2020-08-08T16:52:50-07:00 2019-09-30 990 2018-10-01 043341666 Eastern Maine Healthcare SystemsCADean Charles A Dean Memorial HospitalCADean EAST 2076955200 Pritham Avenue PO Box 1129 Greenville ME 04441 John J Doyle NLH VP of Finance 2020-08-08 false 2018 2020-11-06 18:47:13Z John J Doyle 19898969 false false 5247 X https://northernlighthealth.org/C-A-Dean-Hosp X 1996 ME The mission of Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is to provide a continuum of high quality holistic healthcare services. 13 8 195 66 0 575290 59162 21680068 19818339 2650 -1857 47444 11240 22305452 19886884 3042 7100 0 11760617 12312105 0 0 8148028 5571047 19911687 17890252 2393765 1996632 12063920 14160007 7858810 8391456 4205110 5768551 X The mission of Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is to provide a continuum of high quality holistic healthcare services. false false 14305781 7100 19828550 The Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. Provided $469,929 other uncompensated care (at cost).Additional Statistics:Northwoods Healthcare & Specialty Clinic visits 17,557Hospital diagnostic and rehabilitation visits 23,167Emergency room visits 2,024 Hospital admissions 183Ambulance runs 328 989354 Experienced Medicare shortfall, $989,354 (at cost). 13,829 persons served. 193385 Provided charity care, $193,385 (at cost). 150 persons served. 15488520 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false true false false false false false true true true false false true 41 0 true 195 true false false false false false false false false 0 false false false false false false false false false false false false X 13 8 true false true false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 044121006 Marion Huntley Director 0.50 0.00 X 0 0 0 Steven Bilodeau Director 0.50 0.00 X 0 0 0 Darin M Peck MD CMO Part Year 40.00 0.00 X 392215 0 50839 Dwight Foote Jr Director 0.50 0.00 X 0 0 0 Stuart Watt Director 0.50 0.00 X 0 0 0 Linda D Gilbert Chairman 2.00 0.00 X X 0 0 0 Diane Bartley Director 0.50 0.00 X 0 0 0 Terri Vieira President 20.00 30.00 X X 138541 207812 84255 Sharon Hastings Director 0.50 0.00 X 0 0 0 David S Richards Vice Chairman 2.00 0.00 X X 0 0 0 Shannon Meredith Director 40.00 0.00 X 217858 0 30832 Mary M Hood President CEO Ex-Officio 1.00 50.00 X X 0 3977600 296423 Ronald Pelletier Director 0.50 0.00 X 0 0 0 Lorraine Rodgerson RN VP-Nursing & Op 40.00 0.00 X 185957 0 35572 Anthony J Filer Treasurer 1.00 50.00 X 0 577280 64222 Yoosuf Siddiqui VP/HR Northwest 0.50 40.00 X 0 170905 40686 Jennifer Goodrich VP/Finance 40.00 0.00 X 192406 0 32748 Glenn Martin VPGeneral Couns Secretary 1.00 50.00 X 0 493200 109084 Joseph A Babbitt Physician 40.00 0.00 X 421182 0 52659 Paul R Potvin Physician 40.00 0.00 X 333255 0 49285 Gail E Lamb Physician 40.00 0.00 X 321763 0 18910 Mario Turi Physician 40.00 0.00 X 246515 0 31114 Peter F McLaughlin Physician 40.00 0.00 X 187200 187200 0 Tracy Bonney-Corson Former VP/CNO 0.00 40.00 X 0 148522 24261 2636892 5762519 920890 17 true true false 0 1000 -7179 65341 4020 59162 Cafeteria 722514 13614 13614 Net Patient Care Services 621990 19804725 19804725 19818339 4117 4117 0 0 7140 6111 1029 1029 1029 5974 -5974 -5974 -5974 0 0 0 Misc Revenue 621990 10211 10211 10211 19886884 19814936 12786 7100 7100 0 0 0 1310670 913273 397397 0 8294874 7540798 754076 448552 411367 37185 1670053 1531512 138541 587956 539214 48742 0 35 35 7356 7356 0 0 0 1649699 1058448 591251 39233 39233 340532 237132 103400 550660 508986 41674 0 231440 178926 52514 73643 60665 12978 0 22110 18476 3634 149975 149975 0 531575 400063 131512 292423 268181 24242 Medical Supplies Expense 943312 943312 Taxes and Licensing 366406 363879 2527 Repairs & Maintenance 295658 277813 17845 Dues and Subscriptions 48084 25321 22763 28906 14846 14060 17890252 15488520 2401732 0 1730817 3195006 383746 280599 0 3335472 4278614 0 0 0 214758 117533 53638 28849 12068653 6968105 5276627 5100548 0 0 0 0 1068862 1158858 12063920 14160007 2238959 2446692 136992 99508 5482859 5845256 7858810 8391456 X 3497402 4993452 347225 360483 775099 4205110 5768551 12063920 14160007 X 1996632 -433191 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 4060 4060 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 699861 9872 -12379 697354 706316 13298 -19753 699861 1005313 -294567 2325 2105 706316 907461 103830 1887 4091 1005313 919597 280 -6564 1960 3892 907461 0.47000 0.53000 false true true 298740 298740 6041351 3683010 2358341 5609427 3285095 2324332 119135 119135 5100548 Board designated funds-Other 358423 Org costs & other long term investments 12552 Permanently Donor Restricted Funds 360483 Self-Insurance Funds Held by Trustee 10384 Temporarily Donor Restricted Funds 414616 Unrestricted Pledges Receivable 2400 1158858 Accrual for Post Retirement Benefit 2265145 Amounts due to Related Org 3576381 Capital Lease Obligation 3730 5845256 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 150 193385 193385 0.01080 10531 10531 0.00060 150 203916 203916 0.01140 6 118 105345 105345 0.00590 2 1 36403 36403 0.00200 3 34 5027 5027 0.00030 11 153 146775 146775 0.00820 11 303 350691 350691 0.01960 1 13837 13837 0.00080 1 13837 13837 0.00080 true 469929 9264694 10254048 -989354 X true true 1 1 Northern Light CA Dean Hospita 364 Pritham Avenue Greenville ME 04441 northernlight.org/C-A-Dean-Hos 37959 X X X X Northern Light CA Dean Hospita 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide 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 18, 2018 Piscataquis County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Piscataquis County CHNA report, pages 25-27): Bangor Public Health and Community Services, Bangor Public Health Department, Charlotte White Center, Division for the Blind and Visually Impaired, Eastern Area Agency on Aging, Helping Hands with Heart, Maine CDC, Maine Family Planning, Maine Highlands Senior Center, Maine Resilience Building Network, Mayo Regional Hospital, Mayo Regional Hospital Community Outreach, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light CA Dean Hospital, Northern Light CA Dean Hospital Foundation, Northern Light Health, Northern Light Health Foundation, Northern Light Home Care & Hospice, Partners for Peace, Penquis, Penquis Public Health District, Pine Tree Hospice, Piscataquis County Economic Development Council, Piscataquis Democratic Committee, Piscataquis Regional Food Center, Regional School Unit 68, Retired individual, The Commons at Central Hall, United Way of Eastern Maine, University of Maine Cooperative Extension, U.S. Senator Angus Kings Office.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (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 CA Dean Hospita - 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 CA Dean 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 CA Dean Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, local Public Health District Liaisons, 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 CA Dean Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals Board of Trustees. Northern Light CA Dean Hospital identified four priorities of focus addressing the significant needs identified in its 2016 CHNA as follows:Obesity Actions taken by Northern Light CA Dean Hospital to address this priority in FY19: Northern Light CA Dean Hospital choose not to continue this priority in FY 2019. Northern Light CA Dean Hospital successfully increased the enrollment and registration in our Community Fitness Program by 60 members in FY 2018, but due to the size of the community we felt that continuation of this particular venture will not represent meaningful community benefit at this time. Northern Light CA Dean Hospital will revisit this health priority in the future and hopes to partner with community projects to represent our commitment to the health and well-being of our community.Drug and Alcohol Abuse Actions taken by Northern Light CA Dean Hospital to address this priority in FY19: Northern Light CA Dean Hospital partnered with Mayo Regionals Community Outreach to provide the Prime for Life substance abuse education program for high school students. Additionally, Northern Light CA Dean Hospital partnered with Mayo Regional to provide a Vaping Education in-service for all staff at Greenville Consolidated School.Employment Actions taken by Northern Light CA Dean Hospital to address this priority in FY19: Northern Light CA Dean Hospital continued to work with Eastern Maine Community College to deliver the Grow Your Own program to our enrolled students. The three students are expected to graduate in May of 2020. Another program will begin in September of 2020.Depression Actions taken by Northern Light CA Dean Hospital to address this priority in FY19: Northern Light CA Dean Hospital collaborated with Northern Light Acadia Hospital to provide both integrated medication management and counseling services via telepsych in both our Greenville and Sangerville practices.Additional information related to actions taken by Northern Light CA Dean 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 CA Dean Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Northern Light CA Dean Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:1.Respiratory Diseases were not selected by Northern Light CA Dean Hospital this cycle as it ranked lower in priority relative to the four selected priorities of focus.2.Mental Health was not selected by Northern Light CA Dean Hospital as local community health and social services agency focused on behavioral/mental health challenges (Charlotte White Center) is well-positioned to address this issue. Continued partnership will be pursued as needed.3.Poverty was not selected by Northern Light CA Dean Hospital. As an organization that provides healthcare services, and charity care for those in need, the hospital lacks additional resources and expertise to directly address this need.4.Housing Stability was not selected by Northern Light CA Dean Hospital as other local agencies are addressing this need. We felt this was out of the scope of a Critical Access Hospital.5.Transportation was not selected by Northern Light CA Dean Hospital this cycle. We continue to offer a courtesy transportation van that is used to pick up/drop off patients free of charge. In addition, we utilize other transportation modes such as Lynx, offering a variety of services within Piscataquis County. There are a number of existing organizations currently addressing transportation needs, such as Lynx that is used as a resource at Northern Light CA Dean Hospital. Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 13h Income Level Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/C-A-Dean-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2019-CHNA-Reports/Community-Health-StrategyResponse for 16a, 16b, 16c (list URL) is https://northernlighthealth.org/C-A-Dean-Hospital under "Bill Pay & Financial Assistance" Northern Light Primary Care 364 Pritham Avenue Greenville ME 04441 Outpatient clinic Northern Light Primary Care 7 Greenville Road Monson ME 04464 Outpatient clinic Northern Light Primary Care 22 Haley Court Road Sangerville ME 04479 Outpatient clinic Northern Light Primary Care 364 Pritham Avenue Greenville ME 04441 Specialty Clinics Part I, Line 6a - Related Organization Community Benefit Report The Northern Light CA Dean Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. 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 CA Dean Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light CA Dean Hospital offers patients the resource of a Patient Financial Services representative in order to counsel them on what resources may be available to help meet the financial needs resulting from patient care. We also have a licensed clinical social worker available to patients should they need assistance with other federal, state or local programs. Part VI, Line 4 - Community Information Located in Greenville, Maine, Northern Light CA Dean Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Northern Light CA Dean Hospitals primary service area include: E. Central Somerset County, Greenville, Greenville Junction, North Somerset County, Northern Piscataquis County; Rockwood.Towns representing Northern Light CA Dean Hospitals secondary service area include: Abbot, Brownville, Cambridge, Dexter, Dover Foxcroft, Guilford, Jackman, Milo, Monson, Sangerville, Sebec.Piscataquis Countys demographic and social determinants of health data are provided below for Northern Light CA Dean Hospital based on the hospitals physical location in Piscataquis County.Piscataquis County - Demographic Data: American Indian/Alaskan Native 0.6% (94), Asian 0.4% (64), Black/African American 0.5% (88), Hispanic 1.2% (210), Some other race 0.4% (69), Two or more races 1.9% (328), White 96.2% (16,401). Total county population 17,044.Piscataquis County Social Determinants of Health Data: Median household income $36,938, Unemployment rate 5.1%, Individuals living in poverty 20.6%, Children living in poverty 31.4%, 65+ living alone NA%, People living in rural areas 100.0%, Food insecurity 16.8%.Other hospitals serving the Northern Light CA Dean Hospital community: Based on the State of Maines definition of hospital service area, Northern Light CA Dean Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Northern Light CA Dean Hospitals service area as being a medically under served area. Part VI, Line 4 - Community Building Activities Northern Light CA Dean Hospital actively participates by fulfilling the needs of our civic, community and faith based organizations. We offer flu clinics and blood pressure clinics just to name a few. Northern Light CA Dean Hospital works in collaboration with the school on a number of projects including; nutritious food 'back pack program', activities that promote health and wellness, and general health education. Northern Light CA Dean Hospital sponsors a number of healthy lifestyle activities such as an annual Bike and Boat event. We also offer a Community Paramedicine Program in conjunction with ER, Inpatient, and the provider offices as a follow-up on patients in our communities. Lastly, efforts are being made to open our doors to students considering a career in rural healthcare, either through job shadowing or college/professional degree rotation requirements. Part VI, Line 5 - Promotion of Community Health Northern Light CA Dean Hospital Board of Directors majority is independent. Northern Light CA Dean Hospital extends medical staff privileges to all qualified physicians in the community for some of its departments. We have offered CME programs on site and invited medical staff to participate at no charge to them. Part VI, Line 6 - Affilated Health Care System The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals 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. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false false false false Anthony J Filer Treasurer 497426 71027 8827 31517 32705 641502 Darin M Peck MD CMO Part Year 218265 154712 19238 21449 29390 443054 Gail E Lamb Physician 290467 10000 21296 16500 2410 340673 Glenn Martin VPGeneral Couns Secretary 415555 72710 4935 86309 22775 602284 Jennifer Goodrich VP/Finance 158345 20606 13455 13592 19156 225154 Joseph A Babbitt Physician 355734 65448 22000 30659 473841 Lorraine Rodgerson RN VP-Nursing & Op 163666 20663 1628 15156 20416 221529 Mario Turi Physician 244005 2510 19028 12086 277629 Mary M Hood President CEO Ex-Officio 3773999 196017 7584 273147 23276 4274023 2839409 Paul R Potvin Physician 293625 39630 24750 24535 382540 Peter F McLaughlin Physician 187200 187200 187200 187200 Shannon Meredith Director 211381 6477 15421 15411 248690 Terri Vieira President 107874 161811 18922 28383 11745 17618 23686 35530 10016 15023 172243 258365 Tracy Bonney-Corson Former VP/CNO 128020 15668 4834 4957 19304 172783 Yoosuf Siddiqui VP/HR Northwest 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:Joseph Babbitt, highest compensated employee $ 15Jennifer Goodrich, officer 125Gail Lamb, highest compensated employee 407Darin Peck, director 500 This benefit is available for all employees. Linda D Gilbert VP at Bank VP=Chair Brd 136992 unsec note w/bank false Schedule L, Part V Supplemental Information Linda D. Gilbert, Charles A. Dean Board Chairman is a Camden National Bank VP. Camden National Bank is Charles A. Dean's primary bank, holding deposits of $716,590 and a note for $136,992. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: The Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. Provided $469,929 other uncompensated care (at cost).Additional Statistics:Northwoods Healthcare & Specialty Clinic visits 17,557Hospital diagnostic and rehabilitation visits 23,167Emergency room visits 2,024 Hospital admissions 183Ambulance runs 328 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:We're 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 Chair OTHER PROGRAM SERVICES 6: We 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.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 generation Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary M. Hood, board member/officer and Terri Vieira, board member/officer are board members of Maine Hospital Association. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents 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 Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the VP of Finance of Northern Light CA Dean Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP, President of Northern Light CA Dean Hospital and the system 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. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Northern Light CA Dean Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in net assets held @ EMHS Foundation = $68176 Other Changes In Net Assets Or Fund Balances - Other Decreases Contribution To Strat Pool Per Affiliation Agreement = -$68009 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS158 = -$433358 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. 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 true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) Eastern Maine Healthcare Systems true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF Eastern Maine Healthcare Systems true Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true 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 Eastern Maine Medical Center true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 Acadia Hospital Corp true 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 Eastern Maine Healthcare Systems true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care and education ME 501(c)(3) 10 Eastern Maine Medical Center true Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 The Aroostook Medical Center true Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 Eastern Maine Healthcare Systems true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 Eastern Maine Healthcare Systems true WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type 1 MCMH true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II Eastern Maine Healthcare Systems true LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 Eastern Maine Medical Center true Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS true Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding Co. ME EMHS C true Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmnt ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C true Affiliated Materiel Services 43 Whiting Hill Road Brewer ME 04412 010381189 Purchasing ME AHS C true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C true false false false false false false false false false false false true true false false true false true false Eastern Maine Healthcare Systems EMHS m 1128105 FMV Eastern Maine Healthcare Systems EMHS p 2462204 FMV Eastern Maine Healthcare Systems EMHS r 68009 FMV Eastern Maine Medical Center EMMC m 177654 FMV Eastern Maine Medical Center EMMC p 212557 FMV Acadia Healthcare Inc AHI m 127283 FMV EMHS Foundation m 115905 FMV Inland Hospital m 57286 FMV Beacon Health LLC m 108244 FMV Affiliated Laboratory Inc m 154001 FMV