STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0263628)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-03
IRS object ID
202222159349301212
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-03T12:18:23-07:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010263628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sebasticook Valley HealthBusinessNameLine1Txt
Business Name Line2Northern Light Sebasticook Valley HospBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSEBABusinessNameControlTxt
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1447 North Main StreetAddressLine1Txt
CityPittsfieldCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04967ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Person TitleNLH VP Of FinancePersonTitleTxt
Signature2022-08-03SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohn JPersonFirstNm
Person LastDoylePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn J DoylePrincipalOfficerNm
Gross Receipts$56,997,621GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption5247GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://northernlighthealth.org/Sebasticook-VWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee389TotalEmployeeCnt
Total Volunteers83TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$400,390PYContributionsGrantsAmt
CY Contributions Grants$461,983CYContributionsGrantsAmt
PY Program Service Revenue$44,787,604PYProgramServiceRevenueAmt
CY Program Service Revenue$56,090,371CYProgramServiceRevenueAmt
PY Investment Income-$40,459PYInvestmentIncomeAmt
CY Investment Income$191,402CYInvestmentIncomeAmt
PY Other Revenue$8,222PYOtherRevenueAmt
CY Other Revenue$4,735CYOtherRevenueAmt
PY Total Revenue$45,155,757PYTotalRevenueAmt
CY Total Revenue$56,748,491CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,205,391PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,026,412CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,891,309PYOtherExpensesAmt
CY Other Expenses$21,680,184CYOtherExpensesAmt
PY Total Expenses$42,096,700PYTotalExpensesAmt
CY Total Expenses$46,706,596CYTotalExpensesAmt
PY Revenues Less Expenses$3,059,057PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,041,895CYRevenuesLessExpensesAmt
Total Assets BOY$59,669,249TotalAssetsBOYAmt
Total Assets EOY$62,811,701TotalAssetsEOYAmt
Total Liabilities BOY$24,111,700TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,083,253TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,557,549NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$45,728,448NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$38,642,705ExpenseAmt
Revenue$56,090,371RevenueAmt
DescSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (SVH) is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2021 fiscal year, SVH provided free care of $244,971 and recorded $3,069,244 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 9,466. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:IP Admissions of 982Patient Days 5,036Emergency Room Visits 9,466Surgical Cases 744Outpatient visits 78,727Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,498,040ExpenseAmt
DescMedicare Shortfalls (at cost) 22,730 persons servedDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$108,975ExpenseAmt
DescCharity Care provided (at cost) 919 persons servedDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$40,249,720TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee389EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RdAddressLine1Txt
CityBrewerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04412ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Tim Dentry NLH PresidentCEO
Trustee0.5050.00Yes (X)Yes (X)$0$1,055,785$145,096
Anthony Filer
Treasurer0.5050.00Yes (X)$0$758,458$57,247
Glenn Martin
Secretary0.5050.00Yes (X)$0$651,790$112,497
Teresa P Vieira
Ex-officio25.0025.00Yes (X)Yes (X)$309,028$309,027$47,090
Mary Michelle Hood
Former NLH Presiden & CEO0.5050.00$0$599,997$18,136
Paul Bolin
SVP & CHRO0.5050.00Yes (X)$0$459,978$106,714
Michael Lemieux
Cardiologist40.000.00$431,914$0$21,815
Robert Schlager MD
VP, Senior Phys22.0018.00Yes (X)$198,510$162,418$19,536
James Fullwood
Physician40.000.00$322,916$0$35,685
John Cedric Baker
Physician40.000.00$284,111$0$38,439
Randall Clark
VP of Finance27.0013.00Yes (X)$209,994$42,137$38,449
Reynaldo A Arceo
Physician40.000.00$237,668$0$35,241
Tracy Bonney-Corson
VP, Nursing & P40.000.00Yes (X)$214,423$0$20,892
Phillip B Amidon
Gastroenterologist40.000.00$211,306$0$7,455
Emily Cianchette
Ex-Officio40.000.00Yes (X)$141,206$0$36,671
Paul R Arsenault
VP, Prim Care &40.000.00Yes (X)$156,060$0$16,860
Alicia J Nichols
Trustee0.500.00Yes (X)$0$0$0
Jeremy West DC
Trustee0.500.00Yes (X)$0$0$0
Stacey Fitts
Trustee0.500.00Yes (X)$0$0$0
Stephen George
Chairman0.500.00Yes (X)Yes (X)$0$0$0
Charlie Cianchette
Trustee0.500.00Yes (X)$0$0$0
Nanette Ardry
Trustee0.500.00Yes (X)$0$0$0
Linda Woolley
Vice Chair0.500.00Yes (X)Yes (X)$0$0$0
Andrew Gibson
Trustee0.500.00Yes (X)$0$0$0
Robin Chase
Trustee0.500.00Yes (X)$0$0$0
Jeremy Boutot
Trustee0.500.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,717,136TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,039,590TotReportableCompRltdOrgAmt
