2020-08-08T16:50:21-07:00 2019-09-30 990 2018-10-01 010372148 EASTERN MAINE HEALTHCARE SYSTEMS TAMC THE AROOSTOOK MEDICAL CENTER TAMC EAST 2079739081 PO BOX 151 PRESQUE ISLE ME 04769 John J Doyle NLH VP of Finance 2020-08-08 false 2018 2020-09-23 17:36:50Z John J Doyle 141007404 false false 5247 X https://northernlighthealth.org/A-R-Gould-Hos X 1981 ME THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. 14 9 1258 79 0 321978 1024754 320045798 130812580 1662634 -79106 8750082 9066030 330780492 140824258 36050 32965 0 87590911 89291968 0 0 237856712 51242774 325483673 140567707 5296819 256551 72042608 72739947 46670574 48273701 25372034 24466246 X THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT. false false 105189358 32965 139780094 PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 9,922 INPATIENT PATIENT DAYS, 21,166 LONG TERM CARE PATIENT DAYS, AND 270,212 OUTPATIENT VISITS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $2,861,599. 18036472 MEDICARE SHORTFALLS (AT COST). 70,334 PERSONS SERVED 5002468 MEDICAID SHORTFALLS (AT COST). 26,621 PERSONS SERVED 590474 128818772 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 true false true false false false false false false false false false true false false false false false false true true true false false true 123 0 true 1258 true false false false false false false false false 0 false false false false false false false false false false false false X 14 9 false false true false true true true true true false false true true true true true true true false true true ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 RICHARD DUNCAN Trustee/ViceChr 1.00 0.00 X X 0 0 0 CAROL BELL Trustee/Chair 1.00 0.00 X X 0 0 0 DAVID WEED MD Pres Med Staff 50.00 0.00 X 493667 0 13835 M MICHELLE HOOD President NLH 1.00 50.00 X X 0 3977600 296423 GREGORY LAFRANCOIS SVP, President 50.00 0.00 X X 347665 0 28510 HOLLY JOHNSON Trustee 1.00 0.00 X 0 0 0 ARG WB Trustee 50.00 0.00 X 579436 0 20355 JOHN HERWEH Trustee 1.00 0.00 X 0 0 0 GENE LYNCH Trustee 1.00 0.00 X 0 0 0 JANE TOWLE Trustee 1.00 0.00 X 0 0 0 SCOTT VIOLETTE Trustee 1.00 0.00 X 0 0 0 STEVE ST PIERRE Trustee 1.00 0.00 X 0 0 0 GREG CLARK Trustee 1.00 0.00 X 0 0 0 MARK WILCOX Trustee 1.00 0.00 X 0 0 0 MAURA KELLY VP Finance Svcs 50.00 0.00 X 280353 0 42237 ANTHONY FILER Sr VP/CFO/Treas 1.00 50.00 X 0 577280 64222 GLENN MARTIN VP/Gen Csl/Sec 1.00 50.00 X 0 493200 109084 DARYL BOUCHER VP Nursing&PCS 50.00 0.00 X 129087 0 10144 JAY REYNOLDS MD CMO/CCO 50.00 0.00 X 370606 0 28794 ROGER PELLI DO VP, CMIO 50.00 0.00 X 261814 0 731 GLENDA DWYER VP, COO 50.00 0.00 X 304101 0 13445 YOOSUF SIDDIQUI VP HR/NW Region 1.00 50.00 X 0 170905 40686 RICHARD LEIDINGER Physician 40.00 0.00 X 535868 0 28527 MARK MORIN Physician 40.00 0.00 X 504228 0 23591 VENKATRAM NETHALA Physician 40.00 0.00 X 521443 0 28527 RICHARD DEBOWSKY Physician 40.00 0.00 X 513881 0 21580 ALAN P MAUTZ Physician 40.00 0.00 X 837489 0 33439 C BRUCE SANDSTROM Former VP of Finance 0.00 50.00 X 0 319275 34339 5679638 5538260 838469 109 true true false COMPHEALTH INC PO BOX 972625 DALLAS TX 753972651 PHYSCN FEES-LOCUMS 2055633 AMN HEALTHCARE INC 2735 COLLECTION CENTER DRIVE CHICAGO IL 60693 TEMP STAFF 2434621 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSCN FEES-LOCUMS 1641309 HUDSON STAFFING PLLC 4625 NADINE LN FRANKLIN TN 37064 TEMP STAFF 508546 AROOSTOOK MRI LLC PO BOX 19532 IRVINE CA 92623 PURCHASE SERVICE 453404 20 911181 113573 6846 1024754 Cafeteria 722514 404999 404999 Net Patient Care Services 621990 130407581 130407581 130812580 -4261 -4261 0 0 15711 15881 -170 -170 -170 644 75489 -74845 -74845 -74845 0 0 190292 91776 98516 98516 340B Revenue 621990 8967684 8967684 8967684 140824258 139375095 424409 32965 32965 0 0 0 2924780 2226015 698765 0 70238748 65483696 4755052 1967193 1700232 266961 9898127 9230252 667875 4263120 3977982 285138 0 3906 3748 158 24617 24617 0 0 0 13019198 10683289 2335909 113001 113001 2449879 1727038 722841 3254203 3035184 219019 0 3146911 2580467 566444 456906 430056 26850 0 213783 192949 20834 837965 687131 150834 0 3613113 3030853 582260 1246130 1162783 83347 Medical Supplies Expense 17761743 17761743 Taxes & Licensing 2724903 2683160 41743 Repairs & Maintenance 1748306 1528594 219712 Miscellaneous 311154 261414 49740 317056 286220 30836 140567707 128818772 11748935 0 3840 3505 27113 9506 0 21689551 25364315 0 0 654735 747573 2254826 2025307 1020055 1005547 94876281 63864833 32908393 31011448 0 0 0 0 13501702 12555139 72042608 72739947 19805200 21785247 26865374 26488454 46670574 48273701 X 18691062 18429226 3956599 2724373 6037020 25372034 24466246 72042608 72739947 X 256551 -1162339 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 12334 12334 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 6090471 200 120021 611127 5599565 2941700 3201633 -601 52260 6090472 3203458 365752 609560 17950 2941700 2948531 265032 4859 5246 3203458 3058725 5000 -75498 19939 19757 2948531 1.00000 false true true 227598 227598 43296254 28841520 14454734 3253263 2284523 968740 44834274 30511925 14322349 3264892 2226865 1038027 31011448 Assets whose use is limited 116987 Board Designated Other 5995957 Investments in County Physical Therapy 317745 Other Assets 87430 Permanently Donor Restricted Funds 2724573 Temporarily Donor Restricted Funds 3312447 12555139 Amounts due to Related Org 20227116 Reserve for Asset Disposal Costs 267974 Reserve for Retiree Health Benefits 5993364 26488454 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 the Financial Accounting Standards Board (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 basis 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 603 590474 590474 0.00420 26621 16539234 11536766 5002468 0.03560 240290 240290 0.00170 27224 17369998 11536766 5833232 0.04150 5 425 112159 112159 0.00080 3 500506 500506 0.00360 6 34500 34500 0.00020 14 425 647165 647165 0.00460 14 27649 18017163 11536766 6480397 0.04610 true 2861599 41072212 59108685 -18036473 X true true COUNTY PHYSICAL THERAPY OUTPATIENT PHYSICAL THERAPY 0.50000 1 1 Northern Light AR Gould Hospit 140 Academy Street Presque Isle ME 04769 northernlighthealth.org/A-R-Go 37937 X X X Northern Light AR Gould Hospit 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 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 AR Gould Hospit - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, 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 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 17, 2018 Aroostook 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 Aroostook County CHNA report, pages 27-28): Aroostook Agency on Aging, Aroostook County Action Program, Aroostook County Health Network/Pines Health Services, Aroostook Mental Health Center, Aroostook Public Health District, Aroostook Substance Abuse Prevention, Cary Medical Center, Community Member, E.D. Bells, Fiddlehead Focus, Fish River Rural Health, Greater Fort Kent Chamber of Commerce, Health Services Foundation, Hope and Justice Project, Houlton Family Practice and Pain Clinic, Houlton-Pediatrics-Houlton Regional Hospital, Houlton Regional Hospital, Houlton Regional Hospital and Link for Hope, Katahdin Valley Health Center, Kristen Wells Consulting, Life by Design, Maine CDC, Maine CDC Public Health Nursing, MSAD #27, Northern Light Health, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light AR Gould Hospital, Northern Light Home Care & Hospice, Northern Maine Community College, Northern Maine Medical Center, Power of Prevention, Presque Isle Star-Herald, St. John Valley Pediatrics, Seniors Achieving Greater Education, The Northern Lighthouse, Inc., United Way of Aroostook, University of Maine Cooperative Extension.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. 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 AR Gould Hospit - 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 (formerly known as EMHS), 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, Mercy Hospital, Sebasticook Valley Hospital, and AR Gould Hospital. Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 11 Northern Light Health recently conducted their 2019 Shared Community Health Needs Assessment that will inform priority work to be implemented FY20 FY22. In FY20, our members will provide information on how they addressed significant needs identified in their 2019 Community Health Strategy. While conducting the 2019 Shared CHNA research and outreach, Northern Light AR Gould Hospital continued to implement priority work from their final year, FY19, of their three-year 2016 Community Health Strategy. Below reflect these efforts related to the 2016 Community Health Strategy. The data gathered from the 2016 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light AR Gould Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, local Public Health District Liaisons, social service agency representatives, 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 Northern Light AR Gould 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 Board of Trustees. Northern Light AR Gould Hospital identified four priorities of focus addressing the significant needs identified in its 2016 CHNA as follows:Decrease prevalence of sedentary lifestyles in youth through family engagement Actions taken by Northern Light AR Gould Hospital to address this priority in FY19: Northern Light AR Gould Hospital partnered with multiple community agencies to provide low cost or no cost activities for families as well as additional activities for adults though our Fit and Fun programming.Decrease number of adults age 20-65 with cardiovascular disease risk factors Actions taken by Northern Light AR Gould Hospital to address this priority in FY19: Patient smoking reduction - Northern Light AR Gould Hospital provided smoking cessation