EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0217211)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-03
- IRS object ID
- 202202159349300040
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-03T10:23:00-07:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010217211 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INLAND HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | NORTHERN LIGHT INLAND HOSPITAL | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INLA | BusinessNameControlTxt |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 KENNEDY MEMORIAL DRIVE | AddressLine1Txt |
| City | WATERVILLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John J Doyle | PersonNm |
| Person Title | NLH VP OF Finance | PersonTitleTxt |
| Signature | 2022-08-03 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John J Doyle | PrincipalOfficerNm |
| Gross Receipts | $81,284,847 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 5247 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://northernlighthealth.org/Inland-Hospit | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Inland Hospital d/b/a Northern Light Inland Hospital operates a 48-bed non-profit hospital and outlying clinics in the Waterville area, that provides medical, surgical, and acute care to all, regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 607 | TotalEmployeeCnt |
| Total Volunteers | 98 | TotalVolunteersCnt |
| Total Gross UBI | $68,052 | TotalGrossUBIAmt |
| PY Contributions Grants | $228,839 | PYContributionsGrantsAmt |
| CY Contributions Grants | $846,418 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $73,127,715 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $80,389,740 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$3,103 | PYInvestmentIncomeAmt |
| CY Investment Income | -$9,569 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,965 | PYOtherRevenueAmt |
| CY Other Revenue | $7,315 | CYOtherRevenueAmt |
| PY Total Revenue | $73,359,416 | PYTotalRevenueAmt |
| CY Total Revenue | $81,233,904 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $41,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $18,500 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,316,909 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,896,293 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,915,727 | PYOtherExpensesAmt |
| CY Other Expenses | $37,536,996 | CYOtherExpensesAmt |
| PY Total Expenses | $76,273,636 | PYTotalExpensesAmt |
| CY Total Expenses | $78,451,789 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,914,220 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,782,115 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,158,496 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,853,879 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $34,339,258 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,026,201 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,819,238 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,827,678 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To care for and serve our community by providing Healthcare Services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $56,341,595 | ExpenseAmt |
| Grant | $18,500 | GrantAmt |
| Revenue | $80,389,740 | RevenueAmt |
| Desc | Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $1,367,444 other uncompensated care (at cost).Northern Light Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Northern Light Inland Hospital is a non-profit hospital, serving all who need care, regardless of ability to pay. Northern Light Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,627Percent Occupancy of Available Beds 27%Emergency Room Visits 8,848Surgery Cases 2,447Services provided to those who could not pay $3,602,075 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,273,125 | ExpenseAmt |
| Desc | Medicaid shortfalls (at cost). 27,916 persons served. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,522,237 | ExpenseAmt |
| Desc | Medicare shortfalls (at cost). 29,583 persons served. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $163,285 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $68,300,242 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | 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 | false | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 607 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Doyle | PersonNm |
| Phone | 2079739081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 WHITING HILL ROAD | 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 | |||||||
| Ex-officio | 0.50 | 50.00 | Yes (X) | Yes (X) | $0 | $1,055,785 | $145,096 |
| ANTHONY FILER SENIOR VPCFO | |||||||
| Treasurer | 0.50 | 50.00 | Yes (X) | $0 | $758,458 | $57,247 | |
| GLENN MARTIN SVP Chief Legal | |||||||
| Secretary | 0.50 | 50.00 | Yes (X) | $0 | $651,790 | $112,497 | |
| TERESA VIEIRA | |||||||
| Pres/Ex-Officio | 20.00 | 20.00 | Yes (X) | Yes (X) | $309,027 | $309,028 | $47,090 |
| MARY MICHELLE HOOD | |||||||
| Former NLH President & CEO | 0.00 | 50.00 | $0 | $599,997 | $18,136 | ||
| PAUL BOLIN | |||||||
| SVP and CHRO | 0.50 | 50.00 | Yes (X) | $0 | $459,978 | $106,714 | |
| WILLIAM BRADFIELD MD | |||||||
| Board Member | 40.00 | 0.00 | Yes (X) | $420,398 | $0 | $50,530 | |
| DANIELLE P GAGNON | |||||||
| Physician | 40.00 | 0.00 | $411,184 | $0 | $37,798 | ||
| SIMON GIBBS | |||||||
| Physician | 40.00 | 0.00 | $389,796 | $0 | $48,841 | ||
| JAMES W DOUGLAS | |||||||
| Reg Med Info Ofcr | 40.00 | 0.00 | $366,229 | $0 | $32,189 | ||
| GAVIN DUCKER | |||||||
| Former VP, Med Affairs | 0.00 | 50.00 | $0 | $356,022 | $41,021 | ||
| ROBERT SCHLAGER MD | |||||||
| VP, SENIOR PHYS | 18.00 | 22.00 | Yes (X) | $162,418 | $198,510 | $19,536 | |
| JULIA W KARLSSON | |||||||
| Physician | 40.00 | 0.00 | $332,259 | $0 | $27,626 | ||
| MARK A KLEMPERER | |||||||
| Physician | 40.00 | 0.00 | $324,704 | $0 | $32,348 | ||
| CHRIS FRAUENHOFER | |||||||
| VP of FINANCE | 26.00 | 14.00 | Yes (X) | $187,116 | $93,943 | $52,679 | |
| WALTER RICK BARRY | |||||||
| VP OF Nursing & | 40.00 | 0.00 | Yes (X) | $302,331 | $0 | $26,590 | |
| CATHERINE KIMBALL DO | |||||||
| CHF OF STAFF/EX | 40.00 | 0.00 | Yes (X) | $294,139 | $0 | $26,402 | |
| DANIEL J BOOTH | |||||||
| VP of Operation | 40.00 | 0.00 | Yes (X) | $291,810 | $0 | $23,888 | |
| RANDY CLARK | |||||||
| VP of FINANCE | 10.00 | 30.00 | Yes (X) | $42,137 | $209,994 | $38,449 | |
| JOHN M DALTON | |||||||
| Former SVP & President | 50.00 | 0.00 | $244,380 | $0 | $5,840 | ||
| BETH GIBBS | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS DAVIS | |||||||
| Chairman | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BRYAN WARD ESQ | |||||||
| Vice Chair | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTOPHER L GAUNCE | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BRIAN GILLIS DO | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KARLENE BURRELL-MCRAE | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL F PHILLIPS JR ESQ | |||||||
| Chairman | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CRYSTAL OLSEN | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN E MARDEN | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| P JAMES NICHOLSON | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| BRENT BURGER | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LORI ROMING | |||||||
| Board Member | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,077,928 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,693,505 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $950,517 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 59 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMERGENCY PHYSICIAN ASSOCIATES INC | |||||
| PO BOX 634850 | CINCINNATI | OH | 452634850 | PHSICIAN FEES-THIRD PARTY | $2,548,651 |
| NURSE ANESTHESIA OF MAINE | |||||
| 141 N MAIN ST STE 205 | BREWER | ME | 04412 | PROF FEES-CRNA | $830,538 |
| INSIGHT HEALTH CORP | |||||
| 5775 WAYZATA BLVD STE 400 | ST LOUIS PARK | MN | 55416 | P.S. X-RAY SVCS | $417,960 |
| WATERVILLE PEDIATRICS | |||||
| 295 KENNEDY MEMORIAL DRIVE SUITE 1 | WATERVILLE | ME | 04901 | PHSICIAN FEES-P.S. | $375,356 |
| SIMPLIFI | |||||
| 5020 NORTHSHORE DRIVE SUITE 2 | NORTH LITTLE ROCK | AR | 72118 | P.S. TEMP STAFF EXP | $333,929 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $432,322 | RelatedOrganizationsAmt |
| Government Grants | $373,481 | GovernmentGrantsAmt |
| All Other Contributions | $40,615 | AllOtherContributionsAmt |
| Noncash Contributions | $5,025 | NoncashContributionsAmt |
| Total Contributions | $846,418 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722514 | $155,669 | $155,669 | |
| EDUCATION REVENUE | 611710 | $8,839 | $8,839 | |
| NET PATIENT SERVICE REV | 621990 | $80,225,232 | $80,157,180 | $68,052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $80,389,740 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,236 | TotalRevenueColumnAmt |
| Exclusion | $19,236 | 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 | $3,424 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,424 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,424 | TotalRevenueColumnAmt |
| Exclusion | $3,424 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,952 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,757 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$28,805 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$28,805 | TotalRevenueColumnAmt |
| Exclusion | -$28,805 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $7,077 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,186 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,891 | TotalRevenueColumnAmt |
| Exclusion | $3,891 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,233,904 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80,321,688 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $68,052 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,254 | 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 | $18,500 | TotalAmt |
| Program Services | $18,500 | ProgramServicesAmt |
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 | $2,210,619 | TotalAmt |
| Program Services | $1,607,297 | ProgramServicesAmt |
| Management And General | $603,322 | 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 | $31,803,937 | TotalAmt |
| Program Services | $30,413,122 | ProgramServicesAmt |
| Management And General | $1,390,815 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,581 | TotalAmt |
| Program Services | $375,214 | ProgramServicesAmt |
| Management And General | $16,367 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,597,129 | TotalAmt |
| Program Services | $4,300,610 | ProgramServicesAmt |
| Management And General | $296,519 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,893,027 | TotalAmt |
| Program Services | $1,790,964 | ProgramServicesAmt |
| Management And General | $102,063 | 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 | $112 | TotalAmt |
| Management And General | $112 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,509 | TotalAmt |
| Management And General | $22,509 | 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 | $308 | TotalAmt |
| Program Services | $244 | ProgramServicesAmt |
| Management And General | $64 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,450,956 | TotalAmt |
| Program Services | $10,533,042 | ProgramServicesAmt |
| Management And General | $5,917,914 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,473 | TotalAmt |
| Program Services | $156,473 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,671,799 | TotalAmt |
| Program Services | $1,162,141 | ProgramServicesAmt |
| Management And General | $509,658 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,047,674 | TotalAmt |
| Program Services | $2,920,451 | ProgramServicesAmt |
| Management And General | $127,223 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,260,375 | TotalAmt |
| Program Services | $1,787,876 | ProgramServicesAmt |
| Management And General | $472,499 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,296 | TotalAmt |
| Program Services | $29,367 | ProgramServicesAmt |
| Management And General | $8,929 | 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 | $112,618 | TotalAmt |
| Program Services | $112,589 | ProgramServicesAmt |
| Management And General | $29 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,729 | TotalAmt |
| Program Services | $342,273 | ProgramServicesAmt |
| Management And General | $90,456 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,620,520 | TotalAmt |
| Program Services | $1,281,773 | ProgramServicesAmt |
| Management And General | $338,747 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,001,630 | TotalAmt |
| Program Services | $959,764 | ProgramServicesAmt |
| Management And General | $41,866 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $7,887,953 | $7,887,953 | |
| Taxes and Licensing | $1,656,187 | $1,654,777 | $1,410 |
| Repairs & Maintenance | $951,091 | $752,279 | $198,812 |
| Dues & Subscriptions | $101,474 | $99,479 | $1,995 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,292 | TotalAmt |
| Program Services | $114,054 | ProgramServicesAmt |
| Management And General | $10,238 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,451,789 | TotalAmt |
| Program Services | $68,300,242 | ProgramServicesAmt |
| Management And General | $10,151,547 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,950 | BOYAmt |
| EOY | $3,400 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,260 | BOYAmt |
| EOY | $2,010 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,200,202 | BOYAmt |
| EOY | $16,521,590 | 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) |
|---|---|---|
| EOY | $1,577 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,527 | BOYAmt |
| EOY | $661,240 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,829 | BOYAmt |
| EOY | $123,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $49,068,552 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,830,082 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,093,656 | BOYAmt |
| EOY | $14,238,470 | 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 | $45,795 | BOYAmt |
| EOY | $45,795 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,997,277 | BOYAmt |
| EOY | $10,256,765 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,158,496 | BOYAmt |
| EOY | $41,853,879 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,897,574 | BOYAmt |
| EOY | $15,514,621 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,723,783 | BOYAmt |
| EOY | $4,649,595 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,769,064 | BOYAmt |
| EOY | $2,614,474 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,948,837 | BOYAmt |
| EOY | $14,247,511 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,339,258 | BOYAmt |
| EOY | $37,026,201 | 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 | -$1,491,693 | BOYAmt |
| EOY | $1,333,328 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,310,931 | BOYAmt |
| EOY | $3,494,350 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,819,238 | BOYAmt |
| EOY | $4,827,678 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,158,496 | BOYAmt |
| EOY | $41,853,879 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,782,115 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $133,699 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $92,626 | 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 | false | FederalGrantAuditRequiredInd |
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 | $12,031 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,031 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Non-deductible portion of dues | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,818,168 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $311,022 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,312 | OtherExpendituresAmt |
| End Year Balance | $2,117,878 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,886,739 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$56,037 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $12,534 | OtherExpendituresAmt |
| End Year Balance | $1,818,168 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,927,542 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$25,111 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,692 | OtherExpendituresAmt |
| End Year Balance | $1,886,739 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,952,322 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$9,372 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $15,408 | OtherExpendituresAmt |
| End Year Balance | $1,927,542 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $313,844 | BeginningYearBalanceAmt |
| Contributions | $1,491,112 | ContributionsAmt |
| Investment Earnings Or Losses | $162,332 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,966 | OtherExpendituresAmt |
| End Year Balance | $1,952,322 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.04000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.96000 | 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 | $230,633 | OtherCostOrOtherBasisAmt |
| Book Value | $230,633 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,911,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,483,100 | DepreciationAmt |
| Book Value | $5,427,973 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,427,896 | OtherCostOrOtherBasisAmt |
| Depreciation | $955,517 | DepreciationAmt |
| Book Value | $472,379 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,776,961 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,192,004 | DepreciationAmt |
| Book Value | $7,584,957 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,721,989 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,199,461 | DepreciationAmt |
| Book Value | $522,528 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,238,470 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Held Under Trust Indenture | $95,293 |
| Beneficial Interest in Perpetual Trusts | $768,812 |
| Board Designated Other | $4,986,857 |
| Interest in Net Assets Held at NLH Found | $2,626,362 |
| Permanently Donor Restricted Funds | $5,000 |
| Right-of-Use Operating Lease Assets | $1,680,265 |
| Temporarily Donor Restricted Funds | $94,176 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,256,765 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Amounts due to Related Org | $7,478,226 |
| Deferred Compensation | $4,566,634 |
| Lease Obligation-Finance Lease | $15,378 |
| Lease Obligation-Operting Lease | $1,936,682 |
| Reserve for Asset Disposal Costs | $250,591 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,247,511 | 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 the organization's exempt purpose. |
| Part X : FIN48 Footnote | Northern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying 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 the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| 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 | 1717 | PersonsServedCnt |
| Total Community Benefit Expns | $163,285 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $163,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 27916 | PersonsServedCnt |
| Total Community Benefit Expns | $12,276,380 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,003,255 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,273,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 29633 | PersonsServedCnt |
| Total Community Benefit Expns | $12,439,665 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,003,255 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,436,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 31898 | PersonsServedCnt |
| Total Community Benefit Expns | $583,634 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $583,634 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 45 | PersonsServedCnt |
| Total Community Benefit Expns | $58,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $35,830 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,830 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 31943 | PersonsServedCnt |
| Total Community Benefit Expns | $677,494 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $677,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00860 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 61576 | PersonsServedCnt |
| Total Community Benefit Expns | $13,117,159 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,003,255 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,113,904 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09070 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $12,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $12,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,367,444 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $9,904,599 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,426,836 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,522,237 | 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 Inland Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Kennedy Memorial Drive | AddressLine1Txt |
| City | Waterville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | northernlighthealth.org/Inland | WebsiteAddressTxt |
| State License | State lic #38139 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| 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 Inland Hospital | 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 | 19 | 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 | 19 | 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 Inland Hospital - 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 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted 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 October 18, 2018 or December 6, 2018 Kennebec 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 Kennebec County CHNA report, pages 27-29): Alcom LLC, Anthem, Inc., Backyard Farms, Bath Iron Works/General Dynamics, Central Public Health District, City of Waterville, Cives Steel Company, CM Almy, Colby College, Community Member, Cross Benefit Solutions, Daniel Hanley Center for Health Leadership, Family Violence Project, Friends of Quarry Road, G&E Roofing Company, Inc., Healthy Communities of the Capital Area, Healthy Northern Kennebec, HealthReach Community Health Centers, HUB International New England, LLC, Huhtamaki, Jennifer Kierstead Consulting, Inc., Kennebec Behavioral Health, Kennebec Valley Community Action Program, Maine CDC, MaineGeneral Health, MaineGeneral Medical Center, MaineGeneral Prevention & Healthy Living Drug Overdose Prevention Program, MaineGeneral Workplace Health, Maine Oral Health Coalition, Maine Public Health Association, Maine Veterans' Homes, Mastering Worksite Wellness, MaineGeneral Employee Assistance Program, Mid Maine Homeless Shelter & Services, Northern Light Acadia Hospital, Northern Light Health, Northern Light Inland Hospital, Peachey Builders, Retired community member, Sappi North America, Sharon Lee, Writer, Spectrum Generations, Steve Miller, Writer, Summit Natural Gas of Maine, The Maine Children's Home for Little Wanderers, United Way of Mid-Maine, University of Maine system, Winslow Baptist Church, Winslow Township School District.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group of in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. |
| Facility: Northern Light Inland Hospital - 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. |
| Facility: Northern Light Inland Hospital - Part V, Section B, Line 11 | The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Inland 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 Inland 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 Inland Hospital identified four priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Physical activity, nutrition, weightActions taken by Inland Hospital to address this priority in FY21: Northern Light Inland Hospital focused on the evidence-based Lets Go! program, which promotes healthy eating and active living to reduce childhood obesity rates. The hospitals Lets Go! coordinator met in-person or virtually with Lets Go! site champions from schools and childcare centers. Sites were primarily supported virtually, through emailing or virtual meeting platforms. The main focus of this year was to continue building relationships with these sites and be available for support through the year as they navigated challenges with COVID-19 while trying to implement Lets Go! 5210 strategies encouraging individuals to consume five fruits or vegetables per day, two hours or less of recreational screen time, one hour of physical activity every day, and zero sugary beverages. The coordinator worked with site champions and other engaged staff to develop action plans for their various schools/early childcare programs/school nutrition programs for the year, with plans aimed at increasing physical activity and nutritious choices. The coordinator assisted in keeping the sites accountable by following up on their goals and offering persistent communication and support.Mental healthActions taken by Inland Hospital to address this priority in FY21: Northern Light Inland Hospitals Community Wellness coordinator worked to develop a behavioral health program for a local school district, to address topics of anxiety, suicide prevention, bullying, and resiliency. They partnered with Northern Light Acadia Hospital and Acadia associate vice president of Pediatric Services to facilitate a behavioral health program for 25 staff at the Maine Arts Academy in Sidney on April 30, 2021. The program addressed stressors for students, staff, and caregivers related to the COVID-19 pandemic. The staff who attended the presentation were provided tools and strategies for self-care and supporting the 201 students at the high school.Substance useActions taken by Inland Hospital to address this priority in FY21: Northern Light Inland Hospital aimed to recruit and train MAT prescribers at the hospitals primary care sites. They were able to maintain seven MAT trained providers at the beginning of FY21 despite COVID-19 challenges but had to adapt and focused on developing provider engagement strategies to involve more providers in MAT, resulting in a net of five MAT trained providers at the end of FY21.Social determinants of healthActions taken by Inland Hospital to address this priority in FY21: Northern Light Inland Hospital engaged 18 healthcare partner sites throughout the year to conduct a two-question screening for food insecurity at patient intake using the hospitals Cerner medical record platform. They aimed to expand this outreach from 12 partner sites in FY20, as food insecurity continues to be a major challenge to the Waterville area community. The COVID-19 pandemic caused an increased awareness in food insecurity in this community as well. Early in FY21, Inland Hospital partnered with the Good Shepherd Food Bank and the USDA Farmers to Families Food Box program to host a drive-up food pantry event. Community members could drive up and food supplies were put directly into their vehicle. 1,150 boxes of free food were distributed.Additional information related to actions taken by Northern Light Inland Hospital on the above priorities can be found in their FY21 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Inland 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, Inland 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, the establishment of walk-in care (bridging the gap between primary care and emergency room visits), 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. Older Adult Health/Healthy Aging - We decided not to focus on this priority because it is already a focus of another health system in our community, as well as several local agencies, such as Spectrum Generations. |
| Facility: Northern Light Inland Hospital - Part V, Section B, Line 13h | Income Level |
| Facility: Northern Light Inland Hospital - Part V, Section B, Line 16j | Response for 7a (list URL) is https://northernlighthealth.org/Inland-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Inland-Hospital under "Pay My Bill". |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Northern Light Cardiovascular Care | ||||
| 244 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Primary Care | ||||
| 80 Main Street | Unity | ME | 04988 | Medical Office Building - Physician Service |
| Northern Light Primary Care | ||||
| 74 Water Street | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Northern Light Neurology | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Womens Health | ||||
| 180 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Primary Care | ||||
| 16 Concourse West | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Primary Care | ||||
| 344 Lakewood Road | Madison | ME | 04950 | Medical Office Building - Physician Service |
| Northern Light Primary Care | ||||
| 246 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Endocrinology and Diabetes Care | ||||
| 180 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Rheumatology | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Orthopedics | ||||
| 25 First Park Drive Suite C | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Northern Light Surgery | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Podiatry | ||||
| 25 First Park Drive Suite D | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Northern Light Gastroenterology | ||||
| 180 Kennedy Memorial Drive Suite 30 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Womens Imaging | ||||
| 244 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Wound Care | ||||
| 25 First Park Drive Suite C | Oakland | ME | 04963 | Medical Office Building - Physician Service |
| Northern Light Imaging | ||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Osteopathic Care | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Rehabilitation | ||||
| 180 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Rehabilitation | ||||
| 80 Main Street | Unity | ME | 04988 | Medical Office Building - Physician Service |
| Northern Light Rehabilitation | ||||
| 244 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Sleep Diagnostics | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Cardiovascular Diagnostics | ||||
| 244 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Cardiovascular Rehabilitation | ||||
| 244 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Rehabilitation | ||||
| 366 Lakewood Road | Madison | ME | 04950 | Medical Office Building - Physician Service |
| Northern Light Infusion Care | ||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Nothern Light Inland Hospital Laboratory | ||||
| 200 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Physiatry | ||||
| 180 Kennedy Memorial Drive Suite 10 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Urology | ||||
| 180 Kennedy Memorial Drive Suite 20 | Waterville | ME | 04901 | Medical Office Building - Physician Service |
| Northern Light Walk-in Care | ||||
| 174 Kennedy Memorial Drive | Waterville | ME | 04901 | Medical Office Building - Physician Service |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The Northern Light Inland 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 17 to 20 - Revenue Recognition and Patient 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 Inland 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 Kennebec County, Waterville, Maine, Northern Light Inland 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 Inlands primary service area include, Albion, Belgrade Lakes, Belgrade, Burnham, Clinton, Fairfield, Freedom, Jackman, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Towns representing Inlands secondary service area include, Anson, Athens, Augusta, Bingham, Canaan, Caratunk, Coopers Mills, Farmingdale, Gardiner, Hallowell, Harmony, Jefferson, Madison, Manchester, Mount Vernon, New Portland, Norridgewock, North Anson, Randolph, Readfield, Skowhegan, Solon, West Forks, Whitefield, Windsor, and Winthrop.Kennebec Countys demographic and social determinants of health data are provided below for Inland Hospital based on the hospitals physical location in Kennebec County.Kennebec County - Demographic Data: American Indian/Alaskan Native 0.6% (685), Asian 0.8% (1,006), Black/African American 0.9% (1,139), Hispanic 1.4% (1,730), Some other race 0.4% (476), Two or more races 1.4% (1,658), White 95.9% (115,938). Total county population 120,953.Kennebec County Social Determinants of Health Data: Median household income $48,570, Unemployment rate 3.7%, Individuals living in poverty 14.6%, Children living in poverty 20.3%, 65+ living alone 46.1%, People living in rural areas 62.8%, Food insecurity 14.7%.Other hospitals serving the Northern Light Inland Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Inland Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Inland Hospitals service area as having a total of 17 medically underserved population/areas. |
| Part VI, Line 4 - Community Building Activities | Northern Light Inland Hospital gets involved and gives back to our community to improve quality of life in Greater Waterville its how we help fulfill our community service mission to improve the health of the people and communities we serve. Whether its sponsoring scholarships to the local colleges, supporting physical activity and nutrition initiatives in our local schools, funding local public transportation, or supporting a cultural or economic development effort, Northern Light Inland Hospital is proud to support and collaborate with groups that foster health and well-being. While the COVID-19 pandemic impacted our abilities in 2021, we still found ways to engage and support the communities we serve through board memberships and committee work, community benefit donations, and school connections. |
| Part VI, Line 5 - Promotion of Community Health | Northern Light Inland Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Health Education: Lets Go - Mini grants for enrolled schools and childcare programs; Rural Health Clinic Vaccine Confidence Program - Improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas.Social and Environmental Improvement Activities: JTG - Support the provision of on-site food, food security resources, and transportation vouchers to primary care patients at NLHAt Northern Light Inland Hospital, we strive to live up to our non-profit mission every day by caring for community members who otherwise would have limited access to quality healthcare. Besides providing charity care and financial assistance, we believe we can also affect the health of the communities we serve beyond the walls of our hospital and medical practices. We agree with the World Health Organization which states, Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. We have a vision to be a responsible corporate citizen whose actions can impact our communitys overall well-being through commitments to priority issues. A hospital task force considered priority issues from the Community Health Needs Assessment and other data, and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An Implementation Strategy was developed and consisted of actions the hospital took to address the health need. Programs/resources the hospital committed to address the health need were identified along with planned collaborations with other area organizations. Northern Light Inland Hospital focused on four key areas: Physical Activity, nutrition, weight; Mental health; Substance abuse; Social determinants of health.In addition to efforts led by Northern Light Inland Hospital and our collaborating partners on the issues above through our Community Health Strategy, resources such as in-kind staff time and community benefit funding were dedicated to the following secondary issues:-Domestic Violence-Homelessness-Economic development-Education-Cultural supportNorthern Light Inland Hospital's 2021 Community Wellness initiatives included:a)We continued to dedicate Community Wellness Coordinator staff time to provide Lets Go! technical support to local schools, after-schools, and childcare sites. Lets Go! is an evidence-based childhood obesity prevention program that focuses on promoting good nutrition, physical activity, less screen time and more water consumption/less sugary drinks. b)We also utilized the Lets Go! program in the healthcare sector. Four out of Northern Light Inland Hospitals six Lets Go registered practices were recognized in 2019 for their efforts to curb childhood obesity in our patient populations. Components of the program include displaying posters with the 5210 healthy habits messages, tracking weight classification for patients ages 2-18, and using the Healthy Habits survey at all well-child visits to inspire respectful conversations around weight status and lifestyle behaviors. c)We continued to maintain the Inland Woods Trail on the hospital campus (created in 2010) with support from several local organizations. The trails were developed to create a lasting way to impact health, and give residents an easy, free resource for regular activity. The trails are used regularly by residents, hospital staff, and local schools for walking, biking, and snowshoeing. The trail head was enhanced by adding a family-friendly Little Free Library in 2017.d)We provided ongoing support for the Quarry Road Recreation Area to support event and youth program sponsorships, and in-kind contributions of staff volunteer hours and board participation. e)We employ a full-time Community Health Navigator to help patients connect to local resources that help them overcome barriers to good health, such as housing, medication support, transportation, food support, and health care access. A majority of Northern Light Inland Hospitals board of trustees is comprised of people who reside in our primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. Northern Light Inland Hospital extends medical staff privileges to qualified physicians in its community for some or all of its departments or specialties.The Northern Light Inland Hospital Foundation helps by raising funds for everything from capital expansion projects to residential activities to help offset normal operating expenses.Northern Light Inland Hospital utilizes surplus funds to support a medical simulation center on the hospital campus that is used for training of clinical staff. Examples of training include Advanced Cardiac Life Support, Neonatal Resuscitation Program, and Pediatric Advanced Life Support. Training is not limited to employees at Northern Light Inland Hospital - we also offer courses to local Emergency Medical Technicians and to clinicians at other hospitals in our region. Northern Light Inland Hospital invites men, women, and young adults to volunteer their time to further the hospital's mission. The pandemic impacted the amount of time volunteers from our community were allowed to volunteer and/or chose to participate. Some volunteers work in areas with direct contact with patients and families; others are involved in behind the scene activities, which enhance the care provided by the hospital.In 2021, Northern Light Inland and Northern Light Continuing Care, Lakewood employees engaged in our community by volunteering on local boards, committees and projects that helped contribute to a vital community. |
| Part VI, Line 6 - Affilated Health Care System | The 2019 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.Northern Light Inland Hospital has been part of Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH) since 1998. As part of EMHS, we conduct Shared Community Health Needs Assessment in collaboration with several member/affiliated hospitals and many public health and community organizations across eight Maine counties. |
| 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 (20 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY FILER SENIOR VPCFO | ||||||||||||
| Treasurer | $584,879 | $158,088 | $15,491 | $22,800 | $34,447 | $815,705 | ||||||
| CATHERINE KIMBALL DO | ||||||||||||
| CHF OF STAFF/EX | $266,897 | $10,506 | $16,736 | $13,805 | $12,597 | $320,541 | ||||||
| CHRIS FRAUENHOFER | ||||||||||||
| VP of FINANCE | $77,958 | $14,392 | $1,593 | $6,668 | $10,940 | $111,551 | $155,278 | $28,666 | $3,172 | $13,282 | $21,789 | $222,187 |
| DANIEL J BOOTH | ||||||||||||
| VP of Operation | $229,105 | $43,114 | $19,591 | $9,964 | $13,924 | $315,698 | ||||||
| DANIELLE P GAGNON | ||||||||||||
| Physician | $366,388 | $1,250 | $43,546 | $18,543 | $19,255 | $448,982 | ||||||
| GAVIN DUCKER | ||||||||||||
| Former VP, Med Affairs | $278,658 | $60,948 | $16,416 | $20,422 | $20,599 | $397,043 | ||||||
| GLENN MARTIN SVP Chief Legal | ||||||||||||
| Secretary | $443,589 | $165,077 | $43,124 | $88,916 | $23,581 | $764,287 | ||||||
| JAMES W DOUGLAS | ||||||||||||
| Reg Med Info Ofcr | $358,271 | $1,550 | $6,408 | $19,760 | $12,429 | $398,418 | ||||||
| JOHN M DALTON | ||||||||||||
| Former SVP & President | $58,448 | $66,033 | $119,899 | $4,748 | $1,092 | $250,220 | ||||||
| JULIA W KARLSSON | ||||||||||||
| Physician | $318,212 | $2,280 | $11,767 | $14,285 | $13,341 | $359,885 | ||||||
| MARK A KLEMPERER | ||||||||||||
| Physician | $308,118 | $1,300 | $15,286 | $12,527 | $19,821 | $357,052 | ||||||
| MARY MICHELLE HOOD | ||||||||||||
| Former NLH President & CEO | $277,407 | $322,590 | $10,317 | $7,819 | $618,133 | |||||||
| PAUL BOLIN | ||||||||||||
| SVP and CHRO | $365,022 | $59,878 | $35,078 | $71,686 | $35,028 | $566,692 | ||||||
| RANDY CLARK | ||||||||||||
| VP of FINANCE | $170,657 | $35,831 | $3,506 | $4,367 | $27,656 | $242,017 | $34,244 | $7,190 | $703 | $876 | $5,550 | $48,563 |
| ROBERT SCHLAGER MD | ||||||||||||
| VP, SENIOR PHYS | $148,688 | $34,226 | $15,596 | $4,169 | $6,576 | $209,255 | $121,654 | $28,004 | $12,760 | $3,411 | $5,380 | $171,209 |
| SIMON GIBBS | ||||||||||||
| Physician | $375,008 | $1,250 | $13,538 | $14,607 | $34,234 | $438,637 | ||||||
| TERESA VIEIRA | ||||||||||||
| Pres/Ex-Officio | $143,713 | $145,968 | $19,347 | $11,598 | $11,947 | $332,573 | $143,713 | $145,967 | $19,347 | $11,598 | $11,947 | $332,572 |
| TIM DENTRY NLH PRESIDENTCEO | ||||||||||||
| Ex-officio | $860,379 | $182,026 | $13,380 | $112,598 | $32,498 | $1,200,881 | ||||||
| WALTER RICK BARRY | ||||||||||||
| VP OF Nursing & | $247,732 | $42,839 | $11,760 | $15,417 | $11,173 | $328,921 | ||||||
| WILLIAM BRADFIELD MD | ||||||||||||
| Board Member | $397,983 | $12,686 | $9,729 | $17,938 | $32,592 | $470,928 | ||||||
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:Danielle Gagnon, hightest compensated employee $35,385The following received a wellness program incentive:Walter Barry, officer $ 390Daniel Booth, officer 30Danielle Gagnon, highest compensated employee 250 Catherine Kimball, board member 400Robert Schlager, officer 400The benefit is available for all employees.John Dalton, former trustee/officer, received a gift card of $5,015 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Maine Health and Higher Educational Facilities Authority | ||||||||
| A | 010314384 | 56042RQL9 | 2017-12-28 | $2,842,714 | To refund the 2007B Bond | false | false | Yes (true) |
| Maine Health and Higher E | ||||||||
| B | 010314384 | 5604273W4 | 2015-07-14 | $1,169,738 | To refund the 2006A Bond | false | false | Yes (true) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Working Capital ExpendituresWorkingCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $270,000 | $2,842,714 | $181,175 | $2,020,000 | $36,458 | $605,081 | 2017 | Yes (true) | false | Yes (true) | Yes (true) | |
| B | $335,000 | $1,169,738 | $92,638 | $660,000 | $25,336 | $391,482 | 2015 | false | Yes (true) | Yes (true) | Yes (true) | $282 |
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 | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | Yes (true) | |||
| B | false | false | false | false | false | Yes (true) | 0.00290 | 0.00290 | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | No Rebate DueNoRebateDueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| NA | ||||||
| A | false | Yes (true) | false | false | false | Yes (true) |
| NA | ||||||
| B | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | Part IV, Line 2c, Column A, date the rebate computation was performed-2/24/20Part IV, Line 2c, Column B, date the rebate computation was performed-9/4/20 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Provided healthcare services regardless of ability to pay as well as education and promotion of health. Provided $1,367,444 other uncompensated care (at cost).Northern Light Inland Hospital is a 48-bed facility that provides medical-surgical, and acute care. Northern Light Inland Hospital is a non-profit hospital, serving all who need care, regardless of ability to pay. Northern Light Inland Hospital also has outlying clinics in the region, allowing easier access for patients.Additional Statistics:Total Admissions 1,627Percent Occupancy of Available Beds 27%Emergency Room Visits 8,848Surgery Cases 2,447Services provided to those who could not pay $3,602,075 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President & CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care & Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in underserved populations vaccinated. As some Asian Americans show up, she speaks with them in their native language and offers assurances. She has a welcoming smile and charisma, which seems to make her a natural fit for this kind of work. "They couldn't ask for a better place to get vaccinated," explains Himm, "because they've got the nurses here that care so much about them. And then they've got their cultural brokersthe ones doing the translations, the community leaders standing right behind them and letting them know that they're going to be okay. What more can someone ask for?" Himm is not just offering lip service when she compliments the Northern Light Home Care & Hospice nurses doing the clinics. Both Akers and Robbins have been doing this kind of work for a long time with community partners and have earned praise for their compassion and sensitivity. "I feel so lucky in a way to be part of this journey. Doing these vaccines has just been such a gift," shares Akers.If you would like to learn more about the COVID-19 vaccine or get vaccinated, please visit https://covid.northernlighthealth.org/Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities."Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern Ma |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Michael Phillips, board member and Bryan Ward, board member/officer are employees of O'Donnell, Lee, & Phillips, LLC. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | Inland Hospital d/b/a Northern Light Inland 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 Inland Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. |
| Form 990, Part VI, 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 Inland Hospital(Inland) is employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH) and reports directly to the NLH Chief Executive Officer (CEO). 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 and Approval Process for Officers and Key Employees | Compensation 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. The compensation of officers and key employees are reviewed by the system CEO and Northern Light Inland Hospital's board of trustees.On an annual basis, the compensation ranges are compared to the updated survey information. The Human Resources department 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 Inland 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 Increases | Change in interest in nets assets held @ NLH Foundation = $50867 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Transfer from exempt subsidiary - NLH Foundation = $41759 |
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 affiliates | 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 Ste 400 | Brewer | ME | 04412 | 010391038 | Provide services to elderly | ME | 501(c)(3) | PF | false | EMHS | |
| Acadia Hospital Corp AHC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010459837 | Provide healthcare services | ME | 501(c)(3) | 3 | 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 AHI | |||||||||||
| 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 | |
| Lakewood | |||||||||||
| 220 Kennedy Memorial Drive | Waterville | ME | 04901 | 010421234 | Provide skilled and long-term nursing care | ME | 501(c)(3) | 3 | Yes (true) | Inland Hospital | |
| CA Dean Memorial Hospital | |||||||||||
| Pritham Avenue PO Box 1129 | Greenville | ME | 044411129 | 043341666 | Provide healthcare services | ME | 501(c)(3) | 3 | false | EMHS | |
| Sebasticook Valley Health SVH | |||||||||||
| 447 North Main Street | Pittsfield | ME | 04967 | 010263628 | 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 | |
| Beacon Health LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 452967056 | Accountable care organization | ME | 501(c)(3) | 12 Type II | 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 | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Provide home health and hospice services | ME | 501(c)(3) | 10 | false | EMHS | |
| Work Health LLC | |||||||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 474315094 | Provide healthcare services | ME | 501(c)(3) | 12 Type II | false | EMHS | |
| Maine Coast Regional Health Facilities d | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010198331 | Provide Healthcare Services | ME | 501(c)(3) | 3 | false | EMHS | |
| Maine Coast Medical Realty | |||||||||||
| 50 Union Street | Ellsworth | ME | 04605 | 010390918 | Lease medical facilities | ME | 501(c)(3) | 12 Type I | false | MCMH | |
| Northern Light Medical Transport | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 830911574 | Ambulance | ME | 501(c)(3) | 10 | 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 | |
| M Drug LLC | |||||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 272175482 | Pharmacy | ME | 501(c)(3) | 3 | false | EMMC | |
| 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 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alliance Health Documentation LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 43 Whiting Hill Road | AddressLine1Txt |
| City | Brewer | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04412 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462751855 | EIN |
| Primary Activities | Transcription | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
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 | Hlthcr mgmt | ME | AHS | C | false |
| Affiliated Laboratory Inc | |||||||||
| 43 Whiting Hill Road | Brewer | ME | 04412 | 010381283 | Clinicl 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 | Yes (true) | 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 | false | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lakewood | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | a | TransactionTypeTxt |
| Involved | $9,000 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |