2019-08-07T07:04:07-07:00 2018-09-30 990 2017-10-01 010227195 BLUE HILL MEMORIAL HOSPITAL INC BLUE 2073742836 57 WATER STREET BLUE HILL ME 04614 John J Doyle NLH VP of Finance 2019-08-07 false 2017 2019-02-21 02:37:17Z John Doyle 64325036 false false X www.bhmh.org X 1924 ME Blue Hill Memorial 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. 12 8 356 108 0 594477 544000 65327234 63487626 1506036 13520 202309 266276 67630056 64311422 2500 1250 0 25417196 25718534 0 0 39569442 33713424 64989138 59433208 2640918 4878214 17223658 22037507 10237626 10494272 6986032 11543235 X Blue Hill Memorial 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 53431729 1250 63751626 See Schedule O 1175189 Medicare shortfalls (at cost) 23,895 persons served. 777492 Charity care provided (at cost) 355 persons served. 55384410 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 true false false false false true true true false false true 59 0 true 356 true false false false false false false false false 0 false false false false false false false false false false X 12 8 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 Road Brewer ME 04412 James Schatz Trustee 2.00 0.00 X 0 0 0 Charles J Hatfield II Trustee 2.00 0.00 X 0 0 0 Barbara Fleck Trustee 2.00 0.00 X 0 0 0 Richard Littlefield MD Ex-Officio 50.00 0.00 X 180225 0 22309 Lisa Billings-Lindsey DO Chief of Staff 50.00 0.00 X 176204 0 27073 Sally N Mills Trustee 2.00 0.00 X 0 0 0 Ed Volkwein Trustee 2.00 0.00 X 0 0 0 Edward Clayton Trustee 2.00 0.00 X 0 0 0 M Michelle Hood EMHS Ex-Officio 2.00 50.00 X X 0 958052 284585 Scott Gray Vice Chair 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 159204 159204 68824 Gordon Stewart Chairman 2.00 0.00 X X 0 0 0 Anthony Filer Treasurer 2.00 50.00 X 0 496014 29454 Mike Murnik MD VP Senior Phys 50.00 0.00 X 265657 0 43824 Ardelle Bigos VP Patient Care 25.00 25.00 X 116684 116684 27892 Paul Bolin VP & CHRO 2.00 50.00 X 0 336066 47158 Kristin Cyr VP Patient Care 25.00 25.00 X 71761 71761 28152 Glenn Martin Secretary 2.00 50.00 X 0 445839 94023 Wendy Jones VP of Finance 25.00 25.00 X 97218 97218 38894 Mark Hankinson VP-Operations 25.00 25.00 X 79915 79915 18504 Surapaneni Ramanadha Rao Surgeon 50.00 0.00 X 584377 0 15638 Kathleen J Ober Physician 50.00 0.00 X 333919 0 31641 Ronald Prokopius Physician 50.00 0.00 X 309788 0 37444 Amy E Tan Surgeon 50.00 0.00 X 294532 0 43342 Dennis Desilvey Physician 50.00 0.00 X 283380 0 46525 Kathleen S Lirakis Former VP, Nursing & Patient Care 50.00 50.00 X 135173 27147 12325 3088037 2787900 917607 30 true true false Nurse Anesthesia of Maine 141 N Main Street Brewer ME 04412 CRNA Services 698811 Vista Staffing Solutions Inc File 50834 Los Angeles CA 900740834 Physician Fees 229228 American Mobile Nursing 2735 Collection Center Drive Chicago IL 60693 Temp Staffing 172288 Dahl Chase Diagnostic Services 417 State Street Suite 441 Bangor ME 04401 Laboratory 166150 Honeywell Inc 12490 Collections Center Drive Chicago IL 60693 Maintenance 101249 5 107218 436782 32275 544000 Cafeteria 722210 108064 108064 Exempt Affiliate Rental 532000 5500 5500 Patient Care Service 621990 63374062 63374062 63487626 13520 13520 0 0 15890 13614 2276 2276 2276 0 0 0 0 Meaningful Use 621990 264000 264000 264000 64311422 63643562 123860 1250 1250 0 0 0 1331207 1020926 310281 0 19234409 17942250 1292159 985188 935220 49968 3071747 2909156 162591 1095983 1040395 55588 0 0 7528 7528 0 0 0 4047589 2666267 1381322 32178 6379 25799 1210308 1056743 153565 1360514 1291263 69251 0 679574 546853 132721 40395 22442 17953 0 58251 57308 943 80708 74672 6036 0 782430 559369 223061 418906 404142 14764 Contractual Allowances 16637529 16637529 Medical Supplies 3428931 3428931 Provision for uncollectible ac 2099746 2099746 Charity Care 1333453 1333453 1495384 1350116 145268 59433208 55384410 4048798 0 12204 2139653 16 1634618 0 5881114 7105162 0 0 0 178600 130255 366805 435137 30609051 22854239 7975208 7754812 0 0 0 0 2809711 2837870 17223658 22037507 5888382 5826856 4349244 4667416 10237626 10494272 X 4390379 8922123 688759 704394 1906894 1916718 6986032 11543235 17223658 22037507 X 4878214 5764 -326775 X false true X true false X false false 6221 6221 59426987 59433208 1000000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 8967 6099 6288 6221 27575 250000 250000 250000 250000 1000000 1500000 774947 108305 22950 42706 863496 708759 8347 79381 21540 774947 685325 38755 15321 708759 710139 -5736 19078 685325 692891 2350 27731 12833 710139 0.00350 0.99650 false true true 601486 601486 11987035 9142053 2844982 2810 2810 16285764 13230476 3055288 1731956 478900 1253056 7754812 Assets whose use is limited 30333 Beneficial Interest in Perpetual Trusts 1305518 Board Designated Funds-Other 160750 Org costs & other long term investments 25675 Permanently Donor Restricted Funds 611200 Temporarily Donor Restricted Funds 704394 2837870 Amounts due to Related Org 1932631 Capital Lease Obligation 119726 Deferred Compensation 2615059 4667416 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 355 777492 777492 0.01980 16441 16441 0.00040 355 793933 793933 0.02020 7 649 241264 241264 0.00610 3 37975 37975 0.00100 2 60 24600 24600 0.00060 12 709 303839 303839 0.00770 12 1064 1097772 1097772 0.02790 1 16 20919 20919 0.00060 2 44612 44612 0.00110 1 11749 11749 0.00030 4 16 77280 77280 0.00200 true 1222545 19784859 20960048 -1175189 X true true 1 1 Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 04614 www.bhmh.org 38155 X X X X Blue Hill Memorial Hospital 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 November 10, 2015 Hancock County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations:State Government - representation from DHHS (low income, medically underserved); Non-profit hospitals (Maine Coast Memorial Hospital, Blue Hill Memorial Hospital, Mount Desert Island Hospital providing services to MaineCare populations (medically underserved); Healthy Acadia and Healthy Peninsula provide individuals with health supports and coordination of education and prevention services. Non-profit agency- SAGE and GLSEN: provide advocacy and services for LGBT community. Beth Wright provides resources and care for individuals and families with cancer in both counties. Birch Bay and Hancock County Hospice/Home Care provide services for seniors and aging population (low income). Hancock County EMA provides emergency management to all of Hancock County towns. 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 Affordable Housing - Another option outside of our venue to deliver, plus outside agencies are working on this problem. We have less of an ability to impact this than the chosen priorities. Hunger/Food Insecurity - Many agencies are currently working on this and providing for those in need. We do participate monthly in Simmering Pot and food pantry. We already have community programs in place so this is less of a priority for us.Preventative Screenings - All of the preventive screenings are actually included in many of the priorities that we chose and the fully loaded visit will cover all of the categories listed. Some of the chosen priorities address preventative screenings and education.Inconvenience - We have opened our family practice clinics mornings, evenings and Saturdays. The transportation priority should also help cover this issue.Out of Pocket Costs Associated with Insurance Plans - Our navigator investigation should help identify alternatives for people to have affordable care. This is related to lack of insurance, which we have chosen as a priority. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients FPG family income Part V, Line 16j - Other Means Hospital Facility Publicized the Policy Response for 7a (list URL) is https://northernlighthealth.org/Blue-Hill-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-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Blue-Hill-Hospital under "Bill Pay & Financial Assistance Blue Hill Family Medicine 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Orthopedics 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Specialty Services 65 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Womens Healthcare 65 Water Street Blue Hill ME 04614 Physician Offices Castine Community Health Services 102 Court Street Castine ME 04421 Physician Offices Island Family Medicine 354 Airport Road Stonington ME 04681 Physician Offices Blue Hill Cardiovascular Medicine 59 Water Street Blue Hill ME 04614 Physician Offices Blue Hill Memorial Hospital Rehabilitation Services 58 Main Street Bucksport ME 04416 Physician Offices Blue Hill Urology 58 Main Street Bucksport ME 04416 Physician Offices Part I, Line 6a - Related Organization Community Benefit Report The Blue Hill Memorial Hospital 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 calculations. Part I, Line 7, Column F - Explanation of Bad Debt Expense $2,099,746 of bad debt expense, $1,333,453 of charity care, $16,637,529 of contractual allowances is included on Form 990, Part IX, line 2olumn (A). 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 BHMH. 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 Blue Hill Memorial Hospital (BHMH) is a 25 bed critical access hospital located in Blue Hill, Maine. As our mission states, we are 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. BHMH has three primary care clinics located in the rural communities of Deer Isle/Stonington (population 2,500), Castine (population 1,366), and Blue Hill (population 2,686). The hospital offers many specialty services including Orthopedics, Cardiology, Urology, and Womens Health. The 24 hour emergency room is staffed by physicians and serves approximately 5,000 patients per year. BHMH has a very strong swing bed program allowing patients to be cared for close to home.Our community outreach efforts, as well as the services we deliver within our hospital and practices, are shaped by our communitys needs. We work closely with patients to identify programs that will cover their healthcare costs. When no coverage is available, there are assistance programs to help ensure that every patient has access to medically necessary care. Part VI, Line 4 - Community Building Activities Blue Hill Memorial Hospital's community building activities include community meals, blood pressure clinics, an educational presence at local fairs and festivals, annual Women's Wellness Fair, ongoing work with local schools, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as men's health, cardiology, and heartburn. 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 many local community health and wellness organizations, including Healthy Peninsula, Healthy Acadia, At Home Downeast, YMCA 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 2016 Shared Community Health Needs Assessment conducted by EMHS (Eastern Maine Healthcare Systems) in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Shared Community Health Needs Assessment 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 and community health improvement plan, tailored to meet local needs. 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 Blue Hill Hospital (Blue Hill 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. Blue Hill 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 Blue Hill 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 Blue Hill Hospital is in compliance with Section 501(r). In addition, Northern Light Health continues to engage Northern Light Health Internal Audit to review Blue Hill 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 Blue Hill 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 Amy E Tan Surgeon 291605 285 2642 16000 27342 337874 Anthony Filer Treasurer 491229 4785 29454 525468 Ardelle Bigos VP Patient Care 109809 109809 4114 4114 2761 2761 2633 2633 11313 11313 130630 130630 Dennis Desilvey Physician 275865 285 7230 23950 22575 329905 Glenn Martin Secretary 420922 18282 6635 72657 21366 539862 John Ronan SVP & President 148405 148405 5186 5186 5613 5613 28973 28973 5439 5439 193616 193616 Kathleen J Ober Physician 330030 285 3604 18650 12991 365560 Kathleen S Lirakis Former VP, Nursing & Patient Care 96319 26663 4872 33982 484 9284 544 1942 555 146399 28246 Kristin Cyr VP Patient Care 70835 70835 926 926 5005 5005 9071 9071 85837 85837 Lisa Billings-Lindsey DO Chief of Staff 175067 285 852 9778 17295 203277 M Michelle Hood EMHS Ex-Officio 898292 51886 7874 262793 21792 1242637 Mark Hankinson VP-Operations 75819 75819 2659 2659 1437 1437 4341 4341 4911 4911 89167 89167 Mike Murnik MD VP Senior Phys 256451 7964 1242 16404 27420 309481 Paul Bolin VP & CHRO 318091 7834 10141 15626 31532 383224 Richard Littlefield MD Ex-Officio 178333 142 1750 13310 8999 202534 Ronald Prokopius Physician 296886 10285 2617 16000 21444 347232 Surapaneni Ramanadha Rao Surgeon 524678 52901 6798 4958 10680 600015 Wendy Jones VP of Finance 88780 88780 2982 2982 5456 5456 5747 5747 13700 13700 116665 116665 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Dennis Desilvey, highest compensated employee $225 Mark Hankinson, officer 225 Kathy Lirakis, officer 205John Ronan, director/officer 329 Amy Tan, highest compensated employee 500 The benefit is available for all employees.Kristin Cyr, officer, received a $20 giftcard. X 1250 FMV X 2 11622 FMV X 4 5286 FMV X Gift Certificat 15 14117 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost) 23,895 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members: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 ChairA 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 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 Blue Hill Memorial Hospital (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 Blue Hill Memorial 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 Blue Hill Memorial Hospital 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 SVP & President of the direct subsidiaries, and other direct reports to the 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 meetings 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 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 BHMH 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 Blue Hill Memorial 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 = $115203 Other Changes In Net Assets Or Fund Balances - Other Decreases Equity transfer to exempt subsidiary-EMHSF = -$100000 Other Changes In Net Assets Or Fund Balances - Other Decreases Post Retirement Health Benefit FAS 158 = -$56439 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$285539 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 Critical care hospital 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 Restoration Health LLC 43 Whiting Hill Road Brewer ME 04412 352449986 Provide mental & behavioral hlth srvs ME 501(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 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 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 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 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 Maine Coast Physician Affiliates 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 false false false false false false false false false false false true true false false true false true true Eastern Maine Healthcare System m 2946208 FMV Eastern Maine Healthcare System p 4214462 FMV Eastern Maine Healthcare System r 285539 FMV Acadia Healthcare Inc AHI m 149879 FMV Eastern Maine Medical Center EMMC m 3140069 FMV Eastern Maine Medical Center EMMC p 141574 FMV EMHS Foundation m 196691 FMV EMHS Foundation s 107218 FMV Maine Coast Regional Health Facilities l 86586 FMV Maine Coast Regional Health Facilities m 426201 FMV Beacon Health LLC m 252363 FMV M Drug LLC m 50685 FMV Affiliated Laboratory Inc m 336509 FMV