Total Other Compensation$757,823TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Emergency Physician Associates Inc
PO Box 634850CincinnatiOH45263Purchase Services$1,554,101
Nurse Anesthesia of Maine
141 N Main StBrewerME04412Clinical Services$896,866
Insight Health Corp
5775 Wayzata Blvd SE 400St Louis ParkMN55416Purchase Service$397,980
Three Rivers Orthopaedics
167 Livermore Falls RoadFarmingtonME04938Contract Labor$140,325
Simplifi
5020 Northshore Drive Suite 2North Little RockAR72118Contract Labor$127,298
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$75,516RelatedOrganizationsAmt
Government Grants$235,893GovernmentGrantsAmt
All Other Contributions$150,574AllOtherContributionsAmt
Noncash Contributions$13,135NoncashContributionsAmt
Total Contributions$461,983TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$60,759$60,759
Net Patient Care Services621990$56,029,612$56,029,612
FieldValueIRS element (for citing)
Total Program Service Revenue$56,090,371TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,059TotalRevenueColumnAmt
Exclusion$4,059ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$20,141RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$15,406RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,735RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,735TotalRevenueColumnAmt
Exclusion$4,735ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$421,067OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$233,724OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$187,343OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$187,343TotalRevenueColumnAmt
Exclusion$187,343ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,748,491TotalRevenueColumnAmt
Related Or Exempt Func Income$56,029,612RelatedOrExemptFuncIncomeAmt
Exclusion$256,896ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,369,957TotalAmt
Program Services$795,367ProgramServicesAmt
Management And General$574,590ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,038,678TotalAmt
Program Services$18,165,870ProgramServicesAmt
Management And General$872,808ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$371,126TotalAmt
Program Services$351,930ProgramServicesAmt
Management And General$19,196ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,037,221TotalAmt
Program Services$2,909,882ProgramServicesAmt
Management And General$127,339ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,209,430TotalAmt
Program Services$1,130,518ProgramServicesAmt
Management And General$78,912ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$376TotalAmt
Program Services$376ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,929TotalAmt
Management And General$7,929ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,329,235TotalAmt
Program Services$5,571,013ProgramServicesAmt
Management And General$3,758,222ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$133,625TotalAmt
Program Services$133,625ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,160,199TotalAmt
Program Services$818,112ProgramServicesAmt
Management And General$342,087ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,716,478TotalAmt
Program Services$1,625,139ProgramServicesAmt
Management And General$91,339ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,140,706TotalAmt
Program Services$906,405ProgramServicesAmt
Management And General$234,301ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$77,571TotalAmt
Program Services$76,376ProgramServicesAmt
Management And General$1,195ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$65,186TotalAmt
Program Services$64,630ProgramServicesAmt
Management And General$556ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$180,881TotalAmt
Program Services$180,881ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,185,522TotalAmt
Program Services$937,071ProgramServicesAmt
Management And General$248,451ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,078,959TotalAmt
Program Services$1,023,151ProgramServicesAmt
Management And General$55,808ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$3,956,928$3,956,928
Taxes & Licenses$889,463$889,202$261
Maintenance & Repair$633,048$591,255$41,793
Dues & Subscriptions$70,963$69,973$990

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$53,115TotalAmt
Program Services$52,016ProgramServicesAmt
Management And General$1,099ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,706,596TotalAmt
Program Services$40,249,720ProgramServicesAmt
Management And General$6,456,876ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,189,925BOYAmt
EOY$4,157,929EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,618,125BOYAmt
EOY$32,308,165EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,602BOYAmt
EOY$17,728EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,441,201BOYAmt
EOY$7,156,889EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,633BOYAmt
EOY$5,632EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$268,158BOYAmt
EOY$260,559EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$206,950BOYAmt
EOY$203,795EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,193,269LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,468,346LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,208,363BOYAmt
