VNA HOME & HOSPICE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: VNA HOME & HOSPICE (EIN 01-0246804)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-01
IRS object ID: 202442149349301669
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-01T13:43:30-07:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010246804	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VNA Home Health & Hospice	BusinessNameLine1Txt
Business Name Line2	Northern Light Home Care & Hospice	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	VNAH	BusinessNameControlTxt
Phone	2079739081	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	225 Gorham Road Ste 200	AddressLine1Txt
City	South Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04106	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John J Doyle	PersonNm
Person Title	NLH VP of Finance	PersonTitleTxt
Signature	2024-08-01	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John J Doyle	PrincipalOfficerNm
Gross Receipts	$40,960,410	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.northernlighthealth.org/homecare-hospice	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	616	TotalEmployeeCnt
Total Volunteers	150	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,527,492	PYContributionsGrantsAmt
CY Contributions Grants	$787,715	CYContributionsGrantsAmt
PY Program Service Revenue	$44,123,650	PYProgramServiceRevenueAmt
CY Program Service Revenue	$40,169,334	CYProgramServiceRevenueAmt
PY Investment Income	$3,032	PYInvestmentIncomeAmt
CY Investment Income	-$66,778	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$45,654,174	PYTotalRevenueAmt
CY Total Revenue	$40,890,271	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$36,249,240	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$39,072,434	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,350,786	PYOtherExpensesAmt
CY Other Expenses	$12,346,781	CYOtherExpensesAmt
PY Total Expenses	$48,600,026	PYTotalExpensesAmt
CY Total Expenses	$51,419,215	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,945,852	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$10,528,944	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,813,371	TotalAssetsBOYAmt
Total Assets EOY	$16,581,623	TotalAssetsEOYAmt
Total Liabilities BOY	$8,473,053	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$20,618,512	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,340,318	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$4,036,889	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice provides clinically excellent, compassionate home health and hospice care to individuals and families	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$48,856,203	ExpenseAmt
Revenue	$40,169,334	RevenueAmt
Desc	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. Its 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 Maines 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. Its straightforward, he shares. Northern Light Healths 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; its 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	A Vital Connection Are 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 Lights telehealth program, monitors can be installed in a patients 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 Home For 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. Ive seen people who have been in the program for a few months, and they look like different people than when you first meet them because their basic needs are met, and they are constantly progressing and developing.The Francis Warde Home empowers those who have experienced hardship and displacement to influence their interactions with healthcare. The model reflects the specific needs of immigrant women and their children across the continuum of care. Through this program, Mercy Hospital, in partnership with IHP, is creating a healthier, more inclusive society where vulnerable individuals can thrive. Other collaborating agencies in this endeavor include Community Housing of Maine, JTG Foundation, Sisters of Mercy of the Americas, and the State of Maine.Our Climate Health PledgeHow can we Improve our Planets Health?We know that climate change can translate into poorer health outcomes for people across the planet and right here in Maine. To create a healthier environment for everyone, Northern Light Health has pledged to reduce our greenhouse gas emissions by 50 percent by 2030, and to achieve net zero emissions by 2050. In 2021, we began to gather data on things like direct emissions related to our use of heating fuels, vehicles, and even anesthetic gases.We also looked at indirect emissions from our electricity usage. Weve converted to electric vehicles, built more energy efficient hospitals, and began outsourcing our electricity from more renewable sources. In year one of our pledge, weve already reduced our greenhouse gas emissions by more than ten percent! We know there is a long way to go, but were pleased that we are off to such a positive start!We have some exciting new projects planned for 2024 including improvements to our supply chain, a food waste program, and a new podcast series on climate sustainability.To learn more, visit Northernlighthealth.org/Sustainability	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	HOW ARE YOUSHARING YOUR CULTURE?A Journey of Nursing and NourishingIts just before 9 am when Hope Moneke and one of her daughters arrive in Veazie, a suburb of Bangor, to start cooking for their restaurant where they serve delicious African cuisine each Friday through a shared kitchen arrangement. Moneke and her family made the life-changing decision to move to Maine a decade ago, seeking new opportunities and a better life. With an innate desire to help people, Moneke went to school and became a nurse, something that was not easily accessible to her in Nigeria.Now, she works on a busy cardiac floor at Northern Light Eastern Maine Medical Center. Little did Moneke know that her journey would lead to the creation of a unique blend of cultures, where her roles as a nurse and a chef would intertwine to bring joy, comfort, and a taste of home to her new community. Like many new Mainers, Moneke and her family missed the food and flavors of home. This became an opportunity for Moneke to pursue her other great passion: cooking. Growing up in Nigeria, she had honed her culinary skills, and now she had the chance to share her culture through food. Monekes flexible nursing schedule allows her to dedicate time to both her patients and her restaurant. She works three days a week at the medical center, where she finds immense fulfillment caring for patients. This role as a nurse is not just a job for Moneke; its a calling.Monekes face lights up when she describes the joy she finds in patient care and how her culinary artistry is an extension of her nurturing spirit as a nurse. I feel a deep sense of accomplishment in caring for my patients, and then being able to share my culture with this community through food, says Moneke.For Moneke, both her roles, nurse, and chef, are intertwined. She is a healer in both settings and finds great satisfaction in serving and making a difference in peoples lives.Her gift is not just about the food she serves; its about the connections she creates and the joy she brings to those whose lives she touches. Her story is a reminder that no matter where we come from, we all share the common human experience of wanting to make a difference and finding fulfillment on our journeys. Moneke has achieved just that, with a warm smile and a plate full of delicious African cuisine.People come here, and they tell me my food is delicious, and that makes me very happy, says Moneke. I feel so proud of myself that I accomplished this, and I get to make a difference in peoples lives, that is the most important thing.HOW ARE YOURSTUDIES GOING?Bringing Education to Rural CommunitiesRural hospitals play a vital role in providing essential medical services to underserved communities. However, these hospitals often face significant challenges in recruiting and retaining nurses. To understand the transformative power of innovative programs designed to attract and keep nursing talent in rural areas, look no further than the inspiring story of Danielle Craig, RN, Northern Light Mayo Hospital.Craig represents the heart and soul of rural healthcare in Maine. Her remarkable journey into the nursing profession and her unwavering commitment to serving her community highlight the positive effects of programs designed to recruit and retain nurses to rural Maine.As the mother of six children, Craig faced a unique set of challenges when considering a career in nursing. The need to balance her familys well-being with her professional aspirations was a significant concern. Rural living often comes with lengthy commutes to educational institutions and healthcare facilities, making it difficult for individuals like Craig, with a growing family, to pursue their dreams.Craigs journey took a fateful turn when she stumbled upon an ad in the Piscataquis Observer for a nursing program in Dover-Foxcroft and a distance learning program offered by Eastern Maine Community College (EMCC) in Bangor, a unique program bringing education closer to home for rural residents. EMCC held the classes at the Piscataquis County Technical Center in Dover-Foxcroft. Craig recalls, I had children at home, so less time on the road meant more time with them outside of class and less need for childcare.The programs innovative approach included video conferences, allowing students to access the same instructors and the same classes available on campus, and dedicated in-classroom support from nursing professionals like Nikki Chadwick, RN, MSN, CPHQ, vice president of Quality and Education, Northern Light Mayo Hospital, who played an integral role in Craigs journey. Craig recalls, We had Nikki in the classroom to help support us, answer any questions we had, and she took us to our clinicals right in town at Mayo Hospital.For Craig, this educational opportunity was not only life-changing but also transformative for her family. She emphasizes, Before I became a nurse, we were a one-income family with six children. By providing access to education to rural communities, youre bringing those families up, and that will bring the entire community up.Umbrella Sky ProjectAre you inspired?Art inspires imagination and wonder. It takes us to new places and makes us feel curious and excited. The Umbrella Sky Project, sponsored by Northern Light Eastern Maine Medical Center, inspired by Mary Poppins, is an outdoor art exhibit installed around the world that took over downtown Bangor in summer 2023. The display of whimsy, exuberance, energy, and maybe a little bit of protection from the rain and sun came to Cross Street, the corridor between Main Street and Columbia Street. If you missed it, dont worry; the installation returns in summer 2024. Be sure to come visit and when we ask, How are you? we hope you will reply, Practically perfect in every way!	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$48,856,203	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	616	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	John Doyle	PersonNm
Phone	2079739081	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	43 Whiting Hill Rd	AddressLine1Txt
City	Brewer	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04412	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Tim Dentry
Ex-Officio	1.00	50.00	Yes (X)	Yes (X)	$0	$1,509,740	$62,092
Anthony Filer
Treasurer	1.00	50.00		Yes (X)	$0	$695,430	$64,042
Paul Bolin
SVP & CPO	1.00	50.00		Yes (X)	$0	$543,269	$110,033
George Eaton
Secretary	1.00	50.00		Yes (X)	$0	$444,533	$50,549
Colleen Hilton
Ex-Officio	40.00	0.00	Yes (X)	Yes (X)	$435,693	$0	$42,383
Glenn Martin
Former SVP-Chief Legal Officer	1.00	50.00			$0	$363,438	$106,106
David Jones
Med Dir-Hospice	40.00	0.00			$265,463	$0	$31,365
Alexandra Barr
Physician-Hospice	40.00	0.00			$156,168	$90,655	$4,936
Joseph Kellner
VP Fin & Bus Op	32.00	18.00		Yes (X)	$127,676	$71,818	$37,797
Teresa Vieira
Director	1.00	40.00	Yes (X)		$0	$191,507	$9,274
Leah Gordon
VP Nursing & Pt	40.00	0.00		Yes (X)	$148,969	$0	$39,022
Leigh Ann Howard
VP Clinic Excel	40.00	0.00		Yes (X)	$143,859	$0	$41,134
Suzanne Moreshead
VP Operations	40.00	0.00		Yes (X)	$21,964	$123,874	$32,410
Donna Marie Curley
AVP-Home Health	40.00	0.00			$119,154	$0	$31,987
Melissa Salter
Dir-Patient Access	40.00	0.00			$113,796	$0	$35,257
Christine Turner
AVP Hospice Care	40.00	0.00			$143,789	$0	$5,201
Ann Marie Briggs
Chairman	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Dianne Rodrigue
Director	1.00	0.00	Yes (X)		$0	$0	$0
Judy Anderson
Director	1.00	0.00	Yes (X)		$0	$0	$0
Jo Cooper
Director	1.00	0.00	Yes (X)		$0	$0	$0
Michael Quinlan
Director	1.00	0.00	Yes (X)		$0	$0	$0
Joanne Hale
Director	1.00	0.00	Yes (X)		$0	$0	$0
Ed Douglas
Director	1.00	0.00	Yes (X)		$0	$0	$0
Bruce Reddy
Director	1.00	0.00	Yes (X)		$0	$0	$0
Edward Gould Esq
Vice Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Patricia Small
Director	1.00	0.00	Yes (X)		$0	$0	$0
Debra D Taylor
Director	1.00	0.00	Yes (X)		$0	$0	$0
John Boyne
Director	1.00	0.00	Yes (X)		$0	$0	$0
Troy Heald
Director	1.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,676,531	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,034,264	TotReportableCompRltdOrgAmt
Total Other Compensation	$703,588	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	17	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Avant Healthcare Professionals
PO Box 744554	Atlanta	GA	303744554	Temp Staffing	$192,042
SimpliFi
5020 Northshore Drive Ste 2	North Little Rock	AR	72118	Temp Staffing	$1,883,224
American Medical Alert Corp
PO Box 821380	Philadelphia	PA	191821380	Monitoring Services	$148,772
Simitree Healthcare Consulting
400 North Michigan Avenue	Chicago	IL	60611	Coding Services	$442,766
Intellatriage LLC
8011 Brooks Chapel Road	Brentwood	TN	37027	Triage Services	$303,337

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$395,216	RelatedOrganizationsAmt
Government Grants	$278,945	GovernmentGrantsAmt
All Other Contributions	$113,554	AllOtherContributionsAmt
Noncash Contributions	$550	NoncashContributionsAmt
Total Contributions	$787,715	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Home Care Revenue	Desc
Business	621610	BusinessCd
Total Revenue Column	$40,169,334	TotalRevenueColumnAmt
Related Or Exempt Func Income	$40,169,334	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$40,169,334	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,361	TotalRevenueColumnAmt
Exclusion	$3,361	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$70,139	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$70,139	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$70,139	TotalRevenueColumnAmt
Exclusion	-$70,139	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,890,271	TotalRevenueColumnAmt
Related Or Exempt Func Income	$40,169,334	RelatedOrExemptFuncIncomeAmt
Exclusion	-$66,778	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,029,810	TotalAmt
Program Services	$399,868	ProgramServicesAmt
Management And General	$629,942	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,773,718	TotalAmt
Program Services	$29,090,076	ProgramServicesAmt
Management And General	$683,642	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$984,759	TotalAmt
Program Services	$962,425	ProgramServicesAmt
Management And General	$22,334	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,077,166	TotalAmt
Program Services	$4,929,647	ProgramServicesAmt
Management And General	$147,519	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,206,981	TotalAmt
Program Services	$2,157,581	ProgramServicesAmt
Management And General	$49,400	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,485	TotalAmt
Program Services	$3,485	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,011	TotalAmt
Management And General	$24,011	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,544,663	TotalAmt
Program Services	$3,612,510	ProgramServicesAmt
Management And General	$932,153	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$111,961	TotalAmt
Program Services	$111,961	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,071,136	TotalAmt
Program Services	$1,052,983	ProgramServicesAmt
Management And General	$18,153	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$870,981	TotalAmt
Program Services	$851,228	ProgramServicesAmt
Management And General	$19,753	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$973,298	TotalAmt
Program Services	$951,224	ProgramServicesAmt
Management And General	$22,074	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,858,642	TotalAmt
Program Services	$1,856,605	ProgramServicesAmt
Management And General	$2,037	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$64,173	TotalAmt
Program Services	$64,173	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,339	TotalAmt
Program Services	$1,309	ProgramServicesAmt
Management And General	$30	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$120,050	TotalAmt
Program Services	$117,328	ProgramServicesAmt
Management And General	$2,722	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$283,227	TotalAmt
Program Services	$276,803	ProgramServicesAmt
Management And General	$6,424	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies Expense	$2,205,842	$2,205,842
Miscellaneous	$106,395	$104,060	$2,335
Dues and Subscriptions	$81,783	$81,726	$57
Repairs & Maintenance	$18,824	$18,398	$426

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,971	TotalAmt
Program Services	$6,971	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,419,215	TotalAmt
Program Services	$48,856,203	ProgramServicesAmt
Management And General	$2,563,012	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,359,895	BOYAmt
EOY	$15,711	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,522	BOYAmt
EOY	$465	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,969,008	BOYAmt
EOY	$5,915,668	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,869	BOYAmt
EOY	$4,269	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$231,734	BOYAmt
EOY	$881,088	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,221,513	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$732,824	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$537,720	BOYAmt
EOY	$488,689	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,710,623	BOYAmt
EOY	$9,275,733	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,813,371	BOYAmt
EOY	$16,581,623	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,950,980	BOYAmt
EOY	$16,353,162	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$63,654	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,522,073	BOYAmt
EOY	$4,201,696	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,473,053	BOYAmt
EOY	$20,618,512	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,446,894	BOYAmt
EOY	-$5,840,762	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,893,424	BOYAmt
EOY	$1,803,873	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,340,318	BOYAmt
EOY	-$4,036,889	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,813,371	BOYAmt
EOY	$16,581,623	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$10,528,944	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$151,737	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$203,688	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$220,029	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$250,978	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,527,492	CurrentTaxYearMinus1YearAmt
Current Tax Year	$787,715	CurrentTaxYearAmt
Total	$2,989,902	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,384,352	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$49,544,210	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$50,316,053	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$44,123,650	CurrentTaxYearMinus1YearAmt
Current Tax Year	$40,169,334	CurrentTaxYearAmt
Total	$232,537,599	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,588,040	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$49,764,239	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$50,567,031	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,651,142	CurrentTaxYearMinus1YearAmt
Current Tax Year	$40,957,049	CurrentTaxYearAmt
Total	$235,527,501	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$235,527,501	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,880	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,064	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,831	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,032	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,361	CurrentTaxYearAmt
Total	$19,168	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,880	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,064	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,831	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,032	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,361	CurrentTaxYearAmt
Total	$19,168	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,593,920	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$49,769,303	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$50,568,862	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,654,174	CurrentTaxYearMinus1YearAmt
Current Tax Year	$40,960,410	CurrentTaxYearAmt
Total	$235,546,669	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99990	PublicSupportCY509Pct
Public Support PY509	0.99990	PublicSupportPY509Pct
Investment Income CY	0.00010	InvestmentIncomeCYPct
Investment Income PY	0.00010	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,743	OtherActivitiesAmt
Total Lobbying Expenditures	$10,743	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II-B, Line 1i - Other Activities Description	Non-Deductible Dues
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,074,578	BeginningYearBalanceAmt
Contributions	$4,029	ContributionsAmt
Investment Earnings Or Losses	$267,848	InvestmentEarningsOrLossesAmt
Other Expenditures	$108,615	OtherExpendituresAmt
End Year Balance	$3,237,840	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,576,017	BeginningYearBalanceAmt
Contributions	$121,873	ContributionsAmt
Investment Earnings Or Losses	-$511,162	InvestmentEarningsOrLossesAmt
Other Expenditures	$112,150	OtherExpendituresAmt
End Year Balance	$3,074,578	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,062,217	BeginningYearBalanceAmt
Contributions	$24,665	ContributionsAmt
Investment Earnings Or Losses	$597,689	InvestmentEarningsOrLossesAmt
Other Expenditures	$108,554	OtherExpendituresAmt
End Year Balance	$3,576,017	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,094,618	BeginningYearBalanceAmt
Contributions	$32,631	ContributionsAmt
Investment Earnings Or Losses	$43,386	InvestmentEarningsOrLossesAmt
Other Expenditures	$108,418	OtherExpendituresAmt
End Year Balance	$3,062,217	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,118,487	BeginningYearBalanceAmt
Contributions	$18,570	ContributionsAmt
Investment Earnings Or Losses	$92,535	InvestmentEarningsOrLossesAmt
Other Expenditures	$134,974	OtherExpendituresAmt
End Year Balance	$3,094,618	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.88000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.12000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$192,871	OtherCostOrOtherBasisAmt
Depreciation	$125,355	DepreciationAmt
Book Value	$67,516	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$999,041	OtherCostOrOtherBasisAmt
Depreciation	$607,469	DepreciationAmt
Book Value	$391,572	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,601	OtherCostOrOtherBasisAmt
Book Value	$29,601	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$488,689	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Board Designated Funds - Other	$4,090,548
Other Assets	$11,545
Permanently Donor Restricted Funds	$354,570
Right-of-Use Operating Lease Assets	$3,342,725
Self Insurance Funds Held by Trustee	$27,042
Temporarily Donor Restricted Funds	$1,449,303

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,275,733	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Deferred Compensation	$528,000
Lease Obligation-Finance Leases	$18,705
Lease Obligations-Operating Leases	$3,654,991

Field	Value	IRS element (for citing)
Total Liability	$4,201,696	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$41,069,058	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$178,787	OtherRevenueAmt
Revenue Not Reported	$178,787	RevenueNotReportedAmt
Revenue Subtotal	$40,890,271	RevenueSubtotalAmt
Total Revenue Per Form990	$40,890,271	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$51,598,002	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$51,598,002	ExpensesSubtotalAmt
Other Expenses Not Included	-$178,787	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$178,787	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$51,419,215	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.	Endowment Funds are designated for purposes that align within the organization's exempt purpose.
Part X : FIN48 Footnote	Northern 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 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 bases 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.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	Revenue Reclass to Expense $178787

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Alexandra Barr
Physician-Hospice	$149,984	$90,655	$6,000	$184	$2,466	$1,002	$1,229	$239	$159,863	$91,896
Anthony Filer
Treasurer		$597,838				$27,450		$36,592		$759,472	$82,139	$15,453
Colleen Hilton
Ex-Officio	$270,635		$156,927	$8,131	$26,778		$15,605		$478,076
David Jones
Med Dir-Hospice	$256,198			$9,265	$6,624		$24,741		$296,828
Donna Marie Curley
AVP-Home Health	$109,915			$9,239	$1,763		$30,224		$151,141
George Eaton
Secretary		$360,612				$26,795		$23,754		$495,082	$60,144	$23,777
Glenn Martin
Former SVP-Chief Legal Officer		$238,691				$88,673		$17,433		$469,544		$124,747	$77,993
Joseph Kellner
VP Fin & Bus Op	$119,362	$67,141	$4,480	$3,834	$7,692	$4,326	$16,498	$9,281	$151,866	$85,425	$2,520	$2,157
Leah Gordon
VP Nursing & Pt	$144,475			$4,494	$5,990		$33,032		$187,991
Leigh Ann Howard
VP Clinic Excel	$141,895			$1,964	$5,846		$35,288		$184,993
Paul Bolin
SVP & CPO		$386,106				$82,758		$27,275		$653,302	$127,480	$29,683
Suzanne Moreshead
VP Operations	$20,245	$114,373		$1,719	$1,549	$8,797	$3,371	$18,693	$26,884	$151,364		$9,501
Teresa Vieira
Director		$77,470				$2,052		$7,222		$200,781	$91,001	$23,036
Tim Dentry
Ex-Officio		$1,180,115				$27,450		$34,642		$1,571,832	$308,222	$21,403

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	Teresa Vieira, director, received a retirement gift of $507.The following received a wellness program incentive:Leigh Ann Howard, officer $100 David Jones, highest compensated employee 100 The benefit is available for all employees.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
William Hilton
fam mem=officer	$13,720	compensation	false
Melanie Wright
fam mem=officer	$14,118	compensation	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	William Hilton is a family member of a board member/officer and is an employee of Northern Light Home Care & Hospice. There is a signed conflict of interest management agreement.Melanie Wright is a family member of an officer and is an employee of Northern Light Home Care & Hospice.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d	OTHER PROGRAM SERVICES 4: HOW ARE YOUPUTTING YOUR HEALTH FIRST?Assembling the Puzzle:Integrated Womens HealthIn todays fast-paced world, women often find themselves juggling a multitude of responsibilities, from caring for family to excelling in the workplace. Amidst this balancing act, the importance of their own health often takes a back seat. Fortunately, healthcare providers like Behnoosh Dashti, MD and Danielle Agrella, WHNP, of Northern Light Womens Health, recognize this challenge and are offering a holistic approach to womens health.The concept centers around an integrated care setting, one that combines primary care and obstetrics/gynecology services in a seamless and convenient way: essential healthcare components under one roof, delivering a unique and cohesive healthcare experience.Dr. Dashti compares it to assembling pieces of a puzzle. We make sure that all pieces are beside each other in the same frame. I think the clinic could be seen as a frame that brings all the pieces of the puzzle of healthcare together for women all in the same place.The Womens Health Center is conveniently located within Northern Light AR Gould Hospital. Dr. Dashti points out, If they need blood tests or imaging, we can arrange that at the hospital, in some cases even on the same day. This minimizes the need for patients to travel for different tests and procedures, making care accessible and efficient.The advantages are even more apparent when considering the rural setting of Maine. Harsh winter weather can hinder travel. Patients no longer need to brave challenging conditions to access healthcare services scattered across town. Instead, they can find the care they need all in one place, says Agrella.This care model goes beyond just providing healthcare services; it empowers women to make themselves a priority. It serves as a reminder to all to place their health first so that they are better equipped to face the demands of life, for themselves and for those they love. Highlighting the importance of patient-centered care and the profound effect it can have on individual lives and the community as a whole, the collaborative spirit of these providers sets a new standard for healthcare delivery in their community, ensuring that individuals receive the care they need and deserve.Self-scheduling your MammogramAre you taking charge of your schedule?Breast cancer is the second leading cause of cancer death in women. When detected early, 98 percent of patients survive. Breast cancer can be detected in a mammogram up to three years before patients can feel any changes. Screening mammograms, starting at age 40, are a crucial part of breast cancer prevention and early detection, and online self-scheduling makes it easier than ever to make sure youre up to date.Available 24 hours a day, seven days a week, you can schedule your screening mammogram whenever its convenient for you. Since beginning in June of 2022, more than 2,600 people have self-scheduled their mammogram at a Northern Light Health hospital.Visit NorthernLightHealth.org/ScheduleAMammogram to schedule your screening mammogram today.ARE YOU OK TODAY?Psychological First Aid Training: A Resource for our CommunitiesIts a warm morning in August and as the sun rises over the lake at Camp Jordan in Ellsworth; campers and counselors begin their day with a quick swim. While memories of summer camp can be some of the best, its important to be prepared if a child needs extra support. Children are facing an increasing amount of stress and emotional challenges; providing psychological first aid (PFA) training is one way were helping community organizations in our region prepare to provide support. Northern Light Acadia Hospital, in collaboration with other Northern Light Health members, provides training sessions to community partners including camp counselors, hospitals, and local schools.Jennifer Laferte-Carlson, community health manager, Northern Light Acadia Hospital, together with a team of colleagues offer the training at no cost to organizations and leaders throughout Maine.This training allows there to be a bridge to keep people safe until they can be connected with resources, says Laferte-Carlson. Training includes providing skills to identify and respond to those who have experienced trauma, being able to connect those individuals to resources and provide them with skills for self-care.Among the counselors to receive training at Camp Jordan in Ellsworth was Blair Hudson, the arts and culture director at the camp. Hudson, who is in her seventh year as a camp counselor, says the training has allowed her to be more proactive in identifying early signs of emotional distress in campers. The newfound skills help her create a safer and more supportive environment for the kids and teens under her care.I had never had any type of training in mental health or psychological first aid, so this was a great addition to my skill set, says Hudson. I came out of the training with a lot more confidence to handle certain situations on my own, and Ive been able to use it on a couple occasions over the course of the summer, specifically with children having panic attacks or experiencing other signs of trauma.Now more than ever, this training is essential for members of our communities to be equipped with the skills to recognize and address emotional distress, adds Laferte-Carlson.In a time of crisis, PFA training empowers community members to feel confident and capable in supporting others emotional well-being. It plays a significant role in reducing the stigma around seeking mental health support and enabling early intervention.For more information about psychological first aid training call the Northern Light Acadia Hospital Behavioral Health Resource Center at 207.973.6100. OTHER PROGRAM SERVICES 5: COMMUNITY BENEFITTotal Community Investment by CategoryCommunity Health $2,490,559Improvement Services Health Professions Education $4,022,229Research $1,996,124Cash and In-Kind Contributions $371,121Community Building Activities $956,392Community Benefit Operations $3,248,526Traditional Charity Care $12,624,507Unpaid Cost of Public Programs: Medicaid $104,192,288 Medicare $205,297,947Total Systemwide $335,199,693To learn more, go to: northernlighthealth.org/Community-Health-Needs-Assessment/Community-Benefit-ReportsNorthern Light Health Member Community BenefitAcadia Hospital $15,155,781AR Gould Hospital $21,201,384Blue Hill Hospital $2,708,150CA Dean Hospital $237,239Eastern Maine Medical Center $210,812,481Home Care & Hospice $822,464Inland Hospital $13,996,973Maine Coast Hospital $11,704,985Mayo Hospital $1,435,371Mercy Hospital $54,402,571Northern Light Health Home Office $742,021NORTHERN LIGHT HEALTH FOUNDATIONDONOR SPOTLIGHTCarla and Danny LafayetteWith more than a 22 year history of supporting Northern Light Health, Danny and Carla Lafayette have been instrumental in helping us provide vital resources to those facing cancer, behavioral health disorders, Multiple Sclerosis, and more. In recognition of their long-standing philanthropic support of Northern Light Health, they were awarded with the inaugural True North Philanthropy Award.John Marshall WebberNorthern Light Eastern Maine Medical Center is honored to be a beneficiary of the late John M. Webbers estate. This $9,000,000 gift is the largest in the history of Eastern Maine Medical Center and will influence healthcare in the greater Bangor community for generations to come. An additional distribution of several million dollars is anticipated following the settlement of the estate. Steven Spetnagel, nephew of John Marshall Webber, visited Bangor in May to present a check to both Eastern Maine Medical Center and to St. Joseph Hospital.Master Facility Plan UpdatesNorthern Light Health partners with donors to invest in rural healthcare.CA DeanThe new, modern Northern Light CA Dean Hospital is scheduled to open February 27, 2024.AcadiaThe new Pediatric Day Treatment Center and renovated Mood and Memory Clinic opened in August 2023.The new inpatient pediatric wing opened to patients on January 8, 2024.Blue HillNorthern Light Blue Hill Hospital welcomed the first new patients in its new hospital on August 23, 2023.Maine CoastNorthern Light Maine Coast Hospital opened the Dixon Family Birthing Center in January 2023 and construction is nearing completion for renovation of modern, private rooms with better space for care teams and families.Giving by OrganizationAcadia Hospital $1,148,591.57AR Gould Hospital $123,530.42Blue Hill Hospital $1,645,744.38CA Dean Hospital $534,958.20Eastern Maine Medical Center andChildrens Miracle Network Hospitals $11,028,894.19Home Care & Hospice $324,360.95Inland Hospital $199,560.96Maine Coast Hospital $343,392.03Mayo Hospital $137,497.20Mercy Hospital $2,890,815.48Northern Light Health $3,715.07Northern Light Health Foundation $129,335.08Sebasticook Valley Hospital $156,025.48Total $18,666,421.01To learn more about how donors
Form 990, Part VI, Section A, Line 6	VNA Home Health & Hospice d/b/a Northern Light Home Care & Hospice (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 7a	Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Section A, Line 7b	The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation.
Form 990, Part VI, Section B, Line 11b	Form 990 is reviewed by the VP of Finance & SVP, President of Northern Light Home Care & Hospice. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Section B, Line 12c	The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction.The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter.All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Section B, Line 15a	The SVP, President of Northern Light Home Care & Hospice 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 meeting 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 utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Section C, Line 19	Northern Light Home Care & Hospice makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part XI, Line 9	Changes in Net Assets Held @ NLH Foundation = $152162
Form 990, Part XI, Line 9	Transfers to Exempt Subsidiary-NLH Foundation = -$425

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Mercy Hospital
175 Fore River Parkway	Portland	ME	04102	010211534	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill Road	Brewer	ME	04412	010527066	Supporting Org for Healthcare Affiliates	ME	501(c)(3)	12 Type II	NA	false
Eastern Maine Medical Center EMMC
PO Box 404 489 State Street	Bangor	ME	044020404	010211501	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Rosscare
43 Whiting Hill Road	Brewer	ME	04412	010391038	Provide Services to Elderly	ME	501(c)(3)	PF	EMHS	false
Acadia Hospital Corp AHC
43 Whiting Hill Road	Brewer	ME	04412	010459837	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Northern Light Health Foundation
43 Whiting Hill Road	Brewer	ME	04412	222514163	Raise & Manage Funds for Exempt Orgs	ME	501(c)(3)	12 Type II	EMHS	false
Inland Hospital
200 Kennedy Memorial Drive	Waterville	ME	04901	010217211	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Lakewood
220 Kennedy Memorial Drive	Wateville	ME	04901	010421234	Provide Skilled & Long-Term Nursing Care	ME	501(c)(3)	3	Inland	false
CA Dean Memorial Hospital
Pritham Ave PO Box 1129	Greenville	ME	044411129	043341666	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Sebasticook Valley Health
447 North Main Street	Pittsfield	ME	04967	010263628	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
The Aroostook Medical Center
PO Box 151 140 Academy Street	Presque Isle	ME	047690151	010372148	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
The Blue Hill Memorial Hospital
57 Water Street	Blue HIll	ME	046145231	010227195	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Eastern Maine Healthcare Real Estate
43 Whiting Hill Road	Brewer	ME	04412	010391036	Leases Real Estate	ME	501(c)(2)		EMHS	false
Eastern Maine Medical Center Auxiliary
43 Whiting Hill Road	Brewer	ME	04412	010377901	Fund Raising for Exempt EMMC	ME	501(c)(3)	10	EMMC	false
Acadia Healthcare Inc
43 Whiting Hill Road	Brewer	ME	04412	223183888	Provide Healthcare Services	ME	501(c)(3)	10	AHC	false
Northern Light Wellbeing LLC
43 Whiting Hill Road	Brewer	ME	04412	474315094	Provide Healthcare Services	ME	501(c)(3)	12 Type II	EMHS	false
Maine Coast Regional Health Facilities
50 Union Street	Ellsworth	ME	04605	010198331	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
Maine Coast Medical Realty
50 Union Street	Ellsworth	ME	04605	010390918	Lease Medical Facilities	ME	501(c)(3)	12 Type I	MCH	false
Beacon Health LLC
43 Whiting Hill Road	Brewer	ME	04412	452967056	Accountable Care Organization	ME	501(c)(3)	12 Type II	EMHS	false
Beacon Rural Health LLC
43 Whiting Hill Road	Brewer	ME	04412	474483187	Accountable Care Organization	ME	501(c)(3)	12 Type II	EMHS	false
Beacon Health ACO Holdings LLC
43 Whiting Hill Road	Brewer	ME	04412	364903784	Accountable Care Organization	ME	501(c)(3)	12 Type II	EMHS	false
LTC LLC
43 Whiting Hill Road	Brewer	ME	04412	010211501	Operation of Nursing Homes	ME	501(c)(3)	3	EMMC	false
Northern Light Medical Transport
43 Whiting Hill Road	Brewer	ME	04412	830911574	Ambulance	ME	501(c)(3)	10	EMHS	false
MRH Corp dba Northern Light Mayo Hospit
897 W Main Street	DoverFoxcroft	ME	04426	843689003	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	false
M Drug LLC
43 Whiting Hill Road	Brewer	ME	04412	272175482	Pharmacy	ME	501(c)(3)	3	EMMC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Affiliated Healthcare Systems AHS
43 Whiting Hill Road	Brewer	ME	04412	010385322	Holding Company	ME	EMHS	C Corp	false
Affiliated Healthcare Management
43 Whiting Hill Road	Brewer	ME	04412	010349339	Healthcare Mgt	ME	AHS	C Corp	false
Affiliated Laboratory
43 Whiting Hill Road	Brewer	ME	04412	010381283	Clinical Lab	ME	AHS	C Corp	false
Beacon Direct
43 Whiting Hill Road	Brewer	ME	04412	371864965	Healthcare Self-funded TPA	ME	EMHS	C Corp	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd