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      <Form990PartVIISectionAGrp>
        <PersonNm>Noah Lundy</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nicholas Vachon DPM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jacqueline Carter FNP</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tyler Smith</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jacob Taylor</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Stanley</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sheryl Edgecomb</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michele Francis</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sally Hutchins</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Clayton</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Gray</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>D Scott Miller</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Arthur Manning DO</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Hockenbury</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin Tesseo</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Simplifi Managed Services</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>North Little Rock</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Emergency Physician Associates Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HBCS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>118 Lukens Drive</AddressLine1Txt>
            <CityNm>New Castle</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <ProgramServicesAmt>94414232</ProgramServicesAmt>
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        <EOYAmt>731141</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>12163</EOYAmt>
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        <EOYAmt>942664</EOYAmt>
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        <FormAndLineReferenceDesc>Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 September 30, 2021, Hancock 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 Hancock County CHNA report, page 20): Aroostook Mental Health Center, Bar Harbor Bank &amp; Trust, Beth C. Wright Cancer Resource Center, Blue Hill Heritage Trust, City of Ellsworth, Community Health &amp; Counseling Services, Department of Health and Human Services/Office of Child and Family Services: Childrens Behavioral Health Services, Downeast Community Partners, Downeast Horizons, Downeast Public Health Council - Maine Center for Disease Control and Prevention, First Congregational Church of Blue Hill, Friends in Action, Hancock County Emergency Management Agency, Healthy Acadia, Healthy Peninsula-Community Health, Hospice Council of Maine, Hospice Volunteers of Hancock County, Maine Community Foundation, Maine Hospice Council, Maine State Senate, Mount Desert Island Hospital, New Ventures Maine, Northern Light Blue Hill Hospital, Northern Light Maine Coast Hospital, Northern Light Health, State of Maine Department of Health and Human Services, Maine CDC Downeast District, Surry Neighbors Helping Neighbors, Town of Bar Harbor, United Way of Eastern Maine, University of Maine Augusta. New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>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, including other non-Northern Light Health hospitals who were consulted during the engagement process.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Maine Coast 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, Maine Coast 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, Maine Coast 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 Maine Coast 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 Maine Coast 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 Maine Coast Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by Maine Coast Hospital to address this priority in FY22: Northern Light Maine Coast Hospital successfully exceeded their objective of increasing the number of patients screened for food insecurity and referred to community resources from 5,500 to 12,000 by 9/30/22 thanks to the buy-in, hard work, and commitment of the primary care practice teams. 12,246 total patients were screened for food insecurity and referred to community resources in FY22. A validated two-question screening tool was used initially for all patients beginning at Northern Light Pediatrics to assess for food insecurity. In May 2022, all Northern Light Primary Care practices were invited to participate in this project and our contract with Good Shepherd Food Bank was expanded to meet increased demand. To build competency in use of the screening tool, staff were trained upon hire how to use it correctly, and how to initiate getting patients access to a food bag or additional resources, including newly produced local food security resource lists if patients screened positive. Throughout the year, practices continued to promote screening and access to food insecurity for their vulnerable population, despite multiple challenges including an entire electronic medical record conversion and significant staff shortages and turnover. Workflows were adapted, and documentation moved from a paper process to an electronic screening and reporting system embedded in Cerner, our electronic medical record. While this made for a bit of a transition period in data collection specific to patients reached and positive screens, it allowed for the food insecurity screening opportunity to expand to all primary care practices, deepening the reach to many more patients and a much larger geographical area. Confidence in the project grew throughout the final year of the project as a review of goals and performance became a standard agenda item at Maine Coast managers meetings.Substance useActions taken by Maine Coast Hospital to address this priority in FY22: Northern Light Maine Coast Hospital prioritized ongoing conversations and provided support for staff including training on referrals of patients for Medication-Assisted Treatment (MAT) and Medications for Opioid Use Disorder (MOUD) into the Down East Treatment Center for services. Positive progress was made in 2022 developing strong relationships with MAT/MOUD providers, increasing the number of MAT referrals from zero in 2021 to two in 2022. Continued collaboration with Down East Treatment Center to promote the program and engage patients and providers.Access to careActions taken by Maine Coast Hospital to address this priority in FY22: Northern Light Maine Coast Hospital increased the number of service area residents identified as having no PCP and referred to healthcare coverage options by an additional 109 patients for a total of 868 patients overall. Maine Coast Hospital engaged internal and external partners to provide primary care referrals for community members seeking services in the Hancock County service area. Challenges related to this reaching the intended goal of increasing the number from 759 to 1200 patients in FY22 include access being significantly affected by provider FMLA, staff turnover vacancies, manager vacancies for practices, and lack of a standardized process for new patient intake and prioritization of appointments. Tracking new PCP visits in a standardized format hasn't been established; it is possible data may be underreported.Additional information related to actions taken by Northern Light Maine Coast 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 Maine Coast 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, Maine Coast 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:Mental Health - Northern Light Maine Coast Hospital has operationalized numerous mental health protocols in a number of our practices. Including, but not limited to the use of telepsychiatry services within our primary care sites, routine screenings for depression and suicide risk assessments with associated action plans for patients positively screened, and the institution of a Psychiatric Mental Health Nurse Practitioner in our primary care practice. In addition, our Access to Care priority plans will augment mental health access. Therefore, due to our current and ongoing engagement in many mental health initiatives, we have chosen to focus our efforts on other priority areas of need. Older Adult Health/Healthy Aging - This is an area that is being heavily and proactively addressed in our area on a sustained basis. Northern Light Maine Coast Hospital is participating in numerous healthy-aging related projects including Aging in Place Age -Friendly Sullivan Collaborative, Choices That Matter (re: Advance Care Planning, end-of-life issues), Food security, healthy eating etc. (food security bags, Soup delivery to Healthy Acadias warming center.) We also offer ongoing cancer screening and chronic disease screening through ACO and population health activities in primary care, and the Northern Light Palliative Care service line is available in Hancock County. Additionally, some of the work underway to augment elder health/healthy aging will fall within the access and social determinants of health community health priority.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>FPG family income</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: Northern Light Maine Coast Hos - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Response for 7a (list url) is https://northernlighthealth.org/Our-System/Maine-Coast-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/Maine-Coast-Hospital under "Pay My Bill"</ExplanationTxt>
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            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32 Resort Way</AddressLine1Txt>
            <CityNm>Ellsworth</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04605</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Practice</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>65 Church Street</AddressLine1Txt>
            <CityNm>Ellsworth</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04605</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1049 Main Street</AddressLine1Txt>
            <CityNm>Mount Desert</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04660</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>37 Clinic Road</AddressLine1Txt>
            <CityNm>Gouldsboro</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04607</ZIPCd>
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          <FacilityTxt>Physician Practice</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Health Center</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>50 Union Street</AddressLine1Txt>
            <CityNm>Ellsworth</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04605</ZIPCd>
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          <FacilityTxt>Physician Practice</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>45 Herrick Road</AddressLine1Txt>
            <CityNm>Southwest Harbor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04679</ZIPCd>
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          <FacilityTxt>Physician Practice</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Mary Dow Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>50 Union Street</AddressLine1Txt>
            <CityNm>Ellsworth</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04605</ZIPCd>
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          <FacilityTxt>Clinic</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Podiatry</BusinessNameLine1Txt>
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            <AddressLine1Txt>318 Main Street</AddressLine1Txt>
            <CityNm>Ellsworth</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04605</ZIPCd>
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          <FacilityTxt>Clinic</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
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            <AddressLine1Txt>306 Main Street</AddressLine1Txt>
            <CityNm>Ellsworth</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04605</ZIPCd>
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          <FacilityTxt>Clinic</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
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            <AddressLine1Txt>600 Main Street Bldg 11</AddressLine1Txt>
            <CityNm>Bar Harbor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04609</ZIPCd>
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          <FacilityTxt>Physician Practice</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a - Related Organization Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Maine Coast 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Ratio of Patient Care Cost-to-Charges is used in calculations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to determine the amount is cost to charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>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 16-19 - Patient Service Revenue and Accounts Receivable section.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Maine Coast Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 (On social media and/or 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Located in Ellsworth, Maine, Northern Light Maine Coast 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 Maine Coast Hospitals primary service area include Birch Harbor, Bucksport, Cherryfield, Corea, East Hancock County, East Orland, Ellsworth, Franklin, Gouldsboro, Hancock, Milbridge, Orland, Prospect Harbor, Sorrento, Steuben, Surry, and Winter Harbor.Towns representing Maine Coast Hospitals secondary service area include Addison, Bar Harbor, Bass Harbor, Beals, Blue Hill, Castine, Blue Hill Falls, Brooklin, Brooksville, Columbia Falls, Cutler, Deer Isle, Dennysville, East Machias, Harborside, Harrington, Isle Au Haut, Jonesboro, Little Deer Isle, Lubec, Machias, Machiasport, Manset, Mount Desert, Pembroke, Penobscot, Sargentville, Sedgwick, South Central Washington County, Southwest Harbor, Stonington, Sunset, Swans Island, and Whiting.Hancock Countys race/ethnicity and selected demographics are provided below for Maine Coast Hospital based on the hospitals physical location in Hancock County.Hancock County - Race/Ethnicity: American Indian/Alaskan Native 0.5% (254), Asian 1.1% (624), Black/African American 0.9% (469), Native Hawaiian or Pacific Islander 0.1% (75), White 95.9% (52,344), Some other race 0.1% (65), Two or more races 1.4% (770), Hispanic 1.5% (794), non-Hispanic 98.5% (53,807), Total County population 54,601.Hancock County - Selected Demographics: Median household income $57,178, Unemployment rate 5.7%, Individuals living in poverty 10.8%, Children living in poverty 14.2%, 65+ living alone 27.3%, Veterans 10.1%, Gay, lesbian, and bisexual (high school students) 14.3%, Gay, lesbian, and bisexual (adults) 3.0%, Transgender youth (high school students) 1.1%, Persons with a disability 14.6%.Other hospitals serving the Northern Light Maine Coast Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Maine Coast Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources &amp; Services Administration designated Maine Coast Hospitals service area as having a total of 10 medically underserved populations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Maine Coast Hospital furthers its exempt purpose by promoting the health of the community through the following activity in FY22:Northern Light Maine Coast Hospital is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Northern Light Maine Coast Hospital provides financial assistance and sliding scale discounts to self-pay and low-income patients. Also, the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals, and retirees. Northern Light Maine Coast Hospital's non-profit status allows the Hospital to reinvest any excess of revenues over expenses back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affilated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>Barbara Mercado-Stallard</PersonNm>
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        <PersonNm>Bruce Dick</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Davor Sklizovic</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>George Eaton</PersonNm>
        <TitleTxt>Secretary-Pt Yr</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Glenn Martin</PersonNm>
        <TitleTxt>Secretary-Pt Yr</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jacqueline Carter FNP</PersonNm>
        <TitleTxt>Ex-officio</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Ronan</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>30309</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>236157</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>18614</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Gaetano</PersonNm>
        <TitleTxt>VP Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>111970</BaseCompensationFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>135459</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kristin Cyr</PersonNm>
        <TitleTxt>VP Patient Care</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>103069</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>24941</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>7815</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>6014</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>143597</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>143597</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mike Murnik</PersonNm>
        <TitleTxt>VP Sr Phys Exec</TitleTxt>
        <BaseCompensationFilingOrgAmt>28014</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>252124</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>34887</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>18745</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3351</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30166</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>37602</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>338428</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicholas Vachon DPM</PersonNm>
        <TitleTxt>Pres Med Staff</TitleTxt>
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        <BonusFilingOrganizationAmount>27073</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11881</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4450</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22486</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>237705</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Noah Lundy</PersonNm>
        <TitleTxt>VP HR-East Regi</TitleTxt>
        <BaseCompensationFilingOrgAmt>60387</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>90580</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16893</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25339</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>6814</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>6885</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>95243</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>142864</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul F Bolin</PersonNm>
        <TitleTxt>Former SVP &amp; CHRO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>381000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>19733</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>28816</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>74824</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>535160</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Copithorne</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>669155</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>106211</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2715</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6525</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33578</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>818184</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sheena Whittaker MD</PersonNm>
        <TitleTxt>VP Sr Phys Exec</TitleTxt>
        <BaseCompensationFilingOrgAmt>263646</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>81612</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>26575</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5398</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>409559</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy Dentry</PersonNm>
        <TitleTxt>Ex Officio</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1006465</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>377555</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>456332</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>25716</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>1901134</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Wendy Merchant</PersonNm>
        <TitleTxt>VP, Finance</TitleTxt>
        <BaseCompensationFilingOrgAmt>112296</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>112296</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25572</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>2657</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>11591</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16261</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16261</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168377</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>168377</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>The following received a wellness program incentive:Noah Lundy, officer $200John Ronan, director/officer 400 The benefit is available for all employees.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="21013475" softwareVersionNum="2021v4.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Experienced Medicare shortfall (at cost). 7,316 persons served. OTHER PROGRAM SERVICES 5: 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 &amp; 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.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 hea</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>Michele Francis, trustee and John Ronan, trustee/officer are board members of Ellsworth Business Development Corporation. Kevin Tesseo, trustee/vice chair is board member of Ellsworth Economic Development Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Maine Coast Hospital..(2)Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings; Meeting Integration) (a)Removed at a location in Hancock County, 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 at a location in Hancock County, Maine during the month of August 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.(b)Changed August to October in the sentence listed in 2(a) above.(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 service as chair or interim 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 Indemnities), 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 Indemnities) 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 Indemnities 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 Indemnities 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 Indemnity and provided, however that advances for expenses incurred by Discretionary Indemnities shall be made to the extent authorized for such Discretionary Indemnity in accordance with Section 1(c) above.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>Maine Coast Regional Health Facilities d/b/a Northern Light Maine Coast 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section A, Line 7bThe NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the NLH Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII.dissolution of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the VP, Finance of Northern Light Maine Coast 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The SVP, President of Northern Light Maine Coast Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review &amp; Approval Process for Officers &amp; Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the MCH SVP, President and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Maine Coast Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Net Change in Funds Held at NLH Foundation = -$253346</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from Exempt Subsidiary-NLH Foundation = $169219</ExplanationTxt>
      </SupplementalInformationDetail>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>010390918</EIN>
        <PrimaryActivitiesTxt>Lease medical facilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>175 Fore River Parkway</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04102</ZIPCd>
        </USAddress>
        <EIN>010211534</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA Home Health &amp; Hospice</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>225 Gorham Rd STE 200</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010246804</EIN>
        <PrimaryActivitiesTxt>Provide home health and hospice services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Rd</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>452967056</EIN>
        <PrimaryActivitiesTxt>Accountable Care Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Rural Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Rd</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474483187</EIN>
        <PrimaryActivitiesTxt>Accountable Care Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Health ACO Holdings LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Rd</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>364903784</EIN>
        <PrimaryActivitiesTxt>Accountable Care Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LTC LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Rd</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010211501</EIN>
        <PrimaryActivitiesTxt>Operation of Nursing Homes</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Medical Transport</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>830911574</EIN>
        <PrimaryActivitiesTxt>Ambulance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>M Drug LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>272175482</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MRH Corp dba Northern Light Mayo Hospita</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>897 W Main Street</AddressLine1Txt>
          <CityNm>Dover Foxcroft</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04426</ZIPCd>
        </USAddress>
        <EIN>843689003</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Systems AHS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010385322</EIN>
        <PrimaryActivitiesTxt>Holding company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010349339</EIN>
        <PrimaryActivitiesTxt>Healthcare management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Laboratory Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010381283</EIN>
        <PrimaryActivitiesTxt>Clinical lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Beacon Direct</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>371864965</EIN>
        <PrimaryActivitiesTxt>Healthcare Self-funded TPA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Maine Coast Medical Realty</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>118821</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
