EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0372148)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-03
IRS object ID: 202242159349300414
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-03T12:21:53-07:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010372148	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE AROOSTOOK MEDICAL CENTER	BusinessNameLine1Txt
Business Name Line2	NORTHERN LIGHT AR GOULD HOSPITAL	BusinessNameLine2Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 151	AddressLine1Txt
City	PRESQUE ISLE	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04769	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John J Doyle	PersonNm
Person Title	NLH VP of Finance	PersonTitleTxt
Signature	2022-08-03	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John J Doyle	PrincipalOfficerNm
Gross Receipts	$151,826,671	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	5247	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://northernlighthealth.org/A-R-Gould-Hos	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1219	TotalEmployeeCnt
Total Volunteers	170	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$639,055	PYContributionsGrantsAmt
CY Contributions Grants	$1,838,816	CYContributionsGrantsAmt
PY Program Service Revenue	$135,393,787	PYProgramServiceRevenueAmt
CY Program Service Revenue	$136,131,577	CYProgramServiceRevenueAmt
PY Investment Income	-$270,645	PYInvestmentIncomeAmt
CY Investment Income	$266,689	CYInvestmentIncomeAmt
PY Other Revenue	$12,663,101	PYOtherRevenueAmt
CY Other Revenue	$13,512,463	CYOtherRevenueAmt
PY Total Revenue	$148,425,298	PYTotalRevenueAmt
CY Total Revenue	$151,749,545	CYTotalRevenueAmt
PY Grants And Similar Paid	$12,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$87,971,622	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$89,818,151	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$60,735,503	PYOtherExpensesAmt
CY Other Expenses	$64,777,685	CYOtherExpensesAmt
PY Total Expenses	$148,719,125	PYTotalExpensesAmt
CY Total Expenses	$154,600,836	CYTotalExpensesAmt
PY Revenues Less Expenses	-$293,827	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,851,291	CYRevenuesLessExpensesAmt
Total Assets BOY	$90,259,120	TotalAssetsBOYAmt
Total Assets EOY	$82,703,031	TotalAssetsEOYAmt
Total Liabilities BOY	$66,232,141	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$60,665,459	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$24,026,979	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,037,572	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF THE AROOSTOOK MEDICAL CENTER D/B/A NORTHERN LIGHT A.R. GOULD HOSPITAL IS TO RESTORE, MAINTAIN, AND IMPROVE THE HEALTH OF OUR FRIENDS AND NEIGHBORS IN A COMPASSIONATE AND PROFESSIONAL ENVIRONMENT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$119,180,425	ExpenseAmt
Grant	$5,000	GrantAmt
Revenue	$149,595,054	RevenueAmt
Desc	PROVISION OF ACUTE & SUBACUTE HOSPITAL CARE RELATED TO OUTPATIENT CLINICS AND HEALTH CARE SERVICES. SERVED 10,471 INPATIENT PATIENT DAYS, 15,643 LONG TERM CARE PATIENT DAYS, AND 334,437 OUTPATIENT VISITS. PROVIDED SERVICES REGARDLESS OF ABILITY TO PAY AS WELL AS EDUCATION AND PROMOTION OF HEALTH. PROVIDED OTHER UNCOMPENSATED CARE (AT COST) OF $2,060,914	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,538,474	ExpenseAmt
Desc	MEDICARE SHORTFALLS (AT COST). 63,273 PERSONS SERVED	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,505,889	ExpenseAmt
Desc	MEDICAID SHORTFALLS (AT COST). 39,256 PERSONS SERVED	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$219,809	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$138,444,597	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	52	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1219	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
TIM DENTRY NLH PRESIDENT
Ex-Officio	1.00	50.00	Yes (X)	Yes (X)	$0	$1,055,785	$145,096
ALAN MAUTZ
Trustee	50.00	0.00	Yes (X)		$873,609	$0	$47,863
ANTHONY FILER SVP CFO
Treasurer	1.00	50.00		Yes (X)	$0	$758,458	$57,247
GLENN MARTIN SVP CHIEF LEGAL
Secretary	1.00	50.00		Yes (X)	$0	$651,790	$112,497
FARID ZAYED
Physician	40.00	0.00			$667,406	$0	$33,702
ARG WB
Physician	40.00	0.00			$643,705	$0	$26,664
MARY MICHELLE HOOD
FORMER NLH PRESIDENT & CEO	1.00	50.00			$0	$599,997	$18,136
RICHARD DEBOWSKY
Physician	40.00	0.00			$548,770	$0	$37,757
KRISTINA MANION
Physician	40.00	0.00			$538,772	$0	$29,933
DAVID HORNE
Physician	40.00	0.00			$534,600	$0	$16,236
DAVID A WEED
FORMER PRESIDENT OF MEDICAL STAFF	50.00	0.00			$518,661	$0	$28,239
GREGORY LAFRANCOIS PRES
Ex-Officio	50.00	0.00	Yes (X)	Yes (X)	$451,809	$0	$74,453
JAY REYNOLDS MD
VP Senior Physi	50.00	0.00		Yes (X)	$384,730	$0	$44,624
MAURA KELLY
VP Finance Svcs	50.00	0.00		Yes (X)	$330,115	$0	$34,389
ROGER PELLI DO
VP, CMIO	50.00	0.00		Yes (X)	$306,748	$0	$17,418
C BRUCE SANDSTROM
Former VP of Finance	0.00	50.00			$0	$277,668	$13,120
DARYL BOUCHER
VP Operations	50.00	0.00		Yes (X)	$231,687	$0	$25,097
YOOSUF SIDDIQUI
VP HR/Emply Exp	50.00	0.00		Yes (X)	$191,455	$0	$47,853
JORGE PINEIRO MD
Trustee	50.00	0.00	Yes (X)		$223,499	$0	$15,158
GLENDA E DWYER
FORMER SVP-CLINICAL OPERATIONS	0.00	50.00			$0	$194,488	$17,769
RICHARD DUNCAN
Trustee/Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
CAROL BELL
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
HOLLY JOHNSON
Trustee/V Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN HERWEH
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
JANE TOWLE
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
SCOTT VIOLETTE
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
STEVE ST PIERRE
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
DEBORAH ROARK
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
BRYAN THOMPSON
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
MARK WILCOX
Trustee	1.00	0.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,445,566	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,538,186	TotReportableCompRltdOrgAmt
Total Other Compensation	$843,251	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	119	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SIMPLIFI
5020 NORTHSHORE DRIVE	NORTH LITTLE ROCK	AR	72118	TEMPORARY STAFFING	$2,768,703
EMERGENCY PHYSICIAN ASSOCIATES
PO BOX 634850	CINCINNATI	OH	452634850	PHYSICIAN STAFFING	$1,044,991
INSIGHT HEALTH CORP
5775 WAYZATA BLVD STE 400	ST LOUIS PARK	MN	55416	DIAGNOSTIC SERVICES	$643,720
WEATHERBY HEALTHCARE
PO BOX 972633	DALLAS	TX	753972633	LOCUMS COVERAGE	$621,600
DAHL CHASE DIAGNOSTICS SERVICES
417 STATE STREET	BANGOR	ME	04401	DIAGNOSTICS SERVICES	$609,409

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
Related Organizations	$311,864	RelatedOrganizationsAmt
Government Grants	$1,412,106	GovernmentGrantsAmt
All Other Contributions	$114,846	AllOtherContributionsAmt
Noncash Contributions	$17,171	NoncashContributionsAmt
Total Contributions	$1,838,816	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$507,878	$507,878
Net Patient Care Services	621990	$135,623,699		$135,623,699

Field	Value	IRS element (for citing)
Total Program Service Revenue	$136,131,577	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$268,923	TotalRevenueColumnAmt
Exclusion	$268,923	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$11,006	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$14,469	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$3,463	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,463	TotalRevenueColumnAmt
Exclusion	-$3,463	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$23,448	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$25,682	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$2,234	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,234	TotalRevenueColumnAmt
Exclusion	-$2,234	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$89,424	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$36,975	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,449	TotalRevenueColumnAmt
Exclusion	$52,449	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	340B Revenue	Desc
Business	621990	BusinessCd
Total Revenue Column	$13,463,477	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,463,477	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,463,477	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,749,545	TotalRevenueColumnAmt
Related Or Exempt Func Income	$149,087,176	RelatedOrExemptFuncIncomeAmt
Exclusion	$823,553	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,300,507	TotalAmt
Program Services	$2,170,433	ProgramServicesAmt
Management And General	$1,130,074	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,826,824	TotalAmt
Program Services	$65,983,899	ProgramServicesAmt
Management And General	$3,842,925	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,173,358	TotalAmt
Program Services	$2,055,684	ProgramServicesAmt
Management And General	$117,674	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,127,319	TotalAmt
Program Services	$9,570,856	ProgramServicesAmt
Management And General	$556,463	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,390,143	TotalAmt
Program Services	$4,152,443	ProgramServicesAmt
Management And General	$237,700	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$333	TotalAmt
Program Services	$333	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,681	TotalAmt
Management And General	$20,681	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,041,811	TotalAmt
Program Services	$12,698,043	ProgramServicesAmt
Management And General	$7,343,768	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,851	TotalAmt
Program Services	$32,851	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,066,096	TotalAmt
Program Services	$2,333,456	ProgramServicesAmt
Management And General	$732,640	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,684,238	TotalAmt
Program Services	$3,484,256	ProgramServicesAmt
Management And General	$199,982	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,201,362	TotalAmt
Program Services	$2,636,982	ProgramServicesAmt
Management And General	$564,380	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$259,113	TotalAmt
Program Services	$246,305	ProgramServicesAmt
Management And General	$12,808	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$217,776	TotalAmt
Program Services	$212,456	ProgramServicesAmt
Management And General	$5,320	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$839,186	TotalAmt
Program Services	$689,208	ProgramServicesAmt
Management And General	$149,978	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,463,168	TotalAmt
Program Services	$2,844,834	ProgramServicesAmt
Management And General	$618,334	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,411,709	TotalAmt
Program Services	$1,335,274	ProgramServicesAmt
Management And General	$76,435	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies Expense	$23,131,105	$23,131,105
Taxes & Licensing	$2,904,753	$2,901,256	$3,497
Repairs & Maintenance	$2,054,665	$1,555,149	$499,516
Dues & Subscriptions	$209,090	$206,075	$3,015

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$239,748	TotalAmt
Program Services	$198,699	ProgramServicesAmt
Management And General	$41,049	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$154,600,836	TotalAmt
Program Services	$138,444,597	ProgramServicesAmt
Management And General	$16,156,239	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,781,811	BOYAmt
EOY	$2,891,175	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,617,475	BOYAmt
EOY	$31,782,635	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$832,555	BOYAmt
EOY	$885,570	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,058,074	BOYAmt
EOY	$2,200,671	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$301,784	BOYAmt
EOY	$243,722	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$99,313,267	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$69,669,877	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$30,207,551	BOYAmt
EOY	$29,643,390	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$12,459,870	BOYAmt
EOY	$15,055,868	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$90,259,120	BOYAmt
EOY	$82,703,031	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,843,458	BOYAmt
EOY	$19,873,201	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$15,839,986	BOYAmt
EOY	$12,684,042	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,548,697	BOYAmt
EOY	$28,108,216	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,232,141	BOYAmt
EOY	$60,665,459	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,135,436	BOYAmt
EOY	$15,284,649	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,891,543	BOYAmt
EOY	$6,752,923	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,026,979	BOYAmt
EOY	$22,037,572	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,259,120	BOYAmt
EOY	$82,703,031	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,851,291	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$861,884	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,672	OtherActivitiesAmt
Total Lobbying Expenditures	$14,672	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	Non-deductible portion of dues.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,393,717	BeginningYearBalanceAmt
Contributions	$5,571	ContributionsAmt
Investment Earnings Or Losses	$998,131	InvestmentEarningsOrLossesAmt
Other Expenditures	$190,818	OtherExpendituresAmt
End Year Balance	$6,206,601	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,599,565	BeginningYearBalanceAmt
Contributions	$2,872	ContributionsAmt
Investment Earnings Or Losses	$18,518	InvestmentEarningsOrLossesAmt
Other Expenditures	$227,238	OtherExpendituresAmt
End Year Balance	$5,393,717	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,090,471	BeginningYearBalanceAmt
Contributions	$200	ContributionsAmt
Investment Earnings Or Losses	$120,021	InvestmentEarningsOrLossesAmt
Other Expenditures	$611,127	OtherExpendituresAmt
End Year Balance	$5,599,565	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,941,700	BeginningYearBalanceAmt
Contributions	$3,201,633	ContributionsAmt
Investment Earnings Or Losses	-$601	InvestmentEarningsOrLossesAmt
Other Expenditures	$52,260	OtherExpendituresAmt
End Year Balance	$6,090,472	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,203,458	BeginningYearBalanceAmt
Investment Earnings Or Losses	$365,752	InvestmentEarningsOrLossesAmt
Other Expenditures	$609,560	OtherExpendituresAmt
Administrative Expenses	$17,950	AdministrativeExpensesAmt
End Year Balance	$2,941,700	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00050	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.99950	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$218,198	OtherCostOrOtherBasisAmt
Book Value	$218,198	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,711,638	OtherCostOrOtherBasisAmt
Depreciation	$30,969,196	DepreciationAmt
Book Value	$12,742,442	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,253,263	OtherCostOrOtherBasisAmt
Depreciation	$2,687,598	DepreciationAmt
Book Value	$565,665	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,899,630	OtherCostOrOtherBasisAmt
Depreciation	$33,534,438	DepreciationAmt
Book Value	$15,365,192	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,230,538	OtherCostOrOtherBasisAmt
Depreciation	$2,478,645	DepreciationAmt
Book Value	$751,893	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$29,643,390	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Assets whose use is limited	$73,616
Board Designated Other	$7,450,915
Investments in County Physical Therapy	$352,512
Other Assets	$87,430
Permanently Donor Restricted Funds	$2,733,017
Right-of-Use Operating Lease Assets	$338,471
Temporarily Donor Restricted Funds	$4,019,907

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,055,868	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Amounts due to Related Org	$19,903,950
Reserve for Asset Disposal Costs	$253,564
Reserve for Retiree Health Benefits	$7,447,784
Right-of-Use Finance Lease Liability	$164,835
Right-of-Use Operating Lease Liability	$338,083

Field	Value	IRS element (for citing)
Total Liability	$28,108,216	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

Endowment Funds are designated for purposes that align within this organization's exempt purpose.

Part X : FIN48 Footnote

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	274	PersonsServedCnt
Total Community Benefit Expns	$219,809	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$219,809	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	39256	PersonsServedCnt
Total Community Benefit Expns	$23,502,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,996,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,505,890	NetCommunityBenefitExpnsAmt
Total Expense	0.03560	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	39530	PersonsServedCnt
Total Community Benefit Expns	$23,722,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,996,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,725,699	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	29	PersonsServedCnt
Total Community Benefit Expns	$828,908	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$828,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,132,744	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,132,744	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	29	PersonsServedCnt
Total Community Benefit Expns	$1,966,652	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,966,652	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	39559	PersonsServedCnt
Total Community Benefit Expns	$25,689,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,996,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,692,351	NetCommunityBenefitExpnsAmt
Total Expense	0.04970	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$378	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$378	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$378	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$378	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,060,914	BadDebtExpenseAmt
Reimbursed By Medicare	$33,106,035	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$46,644,509	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,538,474	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY PHYSICAL THERAPY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT PHYSICAL THERAPY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Light AR Gould Hospit	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	140 Academy Street	AddressLine1Txt
City	Presque Isle	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04769	ZIPCd

Field	Value	IRS element (for citing)
Website Address	northernlighthealth.org/A-R-Go	WebsiteAddressTxt
State License	37937	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Light AR Gould Hospit	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Line 16j for URL	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V, Line 16j for URL	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Line 16j for URL	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.0000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Line 16j for URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Line 16j for URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Line 16j for URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 5	The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 17, 2018, Aroostook 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 Aroostook County CHNA report, pages 27-28): Aroostook Agency on Aging, Aroostook County Action Program, Aroostook County Health Network/Pines Health Services, Aroostook Mental Health Center, Aroostook Public Health District, Aroostook Substance Abuse Prevention, Cary Medical Center, Community Member, E.D. Bells, Fiddlehead Focus, Fish River Rural Health, Greater Fort Kent Chamber of Commerce, Health Services Foundation, Hope and Justice Project, Houlton Family Practice and Pain Clinic, Houlton-Pediatrics-Houlton Regional Hospital, Houlton Regional Hospital, Houlton Regional Hospital and Link for Hope, Katahdin Valley Health Center, Kristen Wells Consulting, Life by Design, Maine CDC, Maine CDC Public Health Nursing, MSAD #27, Northern Light Health, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light AR Gould Hospital, Northern Light Home Care & Hospice, Northern Maine Community College, Northern Maine Medical Center, Power of Prevention, Presque Isle Star-Herald, St. John Valley Pediatrics, Seniors Achieving Greater Education, The Northern Lighthouse, Inc., United Way of Aroostook, University of Maine Cooperative Extension.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 AR Gould Hospit - Part V, Section B, Line 6a	The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital.
Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 11	The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light AR Gould 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 Northern Light AR Gould 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 AR Gould Hospital identified four priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospital participated in the Social Determinants of Health (SDOH) 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 Health 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, which will ensure patient demographics and health history are documented in a consistent fashion across all Northern Light Health 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 (SVI) and developing recommendations for implementation of a social care network platform (Aunt Bertha). These additional Cerner functions are slated to go live in fiscal year 2022 and will provide Northern Light Health 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 the Northern Lights Quality Council and will be responsible for developing, implementing, monitoring, and evaluating the effectiveness of Northern Light Health systems implementation of SDOH screening and intervention.Substance useActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospitals Community Health and Volunteer Coordinator, Dawn Roberts, continued to increase partnerships with community-based substance use prevention efforts by attending meetings of local coalitions and continuing to make connections. Some of the 17 partnerships include: Aroostook County Action Programs (ACAP) Drug Free Aroostook Coalition, MicMac Drug Task Force, Aroostook District Coordinating Council, Aroostook Mental Health Centers (AMHC), HRSA RCORP Planning Consortium, Aroostook County Collaborative and Health Service Advisory Committee (please see the list below for additional partnerships). Each of these groups brings several participants from different backgrounds to the table with information around what is happening, services that are available, and opportunities for collaboration. These partnerships also explore the gaps in services that exist in Aroostook County. AR Gould Hospital participated in several events that were related to substance use prevention, these included; The Great American Smoke Out, Walk with a Doc program, Party at the Pad Celebrations (Tobacco Prevention), Smoking Cessation Classes, Promotion of Naloxone Training classes, Air out Tobaccos Dirty Laundry (Easton Recreation Center), Drug Take Back Days, Gold Star Standards of Excellence Program (Platinum Award), New Year - New You!- Smoking Cessation information Display, Dont host handouts, Quarterly Prevention Booklets, DFA signage- You Matter, Community Needs Assessment Planning, and a local Health Fair. We partnered with AMHC by resourcing one of our providers, trained to prescribe Medication-Assisted Treatment, one day a week in the AMHC Caribou office and we are now offering Medication-Assisted Treatment in our Emergency Department. This is an operational effort, and a contracted, paid for service.Access to careActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospital worked to increase the number of educational opportunities in the community. While the traditional methods of spreading information such as health fairs were not an option due to COVID, we were able to find ways to engage the community regarding colorectal cancer information. We developed a video about colonoscopies with a general surgeon with a special interest in colorectal health, and played it in all primary care locations. We also updated and distributed an educational brochure on Colorectal Cancer, handed out the brochure at our drive through flu shot clinics, displayed posters in primary care wait rooms in the Fort Fairfield Clinic, featured a Medical Monday segment on colorectal exams with a Colorectal Surgeon, ran a press release in the local paper about the Maine Cancer Foundation (MCF) Colorectal Grant award containing information on why and how to get tested, sent information cards to our Healthy Aging group and attended one health fair at ACME Monaco where we provided information for employees. Through these methods we were able to reach over 76,000 people with colorectal cancer education. Physical activity, nutrition, and weightActions taken by AR Gould Hospital to address this priority in FY21:Northern Light AR Gould Hospital provided 31 programs focused on increasing access to and availability of physical activity and nutrition opportunities in our community. This number is short of our anticipated goal of 43, several planned activities were unfortunately postponed due to COVID outbreaks and restrictions. Fortunately, the programs that were offered featured a wide array of opportunities for people of all ages and abilities to attend. Using different mediums to engage participants we were able to reach our target audience. Methodologies employed included: educational cards mailed, in person events, Facebook Contests/posts, handouts and other types of mailings encouraging people who may not have felt comfortable joining a group in person to participate within their own circle and benefiting from some type of physical activity or nutrition activity that we provided.In FY21, Northern Light AR Gould Hospital, provided 31 programs focused on increasing access to and availability of physical activity and nutrition opportunities in our community. Some of these programs included: 6- Walk with a Doc Events, 2- Hikes, 8- Cooking classes, 2- Party at the Splash Pad events, 2- bike rodeo/safety events and many more activities designed to engage our community in physical activity and nutrition opportunities. Through different mediums we were able to engage participants in order to reach our target audience resulting in over 73,000 individuals being exposed to programming and messaging. While we came up short on the target goal of 43, the opportunities that the programming offered provided outstanding information for people of all ages and activity levels to create new and healthy habits for the future. Additional information related to actions taken by Northern Light AR Gould 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 AR Gould 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, AR Gould Hospital is currently poised to focus only on the highest priorities at this time. A few priorities not selected, due to a variety of reasons are listed below: Mental Health - The Aroostook Mental Health Center takes the lead on mental health services in Aroostook County and therefore, Northern Light AR Gould Hospital will continue to collaborate with them in the future as needed. In addition, we have developed a formal service
Facility: Northern Light AR Gould Hospit - Part V, Section B, Line 16j	Response for 7a (list url) is https://northernlighthealth.org/A-R-Gould-HospitalResponse for 7b (list url) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10 (list url) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/A-R-Gould-Hospital under "Pay My Bill"

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NORTHERN LIGHT SURGERY
146 ACADEMY STREET STE 1A	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT PRIMARY CARE
23 NORTH STREET STE 4	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT OBGYN
140 ACADEMY STREET STE 4	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT PEDIATRICS
23 NORTH STREET STE 1	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT SLEEP DIAGNOSTICS
140 ACADEMY STREET STE 3	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT CANCER CARE
140 ACADEMY STREET	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT DIALYSIS
23 NORTH STREET SUITE 5	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT CONTINUING CARE
15 HIGHLAND AVENUE	MARS HILL	ME	04758	NURSING HOME, OUTPATIENT CLINIC
NORTHERN LIGHT PRIMARY CARE
23 HIGH STREET	FORT FAIRFIELD	ME	04742	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT OUTPATIENT SPECIALTY CLINICS
146 ACADEMY STREET SUITE 1B	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT WALK-IN CARE
23 NORTH STREET STE 2	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT HEART AND LUNG
146 ACADEMY STREET STE 11	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT UROLOGY
140 ACADEMY STREET STE 5	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT PRIMARY CARE
118 BENNETT DRIVE STE 130	CARIBOU	ME	04736	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT PRIMARY CARE
106 MAIN STREET	MARS HILL	ME	04758	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT WOMENS HEALTH
140 ACADEMY STREET STE 6	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT EYE CARE
146 ACADEMY STREET SUITE D	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT MEDICAL TRANSPORT & EMERGENCY CARE
140 ACADEMY STREET	PRESQUE ISLE	ME	04769	AMBULANCE SERVICE
NORTHERN LIGHT ORTHOPEDICS
140 ACADEMY STREET SUITE 10	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT SLEEP DIAGNOSTICS
140 ACADEMY STREET SUITE 2	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC
NORTHERN LIGHT EARS NOSE and THROAT CARE
140 ACADEMY STREET SUITE 12	PRESQUE ISLE	ME	04769	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	Northern Light AR Gould Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing Methodology	Ratio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The costing methology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt Expense	Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 17 to 20 - Revenue Recognition and Patient Accounts Receivable section.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light AR Gould Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	Northern Light Health Financial Counselors screen patients for federal, state or government programs. Brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary
Part VI, Line 4 - Community Information	Located in Aroostook County, Presque Isle, Maine, Northern Light AR Gould 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 most 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 AR Gould Hospitals primary service area include Ashland, Blaine, Bridgewater, Central Aroostook County, Easton, Fort Fairfield, Mapleton, Mars Hill, Oxbow, Portage, Presque Isle, Washburn, Westfield. Towns representing AR Goulds secondary service area include Caribou, Limestone, New Sweden, Perham, Stockholm, Van Buren.Aroostook Countys demographic and social determinants of health data are provided below for AR Gould Hospital based on the hospitals physical location in Aroostook County.Aroostook County - Demographic Data: American Indian/Alaskan Native 1.88% (1,275), Asian 0.5% (318), Black/African American 1.01% (682), Hispanic 1.1% (736), Some other race 0.14% (96), Two or more races 1.55% (1,053), White 94.93% (64,373). Total county population 67,809.Aroostook County Social Determinants of Health Data: Median household income $41,123, Unemployment rate 5.4%, Individuals living in poverty 15.3%, Children living in poverty 18.3%, 65+ living alone 47.7%, People living in rural areas 80.3%, Food insecurity 15.4%.Other hospitals serving the AR Gould Hospital community: Based on the State of Maines definition of hospital service area, Northern Light AR Gould Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated AR Gould Hospitals service area as having a total of 11 medically underserved areas/populations.
Part VI, Line 4 - Community Building Activities	There are two programs that we are using to help with workforce development: The Job Shadow Program and The Volunteering Program. The Job Shadow Program is designed for any person over the age of 14, they can come and spend time in any career field within the hospital, this is observational only. Volunteering brings a student into the setting to see first-hand what the career is all about and has resulted in 3 job placements in 2021. We have been collaborating with a local college and all local high schools to encourage students to take advantage of these opportunities. These programs are designed to help with Northern Light AR Goulds expanding / building workforce development initiative with young adults by allowing them to explore different areas of healthcare before making a lifelong commitment.
Part VI, Line 5 - Promotion of Community Health	Northern Light AR Gould Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Based Clinical Services: Maine Cancer Foundation Increasing cancer screenings In FY21, Northern Light AR Gould Hospital continued their work with the Maine Cancer Foundation Colorectal screening Grant to increase the communitys awareness about the benefits and the different types of colorectal screenings, availability and demystifying fears that surround these tests by providing posters in all outpatient clinics, letters sent to uninsured patients, informational videos on hospital monitors, newspaper ads, information provided to flu shot recipients and television interviews with a Colorectal Surgeon. AR Gould focused on screenings within primary care offices with the use of updated materials and resources. We also have updated our Colorectal Cancer information flyers and provided them to all our outpatient clinics. In FY21, Northern Light AR Gould Hospital was able to achieve our goals to increase the number of colorectal cancer educational opportunities by using many different techniques. Due to COVID 19 in person activities were limited. In all we provided 10 educational opportunities to the community that reached over 76,000 people. Collaboration is imperative in Aroostook County as Northern Light AR Gould Hospital works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, Northern Light AR Gould Hospital has partnered with each of the Countys hospitals, the local Community Action Program, the local Agency on Aging, municipal recreation departments, school departments, The United Way of Aroostook, local colleges and several other organizations to bring a variety of programs to the community. From promoting physical activity, identifying those with food insecurity challenges, providing education about chronic disease management, working on cutting smoking rates and providing education about opioid use, Northern Light AR Gould Hospital has helped positively affect the lives of thousands of residents in Northern Maine across the age spectrum. Northern Light AR Gould Hospital was able to provide 1241 flu vaccines to the community in the fall 2021 and opened a Walk in Clinic Extension for COVID testing and vaccination extending access to care for Aroostook County citizens.
Part VI, Line 6 - Affilated Health Care System	The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.Northern Light AR Gould Hospital is a member of Northern Light Health. Northern Light Health includes ten hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. Northern Light Health has a proven record of quality outcomes, cost reduction, and highly engaged patients. The Northern Light Health statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home. Promotion of health is a major priority for Northern Light Health. Northern Light Health leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. Northern Light Health coordinates several state-wide wellness initiatives. All hospitals are engaged around specific initiatives related to combatting opioid abuse and food insecurity.*Please reference line 11 of part V for further information.
Part VI, Line 7 - States Filing of Community Benefit Report	N/A

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
ALAN MAUTZ
Trustee	$508,226	$362,928	$2,455	$13,481	$34,382	$921,472
ANTHONY FILER SVP CFO
Treasurer							$584,879	$158,088	$15,491	$22,800	$34,447	$815,705
ARG WB
Physician	$639,717	$1,250	$2,738	$5,700	$20,964	$670,369
C BRUCE SANDSTROM
Former VP of Finance							$189,593	$43,562	$44,513	$3,538	$9,582	$290,788
DARYL BOUCHER
VP Operations	$197,573	$32,913	$1,201	$12,827	$12,270	$256,784
DAVID A WEED
FORMER PRESIDENT OF MEDICAL STAFF	$500,024	$1,250	$17,387	$15,675	$12,564	$546,900
DAVID HORNE
Physician	$510,115	$3,668	$20,817	$15,675	$561	$550,836
FARID ZAYED
Physician	$628,165	$15,722	$23,519		$33,702	$701,108
GLENDA E DWYER
FORMER SVP-CLINICAL OPERATIONS							$174,690	$16,875	$2,923	$10,757	$7,012	$212,257
GLENN MARTIN SVP CHIEF LEGAL
Secretary							$443,589	$165,077	$43,124	$88,916	$23,581	$764,287
GREGORY LAFRANCOIS PRES
Ex-Officio	$339,489	$88,632	$23,688	$70,794	$3,659	$526,262
JAY REYNOLDS MD
VP Senior Physi	$301,925	$60,284	$22,521	$15,326	$29,298	$429,354
JORGE PINEIRO MD
Trustee	$221,406	$1,250	$843	$12,349	$2,809	$238,657
KRISTINA MANION
Physician	$517,658	$1,042	$20,072		$29,933	$568,705
MARY MICHELLE HOOD
FORMER NLH PRESIDENT & CEO							$277,407		$322,590	$10,317	$7,819	$618,133
MAURA KELLY
VP Finance Svcs	$252,668	$50,165	$27,282	$22,371	$12,018	$364,504
RICHARD DEBOWSKY
Physician	$516,819	$1,250	$30,701	$16,076	$21,681	$586,527
ROGER PELLI DO
VP, CMIO	$275,224	$6,250	$25,274	$15,675	$1,743	$324,166
TIM DENTRY NLH PRESIDENT
Ex-Officio							$860,379	$182,026	$13,380	$112,598	$32,498	$1,200,881
YOOSUF SIDDIQUI
VP HR/Emply Exp	$156,998	$31,674	$2,783	$14,186	$33,667	$239,308

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	The following received a wellness program incentive:Daryl Boucher, officer $ 25Alan Mautz, director 400 The benefit is available for all employees.The following received a giftcard:Daryl Boucher, officer $15ARG WB, highest compensated employee 30Richard Debowsky, highest compensated employee 30David Horne, highest compensated employee 30Maura Kelly, officer 15Gregory Lafrancois, director/officer 15Kristina Manion, highest compensated employee 30Alan Mautz, director 22 Roger Pelli, officer 15Jorge Pineiro, director 15Jay Reynolds, officer 15David Weed, former director 22 Farid Zayed, highest compensated employee 15	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Danhong Zhao
fam mem=officer	$245,612	compensation	false
Rachael St Pierre
fam mem=brd mem	$55,171	compensation	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	Danhong Zhao is a family member of a board member/officer and is an employee of Northern Light AR Gould.Rachael St. Pierre is a family member of a board member and is an employee of Northern Light AR Gould.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: CHARITY CARE PROVIDED (AT COST). 274 PERSONS SERVED OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President & CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care & Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in under-served 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/ OTHER PROGRAM SERVICES 6: Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities."Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern 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 that's a sign of rudeness," Ngozi explains. She now understands that generally, eye contact is important in western culture. Ngoz
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Carol Bell, board member and Bryan Thompson, board member are board members of Maine Community Foundation and Jane Towle, board member is board member of Northern Maine Community College Foundation.Deborah Roark, board member is board member/treasurer of University of Maine Presque Isle Foundation. Jay Reynolds, officer and Bryan Thompson, board member are board members of University of Maine Presque Isle Foundation.John Herweh, board member and Yoosuf Siddiqui, officer are board members of Maine School of Science & Mathematics
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The Aroostook Medical Center d/b/a Northern Light A.R. Gould Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review Process	Form 990 is reviewed by the VP of Finance of Northern Light A.R. Gould Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The SVP, President of Northern Light A.R. Gould 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 meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and A.R. Gould Executive & Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The Aroostook Medical Center d/b/a Northern Light A.R. Gould makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases	Net Change in Funds Held at NLH Foundation = $861884

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
EASTERN MAINE HEALTHCARE SYSTEMS EMHS
43 WHITING HILL ROAD	BREWER	ME	04412	010527066	SUPPORTING ORGANIZATION FOR HEALTHCARE AFFILIATES	ME	501(c)(3)	12 TYPE II	N/A	false
EASTERN MAINE HEALTHCARE REAL ESTATE
43 WHITING HILL ROAD	BREWER	ME	04412	010391036	LEASES REAL ESTATE	ME	501(c)(2)			false	EMHS
ACADIA HOSPITAL CORP AHC
43 WHITING HILL ROAD	BREWER	ME	04412	010459837	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
ACADIA HEALTHCARE INC AHI
43 WHITING HILL ROAD	BREWER	ME	04412	223183888	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	10		false	AHC
EASTERN MAINE MEDICAL CENTER EMMC
PO BOX 404 489 STATE STREET	BANGOR	ME	044020404	010211501	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
EASTERN MAINE MEDICAL CENTER AUXILIARY
43 WHITING HILL ROAD	BREWER	ME	04412	010377901	FUND RAISING FOR EXEMPT EASTERN MAINE MEDICAL CENTER	ME	501(c)(3)	10		false	EMMC
NORTHERN LIGHT HEALTH FOUNDATION
43 WHITING HILL ROAD STE 400	BREWER	ME	04412	222514163	RAISE AND MANAGE FUNDS FOR EXEMPT ORGANIZATIONS	ME	501(c)(3)	12 TYPE II		false	EMHS
ROSSCARE
43 WHITING HILL ROAD STE 400	BREWER	ME	04412	010391038	PROVIDE SERVICES TO ELDERLY	ME	501(c)(3)	PF		false	EMHS
INLAND HOSPITAL
200 KENNEDY MEMORIAL DRIVE	WATERVILLE	ME	04901	010217211	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
LAKEWOOD
220 KENNEDY MEMORIAL DRIVE	WATERVILLE	ME	04901	010421234	PROVIDE SKILLED AND LONG-TERM NURSING CARE	ME	501(c)(3)	3		false	INLAND HOSPITAL
CA DEAN MEMORIAL HOSP
PRITHAM AVENUE PO BOX 1129	GREENVILLE	ME	044411129	043341666	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
BLUE HILL MEMORIAL HOSPITAL
57 WATER STREET	BLUE HILL	ME	046145231	010227195	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
SEBASTICOOK VALLEY HEALTH SVH
447 NORTH MAIN STREET	PITTSFIELD	ME	04967	010263628	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
MERCY HOSPITAL
175 Fore River Parkway	Portland	ME	04102	010211534	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
VNA Home Health & Hospice
50 Foden Road	South Portland	ME	04106	010246804	PROVIDE HOME HEALTH AND HOSPICE SERVICES	ME	501(c)(3)	10		false	EMHS
WORKHEALTH LLC
43 WHITING HILL ROAD	BREWER	ME	04412	474315094	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	12 TYPE II		false	EMHS
MAINE COAST REGIONAL HEALTH FACILITIES
50 UNION STREET	ELLSWORTH	ME	04605	010198331	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
MAINE COAST MEDICAL REALTY
50 UNION STREET	ELLSWORTH	ME	04605	010390918	LEASE MEDICAL FACILITIES	ME	501(c)(3)	12 TYPE I		false	MCH
LTC LLC
43 WHITING HILL ROAD	BREWER	ME	04412	010211501	OPERATION OF NURSING HOMES	ME	501(c)(3)	3		false	EMMC
BEACON HEALTH LLC
43 WHITING HILL ROAD	BREWER	ME	04412	452967056	ACCOUNTABLE CARE ORGANIZATION	ME	501(c)(3)	12 Type II		false	EMHS
BEACON RURAL HEALTH LLC
43 WHITING HILL ROAD	BREWER	ME	04412	474483187	ACCOUNTABLE CARE ORGANIZATION	ME	501(c)(3)	12 Type II		false	EMHS
BEACON HEALTH ACO HOLDINGS LLC
43 WHITING HILL ROAD	BREWER	ME	04412	364903784	ACCOUNTABLE CARE ORGANIZATION	ME	501(c)(3)	12 Type II		false	EMHS
NORTHERN LIGHT MEDICAL TRANSPORT
43 WHITING HILL ROAD	BREWER	ME	04412	830911574	AMBULANCE	ME	501(c)(3)	10		false	EMHS
MRH Corp dba Northern Light Mayo Hospita
897 W MAIN STREET	DOVERFOXCROFT	ME	04426	843689003	PROVIDE HEALTHCARE SERVICES	ME	501(c)(3)	3		false	EMHS
M DRUG LLC
43 WHITING HILL ROAD	BREWER	ME	04412	272175482	PHARMACY	ME	501(c)(3)	3		false	EMMC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ALLIANCE HEALTH DOCUMENTATION LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	43 WHITING HILL ROAD	AddressLine1Txt
City	BREWER	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04412	ZIPCd

Field	Value	IRS element (for citing)
EIN	462751855	EIN
Primary Activities	TRANSCRIPTION	PrimaryActivitiesTxt
Legal Domicile State	ME	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	AHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
AFFILIATED HEALTHCARE SYSTEMS AHS
43 WHITING HILL ROAD	BREWER	ME	04412	010385322	HOLDING CO.	ME	EMHS	C CORP	false
AFFILIATED HEALTHCARE MANAGEMENT
43 WHITING HILL ROAD	BREWER	ME	04412	010349339	HLTHCR MGMT	ME	AHS	C CORP	false
AFFILIATED LABORATORY INC
43 WHITING HILL ROAD	BREWER	ME	04412	010381283	CLINICAL LAB	ME	AHS	C CORP	false
BEACON DIRECT
43 WHITING HILL ROAD	BREWER	ME	04412	371864965	HEALTHCARE SELF-FUNDED TPA	ME	EMHS	C Corp	false

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