BLUE HILL MEMORIAL HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BLUE HILL MEMORIAL HOSPITAL INC (EIN 01-0227195)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-06
IRS object ID: 202102189349301305
Schema version: 2019v5.0
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-06T08:18:33-07:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010227195	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE HILL MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BLUE	BusinessNameControlTxt
Phone	2073742836	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	57 WATER STREET	AddressLine1Txt
City	BLUE HILL	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04614	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John J Doyle	PersonNm
Person Title	NLH VP of Finance	PersonTitleTxt
Signature	2021-08-06	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John Doyle	PrincipalOfficerNm
Gross Receipts	$40,471,758	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://northernlighthealth.org/Blue-Hill-Hos	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1924	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	334	TotalEmployeeCnt
Total Volunteers	23	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$407,229	PYContributionsGrantsAmt
CY Contributions Grants	$572,123	CYContributionsGrantsAmt
PY Program Service Revenue	$39,195,296	PYProgramServiceRevenueAmt
CY Program Service Revenue	$39,865,506	CYProgramServiceRevenueAmt
PY Investment Income	$11,758	PYInvestmentIncomeAmt
CY Investment Income	$23,936	CYInvestmentIncomeAmt
PY Other Revenue	$3,958	PYOtherRevenueAmt
CY Other Revenue	-$416	CYOtherRevenueAmt
PY Total Revenue	$39,618,241	PYTotalRevenueAmt
CY Total Revenue	$40,461,149	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,315,359	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,970,041	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,516,727	PYOtherExpensesAmt
CY Other Expenses	$14,627,872	CYOtherExpensesAmt
PY Total Expenses	$37,832,086	PYTotalExpensesAmt
CY Total Expenses	$37,597,913	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,786,155	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,863,236	CYRevenuesLessExpensesAmt
Total Assets BOY	$24,288,925	TotalAssetsBOYAmt
Total Assets EOY	$34,017,992	TotalAssetsEOYAmt
Total Liabilities BOY	$11,774,512	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,109,801	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$12,514,413	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$14,908,191	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill Hospital is dedicated to improving the health and wellness of our communities by providing primary and specialty health care of outstanding quality and caring for our patients with respect and compassion.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$30,379,446	ExpenseAmt
Revenue	$39,865,506	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,433,002	ExpenseAmt
Desc	Medicare shortfalls (at cost)18,019 persons served.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$102,561	ExpenseAmt
Desc	Charity care provided (at cost) 267 persons served.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$31,915,009	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	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	27	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	334	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 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
Mary M Hood NLH PresidentCEO
Ex-Officio	2.00	50.00	Yes (X)	Yes (X)	$0	$1,756,068	$48,356
Timothy Dentry NLH PresCEO
Ex-officio	2.00	50.00	Yes (X)	Yes (X)	$0	$730,643	$137,680
Anthony Filer
Treasurer	2.00	50.00		Yes (X)	$0	$745,697	$54,010
Surapaneni Ramanadha Rao
Surgeon	50.00	0.00			$716,521	$0	$36,184
Glenn Martin
Secretary	2.00	50.00		Yes (X)	$0	$613,309	$113,066
Paul Bolin
SVP & CHRO	2.00	50.00		Yes (X)	$0	$435,162	$96,820
John Ronan
SVP & President	25.00	25.00	Yes (X)	Yes (X)	$224,692	$224,691	$78,154
Richard Littlefield DO
Ex-officio	50.00	0.00	Yes (X)		$327,548	$0	$35,589
Mike Murnik MD
VP Senior Phys	50.00	0.00		Yes (X)	$297,215	$0	$50,157
Dennis Desilvey
Physician	50.00	0.00			$293,329	$0	$51,527
Wendy Merchant
VP of Finance	25.00	25.00		Yes (X)	$121,336	$121,336	$41,642
Charles J Zelnick
Physician	50.00	0.00			$233,989	$0	$40,484
Amy E Tan
Surgeon	50.00	0.00			$237,883	$0	$21,876
Kristin Cyr
VP Patient Care	25.00	25.00		Yes (X)	$114,610	$114,611	$22,588
Douglas MacGregor
Trustee Ex-offi	2.00	50.00	Yes (X)		$0	$207,503	$28,141
Lisa Billings-Lindsey DO
Chief of Staff	50.00	0.00	Yes (X)		$181,690	$0	$31,552
Stacey L Henner-Walden
Physician	50.00	0.00			$174,718	$0	$36,427
Kathy Lirakis
Former VP, CNO	0.00	25.00			$0	$133,830	$13,831
Arthur Manning DO
Ex-officio	2.00	50.00	Yes (X)		$0	$70,841	$3,950
Scott Hammond
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
Sally Hutchins
Trustee-Vice Ch	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Karen Stanley
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
Kevin Tesseo
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
Edward Clayton
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
Scott Gray
Chairman	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Scott Miller
Trustee	2.00	0.00	Yes (X)		$0	$0	$0
Joseph Gaetano
VP, Operations	50.00	0.00		Yes (X)	$0	$0	$0
Lori Jewett
VP, Operations	50.00	0.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,923,531	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,153,691	TotReportableCompRltdOrgAmt
Total Other Compensation	$942,034	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	24	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 (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Emergency Physician Associates Inc
PO Box 634850	Cincinnati	OH	452634850	Physician Fees	$2,018,032
Nurse Anesthesia of Maine
141 N Main Street	Brewer	ME	04412	CRNA Services	$453,266
Comphealth
PO Box 972651	Dallas	TX	753972651	Physician Fees	$151,758
Comforce
3492 Momentum Place	Chicago	IL	606895334	Consulting	$131,632

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Related Organizations	$111,587	RelatedOrganizationsAmt
Government Grants	$102,050	GovernmentGrantsAmt
All Other Contributions	$358,486	AllOtherContributionsAmt
Noncash Contributions	$4,053	NoncashContributionsAmt
Total Contributions	$572,123	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$106,349	$106,349
Exempt Affiliate Rental	532000	$5,500		$5,500
Net Patient Care Service	621990	$39,753,657		$39,753,657

Field	Value	IRS element (for citing)
Total Program Service Revenue	$39,865,506	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,329	TotalRevenueColumnAmt
Exclusion	$13,329	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	$13,100	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,516	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$416	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$416	TotalRevenueColumnAmt
Exclusion	-$416	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$7,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	-$2,907	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$10,607	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,607	TotalRevenueColumnAmt
Exclusion	$10,607	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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,461,149	TotalRevenueColumnAmt
Related Or Exempt Func Income	$39,759,157	RelatedOrExemptFuncIncomeAmt
Exclusion	$129,869	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,455,581	TotalAmt
Program Services	$1,049,655	ProgramServicesAmt
Management And General	$405,926	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	$16,795,319	TotalAmt
Program Services	$15,459,596	ProgramServicesAmt
Management And General	$1,335,723	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$971,360	TotalAmt
Program Services	$900,391	ProgramServicesAmt
Management And General	$70,969	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,787,325	TotalAmt
Program Services	$2,574,154	ProgramServicesAmt
Management And General	$213,171	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$960,456	TotalAmt
Program Services	$890,284	ProgramServicesAmt
Management And General	$70,172	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	$35	TotalAmt
Program Services	$35	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,250	TotalAmt
Management And General	$10,250	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	$6,046,822	TotalAmt
Program Services	$3,390,390	ProgramServicesAmt
Management And General	$2,656,432	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$75,052	TotalAmt
Program Services	$75,052	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$786,249	TotalAmt
Program Services	$512,668	ProgramServicesAmt
Management And General	$273,581	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,618,951	TotalAmt
Program Services	$1,501,190	ProgramServicesAmt
Management And General	$117,761	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$778,132	TotalAmt
Program Services	$585,819	ProgramServicesAmt
Management And General	$192,313	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$32,491	TotalAmt
Program Services	$27,482	ProgramServicesAmt
Management And General	$5,009	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	$22,187	TotalAmt
Program Services	$21,785	ProgramServicesAmt
Management And General	$402	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$78,827	TotalAmt
Program Services	$78,827	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$701,083	TotalAmt
Program Services	$518,801	ProgramServicesAmt
Management And General	$182,282	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$335,431	TotalAmt
Program Services	$310,924	ProgramServicesAmt
Management And General	$24,507	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$2,581,430	$2,581,430
Taxes and Licensing	$901,571	$898,000	$3,571
Repairs & Maintenance	$557,149	$442,026	$115,123
Dues & Subscriptions	$56,832	$52,680	$4,152

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,380	TotalAmt
Program Services	$43,820	ProgramServicesAmt
Management And General	$1,560	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,597,913	TotalAmt
Program Services	$31,915,009	ProgramServicesAmt
Management And General	$5,682,904	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,346,656	BOYAmt
EOY	$19,402,685	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,535,837	BOYAmt
EOY	$724,357	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$84,317	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,838,680	BOYAmt
EOY	$4,371,447	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$211,823	BOYAmt
EOY	$209,290	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$167,875	BOYAmt
EOY	$14,304	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$29,301,119	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$23,228,316	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$7,263,371	BOYAmt
EOY	$6,072,803	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	$2,924,683	BOYAmt
EOY	$3,138,789	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,288,925	BOYAmt
EOY	$34,017,992	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,448,857	BOYAmt
EOY	$6,751,146	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$6,113,996	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,325,655	BOYAmt
EOY	$6,244,659	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,774,512	BOYAmt
EOY	$19,109,801	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	$9,853,823	BOYAmt
EOY	$12,144,531	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,660,590	BOYAmt
EOY	$2,763,660	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,514,413	BOYAmt
EOY	$14,908,191	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$24,288,925	BOYAmt
EOY	$34,017,992	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,863,236	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$68,437	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$537,895	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$4,899	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$4,899	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$37,593,014	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$37,597,913	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Field	Value	IRS element (for citing)
Form4720 Filed	false	Form4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$6,288	CurrentYearMinus3Amt
Current Year Minus2	$6,221	CurrentYearMinus2Amt
Current Year Minus1	$4,997	CurrentYearMinus1Amt
Current Year	$4,899	CurrentYearAmt
Total	$22,405	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$844,104	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,928	InvestmentEarningsOrLossesAmt
Other Expenditures	$31,194	OtherExpendituresAmt
End Year Balance	$815,838	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$863,496	BeginningYearBalanceAmt
Investment Earnings Or Losses	$17,244	InvestmentEarningsOrLossesAmt
Other Expenditures	$36,636	OtherExpendituresAmt
End Year Balance	$844,104	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$774,947	BeginningYearBalanceAmt
Contributions	$108,305	ContributionsAmt
Investment Earnings Or Losses	$22,950	InvestmentEarningsOrLossesAmt
Other Expenditures	$42,706	OtherExpendituresAmt
End Year Balance	$863,496	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$708,759	BeginningYearBalanceAmt
Contributions	$8,347	ContributionsAmt
Investment Earnings Or Losses	$79,381	InvestmentEarningsOrLossesAmt
Other Expenditures	$21,540	OtherExpendituresAmt
End Year Balance	$774,947	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$685,325	BeginningYearBalanceAmt
Investment Earnings Or Losses	$38,755	InvestmentEarningsOrLossesAmt
Other Expenditures	$15,321	OtherExpendituresAmt
End Year Balance	$708,759	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00350	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.99650	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	$601,486	OtherCostOrOtherBasisAmt
Book Value	$601,486	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,165,087	OtherCostOrOtherBasisAmt
Depreciation	$9,535,319	DepreciationAmt
Book Value	$2,629,768	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,810	OtherCostOrOtherBasisAmt
Depreciation	$2,810	DepreciationAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,508,261	OtherCostOrOtherBasisAmt
Depreciation	$13,107,606	DepreciationAmt
Book Value	$2,400,655	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,023,475	OtherCostOrOtherBasisAmt
Depreciation	$582,581	DepreciationAmt
Book Value	$440,894	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$6,072,803	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Assets whose use is limited	$35,759
Beneficial Interest in Perpetual Trusts	$1,361,868
Board Designated Funds-Other	$305,340
Org costs & other long term investments	$34,030
Temp & Perm Donor Restr Funds	$1,401,792

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,138,789	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Amounts due to Related Org	$1,919,378
Capital Lease Obligation	$60,890
Deferred Compensation	$4,264,391

Field	Value	IRS element (for citing)
Total Liability	$6,244,659	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

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

Part X : FIN48 Footnote

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	267	PersonsServedCnt
Total Community Benefit Expns	$102,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102,561	NetCommunityBenefitExpnsAmt
Total Expense	0.00275	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	267	PersonsServedCnt
Total Community Benefit Expns	$102,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102,561	NetCommunityBenefitExpnsAmt
Total Expense	0.00275	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$203,711	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,711	NetCommunityBenefitExpnsAmt
Total Expense	0.00546	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$1,473	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,473	NetCommunityBenefitExpnsAmt
Total Expense	0.00004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$205,184	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$205,184	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	268	PersonsServedCnt
Total Community Benefit Expns	$307,745	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$307,745	NetCommunityBenefitExpnsAmt
Total Expense	0.00825	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,517	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,517	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$33,569	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,569	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,790	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,790	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$57,876	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,261,219	BadDebtExpenseAmt
Reimbursed By Medicare	$12,854,397	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,287,399	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,433,002	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Light Blue Hill Hospi	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	57 Water Street	AddressLine1Txt
City	Blue Hill	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04614	ZIPCd

Field	Value	IRS element (for citing)
Website Address	northernlight.org/Blue-Hill-Ho	WebsiteAddressTxt
State License	38155	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Light Blue Hill Hospi	BusinessNameLine1Txt

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

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 5	The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the October 30, 2018 Hancock County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Hancock County CHNA report, pages 25-26): Amyotrophic Lateral Sclerosis (ALS) Maine Collaborative, Mount Desert Island Regional School District AOS 91, Deer Isle-Stonington Central School District (CSD 13), Downeast Community Partners, Downeast Public Health District, Eastern Area Agency on Aging, Friends in Action, George Stevens Academy, Hancock County Emergency Management Agency, Healthy Acadia, Healthy Island Project, Healthy Peninsula, Hospice Volunteers of Hancock County, Island Health & Wellness Foundation, Maine CDC, Maine Community Foundation, Mount Desert Island Hospital, Next Step Domestic Violence Project, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Blue Hill Hospital, Northern Light Health, Northern Light Home Health & Hospice, Northern Light Maine Coast Hospital, Parker Ridge Retirement Community, Peninsula Ambulance, School Union 76 (Brooklin and Sedgwick Schools), State of Maine DHHS, Maine CDC, Town of Deer Isle.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 Blue Hill Hospi - Part V, Section B, Line 6a	The Maine Shared CHNA was conducted through a collaborative effort among Maine's 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, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, Sebasticook Valley Hospital, and AR Gould Hospital.
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 11	The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Blue Hill Hospital's 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 Blue Hill 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 Hospital's board of directors. Northern Light Blue Hill Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social Determinants of HealthActions taken by Blue Hill Hospital to address this priority in FY20: Northern Light Blue Hill Hospital participated on a Northern Light Health systemwide Social Determinants of Health (SDOH) workgroup responsible for developing, implementing, and monitoring the effectiveness of a system approach to SDOH screening and intervention inclusive of food security and other social needs. To date, the workgroups focus has been on the identification of the SDOH screening and referral process, local resource development, provider training and education requirements for the screening tool's implementation, quality review and management of these efforts. Northern Light Health defined SDOH screening and intervention as a strategic priority to improve the health of the patients it serves.Substance UseActions taken by Blue Hill Hospital to address this priority in FY20: Northern Light Blue Hill Hospital was able to increase the availability of Medication-Assisted Treatment (MAT) options for opioid use in the local communities. This program allows for patients to obtain rapid access into MAT for Substance Use Disorders. Initially, primary care providers were the first to qualify and implement MAT, Blue Hill Hospital has now expanded the focus to include Emergency Department providers which enables the organization to reach more of those who need assistance.Access to CareActions taken by Blue Hill Hospital to address this priority in FY20: Northern Light Blue Hill Hospital deployed various strategies to enhance patient care services through collaboration with various community paramedicine partners. External community partner work engaged Emergency and Inpatient nursing leadership, social work and discharge planning, lab director, and registered nurses from all primary care locations to develop workflows for identifying patients, making referrals, communicating results, and coordinating with community resources. Program education and availability was communicated to local and external stakeholders.Additional information related to actions taken by Northern Light Blue Hill Hospital on the above priorities can be found in their FY20 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Blue Hill Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Blue Hill Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below: Mental Health - Northern Light Blue Hill Hospital has operationalized numerous mental health protocols in many our practices. Including, but not limited to the use of telepsychiatry services and licensed clinical social workers (LCSW) within our primary care sites, routine screenings for depression and suicide risk assessments with associated action plans for patients positively screened, LACE scores (identifies patients that are at risk for readmission or death within thirty days of discharge) across inpatient and outpatient sites of care include behavioral health diagnoses which are then flagged to primary care nurse care managers, a medical social worker who covers both primary care and inpatient settings, and an embedded LCSW who provides services to our local high school. In addition, our Access to Care priority plans will augment mental health access. Therefore, due to our current and ongoing engagement in a number of mental health initiatives, we have chosen to focus our efforts on other priority areas of need. Older Adult Health/Healthy Aging - Northern Light Blue Hill Hospital is currently engaged in numerous Elder Health and Healthy Aging initiatives in our community inclusive of the following initiatives, with whom we collaborate with Healthy Peninsula (HP), a local not for profit agency focused on community health needs such as Age-Friendly Coastal Communities Collaborative, Choices That Matter (re: Advance Care Planning, end of-life issues), food insecurity, healthy eating (lunches, Magic Food Bus, etc.), and Catalyzing Rural Healthcare Transformation (MEHAF grant focused on Community Paramedicine). Blue Hill Heritage Trust is also actively addressing Age Friendly Access to exercise and nature in our community through accessible trails in the community, Northern Light Blue Hill Hospital participates in planning and supporting this work. We also provide ongoing cancer screening and chronic disease screening through our Accountable Care Organization and population health activities in primary care; and the Northern Light Palliative Care service line available now in Hancock County. In addition, our Access to Care and Social Determinants of Health priority plans will augment this priority area. Therefore, due to our current and ongoing collaborative work and initiatives focused on elder health and healthy aging, we have chosen to focus our efforts on other priority areas of need.
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 13h	FPG family income
Facility: Northern Light Blue Hill Hospi - Part V, Section B, Line 16j	Response for 7a (list URL) is https://northernlighthealth.org/Blue-Hill-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment-2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/2019-Community-Health-Strategy16j. Response for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Blue-Hill-Hospital under "Bill Pay & Financial Assistance

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Northern Light Primary Care
65 Water Street	Blue Hill	ME	04614	Physician Offices
Northern Light Orthopedic Care
65 Water Street	Blue Hill	ME	04614	Physician Offices
Northern Light Pathology
65 Water Street	Blue Hill	ME	04614	Physician Offices
Northern Light Womens Health
65 Water Street	Blue Hill	ME	04614	Physician Offices
Northern Light Primary Care
354 Airport Road	Stonington	ME	04681	Physician Offices
Northern Light Cardiovascular Care
57 65 Water Street	Blue Hill	ME	04614	Physician Offices
Northern Light Rehabilitation
58 Main Street	Bucksport	ME	04416	Physician Offices
Northern Light Urology
58 Main Street	Bucksport	ME	04416	Physician Offices
Northern Light Primary Care
102 Court Street	Castine	ME	04421	Physician Offices
Northern Light Blue Hill Hospital Infusion and Oncology Dept
57 Water Street	Blue Hill	ME	04614	Physician Offices
Blue Hill Specialty Services
65 Water Street	Blue Hill	ME	04614	Physician Offices
Northern Light Osteoporosis Care
57 Water Street	Blue Hill	ME	04614	Clinic

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	The Northern Light Blue Hill Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing Methodology	Ratio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt Expense	Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - 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 Blue Hill Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition, we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed.
Part VI, Line 4 - Community Information	Located in Blue Hill, Maine, Northern Light Blue Hill Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospital's inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Towns representing Blue Hill Hospital's primary service area include: Blue Hill, Penobscot, Castine, Brooksville, Harborside, Sargentville, Sedgwick, Brooklin, Blue Hill falls, Little Deer Isle, Deer Isle, Sunset, Stonington, and Isle Au Haut.Towns representing Blue Hill Hospital's secondary service area include: Surry, Ellsworth, East Orland, Bucksport and Orland.Hancock County's demographic and social determinants of health data are provided below for Blue Hill Hospital based on the hospital's physical location in Hancock County.Hancock County - Demographic Data: American Indian/Alaskan Native 0.4% (211), Asian 1.0% (518), Black/African American 0.6% (320), Hispanic 1.3% (711), Some other race 0.0% (19), Two or more races 1.7% (938), White 96.3% (52,462). Total county population 54,483.Hancock County Social Determinants of Health Data: Median household income $50,037, Unemployment rate 4.7%, Individuals living in poverty 12.1%, Children living in poverty 15.5%, 65+ living alone 46.2%, People living in rural areas 90.1%, Food insecurity 15.3%.Other hospitals serving the Northern Light Blue Hill Hospital's community: Based on the State of Maine's definition of hospital service area, Northern Light Blue Hill Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Blue Hill Hospital's service area as having a total of 7 medically underserved areas/populations.
Part VI, Line 4 - Community Building Activities	Northern Light Blue Hill Hospital's community building activities include community meals, blood pressure clinics, an educational presence at local fairs and festivals, men's health event, community CPR classes, ongoing work with local schools. We provide tours and "hands on" experiences to local young school children in our emergency, radiology and rehabilitation departments and offer independent study programs for high school students.
Part VI, Line 5 - Promotion of Community Health	Northern Light Blue Hill Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY20: Health Care Support Services: HRSA Healthy Acadia a rural health care services outreach program.We partner with and support many local community health and wellness organizations, including Healthy Peninsula, Healthy Acadia, At Home Downeast, YMCA, AMHC Downeast Treatment Center, and Healthy Island Project to promote the health of our community. These partnerships are for the benefit of our community.
Part VI, Line 6 - Affilated Health Care System	The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospital's local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.
Part VI, Line 7 - States Filing of Community Benefit Report	N/A

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	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	Bonus Filing OrganizationBonusFilingOrganizationAmount
Amy E Tan
Surgeon	$193,264	$44,619	$10,191	$11,685	$259,759
Anthony Filer
Treasurer						$547,066	$183,558	$15,073	$22,400	$31,610	$799,707
Charles J Zelnick
Physician	$224,349	$4,685	$21,076	$19,408	$274,473							$4,955
Dennis Desilvey
Physician	$288,390	$4,939	$28,351	$23,176	$344,856
Douglas MacGregor
Trustee Ex-offi						$185,783	$7,428	$14,292	$4,818	$23,323	$235,644
Glenn Martin
Secretary						$416,405	$153,993	$42,911	$90,036	$23,030	$726,375
John Ronan
SVP & President	$164,118	$27,878	$33,478	$5,599	$263,769	$164,118	$32,696	$27,877	$33,478	$5,599	$263,768	$32,696
Kathy Lirakis
Former VP, CNO						$115,373	$13,334	$5,123	$10,773	$3,058	$147,661
Kristin Cyr
VP Patient Care	$100,818	$994	$5,753	$5,541	$125,904	$100,818	$12,798	$995	$5,753	$5,541	$125,905	$12,798
Lisa Billings-Lindsey DO
Chief of Staff	$173,441	$246	$12,026	$19,526	$213,242							$8,003
Mary M Hood NLH PresidentCEO
Ex-Officio						$973,213	$756,271	$26,584	$25,200	$23,156	$1,804,424
Mike Murnik MD
VP Senior Phys	$268,175	$2,727	$20,058	$30,099	$347,372							$26,313
Paul Bolin
SVP & CHRO						$320,588	$52,165	$62,409	$64,214	$32,606	$531,982
Richard Littlefield DO
Ex-officio	$302,519	$25,029	$25,446	$10,143	$363,137
Stacey L Henner-Walden
Physician	$173,333	$1,385	$9,075	$27,352	$211,145
Surapaneni Ramanadha Rao
Surgeon	$630,419	$33,486	$25,100	$11,084	$752,705							$52,616
Timothy Dentry NLH PresCEO
Ex-officio						$604,626	$112,673	$13,344	$104,720	$32,960	$868,323
Wendy Merchant
VP of Finance	$104,045	$1,355	$9,713	$11,108	$142,157	$104,045	$15,936	$1,355	$9,713	$11,108	$142,157	$15,936

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:Dennis Desilvey, highest compensated employee $140John Ronan, director/officer 240 Amy Tan, highest compensated employee 160 Charles Zelnick, highest compensated employee 400 The benefit is available for all employees.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Medicare shortfalls (at cost)18,019 persons served. OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2020 to the Community for details of community benefit projects at NLH members:HEROES AMONG US Healthcare Heroes As we reflect on 2020, people around the world would do well to remember these words by Nelson Mandela, Do not judge me by my successes, judge me by how many times I fell down and got back up again. We faced a global pandemic that took the lives of more than 500,000 of our fellow Americans and more than 2.5 million people worldwide and counting. We also faced deadly wildfires and hurricanes, racial unrest, and a country divided by politics. But during this turbulent time, we also saw the very best in people, including those whom we work alongside every day to deliver compassionate healthcare to the people of Maine. We saw our colleagues rise to the challenges of an unprecedented global pandemic, show courage in the face of adversity, and make selfless sacrifices to heal the sick and protect our communities. These people are heroes. They are the front line workers who provided direct patient care to those who became infected with coronavirus. They are also the people who worked behind the scenes to ensure our staff had the personal protective equipment and telehealth technology they needed to continue to provide care safely. They are the support staff that cleaned and disinfected rooms, prepared meals, and countless other tasks to support our direct care workers. In this years annual report, we celebrate these heroes. They may not have flashy costumes or superpowers like the comic book heroes or those in Hollywood films. But like those heroes, they must don masks as they face a genuine and dangerous enemy. In the pages of this years annual report, you will learn more about who they are and what they do. We will take you behind their masks to discover the true identity of the heroes among us. Timothy J. Dentry, MBA President & CEO Kathy Corey Northern Light Health, Board Chair HEROES ON THE FRONT LINES When it comes to caring for sick patients, Northern Light Healths front line staff put themselves at risk to provide exceptional care. We know they are brave and compassionate people, but COVID-19 has shown how far they are willing to go to help others. The following are a few of the many examples of courage and caring that we witnessed during this global pandemic. Cathy Bean, RNManager of Clinical and Community Health Services Northern Light Home Care & Hospice In late March, Portland saw a spike in the population of homeless people who were getting sick with COVID-19. To help protect the citys homeless residents, city leaders immediately opened the Portland Expo as an alternative shelter site that would allow them to maintain their shelter capacity while adhering to the Centers for Disease Controls (CDC) social distancing guidelines. But how would they separate the healthy population from those with the virus? Cathy Bean, RN stepped up to help. Donning protective gear, she and her staff went into the shelters daily to screen and test the residents. Northern Light Home Care & Hospice also equipped the city of Portland with a telehealth system so home care nurses could provide follow up appointments. As a result, they were able to help shelter residents with other medical conditions that may have been missed. Many of these people, due to COVID-19, were in quarantine, and meals brought outside their door with no one able to check on them. Now, we could get in there and take care of these people, and thats been very rewarding. Cathy Bean, RNElizabeth Bigler, RN Emergency Department Northern Light Blue Hill Hospital Elizabeth Bigler, RN thinks the most significant change to her job since COVID-19 is how much more physically exhausting it has become. She must often wear respirators, hoods, and other personal protective equipment, which can get quite hot and stuffy during a shift in the Emergency Department. Her biggest concern is making sure she doesnt bring this virus into her home. Its why she enters through a basement door, places her clothing directly into the wash, and showers before interacting with her family. My daughter who is eight is a sensitive, insightful soul. And shes had a lot of fears about me getting sick, not being able to see me if I did get sick, or me not coming home. Her daughter wrote her a touching letter one morning, telling her to be safe and that she loved her. Shes a really strong little girl. I had to tell her that this is a community effort. I cant not go because its scary. Some people still need help, and our job as community members is to help them. Elizabeth Bigler, RNJames Jarvis, MDSenior Physician ExecutiveIncident Command, Northern Light Health When Northern Light Health knew COVID-19 would arrive in Maine, James Jarvis, MD was chosen to coordinate the systems response among its member hospitals in addition to coordinating with state and local governments and the other major healthcare systems in Maine. Another unexpected role that Dr. Jarvis fulfilled during the pandemic was to be the primary spokesperson for Northern Light Health for weekly statewide news conferences via Zoom. Several times a week he would convey critical information to members of the media and our communities. One of the pleasant surprises Ive had during this time was somebody randomly driving by, lowering their window, and saying, Dr. Jarvis, how are you doing? You always ask how were doing through TV, we want to make sure youre okay. I teared up a little because, sure its neat to be recognized, but it was that sense of community that Mainers have to say, we need to make sure youre okay because we appreciate what youre doing. James Jarvis, MDCaroline Joyce, PACNorthern Light Primary Care Northern Light CA Dean Hospital Caroline Joyce loves the outdoors and dreams of retiring in a small rural community where hiking, fishing, and camping abound. She and her husband built their retirement home in Greenville, and she took a job at Northern Light CA Dean Hospital in September of 2019. Little did she realize how good her timing was to move to a rural community before the outbreak of COVID-19. As a primary and acute care provider, she willingly staffed the drive-up screening tent outside CA Dean. She endured wind and rain and snow to screen patients. And, she did all this while her mother, living in a nursing home in another state, was diagnosed with COVID-19. Luckily, my mom experienced mild symptoms, and while I wanted to see her, she was in an area of Massachusetts that was really hit hard by the coronavirus, and I was here seeing patients. I couldnt risk exposing them or my family. Caroline Joyce, PACSue-Anne Hammond, DOMedical Director of Primary CareNorthern Light Mercy Hospital For Dr. Hammond, COVID-19 became personal very quickly as one of her long-time patients, with whom shed experienced many ups and downs, was among the first in Maine to die of the deadly coronavirus. It was a curve ball, and it felt so unfair, she said. Dr. Hammond was instrumental in setting up the COVID-19 response plan for Northern Light Mercy Hospital, which became a model shared with other Northern Light Health hospitals across the state. The drive-up swab and go tent at Mercys Fore River campus allowed people to safely and easily get tested for the coronavirus. The plan also included a respiratory tent site in Westbrook to assess whether people with symptoms needed to be admitted to the emergency department or sent home with care instructions. And it included a virtual clinic to keep patients out of hospital and primary care settings through telehealth for follow-up appointments. She worked seven days a week while her children were being schooled at home. She and her husband, also a front line provider, tried to allay their familys fears and correct misinformation in their communities. On the hardest days I still love what I do. I dont feel like Im a hero; Im doing what was asked of me and what I chose to do as a doctor. This is a hard time, but I dont think I want to be anywhere else in the middle of all of this. Sue-Anne Hammond, DO OTHER PROGRAM SERVICES 6: Jodi Kierstead, RNNurse Manager, Specialty ICU Northern Light AR Gould Hospital As a nurse manager, Jodis Kiersteads world radically changed when COVID-19 showed up in Maine. She went from managing budgets and staff training to suddenly responding to a pandemic. She enjoyed watching her staff pull together. Youre taking a bunch of people out of their comfort zone and putting them through huge changes and for them to do it with a smile it was amazing! And Jodi did her part to help too. As Northern Light Mercy Hospital in Portland was becoming inundated with patients, they put out a call for additional staff to help. Not only did Jodi travel to Portland and support her colleagues, despite having a 10-month-
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Mary M. Hood, board member/officer is board member of Maine Hospital Association and John Ronan, board member/officer is chair/board member of Maine Hospital Association.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	Blue Hill Memorial Hospital d/b/a Northern Light Blue Hill 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 Blue Hill Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arms 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 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 arms length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The SVP & President of Northern Light Blue Hill 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 utilizes external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the Northern Light Blue Hill Hospital President/SVP and the VP of Human Resources.On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Northern Light Blue Hill Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in net assets held @ EMHS Foundation = $34677
Other Changes In Net Assets Or Fund Balances - Other Decreases	Post Retirement Health Benefit FAS 158 = -$572572

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
Eastern Maine Healthcare Real Estate
43 Whiting Hill Road	Brewer	ME	04412	010391036	Leases real estate	ME	501(c)(2)	EMHS	false
Eastern Maine Healthcare System
43 Whiting Hill Road	Brewer	ME	04412	010527066	Supporting organization for healthcare affiliates	ME	501(c)(3)	NA	false	12 Type II
Acadia Hospital Corp AHC
43 Whiting Hill Road	Brewer	ME	04412	010459837	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
Acadia Healthcare Inc AHI
43 Whiting Hill Road	Brewer	ME	04412	223183888	Provide healthcare services	ME	501(c)(3)	AHC	false	10
Eastern Maine Medical Center EMMC
PO Box 404 489 State Street	Bangor	ME	044020404	010211501	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
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)	EMMC	false	10
EMHS Foundation
43 Whiting Hill Road Ste 400	Brewer	ME	04412	222514163	Raise and manage funds for exempt organizations	ME	501(c)(3)	EMHS	false	12 Type II
Rosscare
43 Whiting Hill Road Ste 400	Brewer	ME	04412	010391038	Provide services to elderly	ME	501(c)(3)	EMHS	false	PF
Inland Hospital
200 Kennedy Memorial Drive	Waterville	ME	04901	010217211	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
Lakewood
220 Kennedy Memorial Drive	Waterville	ME	04901	010421234	Provide skilled and long-term nursing care	ME	501(c)(3)	Inland Hospital	false	3
CA Dean Memorial Hospital
Pritham Ave PO Box 1129	Greenville	ME	044411129	043341666	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
Sebasticook Valley Health SVH
447 North Main Street	Pittsfield	ME	04967	010263628	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
Sebasticook Valley Family Practice Assoc
447 North Main Street	Pittsfield	ME	04967	010357854	Provide patient care	ME	501(c)(3)	SVH	false	10
The Aroostook Medical Center TAMC
PO Box 151 140 Academy Street	Presque Isle	ME	047690151	010372148	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
Mercy Hospital
144 State Street	Portland	ME	04101	010211534	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
VNA Home Health & Hospice
50 Foden Road	South Portland	ME	04106	010246804	Provide home health and hospice services	ME	501(c)(3)	EMHS	false	10
WorkHealth LLC
43 Whiting Hill Road	Brewer	ME	04412	474315094	Provide healthcare services	ME	501(c)(3)	EMHS	false	12 Type II
Maine Coast Regional Health Facilities
50 Union Street	Ellsworth	ME	04605	010198331	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
Maine Coast Medical Realty
50 Union Street	Ellsworth	ME	04605	010390918	Lease medical facilities	ME	501(c)(3)	MCMH	false	12 Type I
LTC LLC
43 Whiting Hill Road	Brewer	ME	04412	010211501	Operation of nursing homes	ME	501(c)(3)	EMMC	false	3
Beacon Health LLC
43 Whiting Hill Road	Brewer	ME	04412	452967056	Accountable care organization	ME	501(c)(3)	EMHS	false	12 Type II
Beacon Rural Health LLC
43 Whiting Hill Road	Brewer	ME	04412	474483187	Accountable care organization	ME	501(c)(3)	EMHS	false	12 Type II
Beacon Health ACO Holdings LLC
43 Whiting Hill Road	Brewer	ME	04412	364903784	Accountable care organization	ME	501(c)(3)	EMHS	false	12 Type II
Northern Light Medical Transport
43 Whiting Hill Road	Brewer	ME	04412	830911574	Ambulance	ME	501(c)(3)	EMHS	false	10
MRH Corp dba Northern Light Mayo Hospita
897 W Main Street	DoverFoxcroft	ME	04426	843689003	Provide healthcare services	ME	501(c)(3)	EMHS	false	3
M Drug LLC
43 Whiting Hill Road	Brewer	ME	04412	272175482	Pharmacy	ME	501(c)(3)	EMMC	false	3

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Meridian Mobile Health LLC
43 Whiting Hill Road	Brewer	ME	04412	010512673	Ambulance	ME	AHS	false	false
M Drug LLC
43 Whiting Hill Road	Brewer	ME	04412	272175482	Pharmacy	ME	AHS	false	false
Alliance Health Documentation LLC
43 Whiting Hill Road	Brewer	ME	04412	462751855	Transcription	ME	AHS	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Affiliated Healthcare Systems AHS
43 Whiting Hill Road	Brewer	ME	04412	010385322	Holding co.	ME	EMHS	C	false
Affiliated Healthcare Management
43 Whiting Hill Road	Brewer	ME	04412	010349339	Hlthcr mgmt	ME	AHS	C	false
Affiliated Laboratory Inc
43 Whiting Hill Road	Brewer	ME	04412	010381283	Clinical lab	ME	AHS	C	false
Beacon Direct
43 Whiting Hill Road	Brewer	ME	04412	371864965	Healthcare Self-funded TPA	ME	EMHS	C	false

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