STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
EASTERN MAINE HEALTHCARE SYSTEMS (EIN 01-0263628)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-06
IRS object ID
202132189349301018
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-06T08:28:59-07:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010263628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Eastern Maine Healthcare Systems-SVHBusinessNameLine1Txt
Business Name Line2Sebasticook Valley HealthBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEASTBusinessNameControlTxt
Phone2079739081PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Person TitleNLH VP Of FinancePersonTitleTxt
Signature2021-08-06SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn J DoylePrincipalOfficerNm
Gross Receipts$45,250,728GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption5247GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://northernlighthealth.org/Sebasticook-VWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee410TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$372,723PYContributionsGrantsAmt
CY Contributions Grants$400,390CYContributionsGrantsAmt
PY Program Service Revenue$43,800,279PYProgramServiceRevenueAmt
CY Program Service Revenue$44,787,604CYProgramServiceRevenueAmt
PY Investment Income$71,196PYInvestmentIncomeAmt
CY Investment Income-$40,459CYInvestmentIncomeAmt
PY Other Revenue$34,465PYOtherRevenueAmt
CY Other Revenue$8,222CYOtherRevenueAmt
PY Total Revenue$44,278,663PYTotalRevenueAmt
CY Total Revenue$45,155,757CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,229,323PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,205,391CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,538,449PYOtherExpensesAmt
CY Other Expenses$18,891,309CYOtherExpensesAmt
PY Total Expenses$39,767,772PYTotalExpensesAmt
CY Total Expenses$42,096,700CYTotalExpensesAmt
PY Revenues Less Expenses$4,510,891PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,059,057CYRevenuesLessExpensesAmt
Total Assets BOY$43,811,716TotalAssetsBOYAmt
Total Assets EOY$59,669,249TotalAssetsEOYAmt
Total Liabilities BOY$11,384,355TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,111,700TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,427,361NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,557,549NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital is a critical access hospital whose mission is to be the regional leader in meeting the health needs of our communities, providing quality care, always treating people with dignity and respect.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$34,330,464ExpenseAmt
Revenue$44,787,604RevenueAmt
DescSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (SVH) is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2020 fiscal year, SVH provided free care of $382,513 and recorded $3,069,382 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 9,643. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:IP Admissions of 866Patient Days 4,287Emergency Room Visits 9,643Surgical Cases 684Outpatient visits 103,801Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,506,318ExpenseAmt
DescMedicare Shortfalls (at cost) 19,049 persons servedDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$184,355ExpenseAmt
DescCharity Care provided (at cost) 378 persons servedDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$36,021,137TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee410EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Phone2079739081PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Michelle M Hood
Trustee Pt Yr0.5050.00Yes (X)Yes (X)$0$1,756,068$48,356
Tim Dentry NLH PresidentCEO
Trustee Pt Yr0.5050.00Yes (X)Yes (X)$0$730,643$137,680
Anthony Filer
Treasurer0.5050.00Yes (X)$0$745,697$54,010
Glenn Martin
Secretary0.5050.00Yes (X)$0$613,309$113,066
Paul Bolin
SVP & CHRO0.0050.00Yes (X)$0$435,162$96,820
Teresa P Vieira
Ex-officio30.0020.00Yes (X)Yes (X)$203,706$172,366$80,919
Michael Lemieux
Cardiologist40.000.00$415,066$0$22,732
James Fullwood
Physician40.000.00$299,392$0$32,135
Robert Schlager
VP Senior Phys40.000.00Yes (X)$307,077$0$19,529
Reynaldo A Arceo
Physician40.000.00$244,609$0$33,509
Randall Clark
VP of Finance40.000.00Yes (X)$227,435$0$35,877
Phillip B Amidon
Gastroenterologist40.000.00$205,219$0$7,231
Tracy Bonney-Corson
VP Nursing40.000.00Yes (X)$163,205$0$23,731
Emily Cianchette
Ex-Officio40.000.00Yes (X)$151,245$0$34,943
Tyson J Thornton
AVP-Support Svcs40.000.00$159,611$0$15,726
Paul R Arsenault
VP, Primary Car40.000.00Yes (X)$138,994$0$15,447
Alicia J Nichols
Trustee0.500.00Yes (X)$0$0$0
Jeremy West DC
Trustee0.500.00Yes (X)$0$0$0
Stacey Fitts
Trustee0.500.00Yes (X)$0$0$0
Stephen George
Chairman0.500.00Yes (X)Yes (X)$0$0$0
Charlie Cianchette
Trustee0.500.00Yes (X)$0$0$0
Nanette Ardry
Trustee0.500.00Yes (X)$0$0$0
Linda Woolley
Vice Chair0.500.00Yes (X)Yes (X)$0$0$0
Andrew Gibson
Trustee0.500.00Yes (X)$0$0$0
Robin Chase
Trustee0.500.00Yes (X)$0$0$0
Jeremy Boutot
Trustee0.500.00Yes (X)$0$0$0
Charles Crans MD
Ex-officio40.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,515,559TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,453,245TotReportableCompRltdOrgAmt
Total Other Compensation$771,711TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Emergency Physician Associates Inc
PO Box 634850CincinnatiOH45263Purchase Services$1,145,653
Nurse Anesthesia of Maine
141 N Main StBrewerME04412Clinical Services$990,921
Insight Health Corp
5775 Wayzata Blvd SE 400St Louis ParkMN55416Purchase Service$400,680
Staff Care
PO Box 281923AtlantaGA303841923Contract Labor$280,389
Simplifi
5020 Northshore Drive Suite 2North Little RockAR72118Contract Labor$148,256
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$6,012RelatedOrganizationsAmt
Government Grants$257,482GovernmentGrantsAmt
All Other Contributions$136,896AllOtherContributionsAmt
Noncash Contributions$9,901NoncashContributionsAmt
Total Contributions$400,390TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$71,212$71,212
Education611710$847$847
Net Patient Care Services621990$44,715,545$44,715,545
FieldValueIRS element (for citing)
Total Program Service Revenue$44,787,604TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,279TotalRevenueColumnAmt
Exclusion$6,279ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$23,020RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$14,798RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,222RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,222TotalRevenueColumnAmt
Exclusion$8,222ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$33,435OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$80,173OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$46,738OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$46,738TotalRevenueColumnAmt
Exclusion-$46,738ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,155,757TotalRevenueColumnAmt
Related Or Exempt Func Income$44,716,392RelatedOrExemptFuncIncomeAmt
Exclusion$38,975ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,365,020TotalAmt
Program Services$854,171ProgramServicesAmt
Management And General$510,849ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,489,497TotalAmt
Program Services$16,724,469ProgramServicesAmt
Management And General$765,028ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$336,989TotalAmt
Program Services$320,080ProgramServicesAmt
Management And General$16,909ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,902,757TotalAmt
Program Services$2,791,650ProgramServicesAmt
Management And General$111,107ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,111,128TotalAmt
Program Services$1,039,587ProgramServicesAmt
Management And General$71,541ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,497TotalAmt
Program Services$5,497ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,354TotalAmt
Management And General$11,354ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,719,493TotalAmt
Program Services$4,099,814ProgramServicesAmt
Management And General$3,619,679ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$104,310TotalAmt
Program Services$104,310ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$967,804TotalAmt
Program Services$604,901ProgramServicesAmt
Management And General$362,903ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,675,024TotalAmt
Program Services$1,590,150ProgramServicesAmt
Management And General$84,874ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,080,661TotalAmt
Program Services$870,444ProgramServicesAmt
Management And General$210,217ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$114,963TotalAmt
Program Services$113,268ProgramServicesAmt
Management And General$1,695ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$78,625TotalAmt
Program Services$72,427ProgramServicesAmt
Management And General$6,198ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$203,972TotalAmt
Program Services$203,972ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,172,138TotalAmt
Program Services$939,325ProgramServicesAmt
Management And General$232,813ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$689,228TotalAmt
Program Services$654,644ProgramServicesAmt
Management And General$34,584ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$3,499,478$3,499,478
Taxes & Licenses$859,611$859,335$276
Maintenance & Repair$602,920$569,960$32,960
Dues & Subscriptions$62,995$60,953$2,042

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$43,236TotalAmt
Program Services$42,702ProgramServicesAmt
Management And General$534ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,096,700TotalAmt
Program Services$36,021,137ProgramServicesAmt
Management And General$6,075,563ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,750BOYAmt
EOY$6,189,925EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,413,616BOYAmt
EOY$25,618,125EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,854BOYAmt
EOY$3,602EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,456,485BOYAmt
EOY$8,441,201EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$255,960BOYAmt
EOY$268,158EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$187,144BOYAmt
EOY$206,950EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,895,426LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,687,063LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,044,321BOYAmt
EOY$17,208,363EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$25,244BOYAmt
EOY$169,809EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,407,342BOYAmt
EOY$1,557,483EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$43,811,716BOYAmt
EOY$59,669,249EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,743,168BOYAmt
EOY$11,012,042EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$99,532BOYAmt
EOY$7,254,335EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,152,010BOYAmt
EOY$5,375,600EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$389,645BOYAmt
EOY$469,723EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,384,355BOYAmt
EOY$24,111,700EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,809,954BOYAmt
EOY$34,870,471EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$617,407BOYAmt
EOY$687,078EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,427,361BOYAmt
EOY$35,557,549EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,811,716BOYAmt
EOY$59,669,249EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,059,057ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,038NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$44,093OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$5,992OtherActivitiesAmt
Total Lobbying Expenditures$5,992TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$108,495BeginningYearBalanceAmt
Contributions$5,000ContributionsAmt
Investment Earnings Or Losses$2,179InvestmentEarningsOrLossesAmt
Other Expenditures$548OtherExpendituresAmt
End Year Balance$115,126EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$108,495BeginningYearBalanceAmt
End Year Balance$108,495EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.05000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.95000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$490,271OtherCostOrOtherBasisAmt
Book Value$490,271BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,408,245OtherCostOrOtherBasisAmt
Depreciation$9,245,804DepreciationAmt
Book Value$14,162,441BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,950OtherCostOrOtherBasisAmt
Depreciation$72,083DepreciationAmt
Book Value$13,867BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,899,522OtherCostOrOtherBasisAmt
Depreciation$13,489,010DepreciationAmt
Book Value$2,410,512BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,011,438OtherCostOrOtherBasisAmt
Depreciation$880,166DepreciationAmt
Book Value$131,272BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,208,363TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDeferred CompensationDesc
Amt$469,723Amt
FieldValueIRS element (for citing)
Total Liability$469,723TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served378PersonsServedCnt
Total Community Benefit Expns$184,355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$184,355NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served378PersonsServedCnt
Total Community Benefit Expns$184,355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$184,355NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served1986PersonsServedCnt
Total Community Benefit Expns$121,507TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,837DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,670NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served97PersonsServedCnt
Total Community Benefit Expns$59,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$285DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,245NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$516TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$516NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served2083PersonsServedCnt
Total Community Benefit Expns$181,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$177,431NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served2461PersonsServedCnt
Total Community Benefit Expns$365,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$361,786NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served16PersonsServedCnt
Total Community Benefit Expns$3,820TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,820NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served16PersonsServedCnt
Total Community Benefit Expns$3,820TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,820NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,486,738BadDebtExpenseAmt
Reimbursed By Medicare$18,495,768ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$20,002,086CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,506,318MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 5The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the October 17, 2018 Somerset County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Somerset County CHNA report, pages 23-25): All Saints Church, Central Public Health District, Community member, HealthReach Community Health Centers, Healthy SV, Kennebec Valley Community Action Program Child and Family Services, Local First Group, LLC, Main Street Skowhegan, Maine CDC, Maine Federation of Farmers' Markets, MaineGeneral Health, MaineGeneral Medical Center, MSAD #53, Maine State Legislature, District 107, New Balance, Northern Light Health, Northern Light Health Acadia Hospital, Northern Light Sebasticook Valley Hospital, Outdoor Sport Institute, Redington-Fairview General Hospital, RSU 54/MSAD 54, Skowhegan Area Chamber, Somerset Public Health, Spectrum Generations, State of Maine, Maine CDC, Office of Rural Health and Primary Care, United Way of Mid-Maine, Walgreens, Worksite Wellness Consultant.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 6aThe Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, 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 Sebasticook Val - Part V, Section B, Line 11The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Sebasticook Valley Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Sebasticook Valley Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals board of directors. Northern Light Sebasticook Valley Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of health social needsActions taken by Sebasticook Valley Hospital to address this priority in FY20:Northern Light Sebasticook Valley 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 tools implementation, quality review and management of these efforts. Northern Light defined SDOH screening and intervention as a strategic priority to improve the health of the patients it serves.Substance useActions taken by Sebasticook Valley Hospital to address this priority in FY20:Northern Light Sebasticook Valley Hospital partnered with Healthy SV Coalition to distribute prescription drug safety educational materials to local school departments, healthcare facilities and law enforcement agencies. Sebasticook Valley Hospital and Healthy SV Coalition organized and held a Prescription Drug Take Back Day initiative with the Pittsfield Police Department and Somerset County Sheriff Department. The Healthy SV Coalition also distributed prescription drug safety educational materials through Etna-Dixmont School, Pittsfield Public Library, Hartland Public Library, and the Newport Cultural Center through their summer grab and go programs. We also partnered with TownSquare Media to promote prescription drug safety through a digital media campaign. Sebasticook Valley Hospital also partnered with Pittsfield Police Department and Northern Light Primary Care practices to create prescription drug safety educational videos that promote monitoring, securing, and safely disposing unwanted or expired prescription medications.Mental healthActions taken by Sebasticook Valley Hospital to address this priority in FY20:Northern Light Sebasticook Valley Hospital partnered with Healthy SV Coalition to coordinate and conduct the National Alliance of Mental Illness (NAMI) Maine presentations on Ending the Silence for Maine Central Institute staff and students. We also partnered with the Healthy SV Coalition to distribute activity boxes to students at MSAD #53 and Caravel Middle School. Sebasticook Valley Hospital distributed behavioral health guides; academic calendars that address youth mental health to families at two local school districts; and distributed mental health resource guides to caregivers through the school meal program. We also partnered with Pittsfield Public Library, Hartland Public Library, Newport Cultural Center, Etna-Dixmont School, and MSAD #53 to distribute weekly craft n go bags for youth in the area. Sebasticook Valley Hospital also partnered with Northern Light Acadia Hospital to promote suicide prevention and mental health awareness through the Acadia CARES program. Acadia CARES (Child-Adolescent Resource and Educational Series) highlights crucial youth mental health and wellness topics like anxiety, anti-bullying, sexual identity, substance use, eating disorders, and resiliency. This resource gives parents and/or caregivers the tools and resources to navigate youth through these adolescent experiences.Social determinants of health food insecurityActions taken by Sebasticook Valley Hospital to address this priority in FY20:Northern Light Sebasticook Valley Hospital exceeded our goal of 13,500 patients screened. Even with the COVID-19 crisis, when our offices were closed, we were able to provide for our patients. In addition, we added a primary care practice to our organization in FY20, which sparked an increase in patient screenings.Older adult health/Healthy agingActions taken by Sebasticook Valley Hospital to address this priority in FY20:Northern Light Sebasticook Valley Hospital worked with primary care providers to integrate advanced care planning directives into the patient electronic health record. Sebasticook Valley Hospitals palliative care team hosted an information table at the annual Community Health Fair to increase awareness and understanding of palliative and end-of-life care and options to community members. We invited the Newport Womens Club to hear topics related to advance healthcare planning and spoke with patients at the primary care practices about palliative care and end-of-life options. We partnered with Northern Light Eastern Maine Medical Center to have palliative care providers present at the Mid-Maine Regional Conference about end-of-life care and optionsAdditional information related to actions taken by Sebasticook Valley 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 Sebasticook Valley Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Sebasticook Valley Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Access to Care - This identified health need is not being addressed directly as a strategy born out of our community health needs assessment as our hospital has current initiatives focused on improving access to care such as provider recruitment, community health navigators (to link vulnerable populations with needed resources), and other efforts that are ongoing and part of our continual mission to improve access to care.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 13hIncome Levels
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 16jResponse for 7a (list URL) is https://northernlighthealth.org/Sebasticook-Valley-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Sebasticook-Valley-Hospital under "Bill Pay & Financial Assistance".

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Northern Light Rehabilitation
141 Leighton StreetPittsfieldME04967Outpatient Medical Facility
Northern Light Sleep Diagnostics
130 Leighton StreetPittsfieldME04967Outpatient Medical Facility
Northern Light Rehabilitation
118 Moosehead Trail Suite 4NewportME04953Outpatient Medical Facility
Northern Light Specialty Physicians
72 North RoadDetroitME04929Outpatient Medical Facility
Northern Light Primary Care
470 Somerset AvenuePittsfieldME04967Outpatient Medical Facility
Northern Light Primary Care
8 Main Street Suite ANewportME04953Outpatient Medical Facility
Northern Light Primary Care
1309 Main Street Unit 1ClintonME04927Outpatient Medical Facility
Northern Light Endocrinology and Diabetes Care
167 Leighton StreetPittsfieldME04967Outpatient Medical Facility
Northern Light Primary Care RHC
26 Main StNewportME04953Outpatient Medical Facility

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportThe Northern Light Sebasticook Valley Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt ExpensePatient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Revenue Recognition and Patient Accounts Receivable section.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitMedicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsAll account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Sebasticook Valley Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceNorthern Light Sebasticook Valley Hospital (SVH) provides information about financial assistance to every patient who presents for services. Registration staff in all areas notify patients at the time of their visit that financial assistance is available. Contract information for SVH Billing is included in patients bills and is also available in the Patient Accounts Office, Central Registration, and in all primary care locations. Our Patient Accounts staff are knowledgeable in a wide variety of programs and services that can assist patients. Our staff works directly with each patient to educate, determine eligibility and assist in applying for financial assistance as well as other services the patient may be eligible for. In addition, information is posted to the public at our website and on posters throughout our local community.
Part VI, Line 4 - Community InformationLocated in Pittsfield, Maine, Northern Light Sebasticook Valley Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Sebasticook Valley Hospitals primary service area include: Corinna, Detroit, Hartland, Newport, Palmyra, Pittsfield, Plymouth, and Saint Albans.Towns representing Sebasticook Valley Hospitals secondary service area include: Albion, Belgrade, Belgrade Lakes, Burnham, Clinton, Dexter, Dixmont, Etna, Exeter, Fairfield, Freedom, Garland, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Somerset Countys demographic and social determinants of health data are provided below for Sebasticook Valley Hospital based on the hospitals physical location in Somerset County.Somerset County - Demographic Data: American Indian/Alaskan Native 0.4% (215), Asian 0.3% (161), Black/African American 0.5% (274), Hispanic 1.0% (507), Some other race 0.0% (23), Two or more races 1.8% (921), White 96.8% (49,743). Total county population 51,363.Somerset County Social Determinants of Health Data: Median household income $40,484, Unemployment rate 5.7%, Individuals living in poverty 18.0%, Children living in poverty 26.2%, 65+ living alone 46.7%, People living in rural areas 80.5%, Food insecurity 16.2%.Other hospitals serving the Sebasticook Valley Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Sebasticook Valley Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Sebasticook Valley Hospitals service area as having a total of 6 medically underserved populations.
Part VI, Line 4 - Community Building ActivitiesNorthern Light Sebasticook Valley Hospital (SVH) is actively engaged with offering students opportunities to learn about healthcare careers via hospital tours and job shadows. In 2020, six high school students participated in job shadow at SVH in an area of interest.
Part VI, Line 5 - Promotion of Community HealthNorthern Light Sebasticook Valley Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY20:Community Health Education: Drug Free Community and Cara Local Drug Crisis grants Addressing substance abuse Health Care Support Services: Maine Cancer Foundation Grant - Support cancer patients by assisting with access to resourcesSocial and Environmental Improvement Activities: Kohls Cares - Support the development of school-based gardening/access to healthy foodNorthern Light Sebasticook Valley Hospital (SVH) provides education. SVH hosts two American Red Cross blood drives annually which are open to employees and the public. The blood drives consistently meet or near goal of 22 units per drive. SVH full and part time employees and spouses are eligible to enroll in Virgin Pulse; an on-line wellness reward system program. Employees and spouses can earn up to $400.00 each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. SVH offered the third annual Back to School Fair in August of 2019, for children in grades Pre K-12. The purpose of the event was to provide resources to children and their parents to get them ready to go back to school. 83 children along with one or more parent/guardian participated in the fair. SVH and EMHS staff and local not-for-profit agencies provided information in the areas of safety, wellness, and physical activity along with games and activities. Children who completed the scavenger hunt were eligible for the drawing of a free backpack filled with school supplies. 152 backpacks with supplies were donated by SVH staff, local businesses, and community members. 83 backpacks were given away to children who completed the scavenger hunt and the remaining backpacks were given to the local school districts to distribute to students who did not have school supplies to start the year.
Part VI, Line 6 - Affilated Health Care SystemThe 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.
Part VI, Line 7 - States Filing of Community Benefit ReportN/A

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Anthony Filer
Treasurer$547,066$183,558$15,073$22,400$31,610$799,707
Emily Cianchette
Ex-Officio$123,723$12,250$15,272$5,589$29,354$186,188
Glenn Martin
Secretary$416,405$153,993$42,911$90,036$23,030$726,375
James Fullwood
Physician$252,539$20,000$26,853$4,411$27,724$331,527
Michael Lemieux
Cardiologist$371,960$8,490$34,616$11,671$11,061$437,798
Michelle M Hood
Trustee Pt Yr$973,213$756,271$26,584$25,200$23,156$1,804,424
Paul Bolin
SVP & CHRO$320,588$52,165$62,409$64,214$32,606$531,982
Paul R Arsenault
VP, Primary Car$117,963$19,134$1,897$4,901$10,546$154,441
Phillip B Amidon
Gastroenterologist$200,004$5,215$7,000$231$212,450
Randall Clark
VP of Finance$191,631$32,720$3,084$4,740$31,137$263,312
Reynaldo A Arceo
Physician$194,205$25,094$25,310$6,088$27,421$278,118
Robert Schlager
VP Senior Phys$238,544$41,412$27,121$8,434$11,095$326,606
Teresa P Vieira
Ex-officio$129,863$27,480$15,023$26,645$10,443$209,454$153,475$32,476$17,755$31,490$12,341$247,537
Tim Dentry NLH PresidentCEO
Trustee Pt Yr$604,626$112,673$13,344$104,720$32,960$868,323
Tracy Bonney-Corson
VP Nursing$136,570$22,356$4,279$5,455$18,276$186,936
Tyson J Thornton
AVP-Support Svcs$146,072$7,374$6,165$5,607$10,119$175,337

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationThe following received tuition:Reynaldo Arceo, highest compensated employee $25,000James Fullwood, highest compensated employee 25,000 The following received a wellness program incentive:Paul R. Arsenault, officer $360 Emily Cianchette, board member 400Robert Schlager, officer 360Tyson Thornton, highest compensated employee 400 The benefit is available for all employees.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Finance Authority of ME
A0103920062013-01-17$6,000,000Constructionfalsefalsefalse
Finance Authority of ME
B0103920062013-01-17$2,025,000Constructionfalsefalsefalse
Finance Authority of ME
C0103920062013-01-17$2,475,000Constructionfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,561,142$6,000,000$6,000,0002013falsefalseYes (true)Yes (true)
B$1,283,737$2,025,000$2,025,0002013falsefalseYes (true)Yes (true)
C$2,240,377$2,475,000$2,475,0002013falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Tracy Wing
fam mem=officer$64,570compensationfalse
Nancy Gibson
fam mem=brd mem$19,228compensationfalse
Jaime York
fam mem=brd mem$45,992compensationfalse

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Please see the following excerpt from the Northern Light Health Annual Report 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 OTHER PROGRAM SERVICES 5: 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, MD OTHER PROGRAM SERVICES 6: Caroline 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, DOJodi 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-old baby at home, she and her team assembled a care
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderSebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"),also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEach year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII.dissolution of the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is reviewed by the VP of Finance of Northern Light Sebasticook Valley Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe SVP, President of Northern Light Sebasticook Valley Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meeting and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process - Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNorthern Light Sebasticook Valley Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other IncreasesNet Change in Funds Held at EMHSF = $44093

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412010527066Supporting organization for healthcare affiliatesME501(c)(3)12 Type IIN/Afalse
Eastern Maine Medical Center EMMC
PO BOX 404 489 State StreetBangorME044020404010211501Provide Healthcare ServicesME501(c)(3)3falseEMHS
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412010391036Leases real estateME501(c)(2)falseEMHS
Rosscare
43 Whiting Hill RoadBrewerME04412010391038Provide services to elderlyME501(c)(3)PFfalseEMHS
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)10falseEMMC
Acadia Healthcare Inc
43 Whiting Hill RoadBrewerME04412223183888Provide Healthcare ServicesME501(c)(3)10falseAHC
EMHS Foundation
43 Whiting Hill RoadBrewerME04412222514163Raise and manage funds for exempt organizationsME501(c)(3)12 Type IIfalseEMHS
Inland Hospital
200 Kennedy Memorial DriveWatervilleME04901010217211Provide Healthcare ServicesME501(c)(3)3falseEMHS
Lakewood
220 Kennedy Memorial DriveWatervilleME04901010421234Provide skilled and long-term nursing caME501(c)(3)3falseInland Hospital
CADean Memorial Hospital
Pritham Avenue PO Box 1129GreenvilleME044411129043341666Provide Healthcare ServicesME501(c)(3)3falseEMHS
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)3falseEMHS
Blue Hill Memorial Hospital
57 Water StreetBlue HillME046145231010227195Provide Healthcare ServicesME501(c)(3)3falseEMHS
Mercy Hospital
144 State StreetPortlandME04101010211534Provide Healthcare ServicesME501(c)(3)3falseEMHS
VNA Home Health & Hospice
50 Foden RoadSouth PortlandME04106010246804Provide Home Health & Hospice ServiceME501(c)(3)10falseEMHS
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide Healthcare ServicesME501(c)(3)3falseEMHS
WorkHealth LLC
43 Whiting Hill RoadBrewerME04412474315094Provide healthcare servicesME501(c)(3)12 Type IIfalseEMHS
Maine Coast Regional Health Fac dba MCMH
50 Union StreetEllsworthME04605010198331Provide Healthcare ServicesME501(c)(3)3falseEMHS
Maine Cost Medical Realty
50 Union StreetEllsworthME04605010390918Lease Medical FacilitiesME501(c)(3)12 Type IfalseMCH
Beacon Health LLC
43 Whiting Hill RoadBrewerME04412452967056Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
Beacon Rural Health LLC
43 Whiting Hill RoadBrewerME04412474483187Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
Beacon Health ACO HOldings LLC
43 Whiting Hill RoadBrewerME04412364903784Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
LTC LLC
43 Whiting Hill RoadBrewerME04412010211501Operation of nursing homesME501(c)(3)3falseEMMC
Northern Light Medical Transport
43 Whiting Hill RoadBrewerME04412830911574Ambulance servicesME501(c)(3)10falseEMHS
MRH Corp dba Northern Light Mayo Hospita
897 W Main StreetDoverFoxcroftME04426843689003Provide healthcare servicesME501(c)(3)3falseEMHS
M Drug LLC
43 Whiting Hill RoadBrewerME04412272175482PharmacyME501(c)(3)3falseEMMC
Sebasticook Valley Family Practice Assoc
447 North Main StreetPittsfieldME04967010357854Provide patient careME501(c)(3)10falseSVH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Meridian Mobile Health LLC
43 Whiting Hill RoadBrewerME04412010512673AmbulanceMEAHSfalsefalse
Alliance Health Documentation LLC
43 Whiting Hill RoadBrewerME04412462751855TranscriptionMEAHSfalsefalse
M Drug LLC
43 Whiting Hill RoadBrewerME04412272175482PharmacyMEAHSfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

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