STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BLUE HILL MEMORIAL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BLUE HILL MEMORIAL HOSPITAL INC (EIN 01-0227195)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-01
IRS object ID
202402149349301140
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-01T13:34:47-07:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010227195EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BLUE HILL MEMORIAL HOSPITALBusinessNameLine1Txt
Business Name Line2NORTHERN LIGHT BLUE HILL HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line157 WATER STREETAddressLine1Txt
CityBLUE HILLCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04614ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Person TitleNLH VP of FinancePersonTitleTxt
Signature2024-08-01SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn DoylePrincipalOfficerNm
Gross Receipts$46,146,495GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://northernlighthealth.org/Blue-Hill-HosWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionThe Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee301TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,329,925PYContributionsGrantsAmt
CY Contributions Grants$1,788,409CYContributionsGrantsAmt
PY Program Service Revenue$43,463,645PYProgramServiceRevenueAmt
CY Program Service Revenue$42,292,297CYProgramServiceRevenueAmt
PY Investment Income$3,398PYInvestmentIncomeAmt
CY Investment Income-$1,138,891CYInvestmentIncomeAmt
PY Other Revenue$1,898,375PYOtherRevenueAmt
CY Other Revenue$1,932,581CYOtherRevenueAmt
PY Total Revenue$49,695,343PYTotalRevenueAmt
CY Total Revenue$44,874,396CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,519,460PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,954,741CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,233,980PYOtherExpensesAmt
CY Other Expenses$19,395,384CYOtherExpensesAmt
PY Total Expenses$39,753,440PYTotalExpensesAmt
CY Total Expenses$42,350,125CYTotalExpensesAmt
PY Revenues Less Expenses$9,941,903PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,524,271CYRevenuesLessExpensesAmt
Total Assets BOY$57,820,641TotalAssetsBOYAmt
Total Assets EOY$78,607,104TotalAssetsEOYAmt
Total Liabilities BOY$23,614,215TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,266,953TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,206,426NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,340,151NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,517,393ExpenseAmt
Revenue$44,221,872RevenueAmt
DescSee Schedule ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,509,841ExpenseAmt
DescMedicare shortfalls (at cost)15,527 persons served.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$45,104ExpenseAmt
DescCharity care provided (at cost) 192 persons served.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$36,072,338TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee301EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RoadAddressLine1Txt
CityBrewerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04412ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Timothy Dentry NLH PresCEO
Ex-officio2.0050.00Yes (X)Yes (X)$0$1,509,740$62,092
Anthony Filer
Treasurer2.0050.00Yes (X)$0$695,430$64,042
Surapaneni Ramanadha Rao
Surgeon50.000.00$712,676$0$37,383
Paul Bolin
Former SVP & CHRO0.0050.00$0$543,269$110,033
John Ronan
Ex-officio-Pres25.0025.00Yes (X)Yes (X)$267,898$267,897$90,367
George Eaton Chief Legal Offi
Secretary2.0050.00Yes (X)$0$444,533$50,549
Glenn Martin
Former SVP-Chief Legal Officer0.0050.00$0$363,438$106,106
Dennis Desilvey
Physician50.000.00$339,036$0$54,838
Richard L Littlefield
Physician50.000.00$331,958$0$38,710
Mike Murnik MD
VP Senior Phys45.005.00Yes (X)$258,394$28,711$52,750
Kurt L Judson
Physician50.000.00$280,149$0$51,166
Wendy Merchant
VP, Finance25.0025.00Yes (X)$117,484$117,484$54,440
Charles J Zelnick
Physician50.000.00$243,224$0$43,861
Nicholas Vachon DPM
Ex-officio2.0050.00Yes (X)$0$237,446$27,965
Joseph Gaetano
VP, Operations25.0025.00Yes (X)$116,924$116,924$21,650
Kristin Cyr
VP Patient Care25.0025.00Yes (X)$107,919$107,919$26,860
Noah Lundy
VP, HR-East Reg20.0030.00Yes (X)$73,846$123,075$23,788
Jacqueline Carter FNP
Ex-Officio CoS50.000.00Yes (X)$161,908$0$30,888
Sheryl Edgecomb
Trustee2.000.00Yes (X)$0$0$0
Sally Hutchins
Trustee-Chair2.000.00Yes (X)Yes (X)$0$0$0
Karen Stanley
Trustee2.000.00Yes (X)$0$0$0
Kevin Tesseo
Trustee-Vice Ch2.000.00Yes (X)Yes (X)$0$0$0
Jacob Taylor
Trustee2.000.00Yes (X)$0$0$0
Tyler Smith
Trustee2.000.00Yes (X)$0$0$0
Michael Hockenbury
Trustee2.000.00Yes (X)$0$0$0
Edward Clayton
Trustee/Chairma2.000.00Yes (X)Yes (X)$0$0$0
Michele Francis
Trustee2.000.00Yes (X)$0$0$0
D Scott Miller
Trustee2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,011,416TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,555,866TotReportableCompRltdOrgAmt
Total Other Compensation$947,488TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Emergency Physician Associates Inc
PO Box 634850CincinnatiOH452634850Physician Fees$2,745,797
Simplifi
5020 Northshore Drive Suite 2North Little RockAR72118Medical Temp Staffing$1,820,413
Insight Health Corp DBA Rayus Radiology
PO Box 414025BOSTONMA022414025Radiology services$225,180
ROI
PO Box 842278BostonMA022842278Collection Servcies$111,610
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$1,023,005RelatedOrganizationsAmt
Government Grants$390,320GovernmentGrantsAmt
All Other Contributions$375,084AllOtherContributionsAmt
Noncash Contributions$19,456NoncashContributionsAmt
Total Contributions$1,788,409TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$137,820$137,820
Net Patient Care Service621990$42,154,477$42,154,477
FieldValueIRS element (for citing)
Total Program Service Revenue$42,292,297TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,964TotalRevenueColumnAmt
Exclusion$82,964ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,250RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,244RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,006RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,006TotalRevenueColumnAmt
Exclusion$3,006ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$46,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,267,855OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,221,855OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,221,855TotalRevenueColumnAmt
Exclusion-$1,221,855ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
Desc340B Pharmacy BenefitsDesc
Business621990BusinessCd
Total Revenue Column$1,929,575TotalRevenueColumnAmt
Related Or Exempt Func Income$1,929,575RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,929,575OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$44,874,396TotalRevenueColumnAmt
Related Or Exempt Func Income$44,084,052RelatedOrExemptFuncIncomeAmt
Exclusion-$998,065ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,288,314TotalAmt
Program Services$747,763ProgramServicesAmt
Management And General$540,551ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,098,676TotalAmt
Program Services$15,775,400ProgramServicesAmt
Management And General$1,323,276ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$905,848TotalAmt
Program Services$838,936ProgramServicesAmt
Management And General$66,912ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,647,492TotalAmt
Program Services$2,444,352ProgramServicesAmt
Management And General$203,140ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,014,411TotalAmt
Program Services$939,480ProgramServicesAmt
Management And General$74,931ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35TotalAmt
Program Services$35ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,773TotalAmt
Management And General$6,773ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,208TotalAmt
Program Services$2,045ProgramServicesAmt
Management And General$163ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,566,877TotalAmt
Program Services$6,491,367ProgramServicesAmt
Management And General$3,075,510ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$99,112TotalAmt
Program Services$99,112ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$891,744TotalAmt
Program Services$557,613ProgramServicesAmt
Management And General$334,131ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,594,337TotalAmt
Program Services$1,475,036ProgramServicesAmt
Management And General$119,301ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$654,833TotalAmt
Program Services$500,898ProgramServicesAmt
Management And General$153,935ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,376TotalAmt
Program Services$19,712ProgramServicesAmt
Management And General$4,664ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,001TotalAmt
Program Services$20,073ProgramServicesAmt
Management And General$928ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$105,260TotalAmt
Program Services$89,151ProgramServicesAmt
Management And General$16,109ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$854,778TotalAmt
Program Services$649,631ProgramServicesAmt
Management And General$205,147ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$522,705TotalAmt
Program Services$484,095ProgramServicesAmt
Management And General$38,610ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$3,546,941$3,546,941
Taxes and Licensing$994,289$992,413$1,876
Repairs & Maintenance$448,418$346,075$102,343
Dues & Subscriptions$37,655$37,655

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,042TotalAmt
Program Services$14,555ProgramServicesAmt
Management And General$9,487ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,350,125TotalAmt
Program Services$36,072,338ProgramServicesAmt
Management And General$6,277,787ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29,927,827BOYAmt
EOY$32,043,755EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$332,024BOYAmt
EOY$226,516EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,438,731BOYAmt
EOY$7,014,787EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$3,205BOYAmt
EOY$77EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$249,931BOYAmt
EOY$228,506EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,653BOYAmt
EOY$8,848EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,175,741LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,810,219LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,189,961BOYAmt
EOY$25,365,522EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,670,309BOYAmt
EOY$13,719,093EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,820,641BOYAmt
EOY$78,607,104EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,155,148BOYAmt
EOY$13,499,090EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$628,364BOYAmt
EOY$1,231,029EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$18,878,683EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,830,703BOYAmt
EOY$7,658,151EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,614,215BOYAmt
EOY$41,266,953EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,948,840BOYAmt
EOY$31,050,837EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,257,586BOYAmt
EOY$6,289,314EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,206,426BOYAmt
EOY$37,340,151EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,820,641BOYAmt
EOY$78,607,104EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,524,271ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$82,343NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$527,111OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,167FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,167FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$42,350,125FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$42,356,292FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$4,899CurrentYearMinus3Amt
Current Year Minus2$7,404CurrentYearMinus2Amt
Current Year Minus1$6,105CurrentYearMinus1Amt
Current Year$6,167CurrentYearAmt
Total$24,575TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$758,254BeginningYearBalanceAmt
Investment Earnings Or Losses$62,978InvestmentEarningsOrLossesAmt
Other Expenditures$25,200OtherExpendituresAmt
End Year Balance$796,032EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$938,397BeginningYearBalanceAmt
Investment Earnings Or Losses-$146,339InvestmentEarningsOrLossesAmt
Other Expenditures$33,804OtherExpendituresAmt
End Year Balance$758,254EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$815,838BeginningYearBalanceAmt
Investment Earnings Or Losses$150,963InvestmentEarningsOrLossesAmt
Other Expenditures$28,404OtherExpendituresAmt
End Year Balance$938,397EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$844,104BeginningYearBalanceAmt
Investment Earnings Or Losses$2,928InvestmentEarningsOrLossesAmt
Other Expenditures$31,194OtherExpendituresAmt
End Year Balance$815,838EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$863,496BeginningYearBalanceAmt
Investment Earnings Or Losses$17,244InvestmentEarningsOrLossesAmt
Other Expenditures$36,636OtherExpendituresAmt
End Year Balance$844,104EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00360BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.99640PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$601,486OtherCostOrOtherBasisAmt
Book Value$601,486BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,427,539OtherCostOrOtherBasisAmt
Depreciation$9,194,592DepreciationAmt
Book Value$12,232,947BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,810OtherCostOrOtherBasisAmt
Depreciation$2,810DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,892,130OtherCostOrOtherBasisAmt
Depreciation$12,870,142DepreciationAmt
Book Value$11,021,988BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,251,776OtherCostOrOtherBasisAmt
Depreciation$742,675DepreciationAmt
Book Value$1,509,101BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,365,522TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Assets whose use is limited$6,962,979
Beneficial Interest in Perpetual Trusts$1,341,587
Board Designated-Other$441,125
Org costs & other long term investments$25,675
Temp & Perm Donor Restr Funds$4,947,727
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,719,093TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Amounts due to Related Org$1,899,450
Deferred Compensation$4,063,423
Other Liability-Commerce Bank$149,954
Right of Use - Operating Lease Liability$1,545,324
FieldValueIRS element (for citing)
Total Liability$7,658,151TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 FootnoteIncome TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying 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 FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the more-likely-than-not threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served192PersonsServedCnt
Total Community Benefit Expns$45,104TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,104NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served192PersonsServedCnt
Total Community Benefit Expns$45,104TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,104NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served1968PersonsServedCnt
Total Community Benefit Expns$81,808TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$81,808NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served9PersonsServedCnt
Total Community Benefit Expns$24,166TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,166NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served238PersonsServedCnt
Total Community Benefit Expns$45,854TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,854NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served2215PersonsServedCnt
Total Community Benefit Expns$151,828TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$151,828NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served2407PersonsServedCnt
Total Community Benefit Expns$196,932TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$196,932NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$1,377TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,377NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$1,377TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,377NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$921,713BadDebtExpenseAmt
Reimbursed By Medicare$25,170,726ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$27,680,567CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,509,841MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northern Light Blue Hill HospiBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line157 Water StreetAddressLine1Txt
CityBlue HillCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04614ZIPCd
FieldValueIRS element (for citing)
Website Addressnorthernlight.org/Blue-Hill-HoWebsiteAddressTxt
State License38155StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northern Light Blue Hill HospiBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Line 16j for URLOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Line 16j for URLOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Line 16j for URLStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.0000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Line 16j for URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Line 16j for URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Line 16j for URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 5The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2021 and January 2022. All forms of engagement included public forums, community sponsored events, and oral surveys. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Virtual community forums with residents and service providers were held in the county in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 30, 2021, Hancock County Shared CHNA Community Engagement Forum and provided valuable feedback on the most recent Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Hancock County CHNA report, page 20: Aroostook Mental Health Center, Bar Harbor Bank & Trust, Beth C. Wright Cancer Resource Center, Blue Hill Heritage Trust, City of Ellsworth, Community Health & Counseling Services, Department of Health and Human Services/Office of Child and Family Services: Childrens Behavioral Health Services, Downeast Community Partners, Downeast Horizons, Downeast Public Health Council - Maine Center for Disease Control and Prevention, First Congregational Church of Blue Hill, Friends in Action, Hancock County Emergency Management Agency, Healthy Acadia, Healthy Peninsula-Community Health, Hospice Council of Maine, Hospice Volunteers of Hancock County, Maine Community Foundation, Maine Hospice Council, Maine State Senate, Mount Desert Island Hospital, New Ventures Maine, Northern Light Blue Hill Hospital, Northern Light Maine Coast Hospital, Northern Light Health, State of Maine Department of Health and Human Services, Maine CDC Downeast District, Surry Neighbors Helping Neighbors, Town of Bar Harbor, United Way of Eastern Maine, University of Maine Augusta. New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreaches were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people who live with a disability; people with a mental health diagnosis; people with low income; and youth.Another effort included conducting oral surveys in collaboration with eight ethnic-based community organizations community health workers in order to better reach Maines immigrant population that included: 1,000 surveys were conducted in either English (32%), Somali, (24%), Arabic (23%), French (8%), Spanish (5%), Lingala (3%), and other languages including Swahili, Maay Maay, Portuguese, Oromo, Eretria, Kirundi, and Amara. When asked for their countries of origin, respondents most commonly cited the United States (212), Iraq (205), Somalia (157), The Democratic Republic of Congo (81), Djibouti (70), Kenya (30), and Mexico (29). Other countries of origin mentioned included Rwanda, Ethiopia, Angola, Syria, Guatemala, South Africa, Palestine, Puerto Rico, Morocco, Afghanistan, El Salvador, Nigeria, Canada, Burundi, Eritrea, France, Honduras, Uganda, Jamaica, Mali, Gabon, Sudan, Nicaragua, Peru, and Brazil.