EOY$16,724,923EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$169,809BOYAmt
EOY$67,741EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,557,483BOYAmt
EOY$1,908,340EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,669,249BOYAmt
EOY$62,811,701EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,012,042BOYAmt
EOY$7,303,768EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,254,335BOYAmt
EOY$4,349,217EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,375,600BOYAmt
EOY$4,667,061EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$469,723BOYAmt
EOY$763,207EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,111,700BOYAmt
EOY$17,083,253EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,870,471BOYAmt
EOY$44,913,691EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$687,078BOYAmt
EOY$814,757EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,557,549BOYAmt
EOY$45,728,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,669,249BOYAmt
EOY$62,811,701EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,041,895ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$48,709NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$80,295OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,494OtherActivitiesAmt
Total Lobbying Expenditures$6,494TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationNON DEDUCTIBLE DUESExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$108,495BeginningYearBalanceAmt
Contributions$5,000ContributionsAmt
Investment Earnings Or Losses$2,179InvestmentEarningsOrLossesAmt
Other Expenditures$548OtherExpendituresAmt
End Year Balance$115,126EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.05000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.95000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,083,141OtherCostOrOtherBasisAmt
Depreciation$9,502,889DepreciationAmt
Book Value$13,580,252BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,950OtherCostOrOtherBasisAmt
Depreciation$76,509DepreciationAmt
Book Value$9,441BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,336,647OtherCostOrOtherBasisAmt
Depreciation$13,985,757DepreciationAmt
Book Value$2,350,890BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,337,260OtherCostOrOtherBasisAmt
Depreciation$903,191DepreciationAmt
Book Value$434,069BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,724,923TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Deferred Compensation$557,565
Lease Obligation-Finance Lease$57,161
Right-of-Use Operating Lease Liability$148,481
FieldValueIRS element (for citing)
Total Liability$763,207TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Endowment funds are designated for purposes that align within this organization's exempt purpose.
Part X : FIN48 FootnoteIncome TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served919PersonsServedCnt
Total Community Benefit Expns$108,975TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108,975NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served919PersonsServedCnt
Total Community Benefit Expns$108,975TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$108,975NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served1437PersonsServedCnt
Total Community Benefit Expns$237,842TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$400DirectOffsettingRevenueAmt
Net Community Benefit Expns$237,442NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served60PersonsServedCnt
Total Community Benefit Expns$138,599TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$225DirectOffsettingRevenueAmt
Net Community Benefit Expns$138,374NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$480TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$480NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served1497PersonsServedCnt
Total Community Benefit Expns$376,921TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$625DirectOffsettingRevenueAmt
Net Community Benefit Expns$376,296NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served2416PersonsServedCnt
Total Community Benefit Expns$485,896TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$625DirectOffsettingRevenueAmt
Net Community Benefit Expns$485,271NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served8PersonsServedCnt
Total Community Benefit Expns$86TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served8PersonsServedCnt
Total Community Benefit Expns$86TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,302,100BadDebtExpenseAmt
Reimbursed By Medicare$18,394,128ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,892,168CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,498,040MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northern Light Sebasticook ValBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1447 Main StreetAddressLine1Txt
CityPittsfieldCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04967ZIPCd
FieldValueIRS element (for citing)
Website Addressnorthernlight.org/sebasticook-WebsiteAddressTxt
State License38277StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northern Light Sebasticook ValBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Line 16j for URLOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Line 16j for URLOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Line 16j for URLStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.0000FPGFamilyIncmLmtDscntCarePct
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Line 16j for URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Line 16j for URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Line 16j for URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 5The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 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 17, 2018 Somerset County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Somerset County CHNA report, pages 23-25): All Saints Church, Central Public Health District, Community member, HealthReach Community Health Centers, Healthy SV, Kennebec Valley Community Action Program Child and Family Services, Local First Group, LLC, Main Street Skowhegan, Maine CDC, Maine Federation of Farmers' Markets, MaineGeneral Health, MaineGeneral Medical Center, MSAD #53, Maine State Legislature, District 107, New Balance, Northern Light Health, Northern Light Health Acadia Hospital, Northern Light Sebasticook Valley Hospital, Outdoor Sport Institute, Redington-Fairview General Hospital, RSU 54/MSAD 54, Skowhegan Area Chamber, Somerset Public Health, Spectrum Generations, State of Maine, Maine CDC, Office of Rural Health and Primary Care, United Way of Mid-Maine, Walgreens, Worksite Wellness Consultant.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 Sebasticook Val - Part V, Section B, Line 6aThe Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 11The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Sebasticook Valley Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Sebasticook Valley Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light Sebasticook Valley Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of health social needsActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital participated in the Northern Light Health Social Determinants of Health (SDOH) system workgroup, which met bi-weekly through November 2020. The workgroup suspended meetings after this date to accommodate new system-level SDOH efforts. In January 2021, Northern Light activated four critical path project teams to plan and operationalize a system approach to identifying patients with social health needs. These groups oversaw standardization of the Cerner Social History Tool in the medical record, which will ensure patient demographics and health history are documented in a consistent fashion across all Northern Light member hospitals. The existing Food Insecurity form in Cerner was then updated to include six additional evidence-based questions to assess patients housing status and safety, transportation, utilities, daily activities, and isolation. The updated screening form aligns with most of the recommendations developed by the SDOH workgroup members. Both the SDOH Screening form and the updated Social History Tool went live in Cerner on 5/18/21 and are now available for use. Additional efforts during this year included foundational work to operationalize the Social Vulnerability Index and developing recommendations for implementation of a social care network platform (called Aunt Bertha). These additional Cerner functions are slated to go live in fiscal year 2022 (FY22) and will provide Northern Light with enhanced ability to understand social needs by populations and geographic location and provide seamless patient referrals to community-based organizations for assistance with social needs. Moving forward, the SDOH workgroup will be re-established in FY22 as the SDOH Team and report to Northern Lights Quality Council and will be responsible for developing, implementing, monitoring, and evaluating the effectiveness of the systems implementation of SDOH screening and intervention.Substance useActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital partnered with the Pittsfield Police Department and HealthySV Coalition to host bi-annual prescription Drug Take Back day events. The hospital also partnered with HealthySV Coalition, Palmyra Baptist Soup Kitchen, Pittsfield Fire Department, Pittsfield Police Department, Good Shepherd Food Bank, Kennebec Valley Community Action Program, Greater Pittsfield Area Kiwanis Club, Pittsfield Elks Lodge, St. Albans Community Center, and Pittsfield Summer Concert Series to distribute prescription drug safety educational materials to community members in the Sebasticook Valley region. They also partnered with HealthySV Coalition, MSAD #53, Maine Central Institute, Pittsfield Police Department, local healthcare providers, local community action program, and RSU #19 to write and apply for a five-year Comprehensive Addiction and Recovery Act (CARA) Local Drug Crisis Grant to address and prevent youth opioid use and/or prescription drug misuse in the Sebasticook Valley region. The hospital and local community partners received the CARA Local Drug Crisis Grant funding to continue prevention work to address youth opioid use and/or prescription drug misuse. Sebasticook Valley Hospital coordinated a Drug Identification Training for local school staff members presented by