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      <MissionDesc>Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another.</MissionDesc>
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      <Desc>Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $8,478,299.Northern Light Eastern Maine Medical Center (EMMC) has served communities throughout our region for 132 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: https://northernlighthealth.org/Eastern-Maine-Medical-Center.Additional StatisticsTotal admissions 20,147Cardiac Catheterization Procedures 6,086Cardiac Surgery Cases 462Emergency Room Visits 34,368Medical Imaging Procedures 181,629Surgery Cases 15,048Live Births 1,602Family Practice Visits 117,313Total Outpatient Visits 598,574Patient Days 120,431Services provided to those who could not pay $29,877,452</Desc>
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        <Desc>Please see the following excerpt from the Northern Light Health Annual Report 2024 to the Community for details of community benefit projects at NLH members:Thinking Globally, Acting LocallyAs we reflect on the past year at Northern Light Health, we are reminded of our responsibility to deliver exceptional care while adapting to and rising up to meet our challenges. This years annual report theme, thinking globally, acting locally, demonstrates how we remain focused on our promise of making healthcare work for Maine people. In this 2024 annual report, we share many remarkable stories. You will read about how we eliminated a common operating room gas out of concern for our environment, how mobile mammography brings services to rural areas, how a youth summit addresses mental health challenges, a patients journey through gender-affirming voice therapy, and one familys experience of becoming caregivers.These stories highlight our promise to meet local needs while contributing to global solutions. Weve persevered, strengthened services, and stayed true to promise.Thank you for your trust, partnership, and support as we navigate this journey together.Timothy J. Dentry, MBA, President &amp; CEO Northern Light Health John Ryan Board Chair Northern Light HealthMember MapBangor Northern Light Acadia Hospital Northern Light Eastern Maine Medical CenterNorthern Light Health Foundation Northern Light Home Care &amp; Hospice Northern Light Pharmacy Northern Light Work Health Northern Light Work ForceBrewer Northern Light Eastern Maine Medical Center Northern Light Health Home Office Northern Light Pharmacy Pittsfield Northern Light Sebasticook Valley Hospital Northern Light Work HealthWaterville Northern Light Home Care &amp; Hospice Northern Light Inland Hospital Northern Light Work HealthEllsworth Northern Light Home Care &amp; Hospice Northern Light Maine Coast Hospital Northern Light Work HealthBlue Hill Northern Light Blue Hill HospitalPortlandNorthern Light Home Care &amp; Hospice Northern Light Laboratory Northern Light Mercy Hospital Northern Light Pharmacy Northern Light Healthy Life EAP Northern Light Work HealthPresque Isle Northern Light AR Gould Hospital Northern Light Home Care &amp; HospiceNorthern Light Work HealthGreenville Northern Light CA Dean HospitalDover Foxcroft Northern Light Mayo Hospital Northern Light Work HealthYouth Mental HealthDont dance around the issueThe needs of teen mental health have reached alarming levels in Maine, and a group of passionate student volunteers at Northern Light Eastern Maine Medical Center has responded. The Youth Mental Health Summit was established to provide tools, support, and the understanding necessary to better navigate the complexities of adolescent mental health.Stella Fox, a student volunteer manager and senior at Hampden Academy, says she had her own journey with mental health. Im a pretty busy person. I am someone who, if Im not busy, I try to find things to make my life busier, she laughs, describing her packed schedule.As part of that busy life, Fox struggles with the internal pressures of being a teenager, especially in the demanding world of dance. There is a lot of pressure in dance about a certain look youre supposed to have, she adds, Obviously, thats tough for anybody to hear. But when youre going through your teen years, youre facing a lot of other pressures and challenges. Fox and her fellow student manager and student at John Bapst, Ada Sinclair-Steele, are passionate about making a difference. Each year, high school students who participate in the volunteer program at the medical center work on a passion project for a cause that they choose. In 2024, the group chose youth mental health."I really didnt know that much about mental health when we started, Fox admits, But as we brainstormed and discussed different ideas, I realized how crucial it was to create a space where teens could learn how to take care of their mental health.Stacey Coventry, the director of community engagement at Eastern Maine Medical Center helped guide the students. For this passion project, one of the things we talked about was wanting to have a community forum that brought adults and peers together to openly have a dialogue about all the things that contributed to their mental health. Everything from bullying to stress in schools, social media, suicide awareness and prevention, and grief and bereavement, all the different things that affect our mental health. They wanted to have a dialogue, but also have a way to show kids that there are other ways that they can cope with these things.The summit featured a variety of activities, from art therapy and nature-based therapy to animal-assisted therapy and open panel discussions. We jumped right into adventure-based activities, because to learn about adventure-based activities through a lecture seems counterintuitive. We had them doing things like a pool noodle shuffle, which is when everybody holds a pool noodle and at the same time they have to let go of their pool noodle and grab the noodle of the person next to them without letting it hit the floor, and we let them work through some of their frustrations, explains Shane Mack McPherson, psychiatric technician and activities coordinator, Northern Light Acadia Hospital. Having summits like this is important because there are not many of them around here, especially geared toward high school students, says Sinclair-Steele, So many teens struggle with mental health challenges and this helps provide resources to seek help within our communities.Coventry was moved by the students engagement. I was hoping they would feel less alone and walk away with a new way to manage their mental health, she says, I also hoped theyd be excited to share what theyd learned with their peers and family members. The summit wasnt just about learning new coping mechanisms; it was also about breaking the stigma surrounding mental health. It was designed to create a safe, open space for teens to discuss mental health and learn effective coping strategies.As the day ended, Fox shared her thoughts. If youre willing to talk about it, you should, she said, Its about giving hope to others. Once you tell your story, other people will feel comfortable enough to tell theirs, and that will help them become more open about their struggles. Hopefully, when they do, theyll realize theyre not alone.Northern Light Maine Coast HospitalTurning pages early: New program welcomes babies with their first library cardNorthern Light Maine Coast Hospital is proud to partner with the Ellsworth Public Library by launching Babys First Library Card, an initiative promoting early literacy and a lifelong love of reading. Beginning in May 2024, every baby born at our Dixon Family Birthing Center receives a welcome package that includes an age-appropriate book and an application for a complimentary library card from the Ellsworth Public Library, regardless of residency.This program, funded in memory of Melanie Zadoran avid hospital and library volunteerhonors her dedication to community enrichment through literacy. Our team is excited to support families in fostering early reading habits with their babies, shares Sarah Joy, director of Philanthropy for Northern Light Blue Hill and Maine Coast Hospitals. This collaboration is a meaningful way to celebrate Melanies legacy and connect families with valuable resources. The community resource is about more than books. I think its undersold because everyone thinks that the library is just to take out books and its not, explains Carrie Barnes, RN, Northern Light Maine Coast Hospital. There are so many other things the library offers like playgroups and reading time for moms and their kids. Its easy as a new parent to feel isolated, and these programs help keep them connected.Sarah Lesko, Ellsworth Library director adds, Reading is one of the most important skills we have in lifelong learning, so we are thrilled to partner with Northern Light Maine Coast Hospital to welcome our newest community members.</Desc>
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        <PersonNm>Richard Riemersma MD</PersonNm>
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        <Desc>Other Liability-Commerce Bank</Desc>
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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment Funds are designated for purposes that align within this organization's exempt purpose.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying 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. The 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 the 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.</ExplanationTxt>
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        <OwnWebsiteURLTxt>See Part V, line 16j for URL</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Part V, Line 16j for URL</OtherWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2021 and January 2022. All forms of engagement included public forums, community sponsored events, and oral surveys. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Virtual community forums with residents and service providers were held in the county in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 23, 2021, Penobscot County Shared CHNA Community Engagement Forum and provided valuable feedback on the most recent Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Penobscot County CHNA report, page 23: Bangor Public Health and Community Services, Center for Community Inclusion &amp; Disability Studies, University of Maine, City of Bangor, Community Health Leadership Board, Community members, Downeast Public Health District, Eastern Maine Community College, Eastern Maine Development Corporation, Elliotsville Foundation, Inc., Health Access Network, Maine Department of Health and Human Services, Midcoast Public Health District, Millinocket Regional Hospital, Mobilize Katahdin, Millinocket Memorial Library, Northeastern Workforce Development Board, Northern Light Health, Northern Light Acadia Hospital, Northern Light Beacon Health, Northern Light Eastern Maine Medical Center, Northern Light Eastern Maine Medical Center Board of Trustees, Northern Light Home Care &amp; Hospice, Office of Child and Family Services, Maine Department of Health and Human Services, Partners for Peace, Penobscot Community Health Care, Penobscot Valley Hospital, Penquis Public Health District, Penquis Rape Response Services, Public Health Nursing, Maine Center for Disease Control and Prevention, St. Joseph Healthcare, St. Joseph Hospital, Town of Dexter, United Way of Eastern Maine.New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreach were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people who live with a disability; people with a mental health diagnosis; people with low income; and youth.Another effort included conducting oral surveys in collaboration with eight ethnic-based community organizations community health workers in order to better reach Maines immigrant population that included: 1,000 surveys were conducted in either English (32%), Somali, (24%), Arabic (23%), French (8%), Spanish (5%), Lingala (3%), and other languages including Swahili, Maay Maay, Portuguese, Oromo, Eretria, Kirundi, and Amara. When asked for their countries of origin, respondents most commonly cited the United States (212), Iraq (205), Somalia (157), The Democratic Republic of Congo (81), Djibouti (70), Kenya (30), and Mexico (29). Other countries of origin mentioned included Rwanda, Ethiopia, Angola, Syria, Guatemala, South Africa, Palestine, Puerto Rico, Morocco, Afghanistan, El Salvador, Nigeria, Canada, Burundi, Eritrea, France, Honduras, Uganda, Jamaica, Mali, Gabon, Sudan, Nicaragua, Peru, and Brazil.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, including other non-Northern Light Health hospitals who were consulted during the engagement process.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>As a member of a partnering healthcare system in the Maine Shared Community Health Needs Assessment (Shared CHNA) effort, Northern Light Healths Community Health Council recognized the value, reach, and influence of aligned engagement efforts with a shared purpose. Review of the county CHNA forum priority voting revealed that mental health, social determinants of health, and substance use were among the top four priorities in almost every county CHNA forum. These three priority areas were presented and adopted by our hospitals governing board as shared priorities where Northern Light Health member organizations would engage in common strategy to achieve greater statewide effect. Northern Light Eastern Maine Medical Centers community health strategy was developed to include our systemwide shared priority areas of work reflecting upon the quantitative health profile indicators and qualitative prioritization derived from the Shared CHNAs community engagement process. We also considered local readiness and capacity to address these needs in partnership with our local communities. The following provides an update on the actions taken on the three priority areas in fiscal year 2024 (FY24): Mental Health: Actions taken by Northern Light Eastern Maine Medical Center to address this priority in FY24: Eastern Maine Medical Center trained staff in Psychological First Aid (PFA), an evidence-informed approach to help anyonechildren, adolescents, adults, and familiesin the immediate aftermath of a traumatic experience and has proven to be effective when someone is experiencing a mental health crisis at any time. PFA shines a light on the impact of collective trauma, builds resiliency, and assists in self-care action plans by incorporating five evidence-based principles: safety, calming, connectedness, self and community reliance, and hope.Certified Eastern Maine Medical Center staff then engaged schools and/or youth serving organizations to educate and empower others to respond to mental and behavioral health needs of children using the PFA training model. Attendees received training in eight core elements; engagement, safety, stabilization, information gathering, practical assistance, connection to social supports, information on coping, and connecting with collaborative services. Eastern Maine Medical Center conducted 3 PFA training sessions with 40 individuals trained. Northern Light Healths systemwide collective impact of our shared objective through year 1 (2023) and year 2 (2024) of the three-year cycle, has resulted in 80 training sessions with 1,606 individuals trained.Social Determinants of HealthActions taken by Northern Light Eastern Maine Medical Center to address this priority in FY24: FindHelp.org is the nations leading social care network, making it easier to connect patients and their families with free or reduced-cost programs from local partners and national support services with dignity and ease, and is one component of Northern Light Healths response to need in the communities we serve. Northern Light findhelp will allow users to directly communicate with referral partners to coordinate care of our patients.Northern Light Eastern Maine Medical Center engaged in meaningful, trusted community partnerships to reach priority populations with equitable access to community resources and social supports and connect individuals with community resources they need to improve their health and well-being through the findhelp.org platform. Eastern Maine Medical Center participated on a monthly systemwide workgroup focused on community engagement efforts to educate community partners on the availability and uses of findhelp.org. Community partners were provided with assistance in adding their program information to the platform directory and with activating the ability to receive referrals or requests for information through the platform. Eastern Maine Medical Center engaged 5 community partners who added 10 programs to the findhelp directory. Northern Light Healths systemwide collective impact of our shared objective to increase community partner engagement with FindHelp.org resulted in 69 programs added to findhelp and 148 programs that increased engagement with findhelp.Substance UseActions taken by Northern Light Eastern Maine Medical Center to address this priority in FY24: In collaboration with other Northern Light Health member organizations and community-based organizations, trained Eastern Maine Medical Center staff representing pharmacy and community health departments, worked diligently to improve processes and partnerships to reduce barriers and provide equitable access to state-sponsored Naloxone (Narcan) kits for priority populations. Northern Light Eastern Maine Medical Center participated in the Maine Naloxone Distribution Initiative which provides state-purchased naloxone to community organizations, clinical sites, and end-users throughout the State of Maine to distribute free of charge. Through a collaboration with Bangor Public Health &amp; Community Services, Eastern Maine Medical Center worked in the inpatient, emergency department, and community settings to provide education on the use of these naloxone kits to end-users to facilitate the reversal of private overdoses in the community. Eastern Maine Medical Center distributed 61 state-sponsored naloxone kits. Northern Light Healths systemwide collective impact of our shared objective to improve distribution and preventive access to state sponsored naloxone kits systemwide resulted in 2,560 naloxone kits distributed throughout Northern Light Healths service area. Additional information related to actions taken by Eastern Maine Medical Center on the above priorities can be found in their FY23-FY24 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-Strategy. Eastern Maine Medical Center considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. Access to care was not selected as an independent focus for the community health strategy. However, the selected priority areas identified in our strategy do support and connect to increased access to care. In addition, the medical center has current ongoing initiatives that are part of annual goals for the organization as a whole.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>Income Level</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Response for 7a (list URL) is https://northernlighthealth.org/Eastern-Maine-Medical-CenterResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Shared-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/billing-help/Bill-Pay-Assistance under "Pay My Bill".</ExplanationTxt>
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            <AddressLine1Txt>Union Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
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            <ZIPCd>04401</ZIPCd>
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            <AddressLine1Txt>7 Main Road North</AddressLine1Txt>
            <CityNm>Hampden</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04444</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
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            <AddressLine1Txt>234 State Street</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Sleep Diagnostics</BusinessNameLine1Txt>
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            <AddressLine1Txt>290 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - outpatient svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>302 Husson Ave</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Internal Medicine</BusinessNameLine1Txt>
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            <AddressLine1Txt>302 Husson Ave</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>84 Kelly Road</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04473</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Cardiology</BusinessNameLine1Txt>
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            <AddressLine1Txt>1 Northeast Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Urology</BusinessNameLine1Txt>
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            <AddressLine1Txt>55 Broadway Suite 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Urology 2nd Location</BusinessNameLine1Txt>
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            <AddressLine1Txt>404 State St Suite 610</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Physician Prac in Webber Bld</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>417 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Northern Light Cancer Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33 Whiting Hill Road</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - cancer treatment</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5721 Cutler Health Center Universit</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044695721</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Care Facility</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Surgical Weight Management</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>404 State St Suite 310</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Pediatric Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Pediatric Specialty Care</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Pediatric Specialty Care</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>325D Kennedy Memorial Drive</AddressLine1Txt>
            <CityNm>Waterville</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04901</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Out Patient Services</BusinessNameLine1Txt>
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            <AddressLine1Txt>489 State Street Kagan Bldg</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044020404</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>900 Hammond St</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a - Related Organization Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center is a member of Northern Light Health (EIN = Eastern Maine Health Systems DBA NLH 01-0527066). Our Community Benefit Report is included in the following documents annually:Northern Light Healths Annual Report; a sub-section in the report https://northernlighthealth.org/About-Us Northern Light Health Community Benefit Reports are available at: https://northernlighthealth.org/Community-Health-Needs-Assessment/Community-Benefit-Reports</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Ratio of Patient Care Cost-to-Charges is used in calculations.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to determine the amount reported is cost to charge ratio.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 15 to 19 - Patient Service Revenue and Accounts Receivable section.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Located in Bangor, Maine, Northern Light Eastern Maine Medical Center 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. Northern Light Eastern Maine Medical Center patients are community members from the following counties; Aroostook, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and Washington.Penobscot Countys race/ethnicity and selected demographics are provided below for Eastern Maine Medical Center based on the hospitals physical location in Penobscot County.Penobscot County - Race/Ethnicity: American Indian/Alaskan Native 1.3% (1,910), Asian 1.0% (1,492), Black/African American 0.9% (1,291), Native Hawaiian or Pacific Islander 0.0% (58), White 94.5% (143,465), Some other race 0.3% (462), Two or more races 2.0% (3,096), Hispanic 1.4% (2,061), Non-Hispanic 98.6% (149,713), Total county population 151,774.Penobscot County - Selected Demographics: Median household income $50,808, Unemployment rate 5.4%, Individuals living in poverty 14.8%, Children living in poverty 13.9%, 65+ living alone 29.4%, Veterans 9.1%, Gay, lesbian, and bisexual (high school students) 11.7%, Gay, lesbian, and bisexual (adults) 3.7%, Transgender youth (high school students) 1.4%, Persons with a disability 19.0%.Other hospitals serving the Northern Light Eastern Maine Medical Centers community: Based on the State of Maines definition of hospital service area, Northern Light Eastern Maine Medical Centers community is served by an additional two other hospitals, Northern Light Acadia Hospital, and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources &amp; Services Administration designated Eastern Maine Medical Centers service area as having a total of 16 medically underserved populations/areas.Northern Light Eastern Maine Medical Centers patients also include community members from a number of other counties where their HSAs are designated as having medically underserved populations and/or medically underserved areas: Aroostook County has four hospitals; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Penobscot County has five hospitals including Northern Light Eastern Maine Medical Center; Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; Washington County has two hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Career Exploration Days - customizable, educational field trips focused on giving high school students insight to what a future in healthcare could look like for them. Staff contributed to the Career Exploration Days by participating on panel discussions, through demonstrations (sim lab, robotics, etc.). Clinical Education Lab Tours - Lab tours conducted by Laboratory Education Manager, from January 2024 - September 2024 for individuals. Zoom Information Meeting - Staff met with the Bucksport High School Guidance Counselor and a student interested in a profession in the medical field. They discussed different areas of Imaging, the school/training process, and the advancement opportunities with the profession. Medical Imaging Job Shadow - Imaging hosted a high school student job shadow interested in attending EMCC for Medical Imaging. Clinical Education Lab Tours and Demonstrations - Lab tours and demonstrations Medical Education Student Observations - FY24 Medical Education Student Observations</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center furthers its exempt purpose by promoting the health of the community through the following community health improvement grant activity in FY24:Community Based Clinical Services: Maine Cancer Foundation - Increasing breast cancer screening and reducing barriers through the Caring Connections program with the Bangor Region YMCA.; Pediatrics Specialty Clinics - Genetics Clinics; Cystic Fibrosis Clinics;Health Care Support Services: AgingME GWEP HRSA - Improve health outcomes for older adults by developing a healthcare workforce that maximizes patient and family engagement; Maine Cancer Foundation Transportation - Creating a systematic approach to transportation and lodging assistance for rural cancer care patients; Perinatal - Support prevention and early intervention in order to promote the health and well-being of Maine's pregnant and post-partum women, infants and children by providing technical assistance, consultation and training to Maternal and Child Health (MCH) Providers; MEHAF SUD SIIRG - Support establishment and development of relations with community partners and community of focus to gather input related to both the need and feasibility of creating a Street Medicine program with the Family Medicine Residency Program.Social and Environmental Improvement Activities: Good Shepherd Food Bank Community Health &amp; Hunger - Increase the amount of healthy food distributed and/or the number of individuals that are served</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affilated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2022 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted shared local implementation strategies referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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        <PersonNm>Anthony Filer SVPCFO</PersonNm>
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        <PersonNm>Carolyn Fetha</PersonNm>
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        <PersonNm>David Pantino MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>1366301</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Deborah Sanford</PersonNm>
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        <BonusFilingOrganizationAmount>11489</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>28125</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15019</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>344850</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Donna Boehm</PersonNm>
        <TitleTxt>VP of Oncology</TitleTxt>
        <BaseCompensationFilingOrgAmt>137701</BaseCompensationFilingOrgAmt>
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        <OtherCompensationFilingOrgAmt>1604</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14729</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10493</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168450</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Hafener</PersonNm>
        <TitleTxt>Former VP-Compliance &amp; Privacy</TitleTxt>
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        <BonusRelatedOrganizationsAmt>7594</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2665</OtherCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>George Eaton SVP Chief Legal</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Glenn Martin</PersonNm>
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        <TotalCompensationRltdOrgsAmt>427022</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>351335</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Greg LaFrancois</PersonNm>
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        <TotalCompensationFilingOrgAmt>608967</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>7703</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Holly Fanjoy</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Clarke MD</PersonNm>
        <TitleTxt>SVP/Sr Phy Ex</TitleTxt>
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        <TotalCompensationFilingOrgAmt>546235</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Jarvis</PersonNm>
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        <OtherCompensationFilingOrgAmt>3317</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35796</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>420702</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jay Matthew Marston</PersonNm>
        <TitleTxt>VP Pharmacy</TitleTxt>
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        <BonusFilingOrganizationAmount>9883</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1162</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15879</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Aronowitz MD</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Watson MD</PersonNm>
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        <PersonNm>John D Klemperer MD</PersonNm>
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        <PersonNm>Marc Edelman</PersonNm>
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        <PersonNm>Maura Kelley</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Noah Lundy</PersonNm>
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        <PersonNm>Rand O'Leary</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sean Barnett MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen Kenney</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen R Thompson MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tim Dentry PresidentCEO</PersonNm>
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        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Mobile MammogramsDelivering care closer to home For many women in rural Maine, getting regular mammograms can be tough. They face long drives, limited transportation options, and, sometimes in Maine, you just cant get there from here. Thats why Northern Light CA Dean Hospital and Northern Light Mayo Hospital launched a mobile mammography unit, bringing high-quality breast cancer screenings directly to women who might otherwise go without.The mobile unit is one way Northern Light Health is improving access to healthcare. The most important reason for launching this mobile mammography unit is to reach women in rural communities who might otherwise not have access to their screening mammograms, explains Joann Lovell, director of Imaging at Northern Light CA Dean and Mayo Hospitals.The mobile unit has the same state-of-the-art 3D mammography technology used in Northern Light Healths hospitals and clinics. That means patients get the same exceptional care, same high-quality images, and the same experienced technologists, whether theyre at the hospital or in the mobile unit, explains Lovell.For Lorna Young, the first patient screened in the mobile unit, the convenience was great. It was very easy for me. All I had to do was walk out the back door of my office and into the mobile unit. It was just perfect, says Young, who appreciated how simple the process was and how accessible the screening was for her.The mobile mammography unit travels throughout rural communities statewide, saving patients travel time and removing the stress of securing transportation. This service, Lovell notes, is a game-changer for many patients. For women in these communities, the ability to get a mammogram without traveling long distances makes a world of difference.By sharing resources, staff, and expertise, Northern Light CA Dean and Mayo Hospitals can provide seamless care across a wider area. The collaboration has been a huge benefit to both communities. We share resources, share patients, and that ensures we provide the best care possible, says Lovell, Its not just about screenings; its about offering comprehensive care to these patients.The importance of early detection of breast cancer cannot be of overstated. Regular mammograms can identify potential issues before symptoms appear, increasing the chances of successful treatment. As Lovell put it, If we can prevent even one family from losing a loved one to breast cancer, then weve been a success.For women like Young, the mobile mammography unit offers more than just convenienceit offers peace of mind. I would absolutely recommend this to other women, she says, The convenience and all the advantages it brings to our area are invaluable. Its just an incredible resource.Northern Light Acadia HospitalAddressing Maines shortage of psychiatristsMaine has a critical shortage of psychiatrists. The number of licensed practitioners in our state has dropped from 110 in 2020 to just 50 in 2022, according to the U.S. Bureau of Labor Statistics. To address this urgent need, Northern Light Acadia Hospital launched a Psychiatry Residency Program, designed to grow Maines behavioral healthcare workforce, and improve access to mental health services.Supported by a $1 million grant from The Manton Foundation, the program is one of two psychiatric residencies in Maine and the only one north of Portland. After receiving 494 applications on the first day alone, Acadia Hospital leaders interviewed 95 candidates and matched four residents through the National Resident Matching Program.The smaller hospital setting at Acadia has created a close-knit community where Ive felt welcomed and supported from day one, says Karen Singh, MD, Its been wonderful to return to Maine and experience the states beauty while advancing my career.Kelly Kossen, MD adds, Living here has allowed me to spend my free time exploring farms, hiking, and visiting coastal towns. The staffs kindness has made my transition seamless. Acadias four-year program aims to train 16 residents at full capacity, with the hope that many will continue practicing in Maine. Where doctors train often determines where they stay, says Mark Lukens, president, Northern Light Acadia Hospital, This program is a vital step in addressing Maines mental health challenges.Finding Her VoiceA journey through gender-affirming voice therapyKara Libbys transition journey began in 2018, long before she met Robby Desjardins, MA, the lead speech-language pathologist at Northern Light AR Gould Hospital. She moved to Aroostook County in 2019, hoping for a fresh start and a chance to live more authentically.That fresh start and opportunity still seemed just out of reach for Libby, who struggled with a voice that didn't match how she felt on the inside and looked on the outside. My job has always been on the phone, she shares, And every time I pick up a call, I hear either someone misidentify me or, at best, affirm who I know I am. That constant uncertainty can be draining. I felt invisible, like I was living in two worlds.Libbys voice dysphoria, the discomfort with the mismatch between her voice and her gender identity, was taking its toll. It wasnt just about how others saw me; it was about how I saw myself. Every conversation, even the simplest ones, became a reminder of the gap between who I am and how the world perceived me.Her counselor at the time recommended Desjardins, who specializes in gender-affirming voice therapy. She made the appointment, unsure but hopeful that this could be the help she needed.I met Kira at a time when she was understandably uncertain about the whole process, Desjardins recalls, Its common for patients to feel a bit overwhelmed or self-conscious. The first step is always assessment how does the person perceive their voice, and where do they want it to go?The process began with a baseline recording. Libby was hesitant at first, speaking softly and with visible discomfort. I was nervous, she admits, I wasnt sure how it would work, or if I could even change my voice the way I wanted. I didnt know where to start. From there, Desjardins began to tailor a treatment plan that would address her specific needs. We start by measuring vocal pitch, loudness, and resonance, and then go from there, he explains, But its not just about the mechanics; its about understanding how the patient feels when they use their voice, and what theyre hoping to express through it. Each session involves exercises aimed at increasing vocal pitch, improving resonance, and building confidence. Some days are harder than others, but Desjardins made sure the work was always engaging. He has a way of making it fun, Desjardins laughs, We even read some kindergarten books together. It sounds silly, but he has this way of making every session feel special, like its just for me.After several months of working together, Libby noticed changes. Im not being misgendered as often now, she says, When Robby first recorded me, I wasnt confident at all. I would barely speak in public. Now, I feel so much more comfortable in my skin. For Desjardins, moments like these are what make the work meaningful. When I hear a voice sample from someone thats dramatically different from their baseline, it gives me chills, he says, Its not just about the sound its about seeing someone truly embody their authentic self. Libbys voice now reflects the woman shes always known herself to be. Its not just about changing the way I speak. Its about owning my voice, she says, smiling. And thanks to Robby, Ive learned how to do that. OTHER PROGRAM SERVICES 5: Northern Light Inland HospitalA bridge to care for communitiesSome Waterville residents are visited by paramedics, as part of a collaborative effort between Northern Light Inland Hospital and the citys fire department. This vital resource is designed to improve patient care and reduce hospital readmissions. Courtney Cook, vice president of Nursing and Patient Care Services, Northern Light Inland Hospital, highlights the importance of this at home program. Waterville is lucky to have the paramedicine program as a community resource, Cook says, emphasizing Inland Hospitals pride in partnering with the program. The program offers a wide range of services to Waterville residents, including home safety checks, medication reviews, vital sign monitoring, blood draws, and wound care. The team works closely with healthcare providers to ensure patients receive the right care, preventing unnecessary hospital visits. The team is a great resource to bridge care gaps for those with medical conditions needing frequent reassessment, Cook explains. Additionally, they provide care for the unhoused population, offering both health checks and referrals to emergency care when necessary. While the Inland Hospital program is currently available only to Waterville residents, Cook is optimistic about its future. The hope is that the pilot will be so successful that funding will bec</ExplanationTxt>
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        <ExplanationTxt>George Eaton, officer is board member of Bangor Savings Bank and Susan Hammond, board member is board member of Bangor Savings Bank Foundation.Jenifer Butler, officer/board member and John Simpson, officer are board members of Sarah's House of Maine.Jenifer Butler, officer/board member and Deborah Sanford, officer are board members of Rotary Club of Bangor.Susan Hammond, board member and Brein Walton, board member are board members of Maine Venture Fund.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center (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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the NLH Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII.dissolution of the Corporation.</ExplanationTxt>
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        <ExplanationTxt>Form 990 is reviewed by the VP of Finance. 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.</ExplanationTxt>
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        <ExplanationTxt>The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.</ExplanationTxt>
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        <ExplanationTxt>The SVP, President of Northern Light Eastern Maine Medical Center and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.</ExplanationTxt>
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        <ExplanationTxt>Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and EMMC Executive &amp; Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.</ExplanationTxt>
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        <ExplanationTxt>Northern Light Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
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        <ExplanationTxt>Contribution of long-lived assets, net = $6645</ExplanationTxt>
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        <ExplanationTxt>Net Change in Funds Held at Affiliates = $3955650</ExplanationTxt>
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        <ExplanationTxt>The unrelated business income taxes accrued during the tax year of $222,896 is reported in Part IX, Statement of Functional Expenses, line 24b as a component of Taxes and Licensing.</ExplanationTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sebasticook Valley Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>447 North Main Street</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04967</ZIPCd>
        </USAddress>
        <EIN>010263628</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Aroostook Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 151 140 Academy Street</AddressLine1Txt>
          <CityNm>Presque Isle</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>047690151</ZIPCd>
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        <EIN>010372148</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Blue Hill Memorial Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>57 Water Street</AddressLine1Txt>
          <CityNm>Blue Hill</CityNm>
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          <ZIPCd>046145231</ZIPCd>
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        <EIN>010227195</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>175 Fore River Parkway</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04102</ZIPCd>
        </USAddress>
        <EIN>010211534</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA Home Health &amp; Hospice</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>225 Gorham Rd STE 200</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010246804</EIN>
        <PrimaryActivitiesTxt>Provide home health &amp; hospice services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Wellbeing LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474315094</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Regional Health Facilities d</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>010198331</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Medical Realty</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>010390918</EIN>
        <PrimaryActivitiesTxt>Lease medical facilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>452967056</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Rural Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474483187</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Medical Transport</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>830911574</EIN>
        <PrimaryActivitiesTxt>Ambulance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MRH Corp dba Northern Light Mayo Hospit</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>897 W Main Street</AddressLine1Txt>
          <CityNm>DoverFoxcroft</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04426</ZIPCd>
        </USAddress>
        <EIN>843689003</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Colonial Acres Nursing Home</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Katahdin Healthcare LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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        <ShareOfEOYAssetsAmt>662292</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Stillwater Healthcare LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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          <BusinessNameLine1Txt>Dover-Foxcroft Healthcare LLC DBA Hib</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Waterman Drive 4th Floor</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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          <BusinessNameLine1Txt>22 Walnut Street LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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          <BusinessNameLine1Txt>1037 West Main Street LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Waterman Drive</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Park East Villa LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
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          <ZIPCd>04106</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
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        <ShareOfEOYAssetsAmt>788829</ShareOfEOYAssetsAmt>
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          <BusinessNameLine1Txt>Ross Manor Associates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
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        <EIN>010448532</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
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        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>2792</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5573593</ShareOfEOYAssetsAmt>
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        <OwnershipPct>0.50000</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dexter Manor Associates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010435902</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
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        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-9656</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>726068</ShareOfEOYAssetsAmt>
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        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Systems AHS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
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          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010385322</EIN>
        <PrimaryActivitiesTxt>Holding co.</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010349339</EIN>
        <PrimaryActivitiesTxt>Hlthcr mgmt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Laboratory Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010381283</EIN>
        <PrimaryActivitiesTxt>Clinical lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Beacon Direct</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>371864965</EIN>
        <PrimaryActivitiesTxt>Healthcare Self-funded TPA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>