2020-08-08T16:16:54-07:00 2019-09-30 990 2018-10-01 010227195 BLUE HILL MEMORIAL HOSPITAL INC BLUE 2073742836 57 WATER STREET BLUE HILL ME 04614 John J Doyle NLH VP of Finance 2020-08-08 false 2018 2020-09-23 17:36:50Z John Doyle 39635804 false false X https://northernlighthealth.org/Blue-Hill-Hos X 1924 ME Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. 11 7 352 37 0 544000 407229 63487626 39195296 13520 11758 266276 3958 64311422 39618241 1250 0 0 25718534 24315359 0 0 33713424 13516727 59433208 37832086 4878214 1786155 22037507 24288925 10494272 11774512 11543235 12514413 X Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion. false false 32281071 39202253 See Schedule O 832369 Medicare shortfalls (at cost)21,809 persons served. 354910 Charity care provided (at cost) 302 persons served. 33468350 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 false false false false false false true true true false false true 41 0 true 352 true false false false false false false false false 0 false false false false false false false false false false false false X 11 7 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 04412 Scott Hammond Trustee 2.00 0.00 X 0 0 0 Sally Hutchins Trustee-Vice Ch 2.00 0.00 X X 0 0 0 Douglas MacGregor Trustee 2.00 50.00 X 0 229393 29689 Karen Stanley Trustee 2.00 0.00 X 0 0 0 Kevin Tesseo Trustee 2.00 0.00 X 0 0 0 Lisa Billings-Lindsey DO Chief of Staff 50.00 0.00 X 179354 0 30443 Edward Clayton Trustee 2.00 0.00 X 0 0 0 M Michelle Hood EMHS Ex-Officio 2.00 50.00 X X 0 3977600 296423 Scott Gray Chairman 2.00 0.00 X X 0 0 0 Scott Miller Trustee 2.00 0.00 X 0 0 0 John Ronan SVP & President 25.00 25.00 X X 199380 199380 77431 Anthony Filer Treasurer 2.00 50.00 X 0 577280 64222 Mike Murnik MD VP Senior Phys 50.00 0.00 X 304974 0 46590 Paul Bolin VP & CHRO 2.00 50.00 X 0 388352 93018 Kristin Cyr VP Patient Care 25.00 25.00 X 94807 94807 21682 Glenn Martin Secretary 2.00 50.00 X 0 493200 109084 Wendy Merchant VP of Finance 25.00 25.00 X 127680 127680 44126 Mark Hankinson VP-Operations 25.00 25.00 X 103540 103540 18154 Surapaneni Ramanadha Rao Surgeon 50.00 0.00 X 720916 0 35778 Amy E Tan Surgeon 50.00 0.00 X 358332 0 42505 Dennis Desilvey Physician 50.00 0.00 X 277352 0 51698 Charles J Zelnick Physician 50.00 0.00 X 247935 0 42804 Peter D Kirbach Physician 50.00 0.00 X 237145 0 52482 Ardelle Bigoes Former VP, Nursing & Patient Care 25.00 25.00 X 69000 69000 12966 Kathleen Ober Former VP Med Affairs 50.00 0.00 X 235505 0 9619 Kathy Lirakis Former VP, CNO 0.00 50.00 X 0 126348 13192 3155920 6386580 1091906 22 true true false Nurse Anesthesia of Maine 141 N Main Street Brewer ME 04412 CRNA Services 748971 CompHealth PO Box 972651 Dallas TX 753972651 Physician Fees 138790 Dahl Chase Diagnostices Services 417 State Street Suite 541 Bangor ME 04401 Laboratory 101670 Honeywell Inc 12490 Collections Center Drive Chicago IL 60693 Maintenance 114280 Insight Health Corp PO Box 847689 Dallas TX 75284 MRI Services 140130 5 41494 365735 18801 407229 Cafeteria 722514 114072 114072 Exempt Affiliate Rental 532000 5500 5500 Net Patient Care Service 621990 39075724 39075724 39195296 15022 15022 0 0 11300 14299 -2999 -2999 -2999 3264 -3264 -3264 -3264 0 0 0 Meaningful Use 621990 6957 6957 6957 39618241 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Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by 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 302 354910 354910 0.00940 36987 36987 0.00100 302 391897 391897 0.01040 6 1751 257768 257768 0.00680 6 1751 257768 257768 0.00680 6 2053 649665 649665 0.01720 1 20609 20609 0.00050 3 80629 80629 0.00210 4 101238 101238 0.00260 true 1030549 14013325 14845694 -832369 X true true 1 1 Northern Light Blue Hill Hospi 57 Water Street Blue Hill ME 04614 northernlight.org/Blue-Hill-Ho 38155 X X X X Northern Light Blue Hill Hospi 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 Blue Hill Hospi - 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 were in attendance at the October 30, 2018 Hancock 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 Hancock County CHNA report, pages 25-26): Amyotrophic Lateral Sclerosis (ALS) Maine Collaborative, Mount Desert Island Regional School District AOS 91, Deer Isle-Stonington Central School District (CSD 13), Downeast Community Partners, Downeast Public Health District, Eastern Area Agency on Aging, Friends in Action, George Stevens Academy, Hancock County Emergency Management Agency, Healthy Acadia, Healthy Island Project, Healthy Peninsula, Hospice Volunteers of Hancock County, Island Health & Wellness Foundation, Maine CDC, Maine Community Foundation, Mount Desert Island Hospital, Next Step Domestic Violence Project, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Blue Hill Hospital, Northern Light Health, Northern Light Home Health & Hospice, Northern Light Maine Coast Hospital, Parker Ridge Retirement Community, Peninsula Ambulance, School Union 76 (Brooklin and Sedgwick Schools), State of Maine DHHS, Maine CDC, Town of Deer Isle.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 Blue Hill Hospi - 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 Blue Hill Hospi - 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 Blue Hill 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 Blue Hill 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 Blue Hill 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 Blue Hill Hospital identified three priorities of focus addressing the significant needs identified in its 2016 CHNA as follows:Obesity Actions taken by Northern Light Blue Hill Hospital to address this priority in FY19: Northern Light Blue Hill Hospital offered many community obesity-related events including a Mens Wellness screening event in Stonington, womens heart health events in Blue Hill, and a monthly free meal at the Simmering Pot. We also wrote supporting letters for Blue Hill Heritage Trusts successful community garden grant application, co-sponsored a free community meal with them, providing free trail guides to guests, and delivered the keynote at the Land Trusts annual meeting on the role of the Trust in promoting community health. We provided in-person education to community volunteers regarding exercising safety in the roadway during spring roadside clean up in Sedgwick and Blue Hill, hosted annual Womens Wellness Fair with nationally known weight-loss expert Lori Schaeffer. Northern Light Blue Hill Hospitals clinic in Castine grew vegetables on site to donate to families in need. Drug and Alcohol Abuse Actions taken by Northern Light Blue Hill Hospital to address this priority in FY19: Northern Light Blue Hill Hospital expanded access to treatment for people with opioid use disorders by increasing primary care MAT prescribers from one to four X-waivered providers, and from one to three primary care sites. We also developed and refined Cerner electronic health records (EHR) workflows regarding controlled medication monitoring in alignment with System and State requirements, surveyed primary care providers to better understand their barriers and challenges related to MAT prescribing, re-educated staff and providers at all sites regarding controlled medication management policy and State law, and continued to keep prescribers informed of opportunities to complete their required opioid-related Continuing Medical Education (CME).Transportation Actions taken by Northern Light Blue Hill Hospital to address this priority in FY19: Northern Light Blue Hill Hospital worked in close partnership with Healthy Peninsula, three local ambulance services, and Maine Health Access Foundation to help expand access to community paramedicine services on the Peninsula. Additional information related to actions taken by Northern Light Blue Hill 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-StrategyNorthern Light Blue Hill 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 Blue Hill 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.Diabetes was not selected by Northern Light Blue Hill Hospital as this focus area will be included in our Community Health Improvement Plan for Obesity. Within our Obesity work we will review conditions related to obesity such as diabetes. We have an active diabetes prevention program as well as a full-time diabetes educator.2.Depression was not selected by Northern Light Blue Hill Hospital as this focus area will be an indicator that will be addressed in our Drug and Alcohol work. Social workers are now embedded in all primary care practices and tele-psych services are available at all primary care locations.3.Health Care Insurance was not selected by Northern Light Blue Hill Hospital as this focus area was included in our 2015 Community Health Improvement Plan; we continue to make improvements in the area of access to health insurance. Our navigator system is in place and our Northern Light Blue Hill Hospital financial counselors are well equipped to assist those needing help connecting with health insurance options. We also have a population health specialist who serves as a patient resource for insurance and billing challenges.4.Health Literacy was not selected by Northern Light Blue Hill Hospital as we plan to collaborate and learn from Northern Light Maine Coast Hospitals efforts as this is one of their priority initiatives.5.Employment was not selected by Northern Light Blue Hill Hospital as we dont have the ability to drive significant change in this area and are aware of other agencies focused on this community health factor.6.Poverty was not selected by Northern Light Blue Hill Hospital. While this broad area of focus is outside of our scope, we will address many of the food insecurity and transportation issues with our obesity and transportation priorities. Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 13h FPG family income Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 16j Response for 7a (list URL) is https://northernlighthealth.org/Blue-Hill-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-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Blue-Hill-Hospital under "Bill Pay & Financial Assistance Northern Light Primary Care 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Orthopedic Care 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Pathology 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Womens Health 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Primary Care 354 Airport Road Stonington ME 04681 Physician Offices Northern Light Cardiovascular Care 65 Water Street Blue Hill ME 04614 Physician Offices Northern Light Rehabilitation 58 Main Street Bucksport ME 04416 Physician Offices Northern Light Urology 58 Main Street Bucksport ME 04416 Physician Offices Northern Light Primary Care 102 Court Street Castine ME 04421 Physician Offices Northern Light Blue Hill Hospital Infusion and Oncology Dept 57 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Specialty Services 65 Water Street Blue Hill ME 04614 Physician Offices Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Blue Hill 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 Blue Hill Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed. Part VI, Line 4 - Community Information Located in Blue Hill, Maine, Northern Light Blue Hill 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 Blue Hill Hospitals primary service area include: Blue Hill Falls, Blue Hill, Brooklin, Brooksville, Castine, Deer Isle, Harborside, Isle Au Haut, Little Dear Isle, Penobscot, Sargentville, Sedgwick, Stonington, and Sunset.Towns representing Northern Light Blue Hill Hospitals secondary service area include: Bucksport, East Orland, Ellsworth, Orland, and Surry. Hancock Countys demographic and social determinants of health data are provided below for Northern Light Blue Hill Hospital based on the hospitals physical location in Hancock County.Hancock County - Demographic Data: American Indian/Alaskan Native 0.4% (211), Asian 1.0% (518), Black/African American 0.6% (320), Hispanic 1.3% (711), Some other race 0.0% (19), Two or more races 1.7% (938), White 96.3% (52,462). Total county population 54,483.Hancock County Social Determinants of Health Data: Median household income $50,037, Unemployment rate 4.7%, Individuals living in poverty 12.1%, Children living in poverty 15.5%, 65+ living alone 46.2%, People living in rural areas 90.1%, Food insecurity 15.3%.Other hospitals serving the Northern Light Blue Hill Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Blue Hill Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Northern Light Blue Hill Hospitals service area as having medically underserved populations present in the community. Part VI, Line 4 - Community Building Activities Northern Light Blue Hill Hospital's community building activities include community meals, blood pressure clinics, an educational presence at local fairs and festivals, mens health event, community CPR classes, annual Women's Wellness Fair, ongoing work with local schools. We provide tours and "hands on" experiences to local young school children in our emergency, radiology and rehabilitation departments and offer independent study programs for high school students. Part VI, Line 5 - Promotion of Community Health We partner with and support many local community health and wellness organizations, including Healthy Peninsula, Healthy Acadia, At Home Downeast, YMCA, AMHC Downeast Treatment Center, and Healthy Island Project to promote the health of our community. These partnerships are for the benefit of our community. 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 true true false false false false false false false false Amy E Tan Surgeon 355882 2450 19250 23255 400837 Anthony Filer Treasurer 497426 71027 8827 31517 32705 641502 Ardelle Bigoes Former VP, Nursing & Patient Care 47453 47453 14732 14732 6815 6815 1578 1578 4905 4905 75483 75483 Charles J Zelnick Physician 220729 22412 4794 22344 20460 290739 Dennis Desilvey Physician 269942 7410 27500 24198 329050 Douglas MacGregor Trustee 187287 26850 15256 5295 24394 259082 Glenn Martin Secretary 415555 72710 4935 86309 22775 602284 John Ronan SVP & President 157271 157271 27663 27663 14446 14446 32847 32847 5869 5868 238096 238095 Kathleen Ober Former VP Med Affairs 146471 89034 4705 4914 245124 Kathy Lirakis Former VP, CNO 109109 9763 7476 10169 3023 139540 Kristin Cyr VP Patient Care 85143 85143 5856 5856 3808 3808 4833 4833 6008 6008 105648 105648 Lisa Billings-Lindsey DO Chief of Staff 174543 3809 1002 11753 18690 209797 M Michelle Hood EMHS Ex-Officio 3773999 196017 7584 273147 23276 4274023 2839409 Mark Hankinson VP-Operations 71223 71223 9959 9959 22358 22358 4177 4177 4900 4900 112617 112617 Mike Murnik MD VP Senior Phys 261042 26063 17869 16976 29614 351564 Paul Bolin VP & CHRO 302485 39933 45934 59033 33985 481370 Peter D Kirbach Physician 215074 20000 2071 23831 28651 289627 Surapaneni Ramanadha Rao Surgeon 661352 52616 6948 24302 11476 756694 Wendy Merchant VP of Finance 97407 97407 12462 12462 17811 17811 6676 6676 15387 15387 149743 149743 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Dennis Desilvey, highest compensated employee $255 Mark Hankinson, officer 188John Ronan, director/officer 300Amy Tan, highest compensated employee 450 Charles Zelnick, highest compensated employee 500 The benefit is available for all employees. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost)21,809 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2019 to the Community for details of community benefit projects at NLH members:Were making healthcare work for you.We are ChangemakersAll around us in todays world are people who challenge the status quo and aim to do more. History remembers those who have created changes that make our world a better place. Where would we be today if Alexander Graham Bell hadnt invented the telephone? Or, Thomas Edison didnt find a way to harness electricity to make light? Or, Marie Curie didnt discover the radioactive compounds that would lead to the use of radiation therapy to treat cancer? Of course, not all change is so grand, and not all changemakers are so iconic, but even small changes over time make a big difference. Here at Northern Light Health, among our thousands of dedicated employees, valued patients, generous donors, and committed community partners, we are grateful to have changemakers who work every day to improve the lives of people across our great state. In our 2019 Annual Report, we will introduce you to some of these changemakers. They are improving their communities, their workplaces, and themselves. They are finding better ways to treat people with Alzheimers disease. They are taking on extraordinary physical challenges to further cancer research. And, they are looking to make meaningful changes to how patients are cared for during their stays in our hospitals and healthcare facilities. At Northern Light Health, our purpose is to make healthcare work for you, and one way that we are doing that is by raising quality through innovation, teamwork, and efficiency. You will see examples of this throughout the pages of this years report. I am truly inspired by the great work that is happening here, and I know you will be inspired too. Sincerely, M. Michelle Hood, FACHE President and CEO, Northern Light HealthOrdinarily, Michelle and I co-author the introductory letter to our annual report, but this year, I felt it was important to add a few additional thoughts of my own. This will be the final annual report of Michelles 14-year tenure with Northern Light Health as she is moving on to an exciting new opportunity with the American Hospital Association to serve as executive vice president and chief operating officer. I think it is fitting that the theme of this years report is changemakers because Michelle has been a positive agent of change for our healthcare system. During her time as CEO, Northern Light Health has grown from a loosely organized confederation of hospitals to an integrated healthcare system that is poised to serve people across Maine for generations to come. I speak on behalf of our Board of Directors when I congratulate Michelle on her exciting new opportunity. She can feel proud of all that she has accomplished for Northern Light Health and the people of Maine. Sincerely,Barry McCrum Northern Light Health, Board ChairWe are HopefulWhen Memory Fades: Northern Light Alzheimers Research Program As Bill Doak runs a wooden board under a scroll saw in the woodworking shop behind his home, he pushes too hard, the board jumps, and the saw blade breaks. Bills wife, Nina, is standing nearby with a nervous look. Theres sawdust on the floor and projects in various stages of production and repair, including a chest of drawers. Bill has made thousands of dovetail joints but when he started this project for his grandson, he couldnt remember how to make a dovetail joint, explains Nina. Instead, Bill is fastening the drawers together with screws. For Nina, its a good sign that Bill is still problem-solving, but this scenario is just one of the many new realities they are learning to deal with since Bill has been living with Alzheimers disease. I built several boats over the years, and Ive built many pieces of furniture. The work gave me a sense of comfort, explains Bill, And, now, not so much. It takes a lot of time. Bill takes long walks on the roads near his coastal home in Surry, reads books, and solves crossword puzzles. He does these things to keep both his mind and body fit. As shes done for 40 years Nina is at his side supporting him. As the disease progresses, so does her worry. She and Bill cared for Bills parents, who both had Alzheimers disease. Bill is a very bright man who has held important administrative positions at the National Institutes of Health. He was great with numbers, and thats not there anymore, says Nina, Bill says that Im angry. Yes, I am angry, but not at him. This disease is slowly taking away my best friend. Bill is doing all he can to slow the diseases progression. He is part of a clinical research trial offered through Northern Light Acadia Hospitals Mood and Memory Clinic, in which he is a patient of Clifford Singer, MD, chief of Geriatrics and principal investigator for Northern Lights Alzheimers Disease Research Program. Acadia Hospital, together with the University of California San Diego and the National Institute on Aging is testing a drug currently used to treat ALS to see if it slows Alzheimers disease. Bill is part of that trial. There is a critical public health need. Because of our aging society, there is a doubling of the numbers of people with Alzheimers disease nationally and in Maine. The best hope we have of coping is to either prevent or at least slow the disease down, Dr. Singer explains. Northern Light Acadia Hospital is also partnering with Jackson Laboratory, a world-class genetics research institute. The hospital has clinicians and access to potential research study participants while Jackson Laboratory has state-of-the-art genetics laboratories, grant writing expertise, and researchers. Gareth Howell, PhD, associate professor at Jackson Laboratory, and his team of researchers are studying the effects of Alzheimers disease on mice at the genetic level. Dr. Howell says collaborating with a clinician with a national reputation such as Dr. Singer allows them to not only enhance research but also attract grants. Our partnership with Dr. Singer allows us to go backward and forward between human patients and mouse models. You can understand more about the disease in the mouse if you have mouse models that look like the human condition. And so, there are benefits of having a close partnership with somebody studying the disease in humans, Dr. Howell explains. Northern Light Acadia Hospital also collaborates with the University of Maine and Activas Diagnostics, an Orono-based company, co-founded by Marie Hayes, PhD. Dr. Hayes is the principal investigator and project director for an NIH grant-funded research project. She was instrumental in securing a $1 million grant to develop and test technology that allows researchers to study sleeping patterns on a group of 120 study participants at their homes. What if disruption of sleep is the earliest signs of neurodegenerationnot just Alzheimers disease, but Parkinsons disease and other kinds of diseases associated with sleep disorders? asks Dr. Hayes, Early detection is the secret to treatment thats successful.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 OTHER PROGRAM SERVICES 6: We are MotivatedThe Heart of a Friar: Northern Light Cardiovascular Care As the sun rises over the Franciscan Friars monastery on Orcutt Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Mary M. Hood, board member/officer and John Ronan, 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 III (Board), Section 1 (General Powers) to add the Corporation and Maine Coast Regional Health Facilities d/b/a Maine Coast Memorial Hospital (MCMH) to the extent permitted by law shall be managed and operated as a single integrated healthcare services organization. Therefore, the fiduciary duties of the respective boards of directors and officers to each of the two entities shall be aligned.Amended Article III (Board), Section 2 (Number and Tenure; Qualifications) to add the president of MCMHs medical staff. To add not more than one other employee employed by either the Corporation or MCMH may serve on the Board of Trustees.Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings) to add meeting integration. Changed the Annual Meeting of the Corporation shall be held in Blue Hill to a location in Hancock County. Added the respective Boards and committees of the Corporation and MCMH shall hold joint meetings, which shall include shared agenda items and, if and to the extent necessary, agenda items specific to one entity or the other.Amended Article III (Board), Section 10 (Vacancies) to add circumstances creating a vacancy on the Board of the Corporation shall have the effect of creating an identical vacancy on the Board of MCMH.Amended Article III (Board), Section 16 (Resignation and Removal) to add any trustee or committee member who resigns or is removed from the Board and/or a committee of the Corporation shall be deemed to have resigned or removed from the MCMH board and/or the analogous MCMH committee(s).Amended Article IV (Officers), Section 1 (Officers) to add the individuals elected or appointed of the foregoing offices of the Corporation and of MCMH shall at all times be identical.Amended Article IV (Officers), Section 2 (Vacancy) to add circumstances creating a vacancy in an office of this Corporation specified in Article IV, Section 1 shall have the effect of creating an identical vacancy in such office of MCMH.Amended Article IV (Officers), Section 5 (President) to add The President of the Corporation and the President of MCMH shall always be the same person.Amended Article IV (Officers), Section 7 (Treasurer & Assistant Treasurer) to add the Vice President of Finance of the Corporation and the Vice President of Finance of MCMH shall always be the same person.Amended Article IV (Officers), Section 10 (Resignation) to add any individual who resigns from an office of this Corporation specified in Article IV, Section 1 shall be deemed to have resigned from the analogous MCMH office.Amended Article V (Committees), Section 2 (Standing Committees) to add the foregoing standing committees of the Corporation and MCMH shall always be comprised of the same individuals, provided that the respective Presidents of the Medical Staff of the Corporation and of MCMH shall each serve on their respective organizations Joint Conference Committee.Amended Article V (Committees), Section 10 (Finance Committee) changed Assistant Treasurer to Vice President of Finance of the Corporation shall serve as staff liaison to the Committee.Amended Article VII (Volunteers/Citizen Advisory Council/Auxiliary), Section 2 (Citizens Advisory Council) to add any formation of a Citizens Advisory Council will include serving MCMH.Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 1 (Fiduciary Duty) Subsection (iii) to add MCMH and the fiduciary duties of the Trustees to the Corporation and MCMH shall be aligned at all times.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 Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill 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 Blue Hill 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 arms 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 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 arms length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The SVP & President of Northern Light Blue Hill 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 utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Northern Light Blue Hill Hospital President/SVP, President and the VP of Human Resources.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 Blue Hill 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 = $56263 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS 158 = -$697975 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$161178 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 Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Eastern Maine Healthcare System 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II NA true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS true Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC true Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS 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 EMMC true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide patient care & education ME 501(c)(3) 10 EMMC 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 EMHS true Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS 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 Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS 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 CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS true Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH 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 EMHS true Horizons Health Services PO Box 151 140 Academy Street Presque Isle ME 047690151 010504393 Provide patient care ME 501(c)(3) 3 TAMC true Mercy Hospital 144 State Street Portland ME 04101 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS true VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS 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 I MCMH true LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC 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 Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false 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 mgmt ME AHS C true Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinical 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 true Eastern Maine Healthcare System m 2972672 FMV Eastern Maine Healthcare System p 3815492 FMV Eastern Maine Healthcare System r 161178 FMV Acadia Healthcare Inc AHI m 183113 FMV Eastern Maine Medical Center EMMC m 1629622 FMV Eastern Maine Medical Center EMMC p 348736 FMV EMHS Foundation m 228020 FMV Maine Coast Regional Health Facilities l 180098 FMV Maine Coast Regional Health Facilities m 325360 FMV Beacon Health LLC m 247548 FMV Affiliated Laboratory Inc m 313937 FMV