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 6aThe Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, included other non-Northern Light Health hospitals who were consulted during the engagement process.
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 11As a member of a partnering healthcare system in the Maine Shared Community Health Needs Assessment (Shared CHNA) effort, Northern Light Healths Community Health Council recognized the value, reach, and influence of aligned engagement efforts with a shared purpose. Review of the county CHNA forum priority voting revealed that mental health, social determinants of health, and substance use were among the top four priorities in almost every county CHNA forum. These three priority areas were presented and adopted by our hospitals governing board as shared priorities where Northern Light Health member organizations would engage in common strategy to achieve greater statewide effect. Northern Light Blue Hill Hospitals community health strategy was developed to include our systemwide shared priority areas of work reflecting upon the quantitative health profile indicators and qualitative prioritization derived from the Shared CHNAs community engagement process. We also considered local readiness and capacity to address these needs in partnership with our local communities. The following provides an update on the actions taken on the three priority areas in fiscal year 2023 (FY23): Mental Health: Actions taken by Northern Light Blue Hill Hospital to address this priority in FY23: Blue Hill Hospital trained staff in Psychological First Aid (PFA), an evidence-informed approach to help anyonechildren, adolescents, adults, and familiesin the immediate aftermath of a traumatic experience and has proven to be effective when someone is experiencing a mental health crisis at any time. PFA shines a light on the impact of collective trauma, builds resiliency, and assists in self-care action plans by incorporating five evidence-based principles: safety, calming, connectedness, self and community reliance, and hope.Certified Blue Hill Hospital staff then engaged schools and/or youth serving organizations to educate and empower others to respond to mental and behavioral health needs of children using the PFA training model. Attendees received training in eight core elements: engagement, safety, stabilization, information gathering, practical assistance, connection to social supports, information on coping, and connecting with collaborative services. Blue Hill Hospital conducted two PFA training sessions with 25 individuals trained. Northern Light Healths systemwide collective impact of our shared objective to increase the number of individuals trained to support the mental health needs of children and youth resulted in 35 youth mental health training sessions with 584 individuals trained.Social Determinants of HealthActions taken by Northern Light Blue Hill Hospital to address this priority in FY23: FindHelp.org is the nations leading social care network, making it easier to connect patients and their families with free or reduced-cost programs from local partners and national support services with dignity and ease, and is one component of Northern Light Healths response to need in the communities we serve. Northern Light findhelp will allow users to directly communicate with referral partners to coordinate care of our patients.Northern Light Blue Hill Hospital engaged in meaningful, trusted community partnerships to reach priority populations with equitable access to community resources and social supports and connect individuals with community resources they need to improve their health and well-being through the findhelp.org platform. Blue Hill Hospital participated on a monthly systemwide workgroup focused on community engagement efforts to educate community partners on the availability and uses of findhelp.org. Community partners were provided with assistance in adding their program information to the platform directory and with activating the ability to receive referrals or requests for information through the platform. Blue Hill Hospital engaged three community partners who added six programs to the findhelp directory. Northern Light Healths systemwide collective impact of our shared objective to increase community partner engagement with FindHelp.org resulted in 28 programs added to findhelp and 89 programs that increased engagement with findhelp.Substance UseActions taken by Northern Light Blue Hill Hospital to address this priority in FY23: In collaboration with other Northern Light Health member organizations and community-based organizations, trained Blue Hill Hospital staff representing pharmacy and community health departments, worked diligently to improve processes and partnerships to reduce barriers and provide equitable access to state-sponsored Naloxone (Narcan) kits for priority populations. Northern Light Blue Hill Hospital participated in the Maine Naloxone Distribution Initiative which provides state-purchased naloxone to community organizations, clinical sites, and end-users throughout the State of Maine to distribute free of charge. Through a collaboration with Bangor Public Health & Community Services, Blue Hill Hospital worked in the emergency department and primary care settings to provide education on the use of these naloxone kits to end-users to facilitate the reversal of private overdoses in the community. Blue Hill Hospital distributed 23 state-sponsored naloxone kits. Northern Light Healths systemwide collective impact of our shared objective to improve distribution and preventive access to state sponsored naloxone kits systemwide resulted in 1,453 naloxone kits distributed throughout Northern Light Healths service area. Additional information related to actions taken by Blue Hill Hospital on the above priorities can be found in their FY23 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-Strategy . Blue Hill Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. Access to care was not selected as an independent priority of focus as many of our efforts identified in our strategy are connected to access issues. In addition, our hospital has current initiatives that are ongoing and part of our continual mission to improve access to care such as provider recruitment, engagement of navigators or the equivalent, and other efforts that support this priority.
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 13hFPG family income
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 16jResponse for 7a (list URL) is https://northernlighthealth.org/Blue-Hill-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Shared-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/billing-help/Bill-Pay-Assistance under "Pay My Bill".

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Northern Light Primary Care
65 Water StreetBlue HillME04614Physician Offices
Northern Light Orthopedics
65 Water StreetBlue HillME04614Physician Offices
Northern Light Womens Health
65 Water StreetBlue HillME04614Physician Offices
Northern Light Primary Care
354 Airport RoadStoningtonME04681Physician Offices
Northern Light Cardiovascular Care
65 Water StreetBlue HillME04614Physician Offices
Northern Light Rehabilitation
58 Main StreetBucksportME04416Physician Offices
Northern Light Urology
58 Main StreetBucksportME04416Physician Offices
Northern Light Primary Care
102 Court StreetCastineME04421Physician Offices
Northern Light Endocrine and Diabetes Care
65 Water StreetBlue HillME04614Physician Offices

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportNorthern Light Blue Hill Hospital is a member of Northern Light Health (EIN = Eastern Maine Health Systems DBA NLH 01-0527066). Our Community Benefit Report is included in the following documents annually: Northern Light Healths Annual Report; a sub-section in the report https://northernlighthealth.org/About-Us Northern Light Health Community Benefit Reports are available at: https://northernlighthealth.org/Community-Health-Needs-Assessment/Community-Benefit-Reports In FY23, Northern Light Health members incorporated a methodology for capturing indirect costs which comply with community benefit reporting requirements.
Part I, Line 7 - Explanation of Costing MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt ExpensePatient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Patient Service Revenue and Accounts Receivable section.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare 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 PatientsAll account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Blue Hill Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceNorthern Light Health Financial Counselors screen patients for state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods: Offered by receiving a conspicuous written notice on their billing statements. Listed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facility. Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary
Part VI, Line 4 - Community InformationLocated in Blue Hill, Maine, Northern Light Blue Hill Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Blue Hill Hospitals primary service area include Blue Hill, Penobscot, Castine, Brooksville, Harborside, Sargentville, Sedgwick, Brooklin, Blue Hill falls, Little Deer Isle, Deer Isle, Sunset, Stonington, and Isle Au Haut.Towns representing Blue Hill Hospitals secondary service area include Surry, Ellsworth, East Orland, Bucksport, and Orland.Hancock Countys race/ethnicity and selected demographics are provided below for Blue Hill Hospital based on the hospitals physical location in Hancock County.Hancock County - Race/Ethnicity: American Indian/Alaskan Native 0.5% (254), Asian 1.1% (624), Black/African American 0.9% (469), Native Hawaiian or Pacific Islander 0.1% (75), White 95.9% (52,344), Some other race 0.1% (65), Two or more races 1.4% (770), Hispanic 1.5% (794), non-Hispanic 98.5% (53,807), Total County population 54,601.Hancock County - Selected Demographics: Median household income $57,178, Unemployment rate 5.7%, Individuals living in poverty 10.8%, Children living in poverty 14.2%, 65+ living alone 27.3%, Veterans 10.1%, Gay, lesbian, and bisexual (high school students) 14.3%, Gay, lesbian, and bisexual (adults) 3.0%, Transgender youth (high school students) 1.1%, Persons with a disability 14.6%.Other hospitals serving the Northern Light Blue Hill Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Blue Hill Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Blue Hill Hospitals service area as not having medically underserved populations/areas.
Part VI, Line 4 - Community Building ActivitiesFiscal Year 2023 Student Shadowing Student shadowing from Searsport High School promoting potential recruitment of local health care providers.
Part VI, Line 5 - Promotion of Community HealthNorthern Light Blue Hill Hospital furthers its exempt purpose by promoting the health of the community through the following activity in FY23:Joint community board, affiliated medical staff, and surplus funds to improvements in facilities and equipment, patient care, medical training, education, and research.
Part VI, Line 6 - Affilated Health Care SystemThe 2022 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.
Part VI, Line 7 - States Filing of Community Benefit ReportN/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Anthony Filer
Treasurer$597,838$82,139$15,453$27,450$36,592$759,472
Charles J Zelnick
Physician$197,830$32,452$12,942$21,988$21,873$287,085
Dennis Desilvey
Physician$333,671$5,365$28,410$26,428$393,874
George Eaton Chief Legal Offi
Secretary$360,612$60,144$23,777$26,795$23,754$495,082
Glenn Martin
Former SVP-Chief Legal Officer$238,691$124,747$88,673$17,433$469,544$77,993
Jacqueline Carter FNP
Ex-Officio CoS$123,001$33,351$5,556$10,668$20,220$192,796
John Ronan
Ex-officio-Pres$170,825$52,864$44,208$39,115$6,069$313,081$170,826$52,864$44,208$39,115$6,068$313,081$30,597$30,597
Joseph Gaetano
VP, Operations$115,285$1,639$9,265$1,560$127,749$115,285$1,639$9,265$1,560$127,749
Kristin Cyr
VP Patient Care$106,156$1,763$7,256$6,174$121,349$106,156$1,763$7,256$6,174$121,349
Kurt L Judson
Physician$112,929$164,430$2,790$18,722$32,444$331,315
Mike Murnik MD
VP Senior Phys$28,282$150$279$2,115$3,160$33,986$254,538$1,350$2,506$19,041$28,434$305,869
Nicholas Vachon DPM
Ex-officio$174,147$56,488$6,811$4,851$23,114$265,411
Noah Lundy
VP, HR-East Reg$108,568$14,507$7,242$7,626$137,943$65,141$8,705$4,345$4,575$82,766
Paul Bolin
Former SVP & CHRO$386,106$127,480$29,683$82,758$27,275$653,302
Richard L Littlefield
Physician$250,875$81,083$27,450$11,260$370,668
Surapaneni Ramanadha Rao
Surgeon$649,208$52,616$10,852$24,400$12,983$750,059
Timothy Dentry NLH PresCEO
Ex-officio$1,180,115$308,222$21,403$27,450$34,642$1,571,832
Wendy Merchant
VP, Finance$114,179$3,305$9,636$17,584$144,704$114,179$3,305$9,636$17,584$144,704

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationThe following received a wellness program incentive:Kurt L Judson, highest compensated employee $ 60Noah Lundy, officer 10John Ronan, director/officer 30 Charles Zelnick, highest compensated employee 100 The benefit is available for all employees.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Maine Health & Higher EduBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN010314384BondIssuerEIN
CUSIP56042R8N5CUSIPNum
Bond Issued2022-11-15BondIssuedDt
Issue Price$20,812,850IssuePriceAmt
PurposeFinance & refinance constructiPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingYes (true)PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$190,000RetiredAmt
Total Proceeds$20,812,850TotalProceedsAmt
In Reserve Fund$7,960,146InReserveFundAmt
Issuance Costs From Proceeds$365,750IssuanceCostsFromProceedsAmt
Capital Expenditures$12,484,206CapitalExpendituresAmt
Other Spent Proceeds$2,748OtherSpentProceedsAmt
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonAnthony Lee FuscoPersonNm
Relationship With OrgEmployeeRelationshipWithOrgTxt
Loan PurposeEduc LoanLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$20,000OriginalPrincipalAmt
Balance Due$77BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$77TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4dOTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost)15,527 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2023 to the Community for details of community benefit projects at NLH members:Northern Light HealthAnnual Report 2023HOW ARE YOU?How are you is a simple question that we ask many times throughout the day, but its also a question that goes beyond conversation, an expression of genuine care and interest in the wellbeing of others. It's a foundation of the deeper, more meaningful relationships we build with our employees, patients, community members, and others. We hope this annual report illustrates how this question, while at the heart of our character, is one of the ways we guide our patients and their families through the healthcare experience. This year, we highlight ways our incredible employees and community partners work together to ensure we are making healthcare work for all people in Maine. From a nurse who provides healing care in the hospital and nourishing food in a restaurant, to helping community members combat opioid use disorder with Narcan training.Our commitment extends well beyond the walls of our facilities; we are training community organizations in psychological first aid and are collaborating with our local communities to promote health education and help create a healthier Maine. We extend our gratitude to our dedicated staff and community partners, and to the people of Maine who place their trust in us. We hope you take a moment to ask, How are you? and see how incorporating this simple but meaningful question into your daily interactions can positively affect our relationships and create meaningful connections.We hope you enjoy the 2023 Annual Report.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthJohn RyanBoard ChairNorthern Light HealthHOW ARE YOUGOING TO SAVE A LIFE?Northern Light Healths Narcan Program: Saving Lives in Maine Andrew Mitchell found himself in a situation he never expected. He was outside a restaurant in Bangor one August afternoon in 2022 when a life changing experience convinced him of the importance of the overdose-reversing medication, Narcan. Mitchell, who received a Narcan kit at the Blue Hill Fair, was out with a friend when a woman across the street urgently called out that a man was overdosing. Quickly, Mitchell rushed to his truck, grabbed the Narcan kit, and administered the life-saving drug to the unconscious man, whose lips had turned blue. Thanks to his timely intervention, the man began to regain consciousness. Mitchell received his free Narcan kit from Northern Light Blue Hill Hospital, which has been at the forefront of addressing Maine's opioid epidemic. Employees handed out these kits to the public at the Blue Hill Fair in 2022 and 2023. Mitchell shares, I had no medical training at all, and if I can use Narcan, anyone else can use it too. It's straightforward, he shares. OTHER PROGRAM SERVICES 6: Northern Light Health's efforts extend beyond Narcan distribution to individuals. Hospitals across the system are engaging the community in a new and meaningful way. Northern Light Inland Hospital in Waterville and Northern Light Sebasticook Valley Hospital in Pittsfield provide training to community organizations on the use of Narcan. The hospitals training programs are part of a three-year federal grant program to reduce overdose deaths in Maine. Hanna Bouchard, a community health outreach coordinator with both hospitals, plays a vital role in this program. Her experience as an emergency medical technician, coupled with her dedication to the cause has made her a key figure in providing Narcan training to community partners, including Kennebec Valley Community College in Fairfield. This program is not just about teaching people how to use Narcan; it's about giving them the knowledge and tools to save lives, shares Bouchard. In the battle against opioid overdoses, data tells a compelling story. Maine experienced more than 700 overdose deaths in 2022, and while the numbers are alarming, Narcan is making a difference. Of the 9,394 reported non-fatal overdoses, 2,200 were reversed thanks to community members carrying Narcan. Now with Food and Drug Administration approval, this life-saving medication is available over the counter. Across Maine, the opioid crisis remains a significant challenge. These initiatives, whether distributing Narcan kits at the Blue Hill Fair or providing community trainings, are crucial steps towards reducing drug overdose deaths. These programs serve as beacons of hope, reminding us that every life is worth saving, and every intervention counts. A Vital ConnectionAre you monitoring your health?Northern Light Home Care & Hospice is one of the first home healthcare agencies to endorse and promote telehealth for patients who qualify. Through LiveConnected, Northern Light's telehealth program, monitors can be installed in a patient's home. Our nurses train patients on how to read and record the information to monitor their condition, and the machine does the rest! More than 630 Mainers statewide use LiveConnected, including those who are not patients of Home Care & Hospice.The service uses monitoring equipment to provide daily readings of vital signs to registered nurses. The nurses work with the patient and their physician to maintain and adjust medications from the convenience of home. Each day at a pre-determined time, the machine guides the patient through the steps to monitor their health.Northern Light Home Care & Hospice uses a team approach to deliver care, educate our patients, and to better manage conditions like chronic heart and lung diseases. Often, managing chronic health conditions means frequent trips to the doctor or hospital to monitor vital signs. Using telemonitoring and offering care, such as physical therapy, occupational therapy, and speech language pathology to patients at home eliminates the stress of frequent trips and difficult access to transportation. Each Northern Light Home Care & Hospice patient receives a customized care plan that includes clinical home visits, telehealth monitoring, and education designed for the individual, allowing patients to manage their care from the comfort of home. To learn more about LiveConnected visit northernlighthealth.org/liveconnected. To find out if you qualify, please call 800-757-3326 to speak to a member of our Home Care & Hospice team.HOW ARE YOUAND YOUR BABY?Transforming Lives: Francis Warde HomeFor decades, Portland has been a destination for people seeking asylum; leaving their home countries, seeking safety and protection in a new place to call home. Sometimes, there are cracks in the social safety net for this vulnerable population, and some of the most vulnerable are pregnant women.One woman, who came to Northern Light Mercy Hospital on a cold rainy day in June, was five months pregnant, without shelter, and in dire need of care. Melissa Skahan, vice president of Mission Integration at Mercy, recounts her story, This woman was ill, had no home, and a discharge plan would potentially put her back out on the street or into another short-term shelter.Thankfully, Skahan was already working on a solution. Mercy Hospital had recently teamed up with the non-profit In Her Presence (IHP), to start a new, two-generational program for pregnant women who are seeking asylum. The new program would open soon, in the former Francis Warde Convent, a residence once owned by the Sisters of Mercy of the Americas and named after one of the original Sisters of Mercy.The Francis Warde Home was nearly ready to open, so instead of sending this pregnant woman back into uncertainty, hospital staff stepped in. Within 48 hours, they made a crucial decision that would change her life. Skahan adds, Our staff kept her here, and the program launch was timed so that we were able to move her quickly into Francis Warde.The Francis Warde program, as it is commonly referred to, ensures that vulnerable women in need of shelter, basic needs, and healthcare receive support. Overseeing the day-to-day operations of the Francis Warde program is Claudette Ndayininahaze, the co-founder and executive director of IHP. Ndayininahaze emphasizes, We are just beginning to understand how to see the whole person and serve the whole person. The IHP approach is creating long-term community and lifelong learners who give back. We need to integrate culture and ensure a true balance of power so that women from all over the world feel empowered to shape their healthcare.The program goes beyond providing shelter and healthcare. It extends to offering educational opportunities, including English language classes and workforce training at Northern Light Mercy Hospital. The women who benefit from the program go through a remarkable transformation.In Skahans words, Its transformative. I've seen people who have been in the program for a few months, and they
Form 990, Part VI, Section A, Line 2John Ronan, trustee/officer is board member of Ellsworth Business Development Corporation. Kevin Tesseo, trustee/vice chair is board member of Ellsworth Economic Development Corporation.
Form 990, Part VI, Section A, Line 6The Blue Hill Memorial Hospital, d/b/a Northern Light Blue Hill Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.
Form 990, Part VI, Section A, Line 7aEach year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Section A, Line 7bThe NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation.
Form 990, Part VI, Section B, Line 11bForm 990 is reviewed by the VP of Finance of Northern Light Blue Hill Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Section B, Line 12cThe 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, Section B, Line 15aThe SVP & President of Northern Light Blue Hill Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Northern Light Blue Hill Hospital President/SVP 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, Section C, Line 19Northern Light Blue Hill Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part XI, Line 9Net Change in Funds Held at NLH Foundation = $334433
Form 990, Part XI, Line 9Post Retirement Pension & Health Benefit FAS158 = $197439
Form 990, Part XI, Line 9Transfer to exempt subsidiary - NLH Foundation = -$4761

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412010391036Leases real estateME501(c)(2)EMHSfalse
Eastern Maine Healthcare System
43 Whiting Hill RoadBrewerME04412010527066Supporting organization for healthcare affiliatesME501(c)(3)NAfalse12 Type II
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide healthcare servicesME501(c)(3)EMHSfalse3
Acadia Healthcare Inc
43 Whiting Hill RoadBrewerME04412223183888Provide healthcare servicesME501(c)(3)AHCfalse10
Eastern Maine Medical Center EMMC
PO Box 404 489 State StreetBangorME044020404010211501Provide healthcare servicesME501(c)(3)EMHSfalse3
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)EMMCfalse10
Northern Light Health Foundation
43 Whiting Hill Road Ste 400BrewerME04412222514163Raise and manage funds for exempt organizationsME501(c)(3)EMHSfalse12 Type II
Rosscare
43 Whiting Hill Road Ste 400BrewerME04412010391038Provide services to elderlyME501(c)(3)EMHSfalsePF
Inland Hospital
200 Kennedy Memorial DriveWatervilleME04901010217211Provide healthcare servicesME501(c)(3)EMHSfalse3
Lakewood
220 Kennedy Memorial DriveWatervilleME04901010421234Provide skilled and long-term nursing careME501(c)(3)Inland Hospitalfalse3
CA Dean Memorial Hospital
Pritham Ave PO Box 1129GreenvilleME044411129043341666Provide healthcare servicesME501(c)(3)EMHSfalse3
Sebasticook Valley Health
447 North Main StreetPittsfieldME04967010263628Provide healthcare servicesME501(c)(3)EMHSfalse3
The Aroostook Medical Center
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)EMHSfalse3
Mercy Hospital
175 Fore River ParkwayPortlandME04102010211534Provide healthcare servicesME501(c)(3)EMHSfalse3
VNA Home Health & Hospice
225 Gorham Rd STE 200South PortlandME04106010246804Provide home health and hospice servicesME501(c)(3)EMHSfalse10
Northern Light Wellbeing LLC
43 Whiting Hill RoadBrewerME04412474315094Provide healthcare servicesME501(c)(3)EMHSfalse12 Type II
Maine Coast Regional Health Facilities
50 Union StreetEllsworthME04605010198331Provide healthcare servicesME501(c)(3)EMHSfalse3
Maine Coast Medical Realty
50 Union StreetEllsworthME04605010390918Lease medical facilitiesME501(c)(3)MCMHfalse12 Type I
LTC LLC
43 Whiting Hill RoadBrewerME04412010211501Operation of nursing homesME501(c)(3)EMMCfalse3
Beacon Health LLC
43 Whiting Hill RoadBrewerME04412452967056Accountable care organizationME501(c)(3)EMHSfalse12 Type II
Beacon Rural Health LLC
43 Whiting Hill RoadBrewerME04412474483187Accountable care organizationME501(c)(3)EMHSfalse12 Type II
Beacon Health ACO Holdings LLC
43 Whiting Hill RoadBrewerME04412364903784Accountable care organizationME501(c)(3)EMHSfalse12 Type II
Northern Light Medical Transport
43 Whiting Hill RoadBrewerME04412830911574AmbulanceME501(c)(3)EMHSfalse10
MRH Corp dba Northern Light Mayo Hospit
897 W Main StreetDoverFoxcroftME04426843689003Provide healthcare servicesME501(c)(3)EMHSfalse3
M Drug LLC
43 Whiting Hill RoadBrewerME04412272175482PharmacyME501(c)(3)EMMCfalse3

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Affiliated Healthcare Systems AHS
43 Whiting HIll RoadBrewerME04412010385322Holding co.MEEMHSCfalse
Affiliated Healthcare Management
43 Whiting Hill RoadBrewerME04412010349339Hlthcr mgmtMEAHSCfalse
Affiliated Laboratory Inc
43 Whiting Hill RoadBrewerME04412010381283Clinical labMEAHSCfalse
Beacon Direct
43 Whiting Hill RoadBrewerME04412371864965Healthcare Self-funded TPAMEEMHSCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd