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      <MissionDesc>Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another.</MissionDesc>
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      <Desc>Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $17,709,020.Northern Light Eastern Maine Medical Center (EMMC) has served communities throughout our region for 129 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: https://northernlighthealth.org/Eastern-Maine-Medical-Center.Additional StatisticsTotal admissions 18,259Cardiac Catheterization Procedures 5,260Cardiac Surgery Cases 394Emergency Room Visits 31,031Medical Imaging Procedures 171,819Surgery Cases 14,857Live Births 1,674Family Practice Visits 121,944Total Outpatient Visits 957,058Patient Days 117,438Services provided to those who could not pay $57,190,891</Desc>
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        <Desc>Medicare shortfalls-$82,926,795 (at cost) 156,469 persons served.Charity care provided-$2,000,889 (at cost) 10,373 persons served.Medicaid shortfalls-$65,897,385 (at cost) 113,023 persons served.</Desc>
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        <Desc>Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President &amp; CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care &amp; Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in underserved populations vaccinated. As some Asian Americans show up, she speaks with them in their native language and offers assurances. She has a welcoming smile and charisma, which seems to make her a natural fit for this kind of work. "They couldn't ask for a better place to get vaccinated," explains Himm, "because they've got the nurses here that care so much about them. And then they've got their cultural brokersthe ones doing the translations, the community leaders standing right behind them and letting them know that they're going to be okay. What more can someone ask for?" Himm is not just offering lip service when she compliments the Northern Light Home Care &amp; Hospice nurses doing the clinics. Both Akers and Robbins have been doing this kind of work for a long time with community partners and have earned praise for their compassion and sensitivity. "I feel so lucky in a way to be part of this journey. Doing these vaccines has just been such a gift," shares Akers.If you would like to learn more about the COVID-19 vaccine or get vaccinated, please visit https://covid.northernlighthealth.org/Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities."Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern Maine Medical Center in 2017, she had already worked as a nurse for several years in Nigeria. She had clinical experience and a nursing education but didn't know how steep the cultural curve would be. She remembers one particularly difficult exchange with a patient's wife who was mad at Ngozi because she wouldn't make constant eye contact with her or her husband. "In Nigeria, when you're talking to an elder, you're not supposed to look eye-to-eye because thats a sign of rudeness," Ngozi explains. She now understands that generally, eye contact is important in western culture. Ngozi was recruited to work at the medical center through Northern Light Health's international nurses' program. She admits that adapting</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Filer SVPCFO</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>36.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>758458</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57247</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Glenn Martin VP Gen Counsel</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>14.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>36.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>651790</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>112497</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Michelle Hood</PersonNm>
        <TitleTxt>Former NLH President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>18136</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Clarke MD</PersonNm>
        <TitleTxt>Sr VP/Sr Phy Ex</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>61021</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rand O'Leary President</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Jarvis</PersonNm>
        <TitleTxt>Former SVP, Sr Physician Executive</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marc Edelman</PersonNm>
        <TitleTxt>Sr VP/Operation</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Philippe Morissette</PersonNm>
        <TitleTxt>Sr VP Finance</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Staley MD</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Reid</PersonNm>
        <TitleTxt>VP/Phy Services</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Sanford</PersonNm>
        <TitleTxt>VP/Nursing&amp;PCS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alison Worster</PersonNm>
        <TitleTxt>VP/HR &amp; Pt Exp</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kathryn Rutledge MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Hafener</PersonNm>
        <TitleTxt>VP/Compliance</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Jay Marston</PersonNm>
        <TitleTxt>VP/Pharmacy</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Noah Lundy</PersonNm>
        <TitleTxt>VP/HR East Regi</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tracey Roberts</PersonNm>
        <TitleTxt>VP/Compliance</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jenifer Butler</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Hammond</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael McGoldrick MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Riemersma MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Miller</PersonNm>
        <TitleTxt>Vice Chr PT YR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Simpson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lynne Spooner</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Ziegelaar</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Donald Hagstrom</PersonNm>
        <TitleTxt>Vice Chr PT YR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John A Vickery Sr</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Solman</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Heather Furth</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Hunter</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tracey Whitten</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NURSE ANESTHESIA OF MAINE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>141 N MAIN ST STE 205</AddressLine1Txt>
            <CityNm>BREWER</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WEATHERBY HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972633</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972633</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972651</AddressLine1Txt>
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            <ZIPCd>753972651</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIMPLIFI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5020 NORTHSHORE DRIVE</AddressLine1Txt>
            <CityNm>NORTH LITTLE ROCK</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72118</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>6938329</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AVANT HEALTHCARE PROFESSIONALS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 744554</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303744554</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>45</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>4173555</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>4438786</GovernmentGrantsAmt>
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      <TotalContributionsAmt>11441116</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Cafeteria</Desc>
        <BusinessCd>722514</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Healthcare Education</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>Lodging</Desc>
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        <ExclusionAmt>407945</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Care Service</Desc>
        <BusinessCd>621990</BusinessCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Post Retirement Benefits</Desc>
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        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment Funds are designated for purposes that align within this organization's exempt purpose.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying 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. The Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 19, 2018 Penobscot 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 Penobscot County CHNA report, pages 27-29): Bangor Area Public Health Advisory Board, Bangor Public Health and Community Services, Bangor Public Health Department, Catholic Charities, Center for Community Inclusion and Disability Studies, University of Maine, Charlotte White Center, Eastern Area Agency on Aging, Health Access Network, Health Equity Alliance, Husson University - Nursing, Maine CDC/DHHS, Maine Quality Counts, Millinocket Regional Hospital, Missionary Sisters of the Immaculate Conception, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light Eastern Maine Medical Center, Northern Light Eastern Maine Medical Center Auxiliary, Northern Light Health, Northern Light Home Care &amp; Hospice, Northern Light Sebasticook Valley Hospital, Partners for Peace, Penobscot Community Health Care, Penobscot Valley Hospital, Penquis, Penquis Public Health District, Retiree, St. Joseph Healthcare, St. Joseph Hospital, St. Joseph Internal Medicine, Starboard Leadership, United Methodist Church, United Way of Eastern Maine, University of Maine, University of Maine School of Nursing, University of Maine School of Nursing - Community Nursing 452, U.S. Senator Angus King's Office, Wellspring, Inc.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Eastern Maine Medical Centers Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Northern Light Eastern Maine Medical Center. 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 Eastern Maine Medical Center identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Mental healthActions taken by Eastern Maine Medical Center to address this priority in FY21: Northern Light Eastern Maine Medical Center scheduled training events with National Alliance on Mental Illness (NAMI) for employees. Training events were completed in May and June 2021 by NAMI.Social determinants of healthActions taken by Eastern Maine Medical Center to address this priority in FY21: Northern Light Eastern Maine Medical Center took a multifactorial approach to this objective. The primary tactic in reducing food insecurity has been to focus on screening of patients, providing food bags in the moment, and connecting patients to resources. One location was added for active food insecurity screening, bringing the total number of practices screening patients for food insecurity to 23 practices. In addition, Eastern Maine Medical Center continued to grow the community garden at Northern Light Health Center, Union St. and set the produce on a table outside of the Family Medicine and Residency practice as openly available healthy and fresh food. Leaders continued to volunteer at Good Shepherd Food Bank (GSFB). A total of 183.9 hours were donated by Northern Light Eastern Maine Medical Center staff to GSFB.Substance useActions taken by Eastern Maine Medical Center to address this priority in FY21: Northern Light Eastern Maine Medical Center increased from three to four sites offering medication-assisted treatment services. Eastern Maine Medical Center partnered with Northern Light Acadia Hospital and Bangor Area Recovery Network. A new physician at Northern Light Primary Care, Hampden, started in June, who completed a fellowship in addiction medicine and will begin providing MAT.Access to careActions taken by Eastern Maine Medical Center to address this priority in FY21: Northern Light Eastern Maine Medical Center implemented more robust Telehealth, continued to remain open for patient care at all primary care and residency program sites, and continued rotation schedules for each practice taking new patients. This continues to work and has now become the standard of care for bringing in new patients.Physical activity, nutrition, weightActions taken by Eastern Maine Medical Center to address this priority in FY21: Northern Light Eastern Maine Medical Center prioritized outreach to school and communities virtually. In quarter four, two programs for school pre-season were conducted at Mattanawcook and Hampden Academies. A CPR/First Aid course was taught at Mattanawcook Academy for 10 individuals, and workout and educational sessions were conducted at Hampden Academy on 7/29/21 and 8/3/21 where 20 individuals participated. Northern Light Eastern Maine Medical Center athletic trainers also attended the NCA Cheerleading Camp at Husson University and the MPA Lobster Bowl training camp over the summer.Additional information related to actions taken by Northern Light Eastern Maine Medical on the above priorities can be found in their FY21 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Eastern Maine Medical Center 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, Northern Light Eastern Maine Medical Center is currently poised to focus only on the highest priorities identified within the Shared CHNA at this time. The top five priorities identified within the Penobscot County CHNA are being addressed by Eastern Maine Medical Center.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>Income Level</ExplanationTxt>
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        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Response for 7a (list URL) is https://northernlighthealth.org/Eastern-Maine-Medical-CenterResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Eastern-Maine-Medical-Center under "Pay My Bill".</ExplanationTxt>
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            <AddressLine1Txt>234 State Street</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Sleep Diagnostics</BusinessNameLine1Txt>
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            <AddressLine1Txt>290 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-outpatient svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>302 Husson Ave</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Internal Medicine</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>302 Husson Ave</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>84 Kelly Road</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04473</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Cardiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 Northeast Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Northern Light Urology</BusinessNameLine1Txt>
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            <AddressLine1Txt>55 Broadway Suite 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Neurology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>498 Essex St Suite 105</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Physician Prac in Webber Bld</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>417 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
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          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Cancer Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33 Whiting Hill Road</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-Cancer treatment</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5721 Cutler Health Center Universit</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044695721</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Medical Weight Management</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>404 State St Suite 310</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Pediatric Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Pediatric Specialty Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Surgical Endoscopy</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>489 State Street Kagan Bldg</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044020404</ZIPCd>
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          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
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            <BusinessNameLine1Txt>Northern Light Pediatric Specialty Care</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>325D Kennedy Memorial Drive</AddressLine1Txt>
            <CityNm>Waterville</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04901</ZIPCd>
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          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
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            <AddressLine1Txt>600 Main Street Building 11</AddressLine1Txt>
            <CityNm>Bar Harbor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04609</ZIPCd>
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          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
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            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044020404</ZIPCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a - Related Organization Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>The Northern Light Eastern Maine Medical Center 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Ratio of Patient Care Cost-to-Charges is used in calculations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to determine the amount reported is cost to charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 17 to 20 - Revenue Recognition and Patient Accounts Receivable section</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Food Insecurity Screening in Primary Care and Specialty Care practices. MOU with GSFB in support of food bags provided to those patients in need at time of service, and information for other Community Partners to assist with ongoing Food Insecurity.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Located in Bangor, Maine, Northern Light Eastern Maine Medical Center has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Northern Light Eastern Maine Medical Center patients are community members from the following counties: Aroostook, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and Washington. Penobscot Countys demographic and social determinants of health data are provided below for Eastern Maine Medical Center based on the hospitals physical location in Penobscot County.Penobscot County - Demographic Data: American Indian/Alaskan Native 1.1% (1,751), Asian 1.1% (1,724), Black/African American 0.8% (1,174), Hispanic 1.2% (1,895), Some other race 0.2% (258), Two or more races 1.7% (2,571), White 95.1% (145,472). Total county population 152,978.Penobscot County Social Determinants of Health Data: Median household income $45,302, Unemployment rate 4.3%, Individuals living in poverty 16.3%, Children living in poverty 18.3%, 65+ living alone 44.5%, People living in rural areas 57.7%, Food insecurity 16.2%.Other hospitals serving the Northern Light Eastern Maine Medical Centers community: Based on the State of Maines definition of hospital service area, Northern Light Eastern Maine Medical Centers community is served by an additional two other hospitals, Northern Light Acadia Hospital and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources &amp; Services Administration designated Eastern Maine Medical Centers service area as having a total of 10 medically underserved populations/areas.Northern Light Eastern Maine Medical Centers patients also include community members from a number of other counties where their HSAs are designated as having both medically underserved populations and medically underserved areas: Aroostook County has four hospitals; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Penobscot