EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0263628)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-07
IRS object ID: 202322199349301437
Schema version: 2021v4.1
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 H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-07T15:54:16-07:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010263628	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sebasticook Valley Health	BusinessNameLine1Txt
Business Name Line2	Northern Light Sebasticook Valley Hosp	BusinessNameLine2Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	447 North Main Street	AddressLine1Txt
City	Pittsfield	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04967	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John J Doyle	PersonNm
Person Title	NLH VP Of Finance	PersonTitleTxt
Signature	2023-08-07	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	John J	PersonFirstNm
Person Last	Doyle	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John J Doyle	PrincipalOfficerNm
Gross Receipts	$63,298,955	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	5247	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://northernlighthealth.org/Sebasticook-V	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	429	TotalEmployeeCnt
Total Volunteers	61	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$461,983	PYContributionsGrantsAmt
CY Contributions Grants	$2,781,544	CYContributionsGrantsAmt
PY Program Service Revenue	$56,090,371	PYProgramServiceRevenueAmt
CY Program Service Revenue	$58,546,690	CYProgramServiceRevenueAmt
PY Investment Income	$191,402	PYInvestmentIncomeAmt
CY Investment Income	$15,537	CYInvestmentIncomeAmt
PY Other Revenue	$4,735	PYOtherRevenueAmt
CY Other Revenue	$1,947,239	CYOtherRevenueAmt
PY Total Revenue	$56,748,491	PYTotalRevenueAmt
CY Total Revenue	$63,291,010	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$25,026,412	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$26,464,736	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$21,680,184	PYOtherExpensesAmt
CY Other Expenses	$25,594,760	CYOtherExpensesAmt
PY Total Expenses	$46,706,596	PYTotalExpensesAmt
CY Total Expenses	$52,059,496	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,041,895	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,231,514	CYRevenuesLessExpensesAmt
Total Assets BOY	$62,811,701	TotalAssetsBOYAmt
Total Assets EOY	$68,802,219	TotalAssetsEOYAmt
Total Liabilities BOY	$17,083,253	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,912,032	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$45,728,448	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,890,187	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$44,888,779	ExpenseAmt
Revenue	$60,501,158	RevenueAmt
Desc	Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (SVH) is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2022 fiscal year, SVH provided free care of $192,546 and recorded $2,045,344 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 10,400. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:IP Admissions of 865Patient Days 5,105Emergency Room Visits 10,400Surgical Cases 772Outpatient visits 120,916	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$159,248	ExpenseAmt
Desc	Medicare Shortfalls (at cost) 16,837 persons served	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$91,482	ExpenseAmt
Desc	Charity Care provided (at cost) 768 persons served	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$45,139,509	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	false	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	47	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	429	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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 J 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 (32 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 NLH PresidentCEO
Trustee	0.50	50.00	Yes (X)	Yes (X)	$0	$1,840,352	$60,782
Anthony Filer
Treasurer	0.50	50.00		Yes (X)	$0	$934,170	$61,116
Glenn Martin
Secretary-Pt Yr	0.50	50.00		Yes (X)	$0	$713,228	$112,701
Paul Bolin
SVP & CPO	0.50	50.00		Yes (X)	$0	$429,549	$105,611
Michael Lemieux
Cardiologist	40.00	0.00			$416,546	$0	$22,193
Teresa P Vieira
President-Pt Yr	25.00	25.00	Yes (X)	Yes (X)	$193,391	$193,391	$48,892
Robert Schlager MD
VP, Senior Phys	22.00	18.00		Yes (X)	$217,853	$178,244	$21,016
Aaron B Kirby
Physician	40.00	0.00			$348,259	$0	$29,667
James Fullwood
Physician	40.00	0.00			$338,584	$0	$38,879
John Cedric Baker
Physician	40.00	0.00			$282,918	$0	$42,932
Randall Clark
President-Pt Yr	26.00	14.00	Yes (X)	Yes (X)	$185,878	$87,692	$41,311
Karl F Sitterly
Physician	40.00	0.00			$289,156	$0	$16,333
George Eaton Esq
Secretary-Pt Yr	0.50	50.00		Yes (X)	$0	$254,686	$42,889
Jennifer Goodrich
VP of Finance	12.00	28.00		Yes (X)	$15,308	$197,951	$34,814
Tracy Bonney-Corson
VP, Nursing & P	40.00	0.00		Yes (X)	$190,272	$0	$26,948
Tyson Thornton
VP of Operation	25.00	15.00		Yes (X)	$115,504	$68,999	$16,035
Emily Cianchette
Ex-Officio	40.00	0.00	Yes (X)		$149,247	$0	$38,272
Paul R Arsenault
VP, Prim Care &	20.00	20.00		Yes (X)	$97,218	$69,376	$17,453
Alicia J Nichols
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Jeremy West DC
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Stacey Fitts
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Stephen George
Vice Chair	0.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
Charlie Cianchette
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Nanette Ardry
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Linda Woolley
Chairman	0.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
Andrew Gibson
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Robin Chase
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Jeremy Boutot
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Jon Christensen
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Sandra Delano
Trustee	0.50	0.00	Yes (X)		$0	$0	$0
Charles Crans MD
Ex-Officio	0.50	0.00	Yes (X)		$0	$0	$0
Nishan Chobanian MD
VP, Senior Phys	22.00	18.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,840,134	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,967,638	TotReportableCompRltdOrgAmt
Total Other Compensation	$777,844	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	27	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
Emergency Physician Associates Inc
PO Box 634850	Cincinnati	OH	45263	Contract Labor	$1,778,582
Nurse Anesthesia of ME
455 Harlow St	Bangor	ME	04401	Clinical Services	$948,942
Freedom Healthcare Staffing
2851 S Parker Road	Aurora	CO	80014	Contract Labor	$328,005
Avant Healthcare Professionals
PO Box 744554	Atlanta	GA	303744554	Contract Labor	$292,336
Simplifi
5020 Northshore Drive	North Little Rock	AR	72118	Contract Labor	$274,105

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$202,190	RelatedOrganizationsAmt
Government Grants	$2,532,763	GovernmentGrantsAmt
All Other Contributions	$46,591	AllOtherContributionsAmt
Noncash Contributions	$11,082	NoncashContributionsAmt
Total Contributions	$2,781,544	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$73,182	$73,182
Net Patient Care Services	621990	$58,473,508		$58,473,508

Field	Value	IRS element (for citing)
Total Program Service Revenue	$58,546,690	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,537	TotalRevenueColumnAmt
Exclusion	$15,537	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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$716	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,945	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$7,229	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$7,229	TotalRevenueColumnAmt
Exclusion	-$7,229	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	340B Pharmacy Benefits	Desc
Business	621990	BusinessCd
Total Revenue Column	$1,954,468	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,954,468	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,954,468	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,291,010	TotalRevenueColumnAmt
Related Or Exempt Func Income	$60,427,976	RelatedOrExemptFuncIncomeAmt
Exclusion	$81,490	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

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	$1,316,687	TotalAmt
Program Services	$867,096	ProgramServicesAmt
Management And General	$449,591	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	$20,317,087	TotalAmt
Program Services	$19,278,156	ProgramServicesAmt
Management And General	$1,038,931	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$371,243	TotalAmt
Program Services	$349,474	ProgramServicesAmt
Management And General	$21,769	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,157,969	TotalAmt
Program Services	$2,996,934	ProgramServicesAmt
Management And General	$161,035	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,301,750	TotalAmt
Program Services	$1,212,786	ProgramServicesAmt
Management And General	$88,964	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	$70	TotalAmt
Program Services	$70	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$18,550	TotalAmt
Management And General	$18,550	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	$12,452,372	TotalAmt
Program Services	$8,368,308	ProgramServicesAmt
Management And General	$4,084,064	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$178,639	TotalAmt
Program Services	$178,639	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,138,381	TotalAmt
Program Services	$737,073	ProgramServicesAmt
Management And General	$401,308	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,757,823	TotalAmt
Program Services	$1,654,746	ProgramServicesAmt
Management And General	$103,077	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,223,585	TotalAmt
Program Services	$982,776	ProgramServicesAmt
Management And General	$240,809	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$76,961	TotalAmt
Program Services	$75,362	ProgramServicesAmt
Management And General	$1,599	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	$83,420	TotalAmt
Program Services	$82,630	ProgramServicesAmt
Management And General	$790	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$160,006	TotalAmt
Program Services	$160,006	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,123,942	TotalAmt
Program Services	$901,612	ProgramServicesAmt
Management And General	$222,330	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$876,984	TotalAmt
Program Services	$825,558	ProgramServicesAmt
Management And General	$51,426	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$4,664,275	$4,664,275
Taxes & Licenses	$1,083,205	$1,082,560	$645
Maintenance & Repair	$637,846	$605,178	$32,668
Dues & Subscriptions	$80,728	$79,957	$771

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,973	TotalAmt
Program Services	$36,313	ProgramServicesAmt
Management And General	$1,660	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$52,059,496	TotalAmt
Program Services	$45,139,509	ProgramServicesAmt
Management And General	$6,919,987	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,157,929	BOYAmt
EOY	$39,117,190	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,308,165	BOYAmt
EOY	$13,576	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,728	BOYAmt
EOY	$37,868	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,156,889	BOYAmt
EOY	$10,500,279	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	$5,632	BOYAmt
EOY	$3,754	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$260,559	BOYAmt
EOY	$282,860	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$203,795	BOYAmt
EOY	$128,933	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$42,394,859	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$25,482,619	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,724,923	BOYAmt
EOY	$16,912,240	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)
BOY	$67,741	BOYAmt
EOY	$40,633	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,908,340	BOYAmt
EOY	$1,764,886	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,811,701	BOYAmt
EOY	$68,802,219	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,303,768	BOYAmt
EOY	$4,845,377	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,349,217	BOYAmt
EOY	$2,020,554	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,667,061	BOYAmt
EOY	$4,173,798	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$763,207	BOYAmt
EOY	$872,303	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,083,253	BOYAmt
EOY	$11,912,032	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	$44,913,691	BOYAmt
EOY	$56,144,933	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$814,757	BOYAmt
EOY	$745,254	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$45,728,448	BOYAmt
EOY	$56,890,187	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,811,701	BOYAmt
EOY	$68,802,219	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,231,514	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$22,649	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$47,126	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)
Hospital	Yes (X)	HospitalInd

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	$5,628	OtherActivitiesAmt
Total Lobbying Expenditures	$5,628	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	$135,458	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$24,894	InvestmentEarningsOrLossesAmt
Other Expenditures	$868	OtherExpendituresAmt
End Year Balance	$109,696	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$114,723	BeginningYearBalanceAmt
Investment Earnings Or Losses	$21,209	InvestmentEarningsOrLossesAmt
Other Expenditures	$474	OtherExpendituresAmt
End Year Balance	$135,458	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$116,857	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,695	InvestmentEarningsOrLossesAmt
Other Expenditures	$439	OtherExpendituresAmt
End Year Balance	$114,723	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$115,981	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,260	InvestmentEarningsOrLossesAmt
Other Expenditures	$384	OtherExpendituresAmt
End Year Balance	$116,857	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$115,126	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,133	InvestmentEarningsOrLossesAmt
Other Expenditures	$278	OtherExpendituresAmt
End Year Balance	$115,981	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.05000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.95000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$350,271	OtherCostOrOtherBasisAmt
Book Value	$350,271	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,133,626	OtherCostOrOtherBasisAmt
Depreciation	$10,037,669	DepreciationAmt
Book Value	$13,095,957	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$85,950	OtherCostOrOtherBasisAmt
Depreciation	$80,936	DepreciationAmt
Book Value	$5,014	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,157,689	OtherCostOrOtherBasisAmt
Depreciation	$14,425,749	DepreciationAmt
Book Value	$2,731,940	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,667,323	OtherCostOrOtherBasisAmt
Depreciation	$938,265	DepreciationAmt
Book Value	$729,058	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,912,240	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Deferred Compensation	$519,271
Lease Obligation-Finance Lease	$48,339
Other Liability-Commerce Bank	$206,139
Right-of-Use Operating Lease Liability	$98,554

Field	Value	IRS element (for citing)
Total Liability	$872,303	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 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 this organization's exempt purpose.

Part X : FIN48 Footnote

Income 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 consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	768	PersonsServedCnt
Total Community Benefit Expns	$91,482	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	768	PersonsServedCnt
Total Community Benefit Expns	$91,482	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,482	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	1611	PersonsServedCnt
Total Community Benefit Expns	$106,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$97,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	60	PersonsServedCnt
Total Community Benefit Expns	$60,609	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,609	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	24	PersonsServedCnt
Total Community Benefit Expns	$613	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$613	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	1695	PersonsServedCnt
Total Community Benefit Expns	$167,489	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,259	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	2463	PersonsServedCnt
Total Community Benefit Expns	$258,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,741	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$150	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$150	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$150	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$150	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$923,239	BadDebtExpenseAmt
Reimbursed By Medicare	$23,434,720	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$23,593,968	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$159,248	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Light Sebasticook Val	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	447 Main Street	AddressLine1Txt
City	Pittsfield	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04967	ZIPCd

Field	Value	IRS element (for citing)
Website Address	northernlight.org/sebasticook-	WebsiteAddressTxt
State License	38277	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Light Sebasticook Val	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Line 16j for URL	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V, Line 16j for URL	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Line 16j for URL	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.0000	FPGFamilyIncmLmtDscntCarePct
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Line 16j for URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Line 16j for URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Line 16j for URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 5	The 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 November 16, 2021, Somerset County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Somerset County CHNA report, page 22): Coburn Park Commission, Healthy Living for ME, Kennebec Behavioral Health (KBH), Maine Center for Disease Control and Prevention, MaineGeneral Health, Maine General Medical Center, Northern Light Health, Northern Light Homecare and Hospice, Northern Light Inland Hospital, Northern Light Sebasticook Valley Hospital, Office of Child and Family Services, Redington Fairview General Hospital, RSU #74, School District, Skowhegan Regional Chamber of Commerce, Somerset Public Health, Trusted Ride Certified. 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 outreach 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 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 Sebasticook Val - Part V, Section B, Line 6a	The 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 Sebasticook Val - Part V, Section B, Line 11	Northern Light Health recently conducted their 2022 Shared Community Health Needs Assessment that will inform priority work for implementation in FY23 FY25. In FY22, Northern Light Sebasticook Valley Hospital developed our plan to address significant needs identified in our 2022 Community Health Strategy (aka, implementation strategy). Though priority work from the 2022 Shared CHNA wont begin until FY23, Sebasticook Valley Hospital will be prepared to implement priority work from our 2022 strategy with no gap in implementation efforts between the two CHNA cycles. While conducting the 2022 Shared CHNA research and outreach, Sebasticook Valley Hospital continued to implement priority work from the final year, FY22, of the three-year 2019 Community Health Strategy (implementation years FY20, FY21, and FY22). Below reflect these efforts related to the 2019 Community Health Strategy.The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Sebasticook Valley Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Sebasticook Valley Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light Sebasticook Valley Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of health social needsActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Health made significant progress in Social Determinants of Health (SDOH) screening and intervention in our primary care practices. The Northern Light Health SDOH Team defined completed SDOH screening and established a system policy for minimum SDOH screening standards to provide consistency in screening guidelines. During the course of FY22, the SDOH Team worked with Information Systems to continually improve the SDOH Screening Tool based on user recommendations and will continue to manage user requests moving forward. SDOH Team leaders worked with members of Northern Light Health Quality to develop a SDOH screening dashboard which provides real-time screening rates by member organization, practice, provider, and payor type, as well as prevalence of SDOH need from positive screening results. The dashboard is undergoing validation and is anticipated to be available in FY23. Northern Light Health achieved a significant milestone in responding to social health needs when the new Northern Light Health findhelp platform went live on September 13, 2022. Findhelp is a national social care network that will make it easier for patients and providers to find and connect with local resources. The platform is embedded within our electronic health record so that care teams can find and refer patients to resources and has a public portal that community members can access at any time. In addition, Northern Light Sebasticook Valley Hospital used the patient navigator and community partners to refer patients to implement screening and referral to health-related social services.Substance useActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital (SVH) used the partnerships and resources from the Rural Communities Opioid Response Program (RCORP) grant and the Comprehensive Addiction and Recovery Act (CARA) Local Drug Crisis grant to engage in community-based substance use prevention efforts. Through these partnerships with community organizations, SVH was able to increase substance use prevention efforts by distributing resources for prevention, treatment, and recovery; hosting community events to raise awareness; enhancing skills among youth and their families through implementing evidence-based curriculum in local school departments; training community members on overdose prevention and naloxone administration; promoting substance use prevention efforts through social media platforms and digital media campaigns; and passing a policy to include community-based overdose prevention education and naloxone distribution.Social determinants of health food insecurityActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital continued to conduct patient screenings in Cerner (our electronic medical records) as part of in-take information. Each of the five practices participated in the food insecurity screening. Additionally, all practices participated in the Good Shepherd Community Health and Hunger Program by giving pre-bagged food to patients in need.Mental health Actions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital (SVH) used community partnerships to increase educational programs to raise awareness, readiness, and access to mental health services. Through these partnerships, SVH was able to increase awareness through the distribution of behavioral health guides; develop social media posts to promote mental health awareness; conducted trainings for local school staff and community members; and lastly, enhance skills of youth and families through the distribution of stress less kits and tips.Older adult health/healthy agingActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital partnered with the primary care providers to increase patient education and raise awareness of palliative and end-of-life care options. Patient education is occurring during visits via telehealth, in-patient care, or within the primary care setting. The primary care provider also attends the weekly Integrated Discharge Team meetings with palliative north group and has attended five Cerner (our electronic medical record) palliative care meetings.Additional information related to actions taken by Northern Light Sebasticook Valley Hospital on the above priorities can be found in their FY22 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Sebasticook Valley Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Northern Light Sebasticook Valley Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Access to Care - This identified health need is not being addressed directly as a strategy born out of our community health needs assessment as our hospital has current initiatives focused on improving access to care such as provider recruitment, community health navigators (to link vulnerable populations with needed resources), and other efforts that are ongoing and part of our continual mission to improve access to care.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 13h	Income Levels
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 16j	Response for 7a (list URL) is https://northernlighthealth.org/Sebasticook-Valley-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-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Sebasticook-Valley-Hospital under "Pay My Bill"

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Northern Light Sleep Diagnostics
130 Leighton Street	Pittsfield	ME	04967	Outpatient Medical Facility
Northern Light Rehabilitation
118 Moosehead Trail Suite 3	Newport	ME	04953	Outpatient Medical Facility
Northern Light Specialty Physicians
72 North Road	Detroit	ME	04929	Outpatient Medical Facility
Northern Light Primary Care
470 Somerset Avenue	Pittsfield	ME	04967	Outpatient Medical Facility
Northern Light Primary Care
8 Main Street Suite A	Newport	ME	04953	Outpatient Medical Facility
Northern Light Primary Care
1309 Main Street Unit 1	Clinton	ME	04927	Outpatient Medical Facility
Northern Light Primary Care
26 Main Street	Newport	ME	04953	Outpatient Medical Facility
Northern Light Rehabilitation
141 Leighton Street	Pittsfield	ME	04967	Outpatient Medical Facility

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	The Northern Light Sebasticook Valley Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing Methodology	Ratio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt Expense	Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Patient Service Revnue and Accounts Receivable section.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Sebasticook Valley Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	Northern Light Health Financial Counselors screen patients for federal, 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 statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)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 Information	Located in Pittsfield, Maine, Northern Light Sebasticook Valley 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 Sebasticook Valley Hospitals primary service area include: Corinna, Detroit, Hartland, Newport, Palmyra, Pittsfield, Plymouth, and Saint Albans.Towns representing Sebasticook Valley Hospitals secondary service area include: Albion, Belgrade, Belgrade Lakes, Burnham, Clinton, Dexter, Dixmont, Etna, Exeter, Fairfield, Freedom, Garland, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Somerset Countys race/ethnicity and selected demographics are provided below for Sebasticook Valley Hospital based on the hospitals physical location in Somerset County.Somerset County - Race/Ethnicity: American Indian/Alaskan Native 0.5% (244), Asian 0.4% (194), Black/African American 0.6% (313), Native Hawaiian or Pacific Islander 0.0% (0), White 96.5% (48,759), Some other race 0.1% (60), Two or more races 1.9% (950), Hispanic 1.1% (554), Non-Hispanic 98.9% (49,966), Total county population 50,520.Somerset County - Selected Demographics: Median household income $44,256, Unemployment rate 6.6%, Individuals living in poverty 20.4%, Children living in poverty 22.6%, 65+ living alone 31.2%, Veterans 10.6%, Gay, lesbian, and bisexual (high school students) 13.1%, Gay, lesbian, and bisexual (adults) 2.4%, Transgender youth (high school students) 1.5%, Persons with a disability 21.7%.Other hospitals serving the Northern Light Sebasticook Valley Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Sebasticook Valley Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Sebasticook Valley Hospitals service area as having a total of eight medically underserved populations.
Part VI, Line 4 - Community Building Activities	Northern Light Sebasticook Valley Hospitals community building activities included job shadowing opportunities for one high school student with a CRNA.
Part VI, Line 5 - Promotion of Community Health	Northern Light Sebasticook Valley Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY22: Community Health Education: CARA Local Drug Crisis Grant addressing substance abuse; Rural Health Clinic Vaccine Confidence Program to improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas.SVH full and part time employees and spouses are eligible to enroll in Elements, an on-line wellness reward system program. Employees and spouses can earn up to $400.00 (taxable)each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. SVH offered an Emergency Medical Technician (EMT) training course (Earn while you Learn). This six-week training course offered classroom and clinical experience. Candidates work alongside our dedicated EMS providers. Candidates were brought into the program as a 'Work to Grow' employee and be paid forty hours a week, which will compensate them for class and job shadow time. Upon successful completion of the program and obtaining a Maine EMT license, candidates will be hired to EMT. SVH hosted an ARC blood drive on June 10, 2022, which is open to SVH employees and community members. Staff and volunteers recruit donors and staff provide help on the day of the drive. The drive resulted in 24 sign ups and a collection of 16 units.The SVH education department offered Heartsaver First Aid and CPR/AED classes to community members and a Heartsaver Pediatric CPR/First Aid class to a local business. A total of 49 people attended classes in FY22. In addition, community members may also register for Advanced Cardiac Life Support (ACLS) classes when space allows. In FY22, one community member attended this class.SVH held its annual Drive Thru flu clinic on 10/1/2021 for adults as a convenient way to receive their annual influenza vaccination. Seventy-eight community members received their vaccination without ever having to leave their vehicle. Patients on Medicare and Medicare Advantage present their card to receive their vaccination. Community members not on those plans were able to pay for their vaccination and received a receipt, (upon request), to submit to their private health insurer. In addition, three adults were able to receive their first dose of the COVID-19 vaccination.
Part VI, Line 6 - Affilated Health Care System	The 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 Report	N/A

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	false	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 (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Aaron B Kirby
Physician	$336,908	$11,351	$29,667	$377,926
Anthony Filer
Treasurer					$574,255	$344,462	$15,453	$26,100	$35,016	$995,286
Emily Cianchette
Ex-Officio	$123,321	$6,853	$32,708	$187,519							$19,073	$5,564
George Eaton Esq
Secretary-Pt Yr					$244,831		$9,855	$20,537	$22,352	$297,575
Glenn Martin
Secretary-Pt Yr					$426,623	$161,695	$124,910	$90,651	$22,050	$825,929			$80,809
James Fullwood
Physician	$270,463	$27,932	$29,836	$377,463							$40,189	$9,043
Jennifer Goodrich
VP of Finance	$13,777	$1,531	$1,420	$17,807	$178,160		$19,791	$13,949	$18,366	$230,266		$1,079
John Cedric Baker
Physician	$255,244	$10,474	$32,984	$325,850							$17,200	$9,948
Karl F Sitterly
Physician	$203,913	$1,375	$11,985	$305,489							$83,868	$4,348
Michael Lemieux
Cardiologist	$368,039	$38,507	$12,043	$438,739							$10,000	$10,150
Paul Bolin
SVP & CPO					$381,000	$19,733	$28,816	$74,824	$30,787	$535,160
Paul R Arsenault
VP, Prim Care &	$77,597	$1,405	$6,761	$107,403	$55,375	$12,999	$1,002	$2,443	$4,825	$76,644	$18,216	$3,424
Randall Clark
President-Pt Yr	$144,978	$2,771	$23,167	$213,947	$68,397	$17,988	$1,307	$2,312	$10,930	$100,934	$38,129	$4,902
Robert Schlager MD
VP, Senior Phys	$163,868	$16,024	$6,778	$229,412	$134,074	$31,059	$13,111	$3,911	$5,546	$187,701	$37,961	$4,781
Teresa P Vieira
President-Pt Yr	$137,180	$14,014	$11,905	$217,837	$137,180	$42,197	$14,014	$12,541	$11,905	$217,837	$42,197	$12,541
Tim Dentry NLH PresidentCEO
Trustee					$1,006,465	$377,555	$456,332	$25,716	$35,066	$1,901,134			$436,044
Tracy Bonney-Corson
VP, Nursing & P	$147,491	$8,256	$20,167	$217,220							$34,525	$6,781
Tyson Thornton
VP of Operation	$95,757	$4,894	$6,922	$125,542	$57,203	$8,872	$2,924	$1,862	$4,135	$74,996	$14,853	$3,116

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	The following received tuition:James Fullwood, highest compensated employee $19,750Aaron B. Kirby, highest compensated employee 5,519 The following received a gift card:Paul R. Arsenault, officer $ 5The following received a wellness program incentive:Paul R. Arsenault, officer $ 400 Emily Cianchette, board member 400Jennifer Goodrich, officer 80Robert Schlager, officer 400Tyson Thornton, officer 365 The benefit is available for all employees.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Finance Authority of ME
A	010392006	2013-01-17	$6,000,000	Construction	false	false	false
Finance Authority of ME
B	010392006	2013-01-17	$2,025,000	Construction	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,104,219	$6,000,000	$6,000,000	2013	false	false	Yes (true)	Yes (true)
B	$1,720,002	$2,025,000	$2,025,000	2013	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NA
A	false	false	false	NA	false	false
NA
B	false	false	false	NA	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Tracy Wing
fam mem=officer	$68,442	compensation	false
Nancy Gibson
fam mem=brd mem	$39,359	compensation	false
Jaime York
fam mem=brd mem	$44,581	compensation	false
Jaymes Wing
fam mem=officer	$73,677	compensation	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Tracy Wing is a family member of an officer and is an employee of Northern Light Sebasticook Valley Hospital.Nancy Gibson is a family member of a board member and is an employee of Northern Light Sebasticook Valley Hospital.Jaime York is a family member of a board member and is an employee of Northern Light Sebasticook Valley Hospital.Jaymes Wing is a family member of an officer and is an employee of Northern Light Sebasticook Valley Hospital.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Please see the following excerpt from the Northern Light Health Annual Report 2022 to the Community for details of community benefit projects at NLH members:Northern Light HealthPromisesAnnual Report 2022A promise made must be a promise kept. - AristotleWhen people keep their promises to us, we feel valued, respected, and appreciated. At Northern Light Health, we understand the importance of making a promise and doing the work to keep it.Our promise to the people and communities we serve across our great state of Maine is to make healthcare work for you. This means that we promise to get better every day by raising quality through teamwork, efficiency, and innovation. We promise to guide the way for our patients and their families, through the care experience. We live in a big, rural state, and we know access to care can be challenging for some people in our communities. So, we are committed to improving access. And last, but certainly not least, we promise to see patients as diverse individuals with their own unique needs.In this annual report, we highlight the ways our valued employees and community partners are working together to keep our promises to the communities we serve. From helping firefighters access lung cancer studies at world-class research hospitals, to helping busy parents schedule pediatrics appointments on their own time and using the latest in diagnostic technology to help people with congestive heart failure stay out of the hospital. We are also helping the state address a critical shortage of psychiatric inpatient beds while addressing the state's long-term community-based mental and behavioral health needs.These stories in this report are just a few examples of the promises we work hard to keep every day. This work inspires us. We hope it inspires you too.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthKathy CoreyBoard ChairNorthern Light HealthAcadia for AllEmerald Forcier is walking an aisle of gleaming white chairs carefully set on a lush green lawn overlooking the Penobscot River. Her husband, Kurt is hustling along on a lawn tractor, making sure the lawn is short and neat for the upcoming wedding the couple plans to host at their venue, Penobscot Bay Weddings in Winterport. As her four-year-old daughter, Maisie picks wildflowers, Forcier is holding her 8-month-old son Miles in her arms while she thinks about all the work she has left to do in the wedding tent. I often say to friends and family when they ask how I'm doing, I'm like, I am exhausted. We're starting a new business. And yet the deep, important things are wonderful.But seven years ago, things were not wonderful for Forcier in terms of her mental health. She was living on the island of Bali; she was having difficulty getting the medications to manage her depression, and she was in a suicidal state. She moved back to the United States and attended an inpatient treatment program, which she credits with saving her life. After six months of hard work restarting her life, she was back in Maine, but her health insurance was due to expire at the beginning of the new year. Despite spending four weeks consistently trying, Forcier could not access any outpatient provider to renew her prescriptions. Desperate for help, she ended up in a hospital emergency department on New Year's Eve 2015. Even then, she was sent away multiple times because psychiatric care was not available.I remember what it was like when I had reached my rock bottom and I needed inpatient services. I also remember the fear and helplessness of being stuck in the emergency department, unable to access the care I needed. I frankly cannot even imagine the terror and the sadness of experiencing both of these things at once. The day a person needs inpatient care is one of the worst days of their life. To be stuck in an emergency department with nowhere to go is a devastating experience far too many people face, and I cannot imagine a child or their parent going through that.Forcier's experience is unfortunately all too common. Across Maine, there simply are not enough inpatient beds and people who end up in crisis situations turn to hospital emergency departments.Nadia Mendiola, MD, an adolescent psychiatrist at Northern Light Acadia Hospital, sees it all too often. She says it's particularly troubling when children get stuck in these emergency departments for several weeks, or even months, waiting for an inpatient bed. Emergency care physicians, they're wonderful at their job but they're not psychiatrists. They have limited options, they have limited space, and you're talking about kids who can't even function in a big home or a big school and now you're confining them to a little spot. It's just not conducive to good care.This is one of the reasons why Northern Light Acadia Hospital is undertaking an ambitious expansion project to double the number of its single occupancy rooms. The 50,000 square feet expansion will add 50 pediatric inpatient rooms as well as new group and individual treatment spaces. The 50 existing inpatient rooms are being remodeled to single occupancy, adult inpatient rooms to better meet current behavioral healthcare standards.Acadia President Scott Oxley knows the expansion is needed. Unfortunately, the kids we see today are sicker than they were 30 years ago, so we need more circulation space, more room for group therapies. And really, our existing facility does not accommodate that, shares Oxley.In addition to the new inpatient rooms, there will also be an expansion of the Mood and Memory clinic for patients with Alzheimer's disease and dementia, and an endowment created for workforce development, recruitment, and retention. All this work requires substantial investment, and Oxley says community support thus far has been exceptional.Long term, the key to our success is early detection, early intervention, keeping folks in their communities, and keeping them out of the highest level of care. The reality is there's such a shortage of inpatient beds, that the need is urgent for inpatient beds while we work strategically and collaboratively on the longer-term plan.For more information about the Capital Campaign go to northernlight.org/AcadiaForAll Donors have given generously to the Acadia for All campaign including the Stephen and Tabitha King Foundation which donated one million dollars. OTHER PROGRAM SERVICES 5: Bingo!How's your heart health?Beverly Fowler is her name and Bingo is her game. Every Monday and Wednesday, Fowler leaves her Bangor apartment and heads to the Bangor Elks Lodge to have lunch with friends, play a few card games, and set up for evening Bingo. Usually on a Monday night, we get between 80 and 100 people, which is a good, good evening. Some winter nights, if it's snowing or something, we only get about 70, but that's still pretty good, she says. Fowler also plays Tuesdays, Thursdays, Fridays, and Sundays. Saturday is a free day, she says with a chuckle.At 83 years old, Fowler enjoys staying active and socializing, but managing her congestive heart failure was slowing her down. I kept filling up with fluids and ending up in the hospital for a week at a time. That's happened three or four times, says Fowler.Alan Jansujwicz, MD, general cardiologist and director of Northern Light Cardiovascular Care is working to improve the quality of life of patients like Beverly by keeping them out of the hospital. We know patients with heart failure end up being hospitalized over the course of time and each hospitalization matters. The statistics say that if you're hospitalized with heart failure, over the next six months to a year, your risk of not doing well is higher than before you were hospitalized, says Dr. Jansujwicz.Now, Northern Light Health is offering a new option to patients like Fowler, so they can monitor their condition and correct course before needing hospitalization. A remote monitoring device is implanted in the patient's pulmonary artery through a blood vessel in the groin. It measures pulmonary artery pressure and sends information to a receiver that resembles a giant pillow, which the patient lays on to take daily readings. The receiver records and sends the information to a secure website where a patient care manager like Janet Glidden, RN, BSN, MBA, reviews it. If Glidden sees troubling changes in a patient's numbers, she can call them and talk about what's happening. I'll look at their readings, and if I see they are ranging up, I'll call. They may not feel like there's any change, but I'll say, Your numbers are up. What did you do differently yesterday?' It almost always relates to diet or having too many fluids, Glidden shares.If the pressure's going up, it tells us the patient might be heading toward heart failure. Maybe we can stop that before it happens by increasing their therapies as opposed to them just slowly slipping into heart failure, getting past that early detection point, and ending
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	Amended Bylaws as follows:(1)Amended Article I (Name, Purpose, Registered Agent, Office, Seal), Section 1 (Name) added The Corporation is duly registered in the State of Maine to carry on activities under the assumed name Northern Light Sebasticook Valley Hospital..(2)Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings) (a)Removed in Pittsfield, Maine from the first sentence of Section 5: The Annual Meeting of the Corporation for the election of the Board of Trustees shall be held in Pittsfield, Maine during the months of April or May in each year, at such time and place as shall be fixed by the Board of Trustees and set forth in the notice of the meeting.(3)Amended Article III (Board), Section 12 (Participation in Meeting by Telephone) (a)Changed Section name to Remote Participation in Meeting(b)Changed to Board members, or members of any Board committee, may participate in a meeting of the Board or such committee by, or conduct the meeting through the use of, any means of communication by which all persons participating in the meeting may simultaneously hear each other during the meeting, and such participation in a meeting shall constitute presence in person at such meeting(4)Amended Article V (Committees), Section 4 (Designations) - added although a non-Trustee committee member may chair a committee meeting in the absence of the committee chair to the end of the third sentence in Section 4, which now reads: Individuals other than Trustees may serve on all committees, provided nevertheless that the chair of each committee shall always be a Trustee, although a non-Trustee committee member may chair a committee meeting in the absence of the committee chair.(5)Amended Article V (Committees), Section 8 (Quality and Professional Affairs Committee) removed the last sentence of Section 8: A majority of the Committee must be independent as defined in Article VIII when functioning with such delegated authority.(6)Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustee) (a)Changed in subsection b. $10,000 to $100,000 in Neither the Trustee nor any member of the immediate family of the Trustee has, within any of the last three fiscal years of the Corporation, accepted payments from the Corporation and/or its affiliates aggregating in excess of $10,000 other than compensation to an immediate family member employed by the Corporation or any of its affiliates in a non-executive capacity, compensation for former services as chair or president, or benefits received under a tax-qualified retirement plan.(b)Changed in subsection e. $80,000 to $100,000 and $4,000,000 to $5,000,000 in Neither the Trustee nor any member of the immediate family of the Trustee is, or has been within the last three years, a partner, member, shareholder or executive officer of a company that made payments to, or received payments from, the Corporation and/or its affiliates in an amount which, in any of the last three fiscal years of the Corporation, equaled or exceeded (i) $80,000, or (ii) 2% of such companys consolidated gross revenues if such companys consolidated gross revenues were less than $4,000,000, in any of such three fiscal years.(7)Amended Article IX (Indemnification), Section 1 (Indemnification) - changed to read as follows:(a)The Corporation (i) shall in all cases indemnify any person who is or was at the time of the conduct in question, a trustee, officer or member of a committee of the Board of Trustees, or a director, officer or a member of a committee of the Board of Directors of the Corporations Member (Mandatory Indemnitees), and (ii) may (subject to subsection (c) of this section) indemnify any other person, who is or was a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative, by reason of the fact that such person is or was a trustee, officer, employee or agent of the Corporation or the Corporations Member, or is or was serving at the request of the Corporation as a director, officer, trustee, partner, fiduciary, employee or agent of another corporation, partnership, joint venture, trust, pension or other employee benefit plan or other enterprise (Discretionary Indemnitees) by reason of the fact that such person is or was a Board member, officer, employee or agent of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against expenses, including attorneys' fees, judgments, fines and amounts paid in settlement, actually and reasonably incurred by such person in connection with such action, suit or proceeding. Nevertheless, no indemnification shall be provided for any person with respect to any matter as to which such person shall have been finally adjudicated in any action, suit or proceeding not to have acted in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful. The termination of any action, suit or proceeding by judgment, order or conviction adverse to such person or by settlement or plea of nolo contendere or its equivalent shall not of itself create a presumption that such person did not act in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful.(b)Indemnification of Mandatory Indemnitees shall be required in all cases regardless of the capacity in which such Trustee or a Director of the Corporations Member is or was made or threatened to be made a party to the action, suit or proceeding.(c)Indemnification of Discretionary Indemnitees under subsection (a)(ii), unless ordered by a court or required by these Bylaws, shall be made by the Corporation only as authorized in the specific case upon a determination that indemnification is proper in the circumstances and in the best interests of the Corporation. Where such a determination is required under this subsection, that determination shall be made by the Board of Directors of the Member and a majority vote of the Board of Trustees by Trustees who were not parties to that action, suit or proceeding. Provided, however, that if more than half of the Trustees are involved in such action, suit or proceeding, the determination shall be made by a majority vote of a committee of five disinterested Trustees chosen by the disinterested Trustees at a regular or special meeting. If there are fewer than five (5) disinterested Trustees, the determination shall be based upon the opinion of independent legal counsel retained by the Corporation for such purpose. Such a determination once made may not be revoked and, upon the making of that determination, the person being indemnified may enforce the indemnification against the Corporation by a separate action notwithstanding any attempted or actual subsequent action by the Board of Trustees or the Board of Directors of the Member.(8)Amended Article IX (Indemnification), Section 2 (Advances Against Expenses) added by a Mandatory or Discretionary Indemnitee and provided, however that advances for expenses incurred by Discretionary Indemnitees shall be made to the extent authorized for such Discretionary Indemnitee in accordance with Section 1(c) above.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley 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, Line 7a: How Members or Shareholders Elect Governing Body	Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	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, Line 11b: Form 990 Review Process	Form 990 is reviewed by the VP of Finance of Northern Light Sebasticook Valley Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The SVP, President of Northern Light Sebasticook Valley 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 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 - Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Northern Light Sebasticook Valley Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases	Net Change in Funds Held at NLH Foundation = -$47126

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill Road	Brewer	ME	04412	010527066	Supporting organization for healthcare	ME	501(c)(3)	12 Type II	N/A	false
Eastern Maine Medical Center EMMC
PO BOX 404 489 State Street	Bangor	ME	044020404	010211501	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
Eastern Maine Healthcare Real Estate
43 Whiting Hill Road	Brewer	ME	04412	010391036	Leases real estate	ME	501(c)(2)			false	EMHS
Rosscare
43 Whiting Hill Road	Brewer	ME	04412	010391038	Provide services to elderly	ME	501(c)(3)	PF		false	EMHS
Eastern Maine Medical Center Auxiliary
43 Whiting Hill Road	Brewer	ME	04412	010377901	Fund raising for exempt Eastern Maine Medical Center	ME	501(c)(3)	10		false	EMMC
Acadia Healthcare Inc
43 Whiting Hill Road	Brewer	ME	04412	223183888	Provide Healthcare Services	ME	501(c)(3)	10		false	AHC
Northern Light Health Foundation
43 Whiting Hill Road	Brewer	ME	04412	222514163	Raise and manage funds for exempt organizations	ME	501(c)(3)	12 Type II		false	EMHS
Inland Hospital
200 Kennedy Memorial Drive	Waterville	ME	04901	010217211	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
Lakewood
220 Kennedy Memorial Drive	Waterville	ME	04901	010421234	Provide skilled and long-term nursing ca	ME	501(c)(3)	3		false	Inland Hospital
CADean Memorial Hospital
Pritham Avenue PO Box 1129	Greenville	ME	044411129	043341666	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
The Aroostook Medical Center TAMC
PO Box 151 140 Academy Street	Presque Isle	ME	047690151	010372148	Provide healthcare services	ME	501(c)(3)	3		false	EMHS
Blue Hill Memorial Hospital
57 Water Street	Blue Hill	ME	046145231	010227195	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
Mercy Hospital
175 Fore River Parkway	Portland	ME	04102	010211534	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
VNA Home Health & Hospice
225 Gorham Rd Ste 200	South Portland	ME	04106	010246804	Provide Home Health & Hospice Service	ME	501(c)(3)	10		false	EMHS
Acadia Hospital Corp AHC
43 Whiting Hill Road	Brewer	ME	04412	010459837	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
WorkHealth LLC
43 Whiting Hill Road	Brewer	ME	04412	474315094	Provide healthcare services	ME	501(c)(3)	12 Type II		false	EMHS
Maine Coast Regional Health Fac dba MCMH
50 Union Street	Ellsworth	ME	04605	010198331	Provide Healthcare Services	ME	501(c)(3)	3		false	EMHS
Maine Cost Medical Realty
50 Union Street	Ellsworth	ME	04605	010390918	Lease Medical Facilities	ME	501(c)(3)	12 Type I		false	MCH
Beacon Health LLC
43 Whiting Hill Road	Brewer	ME	04412	452967056	Accountable care organization	ME	501(c)(3)	12 Type II		false	EMHS
Beacon Rural Health LLC
43 Whiting Hill Road	Brewer	ME	04412	474483187	Accountable care organization	ME	501(c)(3)	12 Type II		false	EMHS
Beacon Health ACO Holdings LLC
43 Whiting Hill Road	Brewer	ME	04412	364903784	Accountable care organization	ME	501(c)(3)	12 Type II		false	EMHS
LTC LLC
43 Whiting Hill Road	Brewer	ME	04412	010211501	Operation of nursing homes	ME	501(c)(3)	3		false	EMMC
Northern Light Medical Transport
43 Whiting Hill Road	Brewer	ME	04412	830911574	Ambulance services	ME	501(c)(3)	10		false	EMHS
MRH Corp dba Northern Light Mayo Hospita
897 W Main Street	DoverFoxcroft	ME	04426	843689003	Provide healthcare services	ME	501(c)(3)	3		false	EMHS
M Drug LLC
43 Whiting Hill Road	Brewer	ME	04412	272175482	Pharmacy	ME	501(c)(3)	3		false	EMMC

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 Co.	ME	EMHS	C	false
Affiliated Healthcare Management
43 Whiting Hill Road	Brewer	ME	04412	010349339	Healthcare Management	ME	AHS	C	false
Affiliated Laboratory Inc
43 Whiting Hill Road	Brewer	ME	04412	010381283	Clinical Lab	ME	AHS	C	false
Beacon Direct
43 Whiting Hill Road	Brewer	ME	04412	371864965	Healthcare Self-funded TPA	ME	EMHS	C	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	false	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	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd