues 26647603 203643 86431 1051835 25885842 27374890 34568 543273 1305128 26647603 27252070 633122 772332 1282634 27374890 26347094 42313 2093394 1230731 27252070 25182807 87638 2248618 1171969 26347094 0.00180 0.99820 false true true 3115186 3115186 268817172 105139341 163677831 13921235 9384844 4536391 526341044 294966485 231374559 32207648 13585165 18622483 421326450 Assets Held Under Trust Indenture 4063441 Beneficial Trust Assets 2366442 Board Designated Funded Depreciation 15679693 Funds Held by Bond Trustee 15629125 Investment in Net Assets held @ EMHSF 36489613 Investment in New England Life Care 1111955 Investment in Nursing Homes 4366238 Self-Insurance Funds Held by Trustee 674877 80381384 Accrued Post Retirement Benefits 161121886 Amounts due to Related Org 149372700 Liability Under Cap Lease Obligation 85462 Reserve for Asset Disposal Costs 2495210 313075258 X Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true false false true true 2623 3314632 3314632 0.00340 82017 158344316 89490551 68853765 0.07090 84640 161658948 89490551 72168397 0.07430 5 2674 414871 414871 0.00050 1 12 1908 1908 2 1098267 1098267 0.00110 1 25 6464 6464 9 2711 1521510 1521510 0.00160 9 87351 163180458 89490551 73689907 0.07590 true 16884700 305055871 384214926 -79159055 X true true Ross Manor Associates Nursing Home 0.50000 Dexter Manor Associates Nursing Home 0.50000 Colonial Acres Nursing Home Nursing Home 0.50000 Katahdin Healthcare LLC Nursing Home 0.50000 Stillwater Healthcare LLC Nursing Home 0.50000 Dover-Foxcroft Healthcare Nursing Home 0.50000 22 Walnut Street LLC Nursing Home 0.50000 1037 West Main Street LLC Nursing Home 0.50000 Park East Villa LLC Nursing Home 0.50000 1 1 NL Eastern Maine Medical Cente 489 State Street Bangor ME 04401 https://northernlighthealth.or 38447 X X X X NL Eastern Maine Medical Cente 1 false false true X X X X X X X X X 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: NL Eastern Maine Medical Cente - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 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: NL Eastern Maine Medical Cente - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, Sebasticook Valley Hospital, and AR Gould Hospital. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Eastern Maine Medical Centers Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Eastern Maine Medical Center. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals board of directors. Northern Light Eastern Maine Medical Center identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Mental healthActions taken by Eastern Maine Medical Center to address this priority in FY20: Northern Light Eastern Maine Medical Center engaged in clinical discussions with Northern Light Acadia Hospital to partner on Medication-Assisted Treatment (MAT) coordination of efforts. EMMC added an additional psychiatric-mental health nurse practitioner (PMHNP) at Cutler Health Center, in Orono, to service our patients with behavioral health challenges.Social determinants of healthActions taken by Eastern Maine Medical Center to address this priority in FY20: Northern Light Eastern Maine Medical Center implemented the use of validated two-question screening tool to identify food insecure patients, and established partnership with Good Shepherd Food Bank to enable practices to provide food to patients, and also refer food insecure patients to appropriate resources such as food banks, churches and other community organizations.Substance useActions taken by Eastern Maine Medical Center to address this priority in FY20: Northern Light Eastern Maine Medical Centers eight residents in the EMMC Residency Program completed their MAT training in the first year of residency at EMMC. We are offering MAT services at three locations: Family Medicine & Residency, Orono Primary Care, and Husson Primary Care.Access to careActions taken by Eastern Maine Medical Center to address this priority in FY20: Northern Light Eastern Maine Medical Center opened six of seven primary care practices to new patients utilizing a practice on rotation strategy for new patient assignments. Residency Program is doing double rotation schedule.Physical activity, nutrition, weightActions taken by Eastern Maine Medical Center to address this priority in FY20: Northern Light Eastern Maine Medical Center partnered with Community Based Organizations to provide access to and promote nutritional and/or physical activity options (e.g. Lets Go!, community programs, etc.) at Orono, Hampden, and Bangor school systems. The pandemic created the opportunity to leverage social media to provide continuous outreach and education to our students and prepare them for returning to school and athletic programs.Additional information related to actions taken by Northern Light Eastern Maine Medical Center on the above priorities can be found in their FY20 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Eastern Maine Medical Center considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Northern Light Eastern Maine Medical Center is currently poised to focus only on the highest priorities identified within the Shared CHNA at this time. The top five priorities identified within the Penobscot County CHNA are being addressed by Eastern Maine Medical Center. Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h Income Level Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Eastern-Maine-Medical-CenterResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/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/Eastern-Maine-Medical-Center under "Bill Pay & Financial Assistance". Northern Light Health Center Union Street Bangor ME 04401 Medical Office Building - physician svc Northern Light Primary Care 7 Main Road North Hampden ME 04444 Med Office Building-physician svc Northern Light Primary Care 234 State Street Brewer ME 04412 Med Office Building-physician svc Northern Light Sleep Diagnostics 290 State Street Bangor ME 04401 Med Office Building-outpatient svc Northern Light Primary Care 302 Husson Ave Suite 2 Bangor ME 04401 Med Office Building-physician svc Northern Light Internal Medicine 302 Husson Ave Suite 1 Bangor ME 04401 Med Office Building-physician svc Northern Light Primary Care 84 Kelly Road Orono ME 04473 Med Office Building-physician svc Northern Light Cardiovascular Care 1 Northeast Drive Bangor ME 04401 Med Office Building-physician svc Northern Light Surgery 55 Broadway Suite 2 Bangor ME 04401 Med Office Building-physician svc Northern Light Neurology 498 Essex St Suite 105 Bangor ME 04401 Med Office Building-physician svc Physician Prac in Webber Bld 417 State Street Bangor ME 04401 Med Office Building-physician svc Northern Light Cancer Care 33 Whiting Hill Road Brewer ME 04412 Med Office Building-Cancer treatment Northern Light Primary Care 5721 Cutler Health Center Universit Orono ME 044695721 Ambulatory Care Facility Northern Light Surgery 404 State St Suite 310 Bangor ME 04401 Med Office Building - physician svc Northern Light Pediatric Primary Care 133 Corporate Drive Bangor ME 04401 Med Office Building - physician svc Northern Light Pediatric Endocrinology & Diabetes 133 Corporate Drive Bangor ME 04401 Med Office Building - physician svc Northern Light Primary Care Human Performance Lab 5721 Cutler Health Center Universit Orono ME 044695721 Ambulatory Care Facility Northern Light Rheumatology 174 Kennedy Memorial Drive Waterville ME 04901 Med Office Building - physician svc Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Eastern Maine Medical Center community benefit report is contained in an annual community benefit report prepared by Northern LIght Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount reported is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - 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 Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 2 - Needs Assessment Food Insecurity Screening in Primary Care and Specialty Care practices. MOU with GSFB in support of food bags provided to those patients in need at time of service, and information for other Community Partners to assist with ongoing Food Insecurity. Part VI, Line 3 - Patient Education of Eligibility for Assistance Financial assistance and free care for medically necessary services are available to patients who qualify. Posters in patient care areas as well as information and forms on the hospital website outline the guidelines and provide information on how to apply. In recent years, Northern Light Eastern Maine Medical Center engaged in a significant outreach effort to provide both patients and the community information about and assistance with enrolling in the Health Insurance Marketplace and other insurance programs. Additionally, financial counselors are available to assist patients with enrolling in public insurance programs on a routine basis. Part VI, Line 4 - Community Information Located in Bangor, Maine, Northern Light Eastern Maine Medical Center has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Northern Light Eastern Maine Medical Center patients are community members from the following counties; Aroostook, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and Washington. Penobscot Countys demographic and social determinants of health data are provided below for Eastern Maine Medical Center based on the hospitals physical location in Penobscot County.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 Eastern Maine Medical Center community: Based on the State of Maines definition of hospital service area, Northern Light Eastern Maine Medical Centers community is served by an additional two other hospitals, Northern Light Acadia Hospital and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Eastern Maine Medical Centers service area as having a total of 24 medically underserved areas/populations.Northern Light Eastern Maine Medical Centers patients also include community members from a number of other counties where their HSAs are designated as having both medically underserved populations and medically underserved areas: Aroostook County has four hospitals; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Penobscot County has five hospitals including EMMC); Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; Washington County has two hospitals. Part VI, Line 5 - Promotion of Community Health Northern Light Eastern Maine Medical Center furthers its exempt purpose by promoting the health of the community through the following grant activity in FY20:Community Health Education: Maternal Child Health- Perinatal and Neonatal Education - Perinatal and Neonatal Education; Maine Lung Cancer Prevention (Tobacco Cessation) - Integrate evidence-based smoking cessation services into patient-provider visits to discuss lung cancer screening.Community Based Clinical Services: Pediatrics Specialty Clinics Genetics Clinics; Cleft Lip Cleft Palate Grant - Cleft Lip Cleft Palate Clinics; MAKWI-Wabanaki Intertribal Initiative to Recovery; Cystic Fibrosis clinicsHealth Care Support Services: Ebola - Ensure Ebola Hospitals are prepared to receive, isolate, assess, and provide quality care to PUICommunity Support: Chempack Grant Maintain a Plain Old Telephone System lineNorthern Light Eastern Maine Medical Center (EMMC) is a collaborative organization led by a volunteer board of directors whose members reside in the organizations service area. The organization extends medical staff privileges to qualified physicians in the community. EMMCs physicians provide itinerant specialty care services in smaller hospitals throughout the region in order to ease the burden for patients who would otherwise need to travel for care. EMMC participates in community-wide coalitions to address the regions most important health needs, including opioid abuse, and a local community health advisory council to influence public health decision making. As a nonprofit health organization, EMMC coordinates several initiatives designed to improve community health. EMMC invests in research through its Clinical Research Center and research initiatives at its cancer and heart care centers. The organization ensures the future of care in the region by providing medical education to future family medicine doctors, nurses, and other medical professionals. EMMC continues to improve the health status of youth through the Way to Optimal Weight (WOW) program for children, a program that coaches children with morbid obesity to address their weight and the resulting health issues by improving eating and fitness habits, boosting self-esteem, and engaging in family coaching. EMMC supports a health literacy initiative to improve the ability of those with low levels of literacy to access help. The goal of this program is to enhance patients understandings of discharge instructions, medication compliance, and other information, and, ultimately, to improve health outcomes. 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 and the many public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.Northern Light Eastern Maine Medical Center (EMMC) has a local implementation strategy and community health improvement plan tailored to meet the needs of the communities it serves. While EMMC is responsible for the development and implementation of this plan, the organization works closely with community health professionals from other NLH member hospitals to address state-wide health concerns and share ideas and best practices. Part VI, Line 7 - States Filing of Community Benefit Report N/A X X true true true true false false false false false false false Ali Worster VP/HR East Regi 186528 29765 5393 11422 27727 260835 Anthony Filer SVPCFO Treasurer 547066 183558 15073 22400 31610 799707 Charles Staley MD Ex-Officio 333215 12307 28300 23120 21869 418811 Deborah Sanford VP/Nursing&PCS 259037 54294 27606 20487 13077 374501 Donna D Russell-Cook Former SVP, President 143701 93855 551781 74273 11212 874822 Eric Hafener VP/Compliance 180381 28916 3000 14517 3547 230361 Glenn Martin VP Gen Counsel Secretary 416405 153993 42911 90036 23030 726375 James Clarke MD Sr VP/Sr Phy Ex 396043 35147 16633 26394 32831 507048 James Jarvis MD Sr VP/Sr Phy Ex 366387 30957 91074 25968 30706 545092 Jessica Aronowitz MD Orthopedic Surgeon 551749 550198 28444 16700 28829 1175920 John D Klemperer MD Physician 833815 239950 5954 25100 27882 1132701 Kathryn Rutledge MD Board Member 201170 958 2895 17045 30541 252609 Marc Edelman Sr VP/Operation 301953 45940 4452 22400 31913 406658 Mary M Hood PresidentCEO Ex-Officio 973213 756271 26584 25200 23156 1804424 Michael A Johnson MD Retinal Surgeon 636225 936288 24599 25100 11231 1633443 Michael Reid VP/Phy Services 263934 40324 38672 14712 28776 386418 Philippe Morissette Sr VP Finance 281796 16799 3057 11284 22734 335670 Stephen R Thompson MD Orthopedic Surgeon 594931 306275 2667 16700 27451 948024 Tim Dentry PresidentCEO Ex-Officio 604626 112673 13344 104720 32960 868323 Wayne R Waterman MD Neurosurgeon 848704 375 24486 23127 28128 924820 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received an employee stipend of $130 towards a fitness center: John D. Klemperer, MD, highly compensated employee Marc D. Edelman, officer Michael Reid, officer The benefit is available for all employees. The NL EMMC Employee Wellness Department structured a Fitness Center Network for NL EMMC employees. Any NL EMMC employee who participates in wellness activities at an NL EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by NL EMMC on a bi-weekly or yearly basis at one facility.The following received a wellness program incentive:Marc Edelman, officer $342 James Jarvis, officer 400 Michael J. Reid, officer 400Kathryn Rutledge, trustee 130 Deborah M. Sanford, officer 400 The benefit is available for all employees. A Maine Health and Higher E 010314384 560427WE2 2013-02-13 155196340 Modernization Phase I false false false B Maine Health and Higher E 010314384 56042RVZ2 2020-04-03 49011499 Refund 2010A Issue false false false A 2780000 196092047 12521895 17915749 1717540 163936863 2016 false false false true B 3365000 57103677 4594250 38985000 586471 12937956 2020 false true true true A false false false false false true B false false false false false true A false true false NA false NA false true B false true false NA false NA false true A true B true Part VI Part II, Line 3, Column A, does not equal Part I, line A, column E as a result of other sources of funds from equity from Maine Care Settlement, dialysis sale, already spent funds, and contributions from operations totaling $40,895,707. Part II, Line 3, Column B, does not equal Part I, line a, column E as a result of other sources of funds from DSF-Interest, DSF-Principle, and DSRF balance totalling $8,092,178.Part IV, Line 2c, Column A, date the rebate computation was performed - 2/19/2020. Richard Riemersma MD brd memb is director 4207559 DCPA-Pathology servi false Mary Hood officer=brd member 216259 MHA membership dues false Rosalie Davis fam mem=officer 30680 compensation false Mary Hood officer=brd mem 100785 University of ME educatio false Tracey Whitten brd mem=brd mem 163548 Husson Univ-nurse prog as false Schedule L, Part V Supplemental Information Richard Riemersma, MD, board member is a director of Dahl Chase Pathology Assoc (DCPA) board. NL EMMC had business transactions with DCPA to provide pathology services during the fiscal year.Mary M. Hood, board member/officer is a board member of Maine Hospital Association.Rosalie Davis is a family member of an officer and is an employee of Northern Light Eastern Maine Medical Center.Mary M. Hood, board member/officer is a board member of University of Maine Systems. NL EMMC had business transactions with University of Maine Systems to provide educational/tuition services during the fiscal year.Tracey Whitten, board member is board member of Husson University. NL EMMC had business transactions with Husson University to provide nursing program assistance during the fiscal year. X 10263 FMV X 16 4588 FMV X Furniture 1 40000 FMV X Face Masks 1 5000 FMV X Gift Cards 24 8430 FMV X Bouncing Seats 1 420 FMV X Fitbit 1 100 FMV X Golf Balls 1 1250 FMV X Health Analysis 1 250 FMV X Prosthetics 1 600 FMV X Riding Lessons 1 100 FMV X Round of Golf 1 198 FMV X Supplements 1 25 FMV X Toys 2 4417 FMV X Videos 1 499 FMV X Wigs 3 275 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Jenica Achey, CNA Northern Light Continuing Care, Lakewood Caring for elderly residents at Northern Light Continuing Care, Lakewood is an enormous responsibility that Jenica Achey understands all too well. She works with a vulnerable population, and is living with someone at high risk. Jenica, who rarely leaves her house except for work, canceled out of state travel plans to ensure her family and Lakewood residents are safe. For me, its the gratitude that they all show. You can see it in their faces when you put on their make-up or help them pick out an outfit. During COVID-19, as residents can only communicate with family through closed windows, by phone, or electronically, she says its more important than ever to show comfort and compassion. They cant see your smile with a mask over your face, but your eyes smile too. And they can see that. And that helps them. Jenica Achey, CNAShane Mack Mcpherson Psychiatric Technician Northern Light Acadia Hospital Mack Mcpherson says his co-workers are like his extended family, and they pulled together even more during the extraordinary challenges of running a psychiatric hospital during a global pandemic. Were in the business of working with people who are in some form of crisis, either medical needs or mental health needs. Its just what we do naturally. As a psych tech, Mack considers his job to do what needs to be done to support patients and clinicians. He says the only change for him during COVID-19 is that hes helping other staff with needs too. Hes cleaning, doing small repairs, getting batteries for a thermometer, whatever is needed. The most challenging part of the pandemic for Mack personally is not having face-to-face interactions with co-workers. Acadia is known for being able to recognize when somebody on the team is having a rough day or a rough couple of days. And, we are great at surprising them with their favorite candy or coffee, or writing a card. Shane Mack McphersonCassie CraigParamedic Northern Light Medical Transport Since the start of the pandemic, when a 911 call comes into Northern Light Medical Transport, the caller is screened to see if the patient has COVID-19 symptoms. That way, Cassie Craig knows if she must suit up in full gear, including respirator masks, goggles, gloves, and gowns. This adds some time to the response, but is an important step to protect her and her co-workers, to stop the spread of the virus, and to make sure she can continue her job. She also makes sure to wash her clothes at the station in order to limit any exposure to family members. I would come to work in a pandemic as I would come to work on a Tuesday, this is the job that I signed up for. Its become more difficult lately, but Im going to come to work anyway. Im here to do my job. Cassie CraigBrent Watson, RN, BSN, MLT, CEN, CFRNDirector of Nursing for Emergency Department / Laboratory Services As the director of the Emergency Department at Northern Light Mayo Hospital, Brent Watson spent long hours informing people of evolving CDC guidelines in the early stages of the COVID pandemic. He also spent considerable time traveling to Northern Light Eastern Maine Medical Center to study how they were equipped to handle a potential influx of patients. Since Mayos emergency staff is relatively small, he cross-trained other Mayo nursing staff to work in the Emergency department. Personally, I wouldnt consider myself a hero in any aspect; this is something I signed up for. I am a professional nurse. I love taking care of people; I love taking care of the community in which I live. Brent Watson, RN, BSN, MLT, CEN, CFRNMatt GrantCardiopulmonary Respiratory TherapistNorthern Light Mayo Hospital Matt Grant is one of two full-time respiratory therapists at Northern Light Mayo. Understanding that COVID-19 is a respiratory virus, he knew his services would be in demand if there were an influx of patients. So, he also spent time training staff to make sure they were ready. Both Brent and Matt say its all part of the job, even in a global pandemic. People have been very appreciative, and Id be remiss not to acknowledge that, but I dont consider myself a hero. We havent been hit as hard as some hospitals across the country. They are working nonstop overtime and going out and being in the face of this. I would consider myself lucky, but I wouldnt consider myself a hero by any means. Matt GrantTiffany BennerClinical SupervisorNorthern Light Maine Coast Hospital As a supervisor, Tiffany Benner says the most challenging part of the pandemic was when she didnt have immediate answers for staff. Early on, there were many unknowns would they have enough personal protective equipment? How long would this last? Would there be staff reassignments? She learned to communicate what she knew when she knew it, which helped alleviate fears. She did have a very well laid out plan at home. Once the pandemic reached her county, she would not leave the house, except for work, and her newlywed husband would do the shopping. "I dont think of myself as a hero. I didnt decide to become a nurse because I thought in 2020 there would be a worldwide pandemic, and it would look awesome when I leave work. I do my job because I like to help people. I like to help the community. Tiffany BennerTammy Violette, RNDirector, Physician PracticesNorthern Light Eastern Maine Medical Center In regular times, Tammy Violettes job involves supporting clinical services and staff of Northern Light Eastern Maine Medical Centers Primary Care. But since COVID-19, she has also become an expert in swab and go sites screening and testing people for COVID-19. Tammy helped coordinate staff at the testing site, which was a partnership with the City of Bangor, EMMC, St. Joseph Hospital, and Penobscot Community Health Care (PCHC). How was traffic going to flow? What type of staff were we going to use? How were the swabs going to get collected? How are they going to be housed? So, there was a lot of logistics in terms of details, she explains. Everyone in our community, our eyes have been opened to everyday heroes. Individuals that continue to keep the grocery store stocked so that people can eat during this time. I think that we all just have to remember that were in this together, and we should be thankful for the efforts of all. Tammy Violette, RNLisa Boutwell, PTAPhysical Therapist Assistant Northern Light Sebasticook Valley Hospital Physical Therapy was a service that completely shut down at the start of the pandemic. Lisa Boutwell, PTA went from seeing patients in outpatient rehabilitation to staffing Northern Light Sebasticook Valley Hospitals drive-up site to screening and testing patients. As a runner, she took the test bag from providers administering the tests to the hospital or lab. Lisa is one of many healthcare staff members who stepped up to serve the community in all kinds of ways, in all kinds of weather. One day out in the testing tent, it was very windy, the walls were blowing in. We also had a snowstorm and large snow piles outside of the tent, but we made do, and our community was safer because of it. Lisa Boutwell, PTAA Leader to HeroesA good leader inspires people to have confidence in the leader; a great leader inspires people to have confidence in themselves. Eleanor Roosevelt A leader who empowers others to act decisively is precisely the type of leader a healthcare system needs during a global pandemic. As the coronavirus began forcing the state of Maine to shut down, Tim Dentry was settling in as president and CEO of Northern Light Health and facing an immediate crisis that would put his experience and leadership skills to the test. On March 24, I was offered the position. It was announced on March 25, and April 1 is when I began these responsibilities, Dentry explains. He had already been with Northern Light Health as chief operating officer for three years and was very familiar with the system. Also, he spent several years in Western Africa and the Middle East working to improve healthcare systems for Johns Hopkins University. During the Ebola outbreak, I was in Abu Dhabi, the United Arab Emirates. The Ministry of Health advised us on a Thursday that this is a big issue, and they want us to be the chosen hospital for Ebola response, and by Sunday, we had our first patient, recalls Tim. That experience helped Tim when the first case of COVID-19 appeared in Maine. By the time the state had issued stay-at-home orders, Northern Light Health had already enacted its Incident Command team and its supply chain team had already started preparing for a nationwide shortage of personal protective equipment (PPE). Information Systems and Operational Excellence teams worked to increase delivery of healthcare services through telehealth. Under Tims leadership, Northern Light Health also set up alternative care sites and COVID-19 screening sites. I spent a lot of my time doing what Im doing now, getting out and talking t Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Robert Ziegelaar, board member and Eric Hafener, officer are board members of Challenger Center of Maine. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Bylaws as follows: (1)Amended Article III (Board), Section 2 (Number and Tenure; Qualifications), Section 2b (Remaining Elected Board Members) removed notation of an Auxiliary board seat.(2)Amended Article III (Board), Section 2 (Number and Tenure; Qualifications), Subsection c (Active Medical Staff Board Seats) removed subsection c(b) - The Board of the Auxiliary shall submit the name of one of its members who qualifies as independent as provided below to the [Nominating Committee], which shall either submit the name to the full Board of the Medical Center for election as a Trustee or refer it back to the Auxiliary for reconsideration. The individual so elected to the Auxiliary seat will serve a three-year term and may be re-elected, provided however that the individual shall cease serving as a Trustee when no longer a Director of the Auxiliary Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the SVP of Finance. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light Eastern Maine Medical Center and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and EMMC Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Equity transfer from EMHS = $1396257 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Change in Funds Held at Affiliates = -$2196036 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$21966554 M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 38044025 15995667 EMMC LTC LLC 43 WHITING HILL ROAD BREWER ME 04412 010211501 Operation of Nursing Homes ME 900376 4366238 EMMC Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II N/A false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false EMHS Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH false Mercy Hospital 144 State Street Portland ME 04101 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 & hospice services ME 501(c)(3) 10 EMHS false WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Maine Coast Regional Health Facilities d 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCH false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false MRH Corp dba Northern Light Mayo Hospita 897 W Main Street DoverFoxcroft ME 04426 843689003 Provide healthcare services ME 501(c)(3) 3 EMHS false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false Alliance Heath Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Ross Manor Associates 100 Waterman Dr South Portland ME 04106 010448532 Nursing Home ME N/A Related 478620 8107549 false true 0.50000 Dexter Manor Associates 100 Waterman Dr South Portland ME 04106 010435902 Nursing Home ME N/A Related 171136 898145 false true 0.50000 Colonial Acres Nursing Home 100 Waterman Dr South Portland ME 04106 010456929 Nursing Home ME N/A Related -28293 1974029 false true 0.50000 Katahdin Healthcare LLC 100 Waterman Dr South Portland ME 04106 270855625 Nursing Home ME N/A Related 57750 663569 false true 0.50000 Stillwater Healthcare LLC 100 Waterman Dr South Portland ME 04106 273000166 Nursing Home ME N/A Related 264082 1755420 false true 0.50000 Dover-Foxcroft Healthcare LLC DBA Hib 100 Waterman Drive 4th Floor South Portland ME 04106 463813555 Nursing Home ME N/A Related 321342 993719 false true 0.50000 22 Walnut Street LLC 100 Waterman Dr South Portland ME 04106 270855521 Real Estate ME N/A Related 14507 113674 false true 0.50000 1037 West Main Street LLC 100 Waterman Drive 4th Floor South Portland ME 04106 463807922 Real Estate ME N/A Related 1902 2476730 false true 0.50000 Park East Villa LLC 100 Waterman Dr South Portland ME 04106 833527254 Nursing Home ME N/A Related -27848 851086 false true 0.50000 Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical lab ME AHS C false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C false false false false false false false false false false false true true true false false true false false true