Maine State Police Troop C. The hospital partnered with Northern Light Acadia Hospital to host virtual Stigma and Bias Training for providers and non-clinical staff at four primary care locations and one specialty care location to reduce stigma associated with treating patients with substance use disorder. Lastly, the hospital partnered with HealthySV Coalition to provide seven alternative activities for youth to promote drug-free living; provided rice socks to community members as an alternative to pain management; and hosted one puppet show for youth in the community to promote drug-free living.Social determinants of health food insecurityActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital doubled its goal of screening 14,000 patients with 28,422 patients screened. Part of the increase could be attributed to the continuing COVID-19 pandemic and growing social needs. Cerner, our medical record platform, now includes the food insecurity questions during patient intake. This likely had a positive impact in tracking the number of screenings conducted.Mental healthActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital partnered with Northern Light Acadia Hospital to present Acadia CARES (Child-Adolescent Resource and Education Series) to increase awareness of suicide prevention and mental health resources. Acadia Hospital also partnered with Sebasticook Valley Hospital and Cianbro to provide mental health awareness presentations to all Cianbro employees during their safety week. The Pittsfield hospital partnered with National Alliance of Mental Illness Maine to host mental health first aid training to community members and Maine Resilience Building Network to conduct two Adverse Childhood Experience trainings to local school department staff members. They partnered with HealthySV Coalition to distribute stress less kits to local school departments; promote mental health awareness through the distribution of academic calendars; hosted quarterly book clubs with local school department staff to enhance skills around mental health awareness; and partnered with Etna-Dixmont School to hand out grab-and-go crafts to local youth to promote mental health. The hospital partnered with Mr. Sean Presents to host mental health presentations to local youth about how to express emotions and cope with negative feelings. Lastly, they partnered with Kohls Grant and Maine Central Institute to host family game nights and develop talking points to increase awareness of mental health and improve familial bonds. In FY21, Sebasticook Valley Hospital continued to experience challenges due to the COVID-19 pandemic. They recognized how detrimental COVID-19 has been to local community members and discovered creative ways to address mental health concerns by creating socially distanced craft-and-go bags for youth and utilized virtual platforms to host educational presentations to increase mental health awareness.Older adult health/Healthy agingActions taken by Sebasticook Valley Hospital to address this priority in FY21:Northern Light Sebasticook Valley Hospital partnered with two primary care providers to increase patient education and raise awareness of palliative and end-of-life care. The primary care providers offered direct education to patients during visits and provided Advance Directives trainings for local registered nurses, care managers, physician assistants, and providers to increase their awareness of options and increase their comfort when talking to their patients about palliative care and end-of-life options.Additional information related to actions taken by Northern Light Sebasticook Valley 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 Sebasticook Valley Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Sebasticook Valley Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Access to Care - This identified health need is not bein
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 13hIncome Levels
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 16jResponse for 7a (list URL) is https://northernlighthealth.org/Sebasticook-Valley-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/Sebasticook-Valley-Hospital under "Pay My Bill"

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Northern Light Sleep Diagnostics
130 Leighton StreetPittsfieldME04967Outpatient Medical Facility
Northern Light Rehabilitation
118 Moosehead Trail Suite 3NewportME04953Outpatient Medical Facility
Northern Light Specialty Physicians
72 North RoadDetroitME04929Outpatient Medical Facility
Northern Light Primary Care
470 Somerset AvenuePittsfieldME04967Outpatient Medical Facility
Northern Light Primary Care
8 Main Street Suite ANewportME04953Outpatient Medical Facility
Northern Light Primary Care
1309 Main Street Unit 1ClintonME04927Outpatient Medical Facility
Northern Light Primary Care RHC
26 Main StNewportME04953Outpatient Medical Facility
Northern Light Rehabilitation
141 Leighton StreetPittsfieldME04967Outpatient Medical Facility

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportThe Northern Light Sebasticook Valley Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt ExpensePatient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 17 to 20 - Revenue Recognition and Patient Accounts Receivable section.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsAll account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Sebasticook Valley Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceNorthern 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 InformationLocated in Pittsfield, Maine, Northern Light Sebasticook Valley Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Sebasticook Valley Hospitals primary service area include: Corinna, Detroit, Hartland, Newport, Palmyra, Pittsfield, Plymouth, and Saint Albans.Towns representing Sebasticook Valley Hospitals secondary service area include: Albion, Belgrade, Belgrade Lakes, Burnham, Clinton, Dexter, Dixmont, Etna, Exeter, Fairfield, Freedom, Garland, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Somerset Countys demographic and social determinants of health data are provided below for Sebasticook Valley Hospital based on the hospitals physical location in Somerset County.Somerset County - Demographic Data: American Indian/Alaskan Native 0.4% (215), Asian 0.3% (161), Black/African American 0.5% (274), Hispanic 1.0% (507), Some other race 0.0% (23), Two or more races 1.8% (921), White 96.8% (49,743). Total county population 51,363.Somerset County Social Determinants of Health Data: Median household income $40,484, Unemployment rate 5.7%, Individuals living in poverty 18.0%, Children living in poverty 26.2%, 65+ living alone 46.7%, People living in rural areas 80.5%, Food insecurity 16.2%.Other hospitals serving the Northern Light Sebasticook Valley Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Sebasticook Valley Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Sebasticook Valley Hospitals service area as having a total of 7 medically underserved populations.
Part VI, Line 4 - Community Building ActivitiesNorthern Light Sebasticook Valley Hospital (SVH) is actively engaged with offering students the opportunity to learn about healthcare careers via hospital tours and job shadows. In collaboration with Maine Central Institute (high school in Pittsfield), eight students were scheduled to complete a 14- week class during which they would have class 1 day per week at the hospital; completing 3 job shadows, classroom training with providers, prepped and participated in a mock disaster and participate in a career exploration class. Due to the covid-19 pandemic, the students only completed the two 80- minute sessions on career development with the hospital education coordinator.
Part VI, Line 5 - Promotion of Community HealthNorthern Light Sebasticook Valley Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Health Education: Drug Free Community and CARA Local Drug Crisis grants Addressing substance abuse; 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.Health Care Support Services: Maine Cancer Foundation Grant - Support cancer patients by assisting with access to resourcesSocial and Environmental Improvement Activities: Kohls Cares - Support the development of school-based gardening/access to healthy foodCoalition Building: Rural Communities Opioid Response Program promote sustainability of the local consortium-led substance use effortsSVH full and part time employees and spouses are eligible to enroll in Virgin Pulse; an on-line wellness reward system program. Employees and spouses can earn up to $400.00 each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. SVH offered an Emergency Medical Technician (EMT) training course (Earn while you Learn). This six-week training course offered classroom and clinical experience. Candidates work alongside our dedicated EMS providers. Candidates were brought into the program as a 'Work to Grow' employee and be paid forty hours a week, which will compensate them for class and job shadow time. Upon successful completion of the program and obtaining a Maine EMT license, candidates will be hired to EMT. The SVH Health and Wellness Educator Coordinator was part of a Safe Return to Business panel, sponsored by Northern Light Health, on the topic of Worksite Wellness. The 1 hour Zoom conference was targeted to the business community. The presentation included information on Why a business would start a worksite wellness program, virtual wellness, feeding the body and soul and a covid-19 update. The presentations were followed by a Q & A session. Sixty-five people viewed the presentation on-line. The session is also available on-line www.https://northernlighthealth.org/Resources/Safe-Return-to-BusinessSVH hosted an ARC blood drive in August 2021 open to SVH employees and community members. Staff and volunteers recruit donors and staff provide help on the day of the drive. The drive resulted in 24 sign-ups and a collection of 16 units.The SVH education department offered Heartsaver First Aid and CPR/AED classes to community members and a Heartsaver Pediatric CPR/First Aid class to a local business. In addition, community members may also register for Healthcare Provider Basic Life Support (BLS) classes when space allows. In FY21, six community members attended this class.
Part VI, Line 6 - Affilated Health Care SystemThe 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.
Part VI, Line 7 - States Filing of Community Benefit ReportN/A

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Anthony Filer
Treasurer$584,879$158,088$15,491$22,800$34,447$815,705
Emily Cianchette
Ex-Officio$131,900$2,375$6,931$5,250$31,421$177,877
Glenn Martin
Secretary$443,589$165,077$43,124$88,916$23,581$764,287
James Fullwood
Physician$284,967$10,000$27,949$4,584$31,101$358,601
John Cedric Baker
Physician$278,083$1,875$4,153$9,758$28,681$322,550
Mary Michelle Hood
Former NLH Presiden & CEO$277,407$322,590$10,317$7,819$618,133
Michael Lemieux
Cardiologist$383,431$10,000$38,483$9,975$11,840$453,729
Paul Bolin
SVP & CHRO$365,022$59,878$35,078$71,686$35,028$566,692
Paul R Arsenault
VP, Prim Care &$128,611$25,414$2,035$5,506$11,354$172,920
Phillip B Amidon
Gastroenterologist$207,697$3,609$7,270$185$218,761
Randall Clark
VP of Finance$34,244$7,190$703$876$5,550$48,563$170,657$35,831$3,506$4,367$27,656$242,017
Reynaldo A Arceo
Physician$208,385$3,000$26,283$6,251$28,990$272,909
Robert Schlager MD
VP, Senior Phys$121,654$28,004$12,760$3,411$5,380$171,209$148,688$34,226$15,596$4,169$6,576$209,255
Teresa P Vieira
Ex-officio$143,713$145,967$19,347$11,598$11,947$332,572$143,713$145,968$19,347$11,598$11,947$332,573
Tim Dentry NLH PresidentCEO
Trustee$860,379$182,026$13,380$112,598$32,498$1,200,881
Tracy Bonney-Corson
VP, Nursing & P$152,515$30,081$31,827$1,114$19,778$235,315

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationThe following received tuition:Reynaldo Arceo, highest compensated employee $25,962James Fullwood, highest compensated employee 25,962 The following received a wellness program incentive:Paul R. Arsenault, officer $320 Emily Cianchette, board member 400Robert Schlager, officer 400 The benefit is available for all employees.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Finance Authority of ME
A0103920062013-01-17$6,000,000Constructionfalsefalsefalse
Finance Authority of ME
B0103920062013-01-17$2,025,000Constructionfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,827,984$6,000,000$6,000,0002013falsefalseYes (true)Yes (true)
B$1,498,694$2,025,000$2,025,0002013falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
NA
AfalsefalsefalseNAfalsefalse
NA
BfalsefalsefalseNAfalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Tracy Wing
fam mem=officer$67,105compensationfalse
Nancy Gibson
fam mem=brd mem$27,612compensationfalse
Jaime York
fam mem=brd mem$38,893compensationfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationTracy Wing is a family member of an officer and is an employee of Northern Light Sebasticook Valley Hospital.Nancy Gibson is a family member of a board member and is an employee of Northern Light Sebasticook Valley Hospital.Jaime York is a family member of a board member and is an employee of Northern Light Sebasticook Valley Hospital.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: 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 Health OTHER PROGRAM SERVICES 5: A 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." OTHER PROGRAM SERVICES 6: Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern Maine Medical Center in 2017, she had already worked as a nurse for several years in Nigeria. She had clinical experience and a nursing education but didn't know how steep the cultural curve would be. She remembers one particularly difficult exchange with a patient's wife who was mad at Ngozi because she wouldn't make constant eye contact with her or her husband. "In Nigeria, when you're talking to an elder, you're not supposed to look eye-to-eye because thats a sign of rudeness," Ngozi explains. She now understands that generally, eye contact is important in western culture. Ngozi was recruited to work at the medical center through
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"),also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach 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 ShareholdersThe 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 ProcessForm 990 is reviewed by the VP of Finance of Northern Light Sebasticook Valley Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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 ManagementThe SVP, President of Northern Light Sebasticook Valley Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meeting and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process - Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNorthern Light Sebasticook Valley Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other IncreasesChange in net assets held @ NLH Foundation = $80295

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412010527066Supporting organization for healthcareME501(c)(3)12 Type IIN/Afalse
Eastern Maine Medical Center EMMC
PO BOX 404 489 State StreetBangorME044020404010211501Provide Healthcare ServicesME501(c)(3)3falseEMHS
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412010391036Leases real estateME501(c)(2)falseEMHS
Rosscare
43 Whiting Hill RoadBrewerME04412010391038Provide services to elderlyME501(c)(3)PFfalseEMHS
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)10falseEMMC
Acadia Healthcare Inc
43 Whiting Hill RoadBrewerME04412223183888Provide Healthcare ServicesME501(c)(3)10falseAHC
Northern Light Health Foundation
43 Whiting Hill RoadBrewerME04412222514163Raise and manage funds for exempt organizationsME501(c)(3)12 Type IIfalseEMHS
Inland Hospital
200 Kennedy Memorial DriveWatervilleME04901010217211Provide Healthcare ServicesME501(c)(3)3falseEMHS
Lakewood
220 Kennedy Memorial DriveWatervilleME04901010421234Provide skilled and long-term nursing caME501(c)(3)3falseInland Hospital
CADean Memorial Hospital
Pritham Avenue PO Box 1129GreenvilleME044411129043341666Provide Healthcare ServicesME501(c)(3)3falseEMHS
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)3falseEMHS
Blue Hill Memorial Hospital
57 Water StreetBlue HillME046145231010227195Provide Healthcare ServicesME501(c)(3)3falseEMHS
Mercy Hospital
175 Fore River ParkwayPortlandME04102010211534Provide Healthcare ServicesME501(c)(3)3falseEMHS
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Provide Home Health & Hospice ServiceME501(c)(3)10falseEMHS
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide Healthcare ServicesME501(c)(3)3falseEMHS
WorkHealth LLC
43 Whiting Hill RoadBrewerME04412474315094Provide healthcare servicesME501(c)(3)12 Type IIfalseEMHS
Maine Coast Regional Health Fac dba MCMH
50 Union StreetEllsworthME04605010198331Provide Healthcare ServicesME501(c)(3)3falseEMHS
Maine Cost Medical Realty
50 Union StreetEllsworthME04605010390918Lease Medical FacilitiesME501(c)(3)12 Type IfalseMCH
Beacon Health LLC
43 Whiting Hill RoadBrewerME04412452967056Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
Beacon Rural Health LLC
43 Whiting Hill RoadBrewerME04412474483187Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
Beacon Health ACO Holdings LLC
43 Whiting Hill RoadBrewerME04412364903784Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
LTC LLC
43 Whiting Hill RoadBrewerME04412010211501Operation of nursing homesME501(c)(3)3falseEMMC
Northern Light Medical Transport
43 Whiting Hill RoadBrewerME04412830911574Ambulance servicesME501(c)(3)10falseEMHS
MRH Corp dba Northern Light Mayo Hospita
897 W Main StreetDoverFoxcroftME04426843689003Provide healthcare servicesME501(c)(3)3falseEMHS
M Drug LLC
43 Whiting Hill RoadBrewerME04412272175482PharmacyME501(c)(3)3falseEMMC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Alliance Health Documentation LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RoadAddressLine1Txt
CityBrewerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04412ZIPCd
FieldValueIRS element (for citing)
EIN462751855EIN
Primary ActivitiesTranscriptionPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Affiliated Healthcare Systems AHS
43 Whiting Hill RoadBrewerME04412010385322Holding Co.MEEMHSCfalse
Affiliated Healthcare Management
43 Whiting Hill RoadBrewerME04412010349339Healthcare ManagementMEAHSCfalse
Affiliated Laboratory Inc
43 Whiting Hill RoadBrewerME04412010381283Clinical LabMEAHSCfalse
Beacon Direct
43 Whiting Hill RoadBrewerME04412371864965Healthcare Self-funded TPAMEEMHSCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd