2019-08-07T07:04:16-07:00 2018-09-30 990 2017-10-01 010263628 Eastern Maine Healthcare Systems-SVH Sebasticook Valley Health EAST 2079739081 447 North Main Street Pittsfield ME 04967 John J Doyle NLH VP Of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John J Doyle 72205170 false false 5247 X https://northernlighthealth.org/Sebasticook-V X 1963 ME Sebasticook Valley Health is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect. 13 9 401 29 0 546020 448588 67498725 71259761 1467864 60429 109340 51736 69621949 71820514 17 0 0 23176143 25273738 0 0 40504013 40027388 63680173 65301126 5941776 6519388 37282787 40552429 15328646 12449911 21954141 28102518 X Sebasticook Valley Health is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect. false false 54302746 71297630 Sebasticook Valley Health is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2018 fiscal year, SVH provided free care of $2,073,551 and recorded $2,972,921 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 11,539. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:Total Admissions of 602Emergency Room Visits 11,539Surgical Cases 680Clinic Visits 9,921Physician Practice visits of 21,976Please see following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members: 1174381 Medicare Shortfalls (at cost) 24,825 persons 1099058 Charity Care provided (at cost) 714 persons served. 56576185 true true false true false false false false false true true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 87 0 true 401 true false false false false false false false false 0 false false false false false false false false false false X 13 9 false 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 Rd Brewer ME 04412 Lori Cummings Trustee 0.50 0.00 X 0 0 0 Alicia J Nichols Trustee 0.50 0.00 X 0 0 0 David Richardson Chairman 0.50 0.00 X X 0 0 0 Stacey Fitts Trustee 0.50 0.00 X 0 0 0 Stephen George Vice Chair 0.50 0.00 X X 0 0 0 Charlie Cianchette Trustee 0.50 0.00 X 0 0 0 James Fullwood DPM Ex-Officio 40.00 0.00 X 318685 0 23398 Mary M Hood Trustee 0.50 50.00 X X 0 958052 284585 Nanette Ardry Trustee 0.50 0.00 X 0 0 0 Linda Woolley Trustee 0.50 0.00 X 0 0 0 Andrew Gibson Trustee 0.50 0.00 X 0 0 0 Teresa P Vieira Ex-officio 30.00 20.00 X X 168826 112551 77423 Jeremy Boutot Trustee 0.50 0.00 X 0 0 0 Robert Schlager VP Senior Phys 40.00 0.00 X 254341 0 19454 Randall Clark VP of Finance 40.00 0.00 X 200704 0 34470 Glenn Martin Secretary 0.50 50.00 X 0 445839 94023 Anthony Filer Treasurer 0.50 50.00 X 0 496014 29454 Tracy Bonney-Corson VP Nursing 40.00 0.00 X 125075 0 22326 Paul R Arsenault VP, Primary Car 40.00 0.00 X 117252 0 14426 Paul Bolin VP & CHRO 0.50 50.00 X 0 336066 47158 Steven Badeen Physician 40.00 0.00 X 342807 0 28361 Joseph E Dessent Physician 40.00 0.00 X 365650 0 25808 Michael Lemieux Cardiologist 40.00 0.00 X 405102 0 20245 Devin Jon Croft Physician 40.00 0.00 X 332227 0 27074 Mohammad H Niayesh General Surgeon 40.00 0.00 X 326447 0 19454 2957116 2348522 767659 29 false true false NEHE MRI LLC PO Box 6600 Newport Beach CA 92658 Clinical Services 401625 Dahl Chase Diagnostic Services 417 State Street Suite 441 Bangor ME 04401 Clinical Services 119869 Nurse Anesthesia of Maine 141 N Main St Ste 205 Brewer ME 04412 Clinical Services 561759 GE Healthcare PO Box 96483 Chicago IL 60693 Maintenance Contract 126213 Redington Fairview General Hopsital PO Box 468 Skowhegan ME 04976 Clinical Services 120230 5 146799 164002 137787 11792 448588 Cafeteria/Dietary 722210 93254 93254 Critical Access Hospital 621990 71164219 71164219 Education 611710 2288 2288 71259761 10484 10484 0 0 25193 11326 13867 13867 13867 418825 4450 371625 1705 47200 2745 49945 49945 0 0 0 Meaningful Use 621990 37869 37869 37869 71820514 71204376 167550 0 0 0 0 1345411 894957 450454 0 19023821 15037716 3986105 380246 300989 79257 3334425 2698837 635588 1189835 896539 293296 0 2959 2959 2628 2628 0 0 0 4151941 2620277 1531664 105903 4935 100968 974061 339949 634112 1312843 1030876 281967 0 683363 553437 129926 83296 56599 26697 0 75666 49724 25942 250787 250787 0 1194049 962779 231270 519565 411268 108297 Contractual adjustments 20879848 20879848 Medical Supplies 3138893 3138893 Bad Debt Expense 2972939 2972921 18 Charity Care 2073551 2073551 1605096 1401303 203793 65301126 56576185 8724941 0 1700 1700 9610604 15411788 109278 15464 6474363 4351040 0 0 0 290651 274336 288389 245598 40649204 21867697 19221521 18781507 0 0 0 25244 25244 1261037 1445752 37282787 40552429 7148345 4989604 79273 112479 7627056 6925355 473972 422473 15328646 12449911 X 21163453 27472111 401432 234936 389256 395471 21954141 28102518 37282787 40552429 X 6519388 -32890 -338121 X false true X true false X false false false false false false false false false false true 4714 4714 false false Part II-B, Line 1i - Other Activities Description NON DEDUCTIBLE DUES 115126 1133 278 115981 108495 5000 2179 548 115126 108495 108495 108495 108495 108495 108495 0.05000 0.95000 false true true 479067 479067 23692211 8423018 15269193 85950 63230 22720 15439682 12545857 2893825 952294 835592 116702 18781507 Deferred Compensation 422473 422473 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose Part X : FIN48 Footnote Income TaxesEMHS, 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. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System'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 true false true true 714 1099058 1099058 0.02790 47207 47207 0.00120 714 1146265 1146265 0.02910 18 1695 332493 4027 328466 0.00830 4 102 27151 309 26842 0.00070 328 328 22 1797 359972 4336 355636 0.00900 22 2511 1506237 4336 1501901 0.03810 1 212 15746 15746 0.00040 1 212 15746 15746 0.00040 true 1569585 13627733 14802114 -1174381 X true true 1 1 Sebasticook Valley Health 447 North Main Street Pittsfield ME 04967 sebasticookvalleyhealth.org 38277 X X X X Licensed Hospital Sebasticook Valley Health 1 false false true X X X X X X X X X 16 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 16 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 Part V, Line 5 - Account Input from Persons Who Represent the Community 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. The survey was administered using a snowball approach where stakeholder agencies agreed to send the surveys to their members and stakeholders for participation. 1,639 people, representing more than 80 organizations and businesses in Maine, completed the survey. Respondents represented health care agencies, public health agencies, law enforcement, municipalities, schools, local businesses, social service agencies, and nongovernmental organizations. In addition to the stakeholder survey, each county conducted a number of community engagement opportunities (forums) to ensure broad interests of the local community were represented; Obtain stakeholder input on identifying significant health needs based on review of shared CHNA data; Solicit stakeholder feedback on prioritizing significant health needs, and; Identify local assets and resources that potentially may address local health priorities. The local forums were conducted in collaboration with the Maine CDC to solicit input from individuals representing populations with health disparities. The following organizations were in attendance at the December 10, 2015 DCC SHNAPP Waterville Shared CHNA Community Enagagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Sample of organizations KVCAP, Waterville Main Street, Kennebec Messalonskee Trails, Maine Childrens Home, NAMI Maine, American Lung Assn., Healthy Northern Kennebec, Somerset Public Health, Healthy Sebasticook Valley, MaineGeneral (MG), Inland Hospital, Redington Fairview General Hospital, EMHS, HealthReach Community Health Centers, Kennebec Behavioral Health, MG Community Care, Assistance Plus, MSAD 59, Waterville/Vassalboro before/After School Programs, MG Board of Directors, Maine CDC. Hospitals (MaineGeneral, Inland, EMHS, Redington Fairview), health care providers (HealthReach Community Health Centers), and behavioral health care providers (Kennebec Behavioral Health, MG Community Care) serve low income patients through Medicare/MaineCare and provide low-cost/no- cost services to medically underserved residents. Many public health programs and services (Healthy Northern Kennebec, Somerset Public Health, Healthy Sebasticook Valley), non-profit agencies (KVCAP, Maine Childrens Home, NAMI Maine), and local/state government agencies (Maine CDC) specifically serve low-income and medically underserved residents.The following organizations were in attendance at the January 20, 2016 Sebasticook Valley Hospital Shared CHNA Community Engagement Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Sample of organizations United Way, ME Health Access Foundation, Southern ME Area Agency on Aging, Preble St. Resource Center, legislator, Somali commnity members, USM/UNE/SMCC/Tufts medical School, ME Health Mgt Coalition, MaineMedical Center (hospital facility), Spring Harbor Hospital, Mercy Hospital, Bridgton Hospital, HMP, & Portland Public Health.Hospitals and health care providers serve low income patients through Medicare/MaineCare and provide low-cost/no-cost services to medically underserved residents. Many public health programs and services, social service agencies, funding agencies, and non-profit agencies specifically serve racial/ethnic minorities, low-income, and medically underserved residents. Somali community members attended the forum. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Eastern Maine Healthcare Systems (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). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why Unemployment/Economic OpportunityDomestic ViolenceAffordable HousingBehavioral/mental health services for children and adultsDental Care/Oral HealthSubstance Abuse TreatmentPrescription Drug AssistanceTransportationWhen selecting health priorities for Sebasticok Valley, community partners took the following factors and questions into consideration:What is the current staffing capacity to lead strategy implementation;What is the current grant and agency funding to support strategy implementation;Is there grant funding likely available that could assist with strategy implementation;Can SVH and the community partners realistically make an impact on the health priority given the current state/context;Is there a measure we can easily identify and track; andIs there existing or emerging energy around a health priority that would assist us with strategy implementation?After a series of small group discussions, taking into account the noted considerations, it was determined that the health priorities listed are not feasible at this time. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients Income Levels Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Response for 7a (list URL) is https://northernlighthealth.org/Sebasticook-Valley-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2016-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2016-CHNA-Reports/Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Sebasticook-Valley-Hospital under "Bill Pay & Financial Assistance". SVH Rehabilitation Services 141 Leighton Street Pittsfield ME 04967 Outpatient Medical Facility SVH Sleep Center of Maine 130 Leighton Street Pittsfield ME 04967 Outpatient Medical Facility SVH Rehabitation Services 118 Moosehead Trail Suite 3 Newport ME 04953 Outpatient Medical Facility SVH Speciality Physicians 72 North Main Road Detroit ME 04929 Outpatient Medical Facility SVH Family Care 470 Somerset Avenue Pittsfield ME 04967 Outpatient Medical Facility SVH Family Care 8 Main Street Newport ME 04953 Outpatient Medical Facility SVH Family Care & Speciality Physicians 1309 Main Street Unit 1 Clinton ME 04927 Outpatient Medical Facility Part I, Line 6a - Related Organization Community Benefit Report The Sebasticook Valley Health community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems 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 calculation Part I, Line 7, Column F - Explanation of Bad Debt Expense $2,972,939 of bad debt expense, $2,073,551 of charity care, $20,879,848 of contractual allowances is included on Form 990, Part IX, line 24, column (A) Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount reported on line 2 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 Sebasticook Valley Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Sebasticook Valley Health provides information about financial assistance to every patient who presents for services. Registration staff in all areas notify patients at the time of their visit that financial assistance is available. Contract information for SVH Billing is included in patients bills and is also available in the Patient Accounts Office, Central Registration, and in all primary care locations. Our Patient Accounts staff are knowledgeable in a wide variety of programs and services that can assist patients. Our staff works directly with each patient to educate, determine eligibility and assist in applying for financial assistance as well as other services the patient may be eligible for. In addition, information is posted to the public at our website and on posters throughout our local community. Part VI, Line 4 - Community Information Sebasticook Valley Health (SVH) is a 25-bed, Joint Commission accredited critical access hospital located in Pittsfield, Maine. SVH offers a wide range of inpatient and outpatient services on the hospital campus as well as primary care offices in Clinton, Newport and Pittsfield (RHC) and access to specialists and surgeons at our Pittsfield and Detroit locations. SVH serves a population of approximately 38,000 people in Southern Penobscot, Southern Somerset, Northern Kennebec, and Western Waldo Counties. The counties where the largest number of patients reside, Penobscot and Somerset, had median annual household incomes of $43,382 and $38,141 respectively. Families living in poverty numbered 17.4% in Penobscot County and 18.2% in Somerset County.Since 1999, SVH has served as the fiscal agent for the HealthySV Coalition, serving the Sebasticook Valley area. SVH is an active member of the coalition and twelve sectors are represented on the coalition Steering Committee. The Steering Committee is responsible for several SVH implementation strategies and plays a key role in leading the community health improvement process for SVH. Part VI, Line 4 - Community Building Activities SVH is actively engaged with offering students opportunities to learn about healthcare careers via hospital tours and job shadows. In 2018, sixty 7th grade students from Warsaw Middle School in Pittsfield participated in a Healthcare Career Day during which they had a tour of SVH, participated in 4 mini education sessions and participated in a healthcare career mapping activity. Seven 8th graders who had toured SVH in 2017 completed a job shadow at SVH in a discipline in which they had interest. Fifty-eight students/adults participated in a 2-4 hour job shadow over the course of the year in an area of interest. Coalition Building - Since 1999, SVH has served as the fiscal agent for HealthySV Coalition and serves the Sebasticook Valley region. SVH is the active member of the coalition, and assists with membership recruitment. We have 12 sectors represented on the Coalition Steering Committee. The Steering Committee meets bi-monthly and plays a key role in leading the community health improvement plan process for SVH. Part VI, Line 5 - Promotion of Community Health SVH provides education and support groups. SVH hosts two American Red Cross blood drives annually which are open to employees and the public. SVH employees are eligible to donate during work time. The blood drives consistently meet or near goal of 22 units per drive. SVH full and part time employees and spouses/domestic partners are eligible to enroll in Virgin Pulse; an on-line wellness reward system program. Employees and spouses/domestic partners can earn up to $400.00 each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. SVH offered the second annual Back to School Fair in August of 2018, for children in grades Pre K-12. The purpose of the event was to provide resources to children and their parents to get them ready to go back to school. 77 children along with one or more parent/guardian participated in the fair. SVH and EMHS staff and local non-for-profit agencies provided information in the areas of safety, wellness, and physical activity along with games and activities. Children who completed the scavenger hunt were eligible for the drawing of a free backpack filled with school supplies. 145 backpacks with supplies were donated by SVH staff, local businesses, and community members. 76 backpacks were given away to children who completed the scavenger hunt and the remaining backpacks were given to the local school districts to distribute to students who did not have school supplies to start the year. Pre-sports physicals at a discounted fee were available for middle and high school students. Part VI, Line 7 - States Filing of Community Benefit Report N/A Part VI - Additional Information Disclosure in accordance with Revenue Procedure 2015-21:Part V Facility Information, Section B Facility Policies and PracticesIn accordance with Revenue Procedure 2015-21, Northern Light Sebasticook Valley Hospital (Sebasticook Valley Hospital) is disclosing the following information with respect to Section 501(r) issues that were discovered during the 2018 tax year and how these have been corrected to satisfy 501(r) requirements.For all items:A good-faith effort was made to implement the requirements of the Section 501(r) regulations. Sebasticook Valley Hospital obtained information about the requirements and sought to implement them accordingly, but later identified a compliance gap.The issue was discovered in fiscal year 2018 during an internal audit of Sebasticook Valley Hospitals compliance with Sections 501(r). To ensure full compliance with Section 501(r) regulations, Northern Light Healths Community Health and Revenue Cycle Departments perform routine reviews to assure Sebasticook Valley Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review Sebasticook Valley Hospitals compliance with Section 501(r).Specific issue and correction:1. Widely Publicizeda. Requirement: In order to ensure the FAP is widely publicized, a hospital must take several actions, one of which is to make the FAP, FAP application form and a plain language summary of the FAP widely available on a Web site.b. Condition: On October 22, 2018, it was discovered that the link from Sebasticook Valley Hospitals Billing Help Web page did not map correctly to the Northern Light Health Financial Assistance page.c. Corrective Action: Northern Light Health Information Technology was contacted to resolve the mapping issue. Northern Light Health has since established a monthly review of all FAP-related mapping to verify functionality.d. Date Corrected: October 30, 2018. X true true false true false false false false false false false false Anthony Filer Treasurer 491229 4785 29454 525468 Devin Jon Croft Physician 301354 9000 21873 27074 359301 Glenn Martin Secretary 420922 18282 6635 72657 21366 539862 James Fullwood DPM Ex-Officio 249762 21085 47838 5369 18029 342083 Joseph E Dessent Physician 322857 16002 26791 9000 16808 391458 Mary M Hood Trustee 898292 51886 7874 262793 21792 1242637 Michael Lemieux Cardiologist 390924 3000 11178 9450 10795 425347 Mohammad H Niayesh General Surgeon 319284 3600 3563 9416 10038 345901 Paul Bolin VP & CHRO 318091 7834 10141 15626 31532 383224 Randall Clark VP of Finance 183594 7398 9712 4208 30262 235174 Robert Schlager VP Senior Phys 237512 9048 7781 8071 11383 273795 Steven Badeen Physician 312953 22400 7454 28361 371168 Teresa P Vieira Ex-officio 159316 106211 7027 4684 2483 1656 32479 21652 13975 9317 215280 143520 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Paul R. Arsenault, officer $400Steven J. Badeen, highest compensated employee 350Tracy L. Bonney-Corson, officer 15Joseph E. Dessent, highest compensated employee 15 Robert J. Schlager, officer 500The benefit is available for all employees. A Finance Authority of ME 010392006 2013-01-17 6000000 Construction false false false B Finance Authority of ME 010392006 2013-01-17 2025000 Construction false false false C Finance Authority of ME 010392006 2013-01-17 2475000 Construction false false false A 1054771 6000000 6000000 2013 false false true true B 872248 2025000 2025000 2013 false false true true C 1591275 2475000 2475000 2013 false false true true A false false false false false true B false false false false false true C false false false false false true A false false NA false NA false false B false false NA false NA false false C false false NA false NA false false A true B true C true Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: A New DayIn Maine, we have a tradition of leading the way and using our common sense and Yankee ingenuity to make life better for ourselves, our families, and our communities. It appears in our state motto Dirigo from the Latin word for I lead. We were the first state to elect a woman, Margaret Chase Smith, to both houses of Congress. We are home to the countrys first veterans hospital, and we are the first state to greet a new day as the rays of the sun touch our easternmost peaks and shores before any other place across the continental United States.The light of a new day symbolizes a rebirth or an awakening. And this renewed purpose to make healthcare work for people across our great state is what we are experiencing as we embrace our new name-Northern Light Health.In the pages of this years annual report, you will see examples of how we are rolling up our sleeves to raise quality through innovation, teamwork, and efficiency. We have fostered new clinical relationships with Massachusetts General Hospital, a world-class medical research hospital. We are using population health data in new ways to be smarter about how we deliver care. And we have created new programs that bring healthier locally-sourced foods to our hospitals while supporting the hard-working farmers and fishermen who make up the very core of our identity here in Maine.We are working to make healthcare more accessible and straightforward while also making great strides to reduce our costs and improve our operating margins. We are finding new ways to guide our patients and deliver care based on the needs of each person. Its a New Day in Maine. We invite you to join us on this new journey.M. Michelle Hood, FACHENorthern Light Health President and CEOBarry McCrumNorthern Light Health Board Chair OTHER PROGRAM SERVICES 5: A New LightWelcome to Northern Light HealthOpen up, give me a big ahhh, Sheena Whittaker, MD, a pediatrician at Northern Light Pediatrics in Ellsworth asks of her 12-year old patient, Ellis, as she shines a light in his mouth. They are in a pediatrics exam room where Ellis is getting a check up. The windows allow in a generous amount of light; the walls are warm yellow and decorated with Dr. Seuss decals like the Cat in the Hat. Dr. Whittaker wears many hats too. Not only is she a pediatrician, but she is also the senior physician executive for Northern Light Maine Coast Hospital in Ellsworth.Medicine is very controlled, and its very scientific and careful, and it should be; but kids bring a fun aspect to it, Dr. Whittaker explains. If we can fortify children to be strong mentally, physically, emotionally, and psychologically, were going to produce stronger, kinder, healthier children, a better adult population, and a stronger community.Dr. Whittaker may be based at Maine Coast Hospital, but she is part of Northern Light Health, formerly Eastern Maine Healthcare Systems. In addition to changing its name, Northern Light Health has re-identified its priorities and is becoming more integrated across the entire system which spans from Portland to Presque Isle and Greenville to Blue Hill.Dr. Whittaker sees the move to Northern Light Health as a step in the right direction that helps improve patient care. Being united medically means we have resources from the whole Northern Light Health system. Whether were at Northern Light Maine Coast, Northern Light Blue Hill, or Northern Light Eastern Maine Medical Center, we have access to all of the specialty services easily, consecutively, consistently. So, it doesnt matter which hospital a patient walks into, they are receiving the best medical care they possibly can get, explains Dr. Whittaker.Michelle Hood, FACHE, president and CEO of Northern Light Health, and Matt Weed, senior vice president and chief strategy officer have not only worked to implement this new brand identity but to spread the message of what it means beyond the name change. They also called on leaders and front line employees throughout the system to help.At Northern Light Health, we want to make healthcare work for everyone, whether thats an individual or a community. Were going to roll up our sleeves and bring a lot of energy and enthusiasm to our continuing work, explains Michelle. Were raising the bar and that is a simple but substantive way of saying we cant rest. Were always looking for a better way to do things. Our system is very broad not just in geography but in the types of services that we offer, and we want to meet people where they are.Northern Light Health is accomplishing this by making investments in telemedicine, converting to one unified electronic health record system that links all member hospitals together, and creating new clinical relationships with world-class organizations like Massachusetts General Hospital and Dana Farber Cancer Institute.A rebrand to Northern Light Health spans timeit celebrates how far we as a system have come, but it also creates a single shared starting line for where we need to go next, Matt explains. As chief strategy officer, Matt was instrumental in the rebranding effort which was a necessary evolution as healthcare in America is moving toward integrated systems. This in part is driven by economics and financial sustainabilityin all states including Maine, the healthcare industry is being required to coordinate expertise in a way that avoids unnecessary costs.Businesses, governments, and individual consumers are looking to contract with systems for their healthcare needs because this is how they will get the highest quality at the lowest cost. More importantly still, Matt feels that what people want is to know that when the need arises, they or their loved one will receive competent, compassionate care.This is the brand promise, concludes Matt. Its what our neighbors and our family members and a person were meeting for the first time can expect when they come to our physicians and to our hospitals, and when they interact with any other person or service in the system. If were not doing it perfectly today, were motivated and driven by the brand promise to improve; and if we are doing it perfectly today, the brand promise says we wake up and do it again tomorrow. OTHER PROGRAM SERVICES 6: A New FocusOncology Pharmacy Management ProgramLori Boynton is at her happiest at home in her backyard, a spacious spread of land in Lamoine with barns, a paddock, and animals. She finds a shady spot on a sunny summer day to feed afternoon snacks to her donkey, Clementine, and her mule, Mr. Tibbs. She cracks a smile and laughs as Clementine quickly scoffs down a fresh carrot. Im the beast of burden. They dont do any work at all, she laughs, I do all the work and thats my therapy which has been awesome.To look at Lori, with her thick wavy brown hair and healthy complexion, its hard to imagine that just months ago she was battling cancer and undergoing chemotherapy and radiation treatments.Its such a shocking thing when you hear you have cancer, and I just thought its going to be stage one, itll be no problem; it was actually stage three! It makes you think much differently about your time here, she says.Lori was diagnosed with stage III colon cancer in October 2017 and would undergo treatments through May 2018. She had to go to Northern Light Cancer Care for radiation treatments but was able to take oral chemotherapy medication at home. Having already started on chemotherapy treatments at the hospital, Lori knew how it made her feel.Youre kind of in the cloud. Its kind of foggy for lack of a better word. Before, I could multi-task and I could just keep things going in my brain and then it was gone!What Lori was experiencing is not uncommon, explains Sheila Pascual, MD, who was Loris oncologist, A lot of literature has been written about what they call chemo brain or brain fog and its a neural-cognitive dysfunction where theres a decline or deficit in memory, learning new things, attention.Lori might have been worried about trying to keep track of her medications, appointments, bills, and daily chores, except that she was an outpatient in Northern Light Pharmacys Oncology Pharmacy Management Program and she had help keeping track of it all. A team of pharmacists, nurses, and financial patient advocates occupy a room on the first floor of the Lafayette Family Cancer Institute. They spend their time on the phone with patients, helping them with everything from finding discount drugs to managing their medications, and coordinating care with their medical team.Before this program was implemented, patients had no local source to obtain these medications and were forced to go through national mail order specialty pharmacies that were not integrated with the oncology practice so the physicians had a very difficult time coordinating their patients care, explains Matt Marston, manager of the Specialty Pharmacy Program. Lori reaped the benefits of that level of care. Every week on Fridays, sh Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents Amended Article X (General Provisions), Section 3 (Fiscal Year) - to change the end of the fiscal year of the Corporation from the last Saturday in September to September 30. Amended Article X (General Provisions), Section 4 (Bonding) - to remove the Bonding section in its entirety and replace it with: "Fidelity Coverage. The Corporation shall maintain appropriate fidelity coverage protecting the Corporation from losses caused by the fraudulent or dishonest acts of individuals handling or directing the use of corporate funds." Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Sebasticook Valley Health (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"),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 EMHS Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS 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 EMHS Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; 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 Sebasticook Valley Health. 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 SVH and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS).The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the President of the direct subsidiaries, and other direct reports to the EMHS President. The Committee is comprised entirely of independent Directors per EMHS 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 EMHS 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 EMHS executive compensation philosophy.-Reviews and updates the EMHS 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 EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS 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 EMHS deemed appropriate.-Maintains minutes of the meeting and communicates actions to the EMHS 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 EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS 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 - 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 Sebasticook Valley Health 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 Net Change in Funds Held at EMHSF = $656425 Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiaries-EMHS Foundation = $193200 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent-Eastern Maine Healthcare Systems = -$302078 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - EMHSF = -$885668 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting organization for healthcare affiliates ME 501(c)(3) 12 Type II N/A true Eastern Maine Medical Center EMMC PO BOX 404 489 State Street Bangor ME 044020404 010211501 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS true Rosscare 43 Whiting Hill Road Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS true Rosscare Nursing Homes Inc 43 Whiting Hill Road Brewer ME 04412 010430751 Operation of Nursing Homes ME 501(c)(3) 10 Rosscare 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 Acadia Healthcare Inc 43 Whiting Hill Road Brewer ME 04412 223183888 Provide Healthcare Services ME 503(c)(3) 10 AHC true EMHS Foundation 43 Whiting Hill Road Brewer ME 04412 222514163 Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II EMHS true Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer ME 04412 010465231 Provide Patient care and education ME 501(c)(3) 10 EMMC 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 ca ME 501(c)(3) 3 Inland Hospital true CADean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide Healthcare Services ME 501(c)(3) 3 EMHS 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 Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 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 Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide Mental Health & Behavioral hlth ME 503(c)(3) 10 AHI 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 & Hospice Service ME 501(c)(3) 10 EMHS true Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide Healthcare Services ME 501(c)(3) 3 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 Fac dba MCMH 50 Union Street Ellsworth ME 04605 010198331 Provide Healthcare Services ME 501(c)(3) 3 EMHS true Maine Cost Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease Medical Facilities ME 501(c)(3) 12 Type I MCMH true Lifestages Physician Services LLC 50 Foden Road South Portland ME 04106 821043752 Provide home health and hospice services ME 501(c)(3) 10 VNA 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 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 Healthcare Management 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 Maine Coast Physician Affilitates 50 Union Street Ellsworth ME 04605 010479952 Patient Care ME MCMH C true Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C true true false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare Systems EMHS m 2572257 FMV Eastern Maine Healthcare Systems EMHS p 4146451 FMV Eastern Maine Healthcare Systems EMHS r 302078 FMV Eastern Maine Medical Center EMMC l 105293 FMV Eastern Maine Medical Center EMMC m 1607720 FMV Eastern Maine Medical Center EMMC p 168332 FMV EMHS Foundation m 92399 FMV EMHS Foundation r 885668 FMV EMHS Foundation s 339999 FMV Inland Hospital m 90002 FMV CADean Memorial Hospital l 67300 FMV WorkHealth LLC a 18761 FMV Beacon Health LLC m 176769 FMV Affiliated Laboratory Inc m 310430 FMV