VNA Home Health & Hospice Northern Light Home Care & Hospice

What it reported doing in 2023

Northern Light Inland HospitalA bridge to care for communitiesSome Waterville residents are visited by paramedics, as part of a collaborative effort between Northern Light Inland Hospital and the citys fire department. This vital resource is designed to improve patient care and reduce hospital readmissions. Courtney Cook, vice president of Nursing and Patient Care Services, Northern Light Inland Hospital, highlights the importance of this at home program. Waterville is lucky to have the paramedicine program as a community resource, Cook says, emphasizing Inland Hospitals pride in partnering with the program. The program offers a wide range of services to Waterville residents, including home safety checks, medication reviews, vital sign monitoring, blood draws, and wound care. The team works closely with healthcare providers to ensure patients receive the right care, preventing unnecessary hospital visits. The team is a great resource to bridge care gaps for those with medical conditions needing frequent reassessment, Cook explains. Additionally, they provide care for the unhoused population, offering both health checks and referrals to emergency care when necessary. While the Inland Hospital program is currently available only to Waterville residents, Cook is optimistic about its future. The hope is that the pilot will be so successful that funding will become available to expand to other communities, particularly rural areas facing healthcare challenges like limited transportation or accessibility. Inland Hospital works with Northern Light Medical Transport in Ellsworth and Greenville. They are planning future collaboration with Northern Light CA Dean and Maine Coast Hospitals and Hospice of Hancock County. By offering this kind of care outside of the hospital, the program helps ensure people in need receive the timely attention and education they need to maintain their health. Inland Hospital is honored to partner with such a wonderful community resource, meeting people where they are at, Cook adds, "This program is not just a healthcare service its a lifeline for the community." Full CircleBecoming a caregiverLucie Moisan, along with her siblings, are navigating a new chapter in their familys lifebecoming caregivers for their aging parents. Moisan says she never expected to take on a caregiver role, but in September of 2023, life had other plans. Thats when Moisans mother was hospitalized due to kidney failure and required dialysis. It felt surreal to see mom, who had always been our familys rock, now so vulnerable, she reflects. Determined to keep her mother at home, Moisan and her sister, Lisa, stepped in and managed their mothers care. Moisan, a registered nurse, manages her mother's at home dialysis treatments with Lisas help, while coordinating appointments and schedules. Some days, I wake up and think, Can I get through today? she admits. Its overwhelming at times, juggling work as a nurse and caring for them. Seeing dad care for mom, helping her through treatments, was both beautiful and heartbreaking, Moisan shares. Their parents recently celebrated their sixty-seventh wedding anniversary, a milestone that highlighted their enduring love. Even in tough times, you can see the love they have for each other, says Moisan. The situation grew more complicated when their father was diagnosed with new onset congestive heart failure in July 2024. With both parents needing care, the siblings have rallied together. Their brother, Paul, comes by after work to help with household chores and garden maintenance. We created a rotation schedule to make sure someone is always around, Moisan explains, Its crucial for us to be there for them, especially at night. But the strain of caregiving can take its toll and caregivers need their own support systems to make it sustainable. There are days when I feel like I am drowning. Moisan vividly recalls one particularly exhausting day after spending the night at the hospital supporting her mo

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 95.1%; rating input score 95
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 84.6%; rating input score 85; 18th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -20.1%; rating input score 5; 5th percentile among comparable filings
• Total-asset coverage ratio: 0.29; rating input score 7; 7th percentile among comparable filings
• Liabilities to assets ratio: 1.81; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 4.3%; rating input score 55; 55th percentile among comparable filings

Growth

• Program expense growth: 8.5% per year; rating input score 100; 65th percentile among comparable filings
• Revenue growth: 9.4% per year; rating input score 100; 73rd percentile among comparable filings
• Asset growth: 3.1% per year; rating input score 100; 24th percentile among comparable filings