EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
EASTERN MAINE HEALTHCARE SYSTEMS (EIN 04-3341666)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-07
IRS object ID
202302199349301505
Schema version
2021v4.1
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)
Return2023-08-07T13:05:10-07:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043341666EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Charles A Dean Memorial HospitalBusinessNameLine1Txt
Business Name Line2Northern Light CA Dean HospitalBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHARBusinessNameControlTxt
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Pritham Avenue PO Box 1129AddressLine1Txt
CityGreenvilleCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04441ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Person TitleNLH VP of FinancePersonTitleTxt
Signature2023-08-07SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn J DoylePrincipalOfficerNm
Gross Receipts$23,745,580GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption5247GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://northernlighthealth.org/C-A-Dean-HospWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionThe mission of Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is to provide a continuum of high quality holistic healthcare services.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee189TotalEmployeeCnt
Total Volunteers26TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$548,879PYContributionsGrantsAmt
CY Contributions Grants$2,159,623CYContributionsGrantsAmt
PY Program Service Revenue$24,708,587PYProgramServiceRevenueAmt
CY Program Service Revenue$20,530,566CYProgramServiceRevenueAmt
PY Investment Income$67,239PYInvestmentIncomeAmt
CY Investment Income$2,099CYInvestmentIncomeAmt
PY Other Revenue$3,448PYOtherRevenueAmt
CY Other Revenue$1,047,757CYOtherRevenueAmt
PY Total Revenue$25,328,153PYTotalRevenueAmt
CY Total Revenue$23,740,045CYTotalRevenueAmt
PY Grants And Similar Paid$2,612PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,811,253PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,433,876CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,506,258PYOtherExpensesAmt
CY Other Expenses$8,179,259CYOtherExpensesAmt
PY Total Expenses$20,320,123PYTotalExpensesAmt
CY Total Expenses$21,613,635CYTotalExpensesAmt
PY Revenues Less Expenses$5,008,030PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,126,410CYRevenuesLessExpensesAmt
Total Assets BOY$24,475,739TotalAssetsBOYAmt
Total Assets EOY$32,585,929TotalAssetsEOYAmt
Total Liabilities BOY$11,172,800TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,641,124TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,302,939NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,944,805NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is to provide a continuum of high quality holistic healthcare services.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,630,713ExpenseAmt
Grant$500GrantAmt
Revenue$21,579,693RevenueAmt
DescThe Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. Provided $385,207 other uncompensated care (at cost).Additional Statistics:Northwoods Healthcare & Specialty Clinic visits 18,471Hospital diagnostic and rehabilitation visits 20,122Emergency room visits 2,287 Hospital admissions 239Ambulance runs 355Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$46,451ExpenseAmt
DescProvided charity care, $46,451 (at cost). 699 persons served.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescExperienced Medicare shortfall, $-0- (at cost). 8,631 persons served.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$18,677,164TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
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 BondsfalseTaxExemptBondsInd
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 Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee189EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 RoadAddressLine1Txt
CityBrewerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP044121006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Timothy Dentry NLH PresCEO
Ex-Officio1.0050.00Yes (X)Yes (X)$0$1,840,352$60,782
Anthony J Filer NLH SVP CFO
Treasurer1.0050.00Yes (X)$0$934,170$61,116
Glenn Martin VP Gen'l Counse
Secretary-Pt Yr1.0050.00Yes (X)$0$713,228$112,701
David McDermott MD
VP, Sr Phys Exe13.0037.00Yes (X)$139,871$419,611$26,648
Paul Bolin
SVP & CPO1.0050.00Yes (X)$0$429,549$105,611
Joseph Babbitt MD
Director/Ex-Off40.000.00Yes (X)$395,793$0$53,640
Teresa P Vieira
Former SVP & President0.0050.00$0$386,782$48,892
Marie Vienneau
Pres/Ex-Officio20.0030.00Yes (X)Yes (X)$149,068$223,601$54,910
Gail E Lamb
Physician40.000.00$357,641$0$21,306
Darin M Peck
Physician40.000.00$296,534$0$43,904
George Eaton SVP CLO
Secretary-Pt Yr1.0050.00Yes (X)$0$254,686$42,889
Scott A McLaughlin
Physician40.000.00$231,774$0$48,543
Lorraine Rodgerson RN
VP-Nursing & Op40.000.00Yes (X)$218,736$0$37,994
Shannon M Meredith
Physician40.000.00$233,043$0$22,525
Yoosuf Siddiqui
Former VP HR Northwest Reg0.0050.00$0$203,160$46,842
Jennifer Goodrich
VP of Finance21.0029.00Yes (X)$91,321$121,938$34,814
William Boller
Physician40.000.00$207,582$0$2,439
Marion Huntley
Director0.500.00Yes (X)$0$0$0
Dwight Foote Jr
Director0.500.00Yes (X)$0$0$0
Stuart Watt
Director/ViceCh2.000.00Yes (X)Yes (X)$0$0$0
Linda Gilbert
Director/Chair2.000.00Yes (X)Yes (X)$0$0$0
Diane Bartley
Director0.500.00Yes (X)$0$0$0
Jensen Bissell
Director0.500.00Yes (X)$0$0$0
William Fletcher Esq
Director0.500.00Yes (X)$0$0$0
Barbet Mason
Director0.500.00Yes (X)$0$0$0
Christopher Winstead
Director0.500.00Yes (X)$0$0$0
Genise Stern
Director0.500.00Yes (X)$0$0$0
Ronald Pelletier
Director0.500.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,321,363TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,527,077TotReportableCompRltdOrgAmt
Total Other Compensation$825,556TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WBRC Inc
44 Central StreetBangorME044015116Architects and Engineers$527,893
SimpliFi
5020 North Shore Drive Suite 2North Little RockAR72118Temporary Nursing Staff$520,186