information to patients through signage, educational materials, discharge instructions, and a stop smoking event. We also wrote a letter of support for Aroostook County Action Program (ACAP) to receive a grant for tobacco cessation staff. Staff smoking reduction - Northern Light AR Gould Hospital provided tobacco cessation information to new employees at new staff orientation. Information was placed throughout the campus about quitting resources. Our system benefits include tobacco cessation aids and support.Improve health status of adults over 65 with three or more chronic conditions Actions taken by Northern Light AR Gould Hospital to address this priority in FY19: Northern Light AR Gould Hospital facilitated a train the trainer class for the Stanford Model Living Well class and held multiple community education sessions. Northern Light AR Gould Hospital also provides a regular series of Healthy Aging lunch and learn events, and a series of community talks which provide health education to community members, which often focused on chronic health conditions. Improve access to mental health/substance abuse services and early intervention Actions taken by Northern Light AR Gould Hospital to address this priority in FY19: Northern Light AR Gould Hospital provided education cards related to opioid use to primary care patients and in key service lines of emergency department, general surgery and orthopedics.Additional information related to actions taken by Northern Light AR Gould Hospital on the above priorities can be found in their FY19 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2016-CHNA-Reports/Community-Health-Strategy Northern Light AR Gould 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, Northern Light AR Gould Hospital is currently poised to focus only on the highest priorities at this time. Priorities listed below will be address through partnerships with and support to organizations in the community focused on these areas. Organizations are indicated in parentheses.Poverty (Aroostook County Action Program)Oral Health (St. Apollonia Clinic)Domestic Violence (Hope & Justice)Transportation (Aroostook Area Agency on Aging; Aroostook Regional Transportation Service)Affordable Housing (Presque Isle Housing Authority, Aroostook County Action Program)Economic Development (Aroostook Partnership for Progress, Central Aroostook Chamber of Commerce)Educational Attainment (Aroostook Aspirations; Aroostook Partnership for Progress; United Way) Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 16j Response for 7a (list url) is https://northernlighthealth.org/A-R-Gould-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10 (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-Reports/Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is http://northernlighthealth.org/A-R-Gould-Hospital under "Bill Pay & Financial Assistance" NORTHERN LIGHT SURGERY 146 ACADEMY STREET STE 1A PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 23 NORTH STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OBGYN 140 ACADEMY STREET STE 4 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PEDIATRICS 23 NORTH STREET STE 1 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET STE 3 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CANCER CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT DIALYSIS 23 NORTH STREET SUITE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT CONTINUING CARE 15 HIGHLAND AVENUE MARS HILL ME 04758 NURSING HOME, OUTPATIENT CLINIC NORTHERN LIGHT PRIMARY CARE 23 HIGH STREET FORT FAIRFIELD ME 04742 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT OUTPATIENT SPECIALTY CLINICS 146 ACADEMY STREET SUITE 1B PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS NORTHERN LIGHT URGENT CARE 23 NORTH STREET STE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT HEART AND LUNG 146 ACADEMY STREET STE 11 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT UROLOGY 140 ACADEMY STREET STE 5 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 118 BENNETT DRIVE STE 130 CARIBOU ME 04736 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT PRIMARY CARE 106 MAIN STREET MARS HILL ME 04758 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT WOMENS HEALTH 140 ACADEMY STREET STE 6 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT EYE CARE 146 ACADEMY STREET SUITE D PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 140 ACADEMY STREET PRESQUE ISLE ME 04769 AMBULANCE SERVICE NORTHERN LIGHT ORTHOPEDICS 140 ACADEMY STREET SUITE 10 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS NORTHERN LIGHT SLEEP DIAGNOSTICS 140 ACADEMY STREET SUITE 2 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINICS NORTHERN LIGHT EARS NOSE and THROAT CARE 140 ACADEMY STREET SUITE 12 PRESQUE ISLE ME 04769 OUTPATIENT PHYSICIAN CLINIC NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 18 HIGHLAND AVENUE MARS HILL ME 04769 AMBULANCE SERVICE NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 18 COMMUNITY CENTER DRIVE FORT FAIRFIELD ME 04742 AMBULANCE SERVICE NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 6 VICTORIA STREET WASHBURN ME 04786 AMBULANCE SERVICE NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE 119 WEINMAN DRIVE LIMESTONE ME 04750 AMBULANCE SERVICE Part I, Line 6a - Related Organization Community Benefit Report Northern Light AR Gould 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 methology 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. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral. 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 AR Gould 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 Northern Light AR Gould Hospital uses quality and accountable care data to identify readmission trends. This data has resulted in additional hospital-based services including: a community-based pharmacist, a congestive heart clinic, and continuation of both inpatient and outpatient case management programs. Part VI, Line 3 - Patient Education of Eligibility for Assistance Financial assistance or free care is available. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to take calls and to answer questions. Part VI, Line 4 - Community Information Located in Aroostook County, Presque Isle, Maine, Northern Light AR Gould 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 hospital's inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Northern Light AR Gould Hospital's primary service area include: Ashland, Blaine, Bridgewater, Central Aroostook County, Easton, Fort Fairfield, Mapleton, Mars Hill, Oxbow, Portage, Presque Isle, Washburn, Westfield. Towns representing Northern Light AR Gould Hospital's secondary service area include: Caribou, Limestone, New Sweden, Perham, Stockholm, Van Buren.Aroostook County's demographic and social determinants of health data are provided below for Northern Light AR Gould Hospital based on the hospitals physical location in Aroostook County.Aroostook County - Demographic Data: American Indian/Alaskan Native 1.6% (1,144), Asian 0.5% (320), Black/African American 0.9% (597), Hispanic 1.1% (736), Some other race 0.2% (161), Two or more races 1.6% (1,122), White 95.2% (66,055). Total county population 69,405.Aroostook County Social Determinants of Health Data: Median household income $38,087, Unemployment rate 5.5%, Individuals living in poverty 17.7%, Children living in poverty 23.6%, 65+ living alone 47.7%, People living in rural areas 80.3%, Food insecurity 16.9%.Other hospitals serving the Northern Light AR Gould Hospital community: Based on the State of Maine's definition of hospital service area, Northern Light AR Gould Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Northern Light AR Gould hospitals service area as having medically under-served populations present in the community. Part VI, Line 5 - Promotion of Community Health Collaboration is imperative in Aroostook County as Northern Light AR Gould Hospital works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, Northern Light AR Gould Hospital has partnered with each of the County's hospitals, the higher education institutions, the local Community Action Program, the local Agency on Aging, municipal recreation departments, local ski facilities, school departments, The United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity, identifying those with food insecurity challenges, providing education about chronic disease management, working on cutting smoking rates, to provide education about opioid abuse, Northern Light AR Gould Hospital has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. Northern Light AR Gould Hospital provided 1,527 flu vaccines to the community in the Fall of 2018. 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 hospital's 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 AR Gould Hospital is a member of Northern Light Health. Northern Light Health includes nine hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. Northern Light Health has a proven record of quality outcomes, cost reduction, and highly engaged patients. The Northern Light Health statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for Northern light Health. Northern Light Health leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. Northern Light Health coordinates several state-wide wellness initiatives. All hospitals are engaged around specific initiatives related to combating opioid abuse and food insecurity.Northern Light AR Gould Hospital serves as Northern Light Health's most northern member serving all of Aroostook County, Maine. As such, Northern Light Health AR Gould Hospital acts as a leader in the region to improve overall community wellness. Northern Light Health AR Gould Hospital leadership serves on the board of the Maine CDC Aroostook District Public Health Council. Over the past year, Northern Light Health AR Gould Hospital has engaged with several community organizations to introduce a significant number of health promotion and wellness activities, including a women's health conference, year round family physical activity series, community health fair, wellness presentations for seniors, health screenings, chronic disease management classes, provided outreach to the local housing authority and local native American tribe focused on wellness activities, provider speakers for various community health events, and collaborated with a local Community Action Program to provide food insecurity screening and referral program for primary care patients. Part VI, Line 7 - States Filing of Community Benefit Report ME true Aroostook Aspirations Initiat 26 North Street PO Box 138 Presque Isle ME 04769 461594917 501(c)(3) 7500 0 assist young adults in community LifeFlight Foundation PO Box 899 Camden ME 04843 522377085 501(c)(3) 20000 0 Aircraft-helicopters 2 0 Grantmaker's Description of How Grants are Used The Organization makes payments only to other not-for-profit organizations. Therefore, additional monitoring was not deemed necessary. X true true false true false false false false false false false false ALAN P MAUTZ Physician 502667 331711 3111 33439 870928 ANTHONY FILER Sr VP/CFO/Treas 497426 71027 8827 31517 32705 641502 ARG WB Trustee 569102 8300 2034 20355 599791 C BRUCE SANDSTROM Former VP of Finance 265163 31548 22564 22000 12339 353614 DAVID WEED MD Pres Med Staff 489821 3846 13835 507502 GLENDA DWYER VP, COO 247228 32562 24311 13445 317546 GLENN MARTIN VP/Gen Csl/Sec 415555 72710 4935 86309 22775 602284 GREGORY LAFRANCOIS SVP, President 306380 39143 2142 24938 3572 376175 JAY REYNOLDS MD CMO/CCO 292084 34280 44242 28794 399400 M MICHELLE HOOD President NLH 3773999 196017 7584 273147 23276 4274023 2839409 MARK MORIN Physician 500342 3886 23591 527819 MAURA KELLY VP Finance Svcs 240569 25320 14464 21773 20464 322590 RICHARD DEBOWSKY Physician 505829 8052 21580 535461 RICHARD LEIDINGER Physician 487337 40500 8031 28527 564395 ROGER PELLI DO VP, CMIO 259770 500 1544 731 262545 VENKATRAM NETHALA Physician 517912 3531 28527 549970 YOOSUF SIDDIQUI VP HR/NW Region 132287 15811 22807 10267 30419 211591 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Glenda Dwyer, officer $500Alan Mautz, highest compensated employee 162David Weed, director 110 The benefit is available for all employees.The following received a giftcard for $22:Daryl Boucher, officerWendy Boucher, directorAlan Mautz, highest compensated employeeMark Morin, highest compensated employee David Weed, directorThe following received a giftcard for $15:Glenda Dwyer, officerRichard Leidinger, highest compensated employeeVenkatram Nethala, highest compensated employee Tina Weed fam mem=officer 69816 compensation false Danhong Zhao fam mem=officer 230839 compensation false Rachael St Pierre fam mem=brd mem 28743 compensation false Dawn Mahan fam mem=brd mem 12919 compensation false Schedule L, Part V Supplemental Information Tina Weed is a family member of an officer and is an employee of Northern Light AR Gould.Danhong Zhao is a family member of a board member/officer and is an employee of Northern Light AR Gould.Rachael St. Pierre is a family member of a board member and is an employee of Northern Light AR Gould.Dawn Mahan is a family member of a board member and is an employee of Northern Light AR Gould. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 603 PERSONS SERVED OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2019 to the Community for details of community benefit projects at NLH members:Were making healthcare work for you.We are ChangemakersAll around us in todays world are people who challenge the status quo and aim to do more. History remembers those who have created changes that make our world a better place. Where would we be today if Alexander Graham Bell hadnt invented the telephone? Or, Thomas Edison didnt find a way to harness electricity to make light? Or, Marie Curie didnt discover the radioactive compounds that would lead to the use of radiation therapy to treat cancer? Of course, not all change is so grand, and not all changemakers are so iconic, but even small changes over time make a big difference. Here at Northern Light Health, among our thousands of dedicated employees, valued patients, generous donors, and committed community partners, we are grateful to have changemakers who work every day to improve the lives of people across our great state. In our 2019 Annual Report, we will introduce you to some of these changemakers. They are improving their communities, their workplaces, and themselves. They are finding better ways to treat people with Alzheimers disease. They are taking on extraordinary physical challenges to further cancer research. And, they are looking to make meaningful changes to how patients are cared for during their stays in our hospitals and healthcare facilities. At Northern Light Health, our purpose is to make healthcare work for you, and one way that we are doing that is by raising quality through innovation, teamwork, and efficiency. You will see examples of this throughout the pages of this years report. I am truly inspired by the great work that is happening here, and I know you will be inspired too. Sincerely, M. Michelle Hood, FACHE President and CEO, Northern Light HealthOrdinarily, Michelle and I co-author the introductory letter to our annual report, but this year, I felt it was important to add a few additional thoughts of my own. This will be the final annual report of Michelles 14-year tenure with Northern Light Health as she is moving on to an exciting new opportunity with the American Hospital Association to serve as executive vice president and chief operating officer. I think it is fitting that the theme of this years report is changemakers because Michelle has been a positive agent of change for our healthcare system. During her time as CEO, Northern Light Health has grown from a loosely organized confederation of hospitals to an integrated healthcare system that is poised to serve people across Maine for generations to come. I speak on behalf of our Board of Directors when I congratulate Michelle on her exciting new opportunity. She can feel proud of all that she has accomplished for Northern Light Health and the people of Maine. Sincerely,Barry McCrum Northern Light Health, Board ChairWe are HopefulWhen Memory Fades: Northern Light Alzheimers Research Program As Bill Doak runs a wooden board under a scroll saw in the woodworking shop behind his home, he pushes too hard, the board jumps, and the saw blade breaks. Bills wife, Nina, is standing nearby with a nervous look. Theres sawdust on the floor and projects in various stages of production and repair, including a chest of drawers. Bill has made thousands of dovetail joints but when he started this project for his grandson, he couldnt remember how to make a dovetail joint, explains Nina. Instead, Bill is fastening the drawers together with screws. For Nina, its a good sign that Bill is still problem-solving, but this scenario is just one of the many new realities they are learning to deal with since Bill has been living with Alzheimers disease. I built several boats over the years, and Ive built many pieces of furniture. The work gave me a sense of comfort, explains Bill, And, now, not so much. It takes a lot of time. Bill takes long walks on the roads near his coastal home in Surry, reads books, and solves crossword puzzles. He does these things to keep both his mind and body fit. As shes done for 40 years Nina is at his side supporting him. As the disease progresses, so does her worry. She and Bill cared for Bills parents, who both had Alzheimers disease. Bill is a very bright man who has held important administrative positions at the National Institutes of Health. He was great with numbers, and thats not there anymore, says Nina, Bill says that Im angry. Yes, I am angry, but not at him. This disease is slowly taking away my best friend. Bill is doing all he can to slow the diseases progression. He is part of a clinical research trial offered through Northern Light Acadia Hospitals Mood and Memory Clinic, in which he is a patient of Clifford Singer, MD, chief of Geriatrics and principal investigator for Northern Lights Alzheimers Disease Research Program. Acadia Hospital, together with the University of California San Diego and the National Institute on Aging is testing a drug currently used to treat ALS to see if it slows Alzheimers disease. Bill is part of that trial. There is a critical public health need. Because of our aging society, there is a doubling of the numbers of people with Alzheimers disease nationally and in Maine. The best hope we have of coping is to either prevent or at least slow the disease down, Dr. Singer explains. Northern Light Acadia Hospital is also partnering with Jackson Laboratory, a world-class genetics research institute. The hospital has clinicians and access to potential research study participants while Jackson Laboratory has state-of-the-art genetics laboratories, grant writing expertise, and researchers. Gareth Howell, PhD, associate professor at Jackson Laboratory, and his team of researchers are studying the effects of Alzheimers disease on mice at the genetic level. Dr. Howell says collaborating with a clinician with a national reputation such as Dr. Singer allows them to not only enhance research but also attract grants. Our partnership with Dr. Singer allows us to go backward and forward between human patients and mouse models. You can understand more about the disease in the mouse if you have mouse models that look like the human condition. And so, there are benefits of having a close partnership with somebody studying the disease in humans, Dr. Howell explains. Northern Light Acadia Hospital also collaborates with the University of Maine and Activas Diagnostics, an Orono-based company, co-founded by Marie Hayes, PhD. Dr. Hayes is the principal investigator and project director for an NIH grant-funded research project. She was instrumental in securing a $1 million grant to develop and test technology that allows researchers to study sleeping patterns on a group of 120 study participants at their homes. What if disruption of sleep is the earliest signs of neurodegenerationnot just Alzheimers disease, but Parkinsons disease and other kinds of diseases associated with sleep disorders? asks Dr. Hayes, Early detection is the secret to treatment thats successful. OTHER PROGRAM SERVICES 6: Ali Abedi, PhD, UMaine professor of Electrical and Computer Engineering, and his team are collaborating with Activas, of which he is also co-founder, to help develop and test the home-based sleep diagnostics technology that Dr. Hayes and he patented. They created a prototype sleep monitoring device that looks like a mattress pad, but it has 32 sensors that can measure respiration and movement during sleep. And its much easier to operate because its in peoples homes. Its not invasive; its in your own comfortable home. The idea is we create sets of signals that indirectly measure whats going on inside your brain in terms of cognitive impairment, explains Dr. Abedi. Whether its studying sleep patterns, conducting genetic research on mice, or attracting human clinical trials to Maine, the best and brightest research, engineering, and clinical minds in Maine are coming together to find a cure for a brain disease that is affecting Bill Doak and many thousands of other people in Maine. I hope there can be a pill that would stop the progression and, if possible, help me gain back some of the things that Ive lost, thats what I hope, explains Bill, I also hope the clinical trials Im involved in can help find a cure for future generations. *Northern Light Acadia is also exploring opportunities to collaborate with Massachusetts General Hospital on Alzheimers Research.Want to learn more about what we do? MAINAH (Maine Initiative for Neurologic Aging and Health) offers healthy brain aging tips. You can sign up for our newsletter or join a study. Visit https://northernlighthealth.org/Acadia/HealthyBrainAging We are MotivatedThe Heart of a Friar: Northern Light Cardiovascular Care As the sun rises over the Franciscan Friars monastery on Orcutt Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Bylaws as follows:Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustee) Subsection (e) to change the amount from aggregated more than $10,000 to equaled or exceeded (i) $80,000, or (ii) 2% of such companys consolidated gross revenues if such companys consolidated gross revenues were less than $4,000,000, in any of such three fiscal years. To add payments made by the company to the Corporation for healthcare services shall not be deemed to constitute payments. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The Aroostook Medical Center d/b/a Northern Light A.R. Gould 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. 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 A.R. Gould Hospital and the system President/CEO (President) 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 President, to set compensation of the NLH President, and to review recommendations of the NLH President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the NLH President. 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 President.- 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 President reviews all direct report compensation actions with the committee. In addition, the NLH President 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. The compensation of officers and key employees are reviewed by the system President/CEO and A.R. Gould 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 The Aroostook Medical Center d/b/a Northern Light A.R. Gould makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Decreases Net Change in Funds Held at EMHS Foundation = -$643873 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$518466 Form 990, Part I, Summary A change was made this year to change reporting of Patient Service Revenue under Program Service Revenue from gross patient service revenue to net patient service revenue, which is now the hospital industry standard. The outcome offsets contractual allowance, charity care, and bad debt expense from Part IX line 24 to Part VIII line 2 against patient service revenue. As a result, Part I Summary line 9 (Program service revenue), line 12 (Total revenue), line 17 (other expenses) and line 18 (Total expenses) are not comparative to prior year. 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