2020-08-08T17:05:23-07:00 2019-09-30 990 2018-10-01 010246804 VNA Home Health & Hospice VNAH 2079739081 50 Foden Road South Portland ME 04106 John J Doyle NLH VP of Finance 2020-08-08 false 2018 2020-09-22 18:59:49Z John J Doyle 48586531 false false X www.northernlighthealth.org/homecare-hospice X 1921 ME VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families 15 13 686 263 0 418369 203688 52827840 48384352 6049 -1509 0 53252258 48586531 0 0 34216645 38354990 0 0 20543117 10133790 54759762 48488780 -1507504 97751 11662111 12667197 5958833 6619162 5703278 6048035 X VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families false false 45875826 48384352 Providing clinically excellent, compassionate home health and hospice care to individuals and familiesPlease 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 Chair 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 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 Mountain on a warm summer morning, Brother Donald Paul is already heading into a small clapboard outbuilding that houses the friars microbrewery. Hes carrying a bag of barley malt on his shoulder and is dressed in a brown robe and sandals. Between his pastoral duties, his beer brewing operation, and the friars waterfront restaurant in Bucksport, this 61-year-old friar is always on the go. A typical day starts with morning prayers at 6 am, followed by hours baking breads, making soups, and preparing special items for the restaurant. Hes at the restaurant until 7 pm and wraps up with evening prayers at 9 pm. Then, about a year ago, he started slowing down, It was progressive. Id come home from work and have swelling in my ankles or my hands were sore, and Id write it off to the fact Id been on my feet all day, or that Ive been a baker for 40 years, explains Brother Don. Then, one weekend last winter, he developed flu-like symptoms. Fellow friar, Brother Kenneth Leo, took him to the emergency department at Northern Light Eastern Maine Medical Center. Much to his surprise, Brother Don learned hed had a heart attack. Following emergency room treatment, he met the Northern Light Cardiovascular Care team, including cardiologist, Matthew McKay, MD. Dr. McKay came in with a sketch of my heart covered with pencil marks, and he said, Do you see those pencil marks? They represent blockages in your arteries. And, all four were blocked, recalls Brother Don. He needed quadruple bypass surgery.Next, Brother Don met David Pantino, MD, a cardiothoracic surgeon. In walks this young man who looks like Tom Bradys younger brother, and I said, Youre not my surgeon! recalls Brother Don, I was taken aback by his youthful appearance, but that probably says more about my age than his. And he said, Well take good care of you, and he did take excellent care of me. As a cardiothoracic surgeon whos performed hundreds of surgeries, Dr. Pantino, is like the Tom Brady or quarterback of the surgery team, but he points out that many people play a role in caring for the patient. Its a multidisciplinary team that involves our cardiology colleagues and surgery team, as well as the emergency room and other physicians involved in his care, explains Dr. Pantino. Northern Light Cardiovascular Cares team approach naturally evolved as technology paved the way for newer, less invasive forms of cardiac surgery. Now instead of open-heart surgery, some patients could be candidates for minimally invasive surgeries involving catheter-based technology. The technology drove cooperation between cardiologists and heart surgeons to participate in shared decision making and have face-to-face time together with patients to help decide if they should be treated with open heart procedures or minimally invasive techniques, says Dr. McKay. The medical center acts as the hub of Northern Light Cardiovascular Care. Its physicians and surgeons have trained at the leading cardiac centers in the world and perform more than 220,000 cardiac procedures and tests each year. Northern Light Healths other acute care hospitals provide this same high standard of care for less intensive cardiology and support the smaller critical access hospitals in their region. Patients requiring heart surgery can seamlessly transition to Northern Light Eastern Maine Medical Center and then return to their local hospitals for follow-up care. Brother Don is grateful for his care. One week after open-heart surgery, he was starting to walk. After three weeks, he was exercising on his treadmill. And after eight weeks, he was back at the restaurant. He also hopes to start competing in sprint triathlons again, a hobby he started when he turned 55. When it comes to recovery, its all about attitude. I got up every morning; I showered, I got dressed. I wanted to move; I didnt want to lie around in my bathrobe. So, I think it really is an attitude. Dr. Pantino eventually made a trip down to the Friars Taphouse restaurant to visit Brother Don and have a meal. Dr. Pantino shares, Its gratifying. Its good to see Brother Don get back to doing what he loves doing. For more information visit https://northernlighthealth.org/Services/Cardiovascular-Care 45875826 true true false true false false false false false true true false false true false true false true false false false false false false false false false false false true false false false false false false false false false true false false false false false false true true true false false true 40 0 true 686 true false false false false false false false false 0 false false false false false false false false false false false false X 15 13 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 Doyle 2079739081 43 Whiting Hill Rd Brewer ME 04412 Colleen Hilton Ex-Officio 40.00 0.00 X X 291093 0 81062 Peter Bagg Director 1.00 0.00 X 0 0 0 Carol Bell Director 1.00 0.00 X 0 0 0 Ann Marie Briggs Director 1.00 0.00 X 0 0 0 Claire Connor Director 1.00 0.00 X 0 0 0 Richard Duncan Director 1.00 0.00 X 0 0 0 Michael Quinlan Director 1.00 0.00 X 0 0 0 Joanne Hale Director 1.00 0.00 X 0 0 0 Michelle Hood President & CEO 1.00 50.00 X X 0 3977600 296423 Bruce Reddy Director /Chair 1.00 0.00 X 0 0 0 Edward Gould Esq Director 1.00 0.00 X 0 0 0 Patricia Small Director 1.00 0.00 X 0 0 0 Debra D Taylor Director /Chair 1.00 0.00 X X 0 0 0 James Violette Director 1.00 0.00 X 0 0 0 Dr Isabella Thurston Director 1.00 0.00 X 0 0 0 Suzi Tracy VP, Finance 40.00 0.00 X 127055 0 32775 Glenn Martin Secretary 1.00 50.00 X 0 493200 109084 Elizabeth Rolfe VP, Clinical Op 40.00 0.00 X 176813 0 27730 Leah Wright VP Quality 40.00 0.00 X 129682 0 38269 Anthony Filer Treasurer 1.00 50.00 X 0 577280 64222 Paul Bolin VP & CHRO 1.00 50.00 X 0 388352 93018 Joseph Kellner VP, Finance 40.00 0.00 X 118153 0 9816 Leigh Ann Howard Dir-Home Health 40.00 0.00 X 107488 0 36051 Rosemary Unnold Mgr - Risk Managem 40.00 0.00 X 107300 0 27111 Christine M Turner Dir-Hospice Prgms 40.00 0.00 X 110918 0 5996 1168502 5436432 821557 8 false true false American Mobile Nurses 2735 Collection Center Drive Chicago IL 60693 Temp Staff 655807 Avant Healthcare Professionals PO Box 744554 Atlanta GA 303744554 Temp Staff 1012671 McBee Associates Inc PO Box 37135 Baltimore MD 212973135 Consulting 166509 Home Care Specialists PO Box 8237 Haverhill MA 01835 Consulting 261302 AMN Healthcare Inc 2735 Collection Center Dr Chicago IL 60693 Temp Staff 102957 5 1576 119480 82632 10961 203688 Net Home Care Revenue 621610 48384352 48384352 48384352 5880 5880 0 0 0 -7389 -7389 -7389 -7389 0 0 0 0 48586531 48384352 -1509 0 0 0 0 1032448 204543 827905 0 28608698 27763527 845171 826662 795838 30824 5763380 5596261 167119 2123802 2043507 80295 0 0 7576 7576 0 0 0 2673471 2128486 544985 66916 66730 186 975202 951321 23881 854135 822286 31849 0 799749 769928 29821 1642417 1634209 8208 0 73175 73089 86 0 0 216853 208767 8086 181351 174589 6762 Medical Supplies Expense 2379786 2379786 Repairs & Maintenance 127878 127878 Dues and Subscriptions 93410 93240 170 Miscellaneous 25266 25236 30 16605 16605 48488780 45875826 2612954 0 900 900 328984 1110167 1086 0 6165501 5936142 0 0 35943 36770 53261 0 243940 222332 2928547 2121968 689627 806579 0 0 0 0 4142869 4554307 11662111 12667197 4394244 5184240 1564589 1434922 5958833 6619162 X 5046676 5075542 491025 165577 972493 5703278 6048035 11662111 12667197 X 97751 247006 X false true X true false X 221208 549067 425985 418369 203688 1818317 18424551 36885285 46665295 52827840 48384352 203187323 0 0 0 18645759 37434352 47091280 53246209 48588040 205005640 0 0 205005640 10325 4042 7558 6049 5880 33854 0 10325 4042 7558 6049 5880 33854 0 0 18656084 37438394 47098838 53252258 48593920 205039494 0.99980 0.99980 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 5765 5765 false false Part II-B, Line 1i - Other Activities Description Non-Deductible Dues 3118417 18570 92535 134974 3094618 3137365 2500 110039 131417 3118487 3024870 4750 235757 128012 3137365 10272 2865091 274766 125259 3024870 10257 15 10272 0.93000 0.07000 false true true 244096 97022 147074 2684451 2024946 659505 806579 Board Designated Funds - Other 3512740 Other Assets 11545 Permanently Donor Restricted Funds 172427 Self insurance funds held by trustee 57529 Temporarily Donor Restricted Funds 800066 4554307 X 48589055 2500 24 2524 48586531 48586531 48491304 2500 2500 48488804 -24 -24 48488780 Part V, Line 4: Intended uses of the endowment fund. Endowment Funds are designated for purposes that align within the 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. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Reimbursed Expenses Reclassed to Expense $24 X true true false true false false false false false false false false Anthony Filer Treasurer 497426 71027 8827 31517 32705 641502 Colleen Hilton Ex-Officio 224859 38590 27644 56270 24792 372155 Elizabeth Rolfe VP, Clinical Op 145224 16874 14715 4422 23308 204543 Glenn Martin Secretary 415555 72710 4935 86309 22775 602284 Leah Wright VP Quality 111461 14568 3653 5281 32988 167951 Michelle Hood President & CEO 3773999 196017 7584 273147 23276 4274023 2839409 Paul Bolin VP & CHRO 302485 39933 45934 59033 33985 481370 Suzi Tracy VP, Finance 103072 13740 10243 10383 22392 159830 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Leigh Ann Howard, highly compensated employee $500 Leah Wright, officer 32 The benefit is available for all employees. William Hilton fam mem=officer 26334 compensation false Schedule L, Part V Supplemental Information William Hilton is the spouse of a board member/officer and is an employee of Northern Light Home Care & Hospice. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: We are HelpfulA Speedier Recovery: Rapid Access TreatmentLester Gilkey knows about the crippling effects of opioid use disorder. The first time he got high, he was just 12 years old. Now, hes 50 years old and has been in recovery for the past six years. Hes lived through some tough times. I fight hard for my recovery. Ive used lots of drugs. Ive been in and out of prison and jail, and I dont want to go back to that life. Ive done a lot of stuff, but Ive also forgiven myself for it, Lester says. Now, he spends his time helping others break the cycle of opioid misuse as they come through the emergency room doors at Northern Light Mercy Hospital. Lester is a recovery coach. When someone has overdosed on opioids, Mercy calls Lester to the emergency department to help patients begin their recovery. Mercys Rapid Access Treatment program allows doctors to give patients a medication called Suboxone, which eases withdrawal symptoms. Then Northern Light Mercy initiates ongoing support to increase a patients chance for recovery. This ongoing support begins with Lester. I usually tell them Im no different than you. You can do this, and Im just there to help, he says. As a patient leaves the emergency department, they are referred to Northern Light Internal Medicine in Portland to set up an appointment with Sadie Knott, a board-certified psychiatric mental health nurse practitioner. Often, Lester will go with a patient to that appointment. Sadie can prescribe medication to help with withdrawal symptoms as well as underlying mental health conditions. Most of the people were working with havent received basic medical care for several years due to past negative experiences theyve had. We work hard to reduce any stigma. When someone comes in here for an office visit, its no different than any other patient. This helps build that relationship with patients to get them back into medical care, explains Sadie. Patients are also referred to a social worker and a primary care provider at Northern Light Internal Medicine where they receive primary care that can include routine physical exams, immunizations, vaccinations, cancer screenings, or hepatitis C screenings. Patients receive primary care, behavioral health care, and peer support all under one roof. At Mercy, our pillars include working for the community and supporting the underserved population. Its gratifying and wonderful to see people who have been homeless for long periods, not having any regular support or primary care for years, coming to see you regularly, and managing their medical problems. You can see how their quality of life is improving over time. Thats rewarding for me, says Megan Black, Nurse Practitioner.The program is still in its early stages, but its reputation is growing. Lester says people he sees on the streets ask how they can enter the program. Theyre not waiting until they end up in the emergency department from an overdose. I wish they had a program like this when I was using drugs. I think its pretty cool, says Lester. OTHER PROGRAM SERVICES 5: We are SupportiveHealing Babies, Empowering Moms: Treating Neonatal Abstinence SyndromeSince arriving in Bangor 13 years ago, neonatologist Mark Brown, MD, MSPH, has headed the Neonatal Intensive Care Unit (NICU) and helped develop a comprehensive program for babies born exposed to opioids. Babies born to mothers with substance use disorder develop Neonatal Abstinence Syndrome or NAS. We see tremors; we see irritability and discomfort, explains Dr. Brown when describing the symptoms of babies with NAS. Dr. Brown says they saw about 200 babies born with NAS at the peak of the opioid crisis in 2015. That number dropped to 135 in 2018. Recent advancements in assessment and treatment of babies with NAS involve using fewer medications and adopting a new assessment tool called Eat, Sleep, Console, or ESC, which was developed by researchers at Yale and Dartmouth Hitchcock. It is similar to a philosophy Dr. Brown and the NICU team began practicing about four years ago. If the baby cant eat, cant sleep, and cant be consoled, this becomes the threshold to use medication treatment, Dr. Brown explains. The goal is to use less medication so the baby can be discharged sooner and cared for at home. The other part of this treatment philosophy is to allow the birth mother to take a more proactive role in the treatment of her child. To facilitate this approach, Dr. Brown has worked in a partnership with Penobscot Community Health Care to create an outpatient clinic where mothers bring their babies for checkups every two weeks and get prescription refills for treatment. To say to the mom that we feel youre responsible enough to help us take care of your baby with withdrawal and allow them to participate in the solution is huge, he says. Dr. Brown explains that in about 15 percent of cases the mother is not ready for this responsibility. In such cases, a support network is essential. This is where Lauri Legere comes in. As a foster parent who has taken in 15 children born with NAS over the last 20 years, Lauri has always welcomed the biological mom to be involved because she feels that this is important for the child and mom. I look at the bigger picture. I look at this amazing start I can give to this child and their parentestablishing a foundation that the biological parent can build upon. For two years, I work side-by-side with the biological parent, giving support, love, encouragement, and all those things that maybe theyve never had, explains Lauri. Lauri says all her foster childrens biological moms love their children, but some have just not been capable of taking care of a child until they could take care of themselves. While most of the children she fostered were able to return to their parents or other relatives, she is an adoptive parent to six of the children she took into foster care, including two sets of siblings. Those children range in age from 3 to 20. They have all faced health challenges but have thrived by being raised in a loving and nurturing home.We cannot grow as a community and society if we believe people cant change. The biological parents may be dealing with substance use disorder or mental health issues, but we must believe that they can change. We have to believe that we can support their journey, concludes Lauri. Dr. Brown says thats the most significant part of what he tries to teach and the key to helping mom and child both succeed, and to helping end the cycle of opioid misuse. Beginning in 2020, Northern Light Health will share in a $5.3M federal grant to improve care for pregnant and postpartum women with opioid use disorder.For more information and treatment options for opioid use disorder, visit: https://northernlighthealth.org/Maine-Opioid-Crisis OTHER PROGRAM SERVICES 6: We are NurturingA Careful Touch: Pediatric Home Care Cecelia Corey gently picks up her four-month-old grandson Fionn from a crib, which sits in the middle of the living room of the Clinton home where she lives with her husband, Jerry. Its an old Victorian farmhouse with wooden floors. A pouch on the side of the crib is filled with wipes, gauze, a jar of petroleum jelly and a bottle of olive oil. Cecelia is cooing at Fionn and rocking him in her arms. His face lights up with a smile. Hes a very friendly baby. Hes not shy or reticent or afraid of strangers at all. I think hes going to be a social butterfly, says Cecelia. Jerry and Cecelia Corey are proud grandparents to young Fionn, who at first glance appears to be a happy and healthy baby. But Fionn has a rare medical condition called epidermolysis bullosameaning that even the well-intentioned, loving touch of a grandparent to his bare skin can cause painful blisters if that touch creates any friction. To prevent the blisters from growing, the Coreys have to carefully pierce them with a sterile needle, gently and carefully dab any liquid with a sterile nonwoven sponge, and go through a multi-step bandaging process that includes application of petroleum jelly, a frictionless silicone strip, nonstick gauze, and another stretchy material to hold everything in place. Preventing Fionn from getting blisters poses several challenges. Changing soiled diapers is a two-person job. One of us will hold his legs while the other cleans, and you can use wipes, but you have to dab. And if its really bad, you use a squirt bottle with water. After hes clean, you must reapply white petroleum jelly with a sponge. It can be quite a process, explains Jerry. Fionn can also cause himself to blister by rubbing his own skin. Well, of course, a baby will start grasping things to put in their mouths. Its all a part of that neurological development, explained Cecelia. The Coreys are prepared to wrap his hands in mitts, but so far, he hasnt caused himself any blisters. Theres a lot of trial and error with him. You know, as time goes on, were learning what he can tolerate, explains Jerry. The Co Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Patricia Small, board member is a board member of Sweetser and Debra Tayor, board member is President & CEO of Sweetser. 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 VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice (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 & SVP, President of Northern Light Home Care & Hospice. 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 Home Care & Hospice 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 meeting 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 Home Care & Hospice 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 Changes in Net Assets Held @ EMHS Foundation = $409155 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$162149 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 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. Mercy Hospital 144 State St Portland ME 04101 010211534 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II NA true Eastern Maine Medical Center EMMC PO Box 404 489 State St Bangor ME 04402 010211501 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Rosscare 43 Whiting Hill Rd Brewer ME 04412 010391038 Provide Services to Elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Home Inc 43 Whiting Hill Rd Brewer ME 04412 010430751 Operation of nursing homes ME 501(c)(3) 10 Rosscare true Acadia Hospital AHC 43 Whiting Hill Rd Brewer ME 04412 010459837 Provide Healthcare Services ME 501(c)(3) 3 EMHS true EMHS Foundation 43 Whiting Hill Rd Brewer ME 04412 222514163 Raise & Manage Funds for Exempt Orgs ME 501(c)(3) 12 Type II EMHS true Inland Hospital 200 Kennedy Memorial Dr Waterville ME 04901 010217211 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Lakewood 220 Kennedy Memorial Dr Wateville ME 04901 010421234 Provide Skilled & Long-Term Nursing Care ME 501(c)(3) 3 Inland true CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 04441 043341666 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main St Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS true The Aroostook Medical Center TAMC PO Box 151 140 Academy St Presque Isle ME 04769 010372148 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Blue Hill Memorial Hospital 57 Water St Blue HIll ME 04614 010227195 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer ME 04412 010391036 Leases Real Estate ME 501(c)(2) EMHS true Eastern Maine Medical Center Auxiliary 43 Whiting Hill Rd Brewer ME 04412 010377901 Fund Raising for Exempt EMMC ME 501(c)(3) 10 EMMC true Acadia Healthcare Inc AHI 43 Whiting Hill Rd Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true Norumbega Medical Specialists LTD 43 Whiting Hill Rd Brewer ME 04412 010465231 Provide Patient Care and Education ME 501(c)(3) 10 EMMC true Horizons Health Services PO Box 151 140 Academy St Presque Isle ME 04769 010504393 Provide Patient Care ME 501(c)(3) 3 TAMC true Sebasticook Valley Family Practice Assoc 447 North Main St Pittsfield ME 04967 010357854 Provide Patient Care ME 501(c)(3) 10 SVH true WorkHealth LLC 43 Whiting Hill Rd Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS true Maine Coast Regional Health Facilities 50 Union St Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS true Maine Coast Medical Realty 50 Union St Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH true Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS true Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS true Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS true LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC true Northern Light Medical Transport 43 Whiting Hill Rd Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS true Merdian 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 Rd Brewer ME 04412 010385322 Holding Company ME EMHS C Corp true Affiliated Healthcare Management 43 Whiting Hill Rd Brewer ME 04412 010349339 Healthcare Mgt ME AHS C Corp true Affiliated Laboratory 43 Whiting Hill Rd Brewer ME 04412 010381283 Clinical Lab ME AHS C Corp true Affiliated Materiel Services 43 Whiting Hill Rd Brewer ME 04412 010381189 Purchasing ME AHS C Corp true Beacon Direct 43 Whiting Hill Rd Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C Corp true false false false false false false false false false false true true true false false true false true true Mercy Hospital m 124467 FMV Eastern Maine Healthcare Systems EMHS k 88820 FMV Eastern Maine Healthcare Systems EMHS m 1677512 FMV Eastern Maine Healthcare Systems EMHS p 5205167 FMV Eastern Maine Healthcare Systems EMHS r 162149 FMV Eastern Maine Medical Center EMMC m 270600 FMV Eastern Maine Medical Center EMMC p 676949 FMV EMHS Foundation m 233750 FMV EMHS Foundation s 119480 FMV Inland Hospital m 57823 FMV The Aroostook Medical Center TAMC m 144797 FMV WorkHealth LLC m 51538 FMV