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$1,386,968RelatedOrganizationsAmt
Government Grants$764,160GovernmentGrantsAmt
All Other Contributions$8,495AllOtherContributionsAmt
Total Contributions$2,159,623TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$6,528$6,528
Net Patient Care Services621990$20,524,038$20,524,038
FieldValueIRS element (for citing)
Total Program Service Revenue$20,530,566TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,099TotalRevenueColumnAmt
Exclusion$1,099ExclusionAmt

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$4,165RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,535RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$1,370RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,370TotalRevenueColumnAmt
Exclusion-$1,370ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,000TotalRevenueColumnAmt
Exclusion$1,000ExclusionAmt

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
Desc340b Pharmacy BenefitsDesc
Business621990BusinessCd
Total Revenue Column$1,049,127TotalRevenueColumnAmt
Related Or Exempt Func Income$1,049,127RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,049,127OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,740,045TotalRevenueColumnAmt
Related Or Exempt Func Income$21,573,165RelatedOrExemptFuncIncomeAmt
Exclusion$7,257ExclusionAmt
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$500TotalAmt
Program Services$500ProgramServicesAmt

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$1,129,957TotalAmt
Program Services$852,696ProgramServicesAmt
Management And General$277,261ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,535,595TotalAmt
Program Services$8,871,407ProgramServicesAmt
Management And General$664,188ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$539,670TotalAmt
Program Services$505,617ProgramServicesAmt
Management And General$34,053ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,526,569TotalAmt
Program Services$1,373,009ProgramServicesAmt
Management And General$153,560ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$702,085TotalAmt
Program Services$653,334ProgramServicesAmt
Management And General$48,751ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35TotalAmt
Management And General$35ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,927TotalAmt
Management And General$2,927ManagementAndGeneralAmt

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$3,750,378TotalAmt
Program Services$2,300,483ProgramServicesAmt
Management And General$1,449,895ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$96,497TotalAmt
Program Services$96,497ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$358,423TotalAmt
Program Services$268,447ProgramServicesAmt
Management And General$89,976ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$580,076TotalAmt
Program Services$543,370ProgramServicesAmt
Management And General$36,706ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$364,831TotalAmt
Program Services$317,403ProgramServicesAmt
Management And General$47,428ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$64,072TotalAmt
Program Services$57,277ProgramServicesAmt
Management And General$6,795ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,315TotalAmt
Program Services$54,607ProgramServicesAmt
Management And General$708ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$143,163TotalAmt
Program Services$143,163ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$503,563TotalAmt
Program Services$448,343ProgramServicesAmt
Management And General$55,220ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$447,345TotalAmt
Program Services$418,491ProgramServicesAmt
Management And General$28,854ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies Expense$1,091,687$1,091,687
Taxes and Licensing$393,846$390,601$3,245
Repairs & Maintenance$258,962$249,684$9,278
Miscellaneous$33,369$30,838$2,531

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,770TotalAmt
Program Services$9,710ProgramServicesAmt
Management And General$25,060ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,613,635TotalAmt
Program Services$18,677,164ProgramServicesAmt
Management And General$2,936,471ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,269,295BOYAmt
EOY$9,731,494EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$184,467BOYAmt
EOY$240,642EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,999,082BOYAmt
EOY$5,858,447EOYAmt

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$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$85,982BOYAmt
EOY$106,075EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,303BOYAmt
EOY$4,855EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,218,784LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,159,591LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,201,991BOYAmt
EOY$8,059,193EOYAmt

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)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,721,619BOYAmt
EOY$8,585,223EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,475,739BOYAmt
EOY$32,585,929EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,985,285BOYAmt
EOY$3,214,544EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,057,427BOYAmt
EOY$1,796,233EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,130,088BOYAmt
EOY$7,630,347EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,172,800BOYAmt
EOY$12,641,124EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,024,034BOYAmt
EOY$11,845,868EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,278,905BOYAmt
EOY$8,098,937EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,302,939BOYAmt
EOY$19,944,805EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,475,739BOYAmt
EOY$32,585,929EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,126,410ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,515,456OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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$3,025OtherActivitiesAmt
Total Lobbying Expenditures$3,025TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II-B, Line 1i - Other Activities DescriptionNon-deductible portion of dues.
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$761,438BeginningYearBalanceAmt
Contributions$100ContributionsAmt
Investment Earnings Or Losses-$70,144InvestmentEarningsOrLossesAmt
Other Expenditures$15,968OtherExpendituresAmt
End Year Balance$675,426EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$691,289BeginningYearBalanceAmt
Investment Earnings Or Losses$73,193InvestmentEarningsOrLossesAmt
Other Expenditures$3,044OtherExpendituresAmt
End Year Balance$761,438EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$697,354BeginningYearBalanceAmt
Investment Earnings Or Losses$2,892InvestmentEarningsOrLossesAmt
Other Expenditures$8,957OtherExpendituresAmt
End Year Balance$691,289EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$699,861BeginningYearBalanceAmt
Investment Earnings Or Losses$9,872InvestmentEarningsOrLossesAmt
Other Expenditures$12,379OtherExpendituresAmt
End Year Balance$697,354EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$706,316BeginningYearBalanceAmt
Investment Earnings Or Losses$13,298InvestmentEarningsOrLossesAmt
Other Expenditures$19,753OtherExpendituresAmt
End Year Balance$699,861EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.48000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.52000PrmnntEndowmentBalanceEOYPct
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$274,801OtherCostOrOtherBasisAmt
Book Value$274,801BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,039,849OtherCostOrOtherBasisAmt
Depreciation$4,267,415DepreciationAmt
Book Value$1,772,434BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,180,214OtherCostOrOtherBasisAmt
Depreciation$3,892,176DepreciationAmt
Book Value$2,288,038BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,723,920OtherCostOrOtherBasisAmt
Book Value$3,723,920BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,059,193TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Board designated funds-Other$463,976
Org costs & other long term investments$12,552
Permanently Donor Restricted Funds$360,583
Self-Insurance Funds Held by Trustee$9,458
Temporarily Donor Restricted Funds$7,738,354
Unrestricted Pledges Receivable$300
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,585,223TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Accrual for Post Retirement Benefit$2,654,557
Amounts due to Related Org$3,510,153
Capital Lease Obligation$21,805
Due to Donor Restricted Funds$1,386,468
Other Current Liabilities$57,364
FieldValueIRS element (for citing)
Total Liability$7,630,347TotalLiabilityAmt
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 FootnoteNorthern 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
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
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 BudgetYes (true)ExpensesExceedBudgetInd
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 Served699PersonsServedCnt
Total Community Benefit Expns$46,451TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,451NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served699PersonsServedCnt
Total Community Benefit Expns$46,451TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,451NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served19PersonsServedCnt
Total Community Benefit Expns$26,301TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,301NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$56,336TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$56,336NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served17PersonsServedCnt
Total Community Benefit Expns$552TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$552NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served37PersonsServedCnt
Total Community Benefit Expns$83,189TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$83,189NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served736PersonsServedCnt
Total Community Benefit Expns$129,640TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$129,640NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$385,207BadDebtExpenseAmt
Reimbursed By Medicare$11,098,327ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,098,327CostOfCareReimbursedByMedcrAmt

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 CA Dean HospitaBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1364 Pritham Ave PO Box 1129AddressLine1Txt
CityGreenvilleCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04441ZIPCd
FieldValueIRS element (for citing)
Website Addressnorthernlight.org/C-A-Dean-HosWebsiteAddressTxt
State License37959StateLicenseNum
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 CA Dean HospitaBusinessNameLine1Txt
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 Conducted22CHNAConductedYr
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 Adpt22ImplementationStrategyAdptYr
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 CA Dean Hospita - 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 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 7, 2021, Piscataquis 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 Piscataquis County CHNA report, page 20): Bangor Public Health and Community Services, Bangor Public Health Department, Child Behavioral Health Services, Downeast Public Health District, Eastern Area Agency on Aging, Healthy Acadia, Helping Hands with Heart/Maine Highlands Investment Partnership, Northeastern Workforce Development Board, Northern Light Acadia Hospital, Northern Light CA Dean Hospital, Northern Light Health Systems, Northern Light Mayo Hospital, Office of Child and Family Services, Maine Department of Health and Human Services, Partners for Peace, Penquis, Penquis Public Health District, Piscataquis Regional Food Center, Public Health Care, Public Health Nursing, Maine Center for Disease Control and Prevention, State of Maine, United Way of Eastern Maine, WIC Nutrition Program. 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 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.
Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 6aThe Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, included other non-Northern Light Health hospitals who were consulted during the engagement process.
Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 11Northern Light Health recently conducted their 2022 Shared Community Health Needs Assessment that will inform priority work for implementation in FY23 FY25. In FY22, Northern Light CA Dean Hospital developed our plan to address significant needs identified in our 2022 Community Health Strategy (aka, implementation strategy). Though priority work from the 2022 Shared CHNA wont begin until FY23, CA Dean Hospital will be prepared to implement priority work from our 2022 strategy with no gap in implementation efforts between the two CHNA cycles. While conducting the 2022 Shared CHNA research and outreach, CA Dean Hospital continued to implement priority work from the final year, FY22, of the three-year 2019 Community Health Strategy (implementation years FY20, FY21, and FY22). Below reflect these efforts related to the 2019 Community Health Strategy.The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed CA Dean 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 CA Dean Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light CA Dean Hospital identified three priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by CA Dean Hospital to address this priority in FY22: Northern Light Health made significant progress in Social Determinants of Health (SDOH) screening and intervention. The Northern Light Health SDOH Team defined completed SDOH screening and established a system policy for minimum SDOH screening standards to provide consistency in screening guidelines. During the course of FY22, the SDOH Team worked with Information Systems to continually improve the SDOH Screening Tool based on user recommendations and will continue to manage user requests moving forward. SDOH team leaders worked with members of Northern Light Health Quality to develop an SDOH screening dashboard which provides real-time screening rates by member organization, practice, provider, and payor type, as well as prevalence of SDOH need from positive screening results. The dashboard is undergoing validation and is anticipated to be available in FY23. Northern Light Health achieved a significant milestone in responding to social health needs when the new Northern Light Health findhelp platform went live on September 13, 2022. Findhelp is a national social care network that will make it easier for patients and providers to find and connect with local resources. The platform is embedded within our electronic health record so that care teams can find and refer patients to resources and has a public portal that community members can access at any time.Substance useActions taken by CA Dean Hospital to address this priority in FY22: Northern Light CA Dean Hospital continued to partner with Northern Light Mayo Hospital, the Piscataquis Youth Substance Use Prevention (PYSUP) Coalition and the Penquis District Coordinating Council on actions to reduce substance use among youth.Access to careActions taken by CA Dean Hospital to address this priority in FY22: Northern Light CA Dean Hospital fully integrated an ambulatory care pharmacist into the Greenville and Sangerville practices for the purposes of medication therapy management and disease state management. The position was created in collaboration with Northern Light Mayo Hospital physician practices as a means of increasing our patients access to care in our rural practice areas.Additional information related to actions taken by Northern Light CA Dean Hospital on the above priorities can be found in their FY22 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light CA Dean 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, CA Dean Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Mental Health - Northern Light CA Dean Hospital did not choose this priority area of focus because previous efforts have been put into place to meet this need. Through partnership with Northern Light Acadia Hospital, clinical services in mental health have been offered to our patients though telepsych or telemedicine. Our focus in the Access to Care initiative will also contribute to meeting this need starting in FY 2020 and a priority with focus in mental health will be reconsidered in the years to come. Older Adult Health/Healthy Aging - Northern Light CA Dean Hospital did not choose this priority area of focus because we believe that our resources are focused in this area in a meaningful way already. Northern Light CA Dean Hospitals staff Licensed Clinical Social Worker is a facilitating member of the Age Friendly Community Group in our community. The hospital also offers access to our physical therapy gym in our Community Fitness program to meet the needs of our elderly population looking for fitness options at an affordable price. Our focus in the Social Determinants of Health initiative will also contribute to this need starting in FY 2020. This priority will be reconsidered in the years to come.
Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 13hIncome Level
Facility: Northern Light CA Dean Hospita - Part V, Section B, Line 16jResponse for 7a (list URL) is https://northernlighthealth.org/C-A-Dean-HospitalResponse 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/C-A-Dean-Hospital under "Pay My Bill"

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Northern Light Primary Care
364 Pritham AvenueGreenvilleME04441Outpatient clinic
Northern Light Primary Care
7 Greenville RoadMonsonME04464Outpatient clinic
Northern Light Primary Care
22 Haley Court RoadSangervilleME04479Outpatient clinic
Northern Light Primary CareSpecialty Clinics
364 Pritham AvenueGreenvilleME04441Specialty Clinics

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportThe Northern Light CA Dean 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 - Patient Service Revenue and 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 CA Dean 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 2 - Needs AssessmentNo other formal assessment of community needs beyond the CHNA is completed, rather we listen to our providers and employees as members of the community at large. Whether specific needs or overall concerns from one or many community members, Northern Light CA Dean Hospital works to care for our community, whether its members are patients of the hospital or not.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceNorthern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary
Part VI, Line 4 - Community InformationLocated in Greenville, Maine, Northern Light CA Dean Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospital's inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing CA Dean Hospital's primary service area include Brownville, E. Central Somerset County, Greenville, Greenville Junction, North Somerset County, Northern Piscataquis County; Rockwood.Towns representing CA Dean Hospitals secondary service area include Abbot, Brownville, Cambridge, Dexter, Dover Foxcroft, Guilford, Jackman, Milo, Monson, Sangerville, Sebec.Piscataquis Countys race/ethnicity and selected demographics are provided below for CA Dean Hospital based on the hospitals physical location in Piscataquis County.Piscataquis County - Race/Ethnicity: American Indian/Alaskan Native 0.8% (135), Asian 0.8% (131), Black/African American 0.6% (96), Native Hawaiian or Pacific Islander 0.0% (0), White 95.8% (16,128), Some other race 0.7% (119), Two or more races 1.3% (227), Hispanic 1.5% (245), Non-Hispanic 98.5% (16,591), Total county population 16,836.Piscataquis County - Selected Demographics: Median household income $40,890, Unemployment rate 5.5%, Individuals living in poverty 18.5%, Children living in poverty 23.8%, 65+ living alone 27.4%, Veterans 12.6%, Gay, lesbian, and bisexual (high school students) 9.6%, Gay, lesbian, and bisexual (adults) 3.2%, Transgender youth (high school students) 1.7%, Persons with a disability 26.3%.Other hospitals serving the Northern Light CA Dean Hospital community: Based on the State of Maines definition of hospital service area, Northern Light CA Dean Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated CA Dean Hospitals service area as having a total of five medically under served populations/areas.
Part VI, Line 5 - Promotion of Community HealthNorthern Light CA Dean Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY22:Community Health Education: Rural Health Clinic Vaccine Confidence Program Improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas. Northern Light CA Dean Hospital Board of Directors majority is independent. Northern Light CA Dean Hospital extends medical staff privileges to all qualified physicians in the community for some of its departments. We offer training and educational programs on site and invite medical staff to participate at no charge to them.
Part VI, Line 6 - Affilated Health Care SystemThe 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 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 (17 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 OrgTotalCompensationFilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anthony J Filer NLH SVP CFO
Treasurer$574,255$344,462$15,453$26,100$35,016$995,286
Darin M Peck
Physician$219,859$73,158$3,517$22,713$21,191$340,438
David McDermott MD
VP, Sr Phys Exe$314,532$52,163$52,916$491$19,495$439,597$104,844$17,388$17,639$164$6,498$146,533
Gail E Lamb
Physician$324,034$33,607$20,250$1,056$378,947
George Eaton SVP CLO
Secretary-Pt Yr$244,831$9,855$20,537$22,352$297,575
Glenn Martin VP Gen'l Counse
Secretary-Pt Yr$426,623$161,695$124,910$90,651$22,050$825,929$80,809
Jennifer Goodrich
VP of Finance$109,746$12,192$8,593$11,313$141,844$82,191$9,130$6,435$8,473$106,229
Joseph Babbitt MD
Director/Ex-Off$375,173$1,250$19,370$23,200$30,440$449,433
Lorraine Rodgerson RN
VP-Nursing & Op$174,030$42,209$2,497$16,809$21,185$256,730
Marie Vienneau
Pres/Ex-Officio$167,476$54,731$1,394$11,847$21,099$256,547$111,651$36,488$929$7,898$14,066$171,032
Paul Bolin
SVP & CPO$381,000$19,733$28,816$74,824$30,787$535,160
Scott A McLaughlin
Physician$225,298$4,933$1,543$18,990$29,553$280,317
Shannon M Meredith
Physician$219,445$11,289$2,309$17,441$5,084$255,568
Teresa P Vieira
Former SVP & President$274,360$84,394$28,028$25,083$23,809$435,674
Timothy Dentry NLH PresCEO
Ex-Officio$1,006,465$377,555$456,332$25,716$35,066$1,901,134$436,044
William Boller
Physician$205,710$1,872$2,439$210,021
Yoosuf Siddiqui
Former VP HR Northwest Reg$163,296$37,537$2,327$14,865$31,977$250,002

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc
ExplanationGail Lamb, highest compensated employee, received tuition of $11,673.The following received a wellness program incentive:Joseph Babbitt, director $ 10Jennifer Goodrich, officer 80 Gail Lamb, highest compensated employee 400David McDermott, officer 40Darin Peck, highest compensated employee 400Marie Vienneau, director/officer 50 This benefit is available for all employees.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Eric Johnsen
fam mem=brd mem$32,982compensationfalse
Jaquelyn Gaudet
fam mem=brd mem$19,181compensationfalse
Rodney Gaudet
fam mem=brd mem$11,340compensationfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationEric Johnsen is a family member of a board member and is an employee of NL CA Dean Hospital.Jaquelyn Gaudit is a family member of a board member/officer and is an employee of NL CA Dean Hospital.Rodney Gaudet is a family member of a board member/officer and is an employee of NL CA Dean Hospital.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Please see the following exerpt from the Northern Light Health Annual report 2022 to the Community for details of community benefit projects at NLH members:Northern Light HealthPromisesAnnual Report 2022A promise made must be a promise kept. - AristotleWhen people keep their promises to us, we feel valued, respected, and appreciated. At Northern Light Health, we understand the importance of making a promise and doing the work to keep it.Our promise to the people and communities we serve across our great state of Maine is to make healthcare work for you. This means that we promise to get better every day by raising quality through teamwork, efficiency, and innovation. We promise to guide the way for our patients and their families, through the care experience. We live in a big, rural state, and we know access to care can be challenging for some people in our communities. So, we are committed to improving access. And last, but certainly not least, we promise to see patients as diverse individuals with their own unique needs.In this annual report, we highlight the ways our valued employees and community partners are working together to keep our promises to the communities we serve. From helping firefighters access lung cancer studies at world-class research hospitals, to helping busy parents schedule pediatrics appointments on their own time, and using the latest in diagnostic technology to help people with congestive heart failure stay out of the hospital. We are also helping the state address a critical shortage of psychiatric inpatient beds while addressing the state's long-term community-based mental and behavioral health needs.These stories in this report are just a few examples of the promises we work hard to keep every day. This work inspires us. We hope it inspires you too.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthKathy CoreyBoard ChairNorthern Light Health OTHER PROGRAM SERVICES 5: Acadia for AllEmerald Forcier is walking an aisle of gleaming white chairs carefully set on a lush green lawn overlooking the Penobscot River. Her husband, Kurt is hustling along on a lawn tractor, making sure the lawn is short and neat for the upcoming wedding the couple plans to host at their venue, Penobscot Bay Weddings in Winterport. As her four-year-old daughter, Maisie picks wildflowers, Forcier is holding her 8-month-old son Miles in her arms while she thinks about all the work she has left to do in the wedding tent. I often say to friends and family when they ask how I'm doing, I'm like, I am exhausted. We're starting a new business. And yet the deep, important things are wonderful.But seven years ago, things were not wonderful for Forcier in terms of her mental health. She was living on the island of Bali; she was having difficulty getting the medications to manage her depression, and she was in a suicidal state. She moved back to the United States and attended an inpatient treatment program, which she credits with saving her life. After six months of hard work restarting her life, she was back in Maine, but her health insurance was due to expire at the beginning of the new year. Despite spending four weeks consistently trying, Forcier could not access any outpatient provider to renew her prescriptions. Desperate for help, she ended up in a hospital emergency department on New Year's Eve 2015. Even then, she was sent away multiple times because psychiatric care was not available.I remember what it was like when I had reached my rock bottom and I needed inpatient services. I also remember the fear and helplessness of being stuck in the emergency department, unable to access the care I needed. I frankly cannot even imagine the terror and the sadness of experiencing both of these things at once. The day a person needs inpatient care is one of the worst days of their life. To be stuck in an emergency department with nowhere to go is a devastating experience far too many people face, and I cannot imagine a child or their parent going through that.Forcier's experience is unfortunately all too common. Across Maine, there simply are not enough inpatient beds and people who end up in crisis situations turn to hospital emergency departments.Nadia Mendiola, MD, an adolescent psychiatrist at Northern Light Acadia Hospital, sees it all too often. She says it's particularly troubling when children get stuck in these emergency departments for several weeks, or even months, waiting for an inpatient bed. Emergency care physicians, they're wonderful at their job but they're not psychiatrists. They have limited options, they have limited space, and you're talking about kids who can't even function in a big home or a big school and now you're confining them to a little spot. It's just not conducive to good care.This is one of the reasons why Northern Light Acadia Hospital is undertaking an ambitious expansion project to double the number of its single occupancy rooms. The 50,000 square feet expansion will add 50 pediatric inpatient rooms as well as new group and individual treatment spaces. The 50 existing inpatient rooms are being remodeled to single occupancy, adult inpatient rooms to better meet current behavioral healthcare standards.Acadia President Scott Oxley knows the expansion is needed. Unfortunately, the kids we see today are sicker than they were 30 years ago, so we need more circulation space, more room for group therapies. And really, our existing facility does not accommodate that, shares Oxley.In addition to the new inpatient rooms, there will also be an expansion of the Mood and Memory clinic for patients with Alzheimer's disease and dementia, and an endowment created for workforce development, recruitment, and retention. All this work requires substantial investment, and Oxley says community support thus far has been exceptional.Long term, the key to our success is early detection, early intervention, keeping folks in their communities, and keeping them out of the highest level of care. The reality is there's such a shortage of inpatient beds, that the need is urgent for inpatient beds while we work strategically and collaboratively on the longer-term plan.For more information about the Capital Campaign go to northernlight.org/AcadiaForAll Donors have given generously to the Acadia for All campaign including the Stephen and Tabitha King Foundation which donated one million dollars. OTHER PROGRAM SERVICES 6: Bingo!How's your heart health?Beverly Fowler is her name and Bingo is her game. Every Monday and Wednesday, Fowler leaves her Bangor apartment and heads to the Bangor Elks Lodge to have lunch with friends, play a few card games, and set up for evening Bingo. Usually on a Monday night, we get between 80 and 100 people, which is a good, good evening. Some winter nights, if it's snowing or something, we only get about 70, but that's still pretty good, she says. Fowler also plays Tuesdays, Thursdays, Fridays, and Sundays. Saturday is a free day, she says with a chuckle.At 83 years old, Fowler enjoys staying active and socializing, but managing her congestive heart failure was slowing her down. I kept filling up with fluids and ending up in the hospital for a week at a time. That's happened three or four times, says Fowler.Alan Jansujwicz, MD, general cardiologist and director of Northern Light Cardiovascular Care is working to improve the quality of life of patients like Beverly by keeping them out of the hospital. We know patients with heart failure end up being hospitalized over the course of time and each hospitalization matters. The statistics say that if you're hospitalized with heart failure, over the next six months to a year, your risk of not doing well is higher than before you were hospitalized, says Dr. Jansujwicz.Now, Northern Light Health is offering a new option to patients like Fowler, so they can monitor their condition and correct course before needing hospitalization. A remote monitoring device is implanted in the patient's pulmonary artery through a blood vessel in the groin. It measures pulmonary artery pressure and sends information to a receiver that resembles a giant pillow, which the patient lays on to take daily readings. The receiver records and sends the information to a secure website where a patient care manager like Janet Glidden, RN, BSN, MBA, reviews it. If Glidden sees troubling changes in a patient's numbers, she can call them and talk about what's happening. I'll look at their readings, and if I see they are ranging up, I'll call. They may not feel like there's any change, but I'll say, Your numbers are up. What did you do differently yesterday?' It almost always relates to diet or having too many fluids, Glidden shares.If the pressure's going up, it tells us the patient might be heading toward heart failure. Maybe we can stop that before it happens by increasing their therapies as opposed to them just slowly slipping into heart failure, getting past that early d
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtWilliam Fletcher, board member is board member of Moosehead Marine Museum and Jennifer Goodrich, officer is treasurer of Moosehead Marine Museum.William Fletcher, board member provides general legal counsel service to Maine Community College System and Christopher Winstead, board member is key employee of Maine Community College System.
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsCA Dean Hospital:Amended Bylaws as follows:(1)Amended Article I (Name, Purpose, Registered Agent, Office, Seal), Section 1 (Name) added The Corporation is duly registered in the State of Maine to carry on activities under the assumed name Northern Light C.A. Dean Hospital..(2)Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings) (a)Removed in Greenville, Maine from the first sentence of Section 5: The Annual Meeting of the Corporation for the election of the Board of Trustees shall be held in Greenville, Maine during the months of (XXXX or YYYY) in each year, at such time and place as shall be fixed by the Board of Trustees and set forth in the notice of the meeting.(b)Changed Board of Trustees to Board of Directors in the sentence listed in 2(a) above.(c)Changed (XXXX or YYYY) to October or November in the sentence listed in 2(a) above.(3)Amended Article III (Board), Section 12 (Participation in Meeting by Telephone) (a)Changed Section name to Remote Participation in Meeting(b)Changed to Board members, or members of any Board committee, may participate in a meeting of the Board or such committee by, or conduct the meeting through the use of, any means of communication by which all persons participating in the meeting may simultaneously hear each other during the meeting, and such participation in a meeting shall constitute presence in person at such meeting(4)Amended Article V (Committees), Section 4 (Designations) - added although a non-Director committee member may chair a committee meeting in the absence of the committee chair to the end of the third sentence in Section 4, which now reads: Individuals other than Directors may serve on all committees, provided nevertheless that the chair of each committee shall always be a Director, although a non-Director committee member may chair a committee meeting in the absence of the committee chair.(5)Amended Article V (Committees), Section 8 (Quality and Professional Affairs Committee) removed the last sentence of Section 8: A majority of the Committee must be independent as defined in Article VIII when functioning with such delegated authority.(6)Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Director) (a)Changed in subsection b. $10,000 to $100,000 in Neither the Director nor any member of the immediate family of the Director has, within any of the last three fiscal years of the Corporation, accepted payments from the Corporation and/or its affiliates aggregating in excess of $10,000 other than compensation to an immediate family member employed by the Corporation or any of its affiliates in a non-executive capacity, compensation for former services as chair or President, or benefits received under a tax-qualified retirement plan.(b)Changed in subsection e. $80,000 to $100,000 and $4,000,000 to $5,000,000 in Neither the Director nor any member of the immediate family of the Director is, or has been within the last three years, a partner, member, shareholder or executive officer of a company that made payments to, or received payments from, the Corporation and/or its affiliates in an amount which, in any of the last three fiscal years of the Corporation, equaled or exceeded (i) $80,000, or (ii) 2% of such companys consolidated gross revenues if such companys consolidated gross revenues were less than $4,000,000, in any of such three fiscal years.(7)Amended Article IX (Indemnification), Section 1 (Indemnification) - changed to read as follows:(a)The Corporation (i) shall in all cases indemnify any person who is or was at the time of the conduct in question, a director, officer or member of a committee of the Board of Directors, or a director, officer or a member of a committee of the Board of Directors of the Corporations Member (Mandatory Indemnitees), and (ii) may (subject to subsection (c) of this section) indemnify any other person, who is or was a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative, by reason of the fact that such person is or was a director, officer, employee or agent of the Corporation or the Corporations Member, or is or was serving at the request of the Corporation as a director, officer, trustee, partner, fiduciary, employee or agent of another corporation, partnership, joint venture, trust, pension or other employee benefit plan or other enterprise (Discretionary Indemnitees) by reason of the fact that such person is or was a Board member, officer, employee or agent of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against expenses, including attorneys' fees, judgments, fines and amounts paid in settlement, actually and reasonably incurred by such person in connection with such action, suit or proceeding. Nevertheless, no indemnification shall be provided for any person with respect to any matter as to which such person shall have been finally adjudicated in any action, suit or proceeding not to have acted in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful. The termination of any action, suit or proceeding by judgment, order or conviction adverse to such person or by settlement or plea of nolo contendere or its equivalent shall not of itself create a presumption that such person did not act in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful.(b)Indemnification of Mandatory Indemnitees shall be required in all cases regardless of the capacity in which such Director or a Director of the Corporations Member is or was made or threatened to be made a party to the action, suit or proceeding.(c)Indemnification of Discretionary Indemnitees under subsection (a)(ii), unless ordered by a court or required by these Bylaws, shall be made by the Corporation only as authorized in the specific case upon a determination that indemnification is proper in the circumstances and in the best interests of the Corporation. Where such a determination is required under this subsection, that determination shall be made by the Board of Directors of the Member and a majority vote of the Board of Directors by Directors who were not parties to that action, suit or proceeding. Provided, however, that if more than half of the Directors are involved in such action, suit or proceeding, the determination shall be made by a majority vote of a committee of five disinterested Directors chosen by the disinterested Directors at a regular or special meeting. If there are fewer than five (5) disinterested Directors, the determination shall be based upon the opinion of independent legal counsel retained by the Corporation for such purpose. Such a determination once made may not be revoked and, upon the making of that determination, the person being indemnified may enforce the indemnification against the Corporation by a separate action notwithstanding any attempted or actual subsequent action by the Board of Directors or the Board of Directors of the Member.(8)Amended Article IX (Indemnification), Section 2 (Advances Against Expenses) added by a Mandatory or Discretionary Indemnitee and provided, however that advances for expenses incurred by Discretionary Indemnitees shall be made to the extent authorized for such Discretionary Indemnitee in accordance with Section 1(c) above.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Charles A. Dean Memorial Hospital d/b/a Northern Light CA Dean 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 CA Dean Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of 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 CA Dean Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. 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 CA Dean 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 NLH Foundation = $4429833
Other Changes In Net Assets Or Fund Balances - Other IncreasesPension Liab FAS158 = $85623

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412010527066Supporting organization for 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 Road Ste 400BrewerME04412010391038Provide services to elderlyME501(c)(3)PFfalseEMHS
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide healthcare servicesME501(c)(3)3falseEMHS
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt Eastern Maine Medical CenterME501(c)(3)10falseEMMC
Acadia Healthcare Inc AHI
43 Whiting Hill RoadBrewerME04412223183888Provide healthcare servicesME501(c)(3)10falseAHC
Northern Light Health Foundation
43 Whiting Hill Road Ste 400BrewerME04412222514163Raise 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 careME501(c)(3)3falseInland Hospital
Sebasticook Valley Health SVH
447 North Main StreetPittsfieldME04967010263628Provide healthcare servicesME501(c)(3)3falseEMHS
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)3falseEMHS
Blue Hill Memorial Hospital
57 Water StreetBlue HillME046145231010227195Provide healthcare servicesME501(c)(3)3falseEMHS
Mercy Hospital
175 Fore River ParkwayPortlandME04102010211534Provide healthcare servicesME501(c)(3)3falseEMHS
VNA Home Health & Hospice
225 Gorham Rd STE 200South PortlandME04106010246804Provide home health and hospice servicesME501(c)(3)10falseEMHS
WorkHealth LLC
43 Whiting Hill RoadBrewerME04412474315094Provide healthcare servicesME501(c)(3)12 Type IIfalseEMHS
Maine Coast Regional Health Facilities
50 Union StreetEllsworthME04605010198331Provide healthcare servicesME501(c)(3)3falseEMHS
Maine Coast Medical Realty
50 Union StreetEllsworthME04605010390918Lease medical facilitiesME501(c)(3)12 Type 1falseMCH
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 RoadBrewerME04412830911574AmbulanceME501(c)(3)10falseEMHS
M Drug LLC
43 Whiting Hill RoadBrewerME04412272175482PharmacyME501(c)(3)3falseEMMC
MRH Corp dba Northern Light Mayo Hospita
897 W Main StreetDoverFoxcroftME04426843689003Provide healthcare servicesME501(c)(3)3falseEMHS

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 RoadBrewerME04412010349339Hlthcr mgmntMEAHSCfalse
Affiliated Laboratory Inc
43 Whiting Hill RoadBrewerME04412010381283Clinicl 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 OrgfalseRentalOfFacilitiesToOthOrgInd
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

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