County has five hospitals including EMMC); Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; Washington County has two hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Health Education: Maine Lung Cancer Prevention - Integrate evidence-based smoking cessation services into patient-provider visits to discuss lung cancer screening.Community Based Clinical Services: Pediatrics Specialty Genetics Clinics; Cleft Lip Cleft Palate Clinics; MAKWI-Wabanaki Intertribal Imitative to Recovery; Cystic Fibrosis Clinics; Maine Cancer Foundation - Increasing breast cancer screening and reducing barriers through the Caring Connections program with the Bangor Region YMCA; and PCF - Increasing breast cancer screening and reducing barriers through the Caring Connections program with the Bangor Region YMCA.Health Care Support Services: Maine Cancer Foundation - Creating a systematic approach to transportation and lodging assistance for rural cancer care patients; Ebola - Ensure Ebola Hospitals are prepared to receive, isolate, assess, and provide quality care to PUI.Northern Light Eastern Maine Medical Center (EMMC) is a collaborative organization led by a volunteer board of directors whose members reside in the organizations service area. The organization extends medical staff privileges to qualified physicians in the community. EMMCs physicians provide itinerant specialty care services in smaller hospitals throughout the region in order to ease the burden for patients who would otherwise need to travel for care. EMMC participates in community-wide coalitions to address the regions most important health needs, including opioid abuse, and a local community health advisory council to influence public health decision making. As a nonprofit health organization, EMMC coordinates several initiatives designed to improve community health. EMMC invests in research through its Clinical Research Center and research initiatives at its cancer and heart care centers. The organization ensures the future of care in the region by providing medical education to future family medicine doctors, nurses, and other medicalprofessionals. EMMC continues to improve the health status of youth through the Way to Optimal Weight (WOW) program for children, a program that coaches children with morbid obesity to address their weight and the resulting health issues by improving eating and fitness habits, boosting self-esteem, and engaging in family coaching. EMMC supports a health literacy initiative to improve the ability of those with low levels of literacy to access help. The goal of this program is to enhance patients understandings of discharge instructions, medication compliance, and other information, and, ultimately, to improve health outcomes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affilated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.Northern Light Eastern Maine Medical Center (EMMC) has a local implementation strategy and community health improvement plan tailored to meet the needs of the communities it serves. While EMMC is responsible for the development and implementation of this plan, the organization works closely with community health professionals from other NLH member hospitals to address state-wide health concerns and share ideas and best practices.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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        <BaseCompensationFilingOrgAmt>857279</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>219179</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8591</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25650</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32446</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1143145</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathryn Rutledge MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <BaseCompensationFilingOrgAmt>249345</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1250</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2771</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21082</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11902</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>286350</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marc Edelman</PersonNm>
        <TitleTxt>Sr VP/Operation</TitleTxt>
        <BaseCompensationFilingOrgAmt>339936</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>62818</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4786</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31508</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>461848</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Michelle Hood</PersonNm>
        <TitleTxt>Former NLH President &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>277407</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>322590</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10317</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>7819</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>618133</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matthew Jay Marston</PersonNm>
        <TitleTxt>VP/Pharmacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>171232</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16632</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4434</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5810</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19072</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217180</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Paci MD</PersonNm>
        <TitleTxt>Neurosurgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>825299</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2367</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31797</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>873713</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Reid</PersonNm>
        <TitleTxt>VP/Phy Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>273685</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>58755</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>29633</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21063</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22530</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>405666</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Noah Lundy</PersonNm>
        <TitleTxt>VP/HR East Regi</TitleTxt>
        <BaseCompensationFilingOrgAmt>1578</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>140228</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>262</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23305</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1813</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>94</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8326</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>120</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10665</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2075</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>184337</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Philippe Morissette</PersonNm>
        <TitleTxt>Sr VP Finance</TitleTxt>
        <BaseCompensationFilingOrgAmt>336899</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>63632</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5664</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31531</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>460526</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rand O'Leary President</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <BaseCompensationFilingOrgAmt>543460</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26251</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7227</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23181</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>600119</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen R Thompson MD</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>604080</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>279239</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2768</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17100</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29515</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>932702</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tim Dentry PresidentCEO</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>860379</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>182026</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>13380</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>112598</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>32498</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1200881</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tracey Roberts</PersonNm>
        <TitleTxt>VP/Compliance</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>152982</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>12548</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2917</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10116</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>2390</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>180953</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Wayne R Waterman MD</PersonNm>
        <TitleTxt>Neurosurgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>879564</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>25162</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32797</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>960323</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>The following received tuition:Alison Worster, officer $13,356The following received an employee stipend towards a fitness center:Marc D. Edelman, officer $ 55 John D. Klemperer, MD, highly compensated employee 135Michael J. Reid, officer 135 The benefit is available for all employees. The NL EMMC Employee Wellness Department structured a Fitness Center Network for NL EMMC employees. Any NL EMMC employee who participates in wellness activities at an NL EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by NL EMMC on a bi-weekly or yearly basis at one facility.The following received a wellness program incentive:Marc Edelman, officer $400 James Jarvis, former officer 400Matthew Jay Marston, officer 280 Michael J. Reid, officer 400Kathryn Rutledge, trustee 110 Deborah M. Sanford, officer 400Alison Worster, officer 40 The benefit is available for all employees.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="20011551" softwareVersionNum="2020v4.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Maine Health and Higher E</BusinessNameLine1Txt>
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        <BondIssuerEIN>010314384</BondIssuerEIN>
        <CUSIPNum>56042RVZ2</CUSIPNum>
        <BondIssuedDt>2020-04-03</BondIssuedDt>
        <IssuePriceAmt>49011499</IssuePriceAmt>
        <PurposeDesc>Refund 2010A Issue</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>6010000</RetiredAmt>
        <TotalProceedsAmt>57103677</TotalProceedsAmt>
        <InReserveFundAmt>4594250</InReserveFundAmt>
        <RefundingEscrowAmt>36340000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>586471</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>15582956</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
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        <HedgeProviderName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II, Line 3, Column A, does not equal Part I, line a, column E as a result of other sources of funds from DSF-Interest, DSF-Principle, and DSRF balance totalling $8,092,178.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="20011551" softwareVersionNum="2020v4.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Richard Riemersma MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>brd memb is director</RelationshipDescriptionTxt>
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        <TransactionDesc>DCPA-Pathology servi</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Rosalie Davis</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>fam mem=officer</RelationshipDescriptionTxt>
        <TransactionAmt>31906</TransactionAmt>
        <TransactionDesc>compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Tracey Whitten</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>brd mem=brd mem</RelationshipDescriptionTxt>
        <TransactionAmt>261882</TransactionAmt>
        <TransactionDesc>Husson Univ-nurse prog as</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Richard Riemersma, MD, board member is a director of Dahl Chase Pathology Assoc (DCPA) board. NL EMMC had business transactions with DCPA to provide pathology services during the fiscal year.Rosalie Davis is a family member of an officer and is an employee of Northern Light Eastern Maine Medical Center.Tracey Whitten, board member is board member of Husson University. NL EMMC had business transactions with Husson University to provide nursing program assistance during the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="20011551" softwareVersionNum="2020v4.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: "In Maine and across the country we have a critical shortage of healthcare workers, especially in nursing. Diversifying the workforce creates opportunities for people from abroad to come here and enrich our state and our workforce. We need that in a highly homogenous state like Maine. We need their contributions, talent, and richness of culture and traditions," shares Hassanien.Hassanien oversees several DEI initiatives, including a grant-funded project with the University of Maine and Morgan State University, a historically black college in Maryland. The $1.7 million grant from the federal Health Resources and Services Administration provides funding to increase recruitment and retention of diversified nursing students and faculty. UMaine faculty will tap the healthcare-focused diversity, equity, and inclusion resources of Northern Light Health, and Northern Light Eastern Maine Medical Center will serve as the primary clinical training site for the School of Nursing. "Recruiting faculty is challenging regardless of the diversity factor, but recruiting diverse faculty is sometimes seemingly impossible. So, we've partnered with Morgan State University School of Nursing and will engage in a faculty exchange with their program," shares Kelley Strout, Associate Professor and Director of the University of Maine School of Nursing. In addition to a faculty exchange, Strout explains that some of the grant funding will provide scholarships for students of different ethnicities. The first scholarship recipient is senior nursing student Camilla Silva, the daughter of Brazilian immigrants. She relates, "At home, I was surrounded by people from my culture, and coming here where it is predominantly white was something that I did worry about. But, coming to the program and seeing that there are people that I can relate to and that I can even have conversations with in my native language is absolutely amazing." Silva is currently working part-time at Northern Light Eastern Maine Medical Center. Helping students like her graduate and stay in Maine is the goal.For more information about Northern Light Health careers visit: https://northernlighthealth.org/careers/home For more information on UMaine School of Nursing visit: https://umaine.edu/nursing/Ladders of opportunity Part 2 GrowthWearing a brightly colored floral print dress and a mask over her face, Christina Marring wheels her cart into the rehab unit at Northern Light Mercy Hospital. Her cart is packed with cleaning supplies and fresh linens. Marring moves to the first empty patient bed, and in one effortless motion drapes a clean sheet over the bed. Marring has worked in Mercy's Environmental Services Department for 14 years. She grew up in South Sudan and moved to Maine with her husband and children. She is grateful to have a job at Mercy but working a full-time job, caring for a large family, and dealing with medical issues, have not been easy. She knows that greater English proficiency and digital literacy will help expand her career opportunities. "I'm trying to practice using a computer to look for something other than housekeeping," explains Marring. Her situation is not unique. Melissa Skahan, vice president of Mission Integration for Mercy, says this has not been an uncommon theme in employee listening sessions. "We've heard from employees that, while incredibly grateful for Mercy and grateful to be part of the community, still felt stuck," she says.Skahan looked to create a workforce development program for Northern Light Mercy Hospital to help eliminate some of the barriers their workers were facing. She reached out to several community organizations, including Portland Adult Education and its New Mainers Resource Center. "We couldn't do this work without their targeted support. They have dedicated staff for us, and they meet several times each week with my staff at Mercy," shares Skahan. One of those dedicated staff members from Portland Adult Ed is Vanessa Sylvester, an instructor and advisement associate. Through a contract with Northern Light Mercy Hospital, Sylvester provides assessments for employees like Marring. "If they're not native English speakers, we'll assess their English proficiency. And then, well talk about their strengths and goals for advancement within the hospital," Sylvester says. The New Mainers Resource Center was set up as a pilot project by the Maine Legislature in 2013 to help skilled professionals coming to Maine from other places to use their skills and training fully. Sally Sutton, program coordinator, works with professionals, including foreign-trained physicians, to help them build a healthcare career in Maine. She explains there are big challenges in trying to figure out how to take advantage of the skills that people bring. "What we've seen during COVID is the great health disparity that exists, and how Maine healthcare systems might need to think differently about how they're serving minority communities and others who don't have easy access to healthcare. And we also have to think differently about how to help someone who's been a doctor or a nurse in another country get back into a meaningful healthcare role," says Sutton.Northern Light Mercy Hospital welcomes partnering on future workforce development projects with the New Mainers Resource Center. In addition to providing resources to the center, the hospital also provides time during work hours for employees to take classes and study, and is setting up remote classes during work hours to make it easier for employees like Marring to get ahead. "Our mission really is to advance vulnerable populations," explains Melissa Skahan. "We pay particular concern to those who are poor and disadvantaged. Without a different way of doing things, this population will not have the same opportunity that you or I would have. So, we're deeply committed to building pathways so that our employees have great opportunity to advance to every level of the organization. It's not just Mercy; it's Northern Light Health. There is an incredible commitment from the leadership of Northern Light Health to advance this fully. It aligns with all of our work."A giant step forwardProgressThroughout the global pandemic, emergency departments across the state have been dealing with high volumes of patients. In addition to the traditional cases, they've cared for people seeking treatment for COVID-19, as well as more patients with behavioral health needsa condition exacerbated by the global pandemic. At Redington Fairview General Hospital in Skowhegan, John Comis, DO, director of Emergency Medicine, says the community needs have been significant. "We have seen not only an increase in the volume of people seeking psychiatric services but in the acuity of their condition, he says. As a 25-bed critical access hospital in Skowhegan, the largest town in sparsely populated Somerset County, Redington Fairview doesn't have the patient volume to employ staff psychiatrists to address the 24/7/365 needs of their emergency department. Instead, they contract with Northern Light Acadia Hospital to provide this critical service via telehealth. Acadia Hospital made substantial investments in telepsychiatry services several years ago to extend the reach of its highly skilled providers outside the walls of Acadia and into the community. Anthony Ng, MD, DFAPA director of Community Services at Acadia, explains, When Acadia's telepsychiatry program started years ago, the volume was much lower, and the needs were not as intense. But what was unique about our approach was access to professional assessments and to physician support wherever and whenever needed." Currently, Acadia's Psychiatric Consultation Team provides services to 19 emergency departments across the state, also including all of the Northern Light member hospitals. If a patient shows up at an emergency department requiring behavioral or mental health services, Acadia has the resources to provide as many as eight telehealth consultations simultaneously. Acadia professionals use telehealth to consult with providers, and also to work directly with patients to get them started on medications, make referrals to outpatient programs such as therapy or medication management, or, when needed, to admit the patient for inpatient care. "Oftentimes, these are people who have previously not had any access to services, let alone psychiatrists," shares Jamilyn Murphy-Hughes, LCSW, director of Consultation Services for Acadia Hospital. "The ability for us to provide expert care is, in some cases, a life-changer." One of Acadia Hospital's telepsychiatry providers is Jennifer Snowden, MD, who explains that, even as well as the program is working, providers and patients sometimes experience the frustration of insufficient behavioral health beds when inpatient care is needed. Acadia Hospital is now working to address that critical shortage of beds, and in 2021 had plans approved t</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>Allison Worster, board member and Eric Hafener, officer are board members of Challenger Center of Maine.Susan Hammond, board member and Deborah Sanford, officer are board members of United Way of Eastern Maine.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the SVP of Finance. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The SVP, President of Northern Light Eastern Maine Medical Center and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and EMMC Executive &amp; Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Net Change in Funds Held at Affiliates = $2456926</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Post Retirement Health Benefit FAS158 = $23468827</ExplanationTxt>
      </SupplementalInformationDetail>
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        <EIN>364903784</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Medical Transport</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>830911574</EIN>
        <PrimaryActivitiesTxt>Ambulance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MRH Corp dba Northern Light Mayo Hospita</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>897 W Main Street</AddressLine1Txt>
          <CityNm>DoverFoxcroft</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04426</ZIPCd>
        </USAddress>
        <EIN>843689003</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Alliance Heath Documentation LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>462751855</EIN>
        <PrimaryActivitiesTxt>Transcription</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Colonial Acres Nursing Home</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010456929</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>205840</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1869762</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Katahdin Healthcare LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>270855625</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>105471</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>724847</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Stillwater Healthcare LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>273000166</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>281999</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2177922</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dover-Foxcroft Healthcare LLC DBA Hib</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Drive 4th Floor</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>463813555</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>460765</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1637943</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>22 Walnut Street LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>270855521</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1070</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>140902</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>1037 West Main Street LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Drive 4th Floor</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>463807922</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-76932</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2098056</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Park East Villa LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>833527254</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>14290</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>833411</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Ross Manor Associates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010448532</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>876782</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>7434669</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dexter Manor Associates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010435902</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>144291</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>961445</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Systems AHS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010385322</EIN>
        <PrimaryActivitiesTxt>Holding co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010349339</EIN>
        <PrimaryActivitiesTxt>Hlthcr mgmt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Laboratory Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010381283</EIN>
        <PrimaryActivitiesTxt>Clinical lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Beacon Direct</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>371864965</EIN>
        <PrimaryActivitiesTxt>Healthcare Self-funded TPA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
