TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) Tim Dentry PresidentCEO...................................................................... Ex-Officio	20.00 ................. 30.00	X	X	0	1,055,785	145,096
(2) John D Klemperer MD...................................................................... Physician	40.00 ................. 0.00			1,085,049	0	58,096
(3) Jessica Aronowitz MD...................................................................... Orthopedic Surgeon	40.00 ................. 0.00			1,066,684	0	49,301
(4) Wayne R Waterman MD...................................................................... Neurosurgeon	40.00 ................. 0.00			904,726	0	55,597
(5) Stephen R Thompson MD...................................................................... Orthopedic Surgeon	40.00 ................. 0.00			886,087	0	46,615
(6) Michael Paci MD...................................................................... Neurosurgeon	40.00 ................. 0.00			827,666	0	46,047
(7) Anthony Filer SVPCFO...................................................................... Treasurer	14.00 ................. 36.00		X	0	758,458	57,247
(8) Glenn Martin VP Gen Counsel...................................................................... Secretary	14.00 ................. 36.00		X	0	651,790	112,497
(9) Mary Michelle Hood...................................................................... Former NLH President & CEO	20.00 ................. 30.00			0	599,997	18,136
(10) James Clarke MD...................................................................... Sr VP/Sr Phy Ex	50.00 ................. 0.00		X	541,673	0	61,021
(11) Rand O'Leary President...................................................................... Ex-Officio	50.00 ................. 0.00	X	X	576,938	0	23,181
(12) James Jarvis...................................................................... Former SVP, Sr Physician Executive	50.00 ................. 0.00			439,677	0	33,372
(13) Marc Edelman...................................................................... Sr VP/Operation	50.00 ................. 0.00		X	407,540	0	54,308
(14) Philippe Morissette...................................................................... Sr VP Finance	50.00 ................. 0.00		X	406,195	0	54,331
(15) Charles Staley MD...................................................................... Ex-Officio	50.00 ................. 0.00	X		399,165	0	34,146
(16) Michael Reid...................................................................... VP/Phy Services	50.00 ................. 0.00		X	362,073	0	43,593
(17) Deborah Sanford...................................................................... VP/Nursing&PCS	50.00 ................. 0.00		X	346,416	0	40,420

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(18) Alison Worster........................................................................ VP/HR & Pt Exp	50.00 .......................0.00		X	272,206	0	43,772
(19) Kathryn Rutledge MD........................................................................ Board Member	50.00 .......................0.00	X		253,366	0	32,984
(20) Eric Hafener........................................................................ VP/Compliance	0.00 .......................50.00		X	0	236,148	17,440
(21) Matthew Jay Marston........................................................................ VP/Pharmacy	50.00 .......................0.00		X	192,298	0	24,882
(22) Noah Lundy........................................................................ VP/HR East Regi	2.00 .......................48.00		X	1,861	165,346	19,205
(23) Tracey Roberts........................................................................ VP/Compliance	0.00 .......................50.00		X	0	168,447	12,506
(24) Jenifer Butler........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(25) Susan Hammond........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(26) Michael McGoldrick MD........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(27) Richard Riemersma MD........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(28) John Miller........................................................................ Vice Chr PT YR	1.00 .......................0.00	X	X	0	0	0
(29) John Simpson........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(30) Lynne Spooner........................................................................ Chairman	1.00 .......................0.00	X	X	0	0	0
(31) Robert Ziegelaar........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(32) Donald Hagstrom........................................................................ Vice Chr PT YR	1.00 .......................0.00	X	X	0	0	0
(33) John A Vickery Sr........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(34) Scott Solman........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(35) Heather Furth........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(36) Susan Hunter........................................................................ Board Member	0.50 .......................0.00	X		0	0	0
(37) Tracey Whitten........................................................................ Board Member	0.50 .......................0.00	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
NURSE ANESTHESIA OF MAINE 141 N MAIN ST STE 205 BREWER,ME04412	COVERAGE SERVICES	15,327,962
WEATHERBY HEALTHCARE PO BOX 972633 DALLAS,TX753972633	STAFFING SERVICES	10,128,615
COMPHEALTH INC PO BOX 972651 DALLAS,TX753972651	STAFFING SERVICES	8,893,830
SIMPLIFI 5020 NORTHSHORE DRIVE NORTH LITTLE ROCK,AR72118	STAFFING SERVICES	6,938,329
AVANT HEALTHCARE PROFESSIONALS PO BOX 744554 ATLANTA,GA303744554	STAFFING SERVICES	4,685,291
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 45

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization Eastern Maine Medical Center Northern Light Eastern Maine Medical Cen

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization Eastern Maine Medical Center Northern Light Eastern Maine Medical Cen		Employer identification number 01-0211501

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization Eastern Maine Medical Center Northern Light Eastern Maine Medical Cen			Employer identification number 01-0211501
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

57,133

Total. Add lines 1c through 1i ....................................................................................................

57,133

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1i - Other Activities Description	Non-deductible dues

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	25,885,842	26,647,603	27,374,890	27,252,070	26,347,094
b	Contributions ...	21,677	203,643	34,568	633,122	42,313
c	Net investment earnings, gains, and losses	4,782,913	86,431	543,273	772,332	2,093,394
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	988,264	1,051,835	1,305,128	1,282,634	1,230,731
f	Administrative expenses ....
g	End of year balance ......	29,702,168	25,885,842	26,647,603	27,374,890	27,252,070

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0.180 %

Permanent endowment SchDMd Bullet

99.820 %

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,115,186		3,115,186
b	Buildings ....	270,413,755	114,245,697	156,168,058
c	Leasehold improvements	13,903,423	9,989,821	3,913,602
d	Equipment ....	532,168,039	311,004,733	221,163,306
e	Other .....	34,235,660	14,581,323	19,654,337
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				404,014,489

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)Assets Held Under Trust Indenture				3,929,436
(2)Beneficial Trust Assets				2,785,536
(3)Board Designated Funded Depreciation				15,712,064
(4)Funds Held by Bond Trustee				863
(5)Invest in Net Assets held @ NLH Found				38,946,539
(6)Investment in New England Life Care				1,426,038
(7)Investment in Nursing Homes				3,882,261
(8)Right-of-Use Operating Lease Assets				7,792,608
(9)Self-Insurance Funds Held by Trustee				674,877
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				75,150,222

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	296,587,475
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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

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

Part X : FIN48 Footnote

Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by 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.

Schedule D (Form 990) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		10,373	2,000,889		2,000,889	0.190 %
b	Medicaid (from Worksheet 3, column a) . . . . .		113,023	159,877,281	93,979,896	65,897,385	6.310 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		123,396	161,878,170	93,979,896	67,898,274	6.500 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5	92	3,450,039		3,450,039	0.330 %
f	Health professions education (from Worksheet 5) . . .	3	38,000	710,583		710,583	0.070 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	1		1,124,827		1,124,827	0.110 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1	10,280	21,446		21,446
j	Total. Other Benefits . .	10	48,372	5,306,895		5,306,895	0.510 %
k	Total. Add lines 7d and 7j .	10	171,768	167,185,065	93,979,896	73,205,169	7.010 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1	6,243	6,243
9	Other
10	Total	1	6,243	6,243

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

17,709,020

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

319,575,639

Enter Medicare allowable costs of care relating to payments on line 5.....

402,502,434

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-82,926,795

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %
1Ross Manor Associates	Nursing Home	50.000 %
2Dexter Manor Associates	Nursing Home	50.000 %
3Colonial Acres Nursing Home	Nursing Home	50.000 %
4Katahdin Healthcare LLC	Nursing Home	50.000 %
5Stillwater Healthcare LLC	Nursing Home	50.000 %
6Dover-Foxcroft Healthcare	Nursing Home	50.000 %
722 Walnut Street LLC	Nursing Home	50.000 %
81037 West Main Street LLC	Nursing Home	50.000 %
9Park East Villa LLC	Nursing Home	50.000 %
10
11
12
13

Schedule H (Form 990) 2020

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NL Eastern Maine Medical Cente 489 State Street Bangor,ME04401 https://northernlighthealth.or 38447	X	X	X	X

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NL Eastern Maine Medical Cente
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Line 16j for URL

Other website (list url): See Part V, Line 16j for URL

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Part V, Line 16j for URL

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NL Eastern Maine Medical Cente
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.0000%
and FPG family income limit for eligibility for discounted care of 250.0000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Part V, Line 16j for URL

The FAP application form was widely available on a website (list url):

See Part V, Line 16j for URL

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Line 16j for URL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	NL Eastern Maine Medical Cente
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	NL Eastern Maine Medical Cente
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 5	The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the 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 & 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.
Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 6a	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.
Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11	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.
Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h	Income Level
Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j	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".

Schedule H (Form 990) 2020

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1	Northern Light Health Center Union Street Bangor,ME04401	Medical Office Building - physician svc
2	Northern Light Primary Care 7 Main Road North Hampden,ME04444	Med Office Building-physician svc
3	Northern Light Primary Care 234 State Street Brewer,ME04412	Med Office Building-physician svc
4	Northern Light Sleep Diagnostics 290 State Street Bangor,ME04401	Med Office Building-outpatient svc
5	Northern Light Primary Care 302 Husson Ave Bangor,ME04401	Med Office Building-physician svc
6	Northern Light Internal Medicine 302 Husson Ave Bangor,ME04401	Med Office Building-physician svc
7	Northern Light Primary Care 84 Kelly Road Orono,ME04473	Med Office Building-physician svc
8	Northern Light Cardiology 1 Northeast Drive Bangor,ME04401	Med Office Building-physician svc
9	Northern Light Urology 55 Broadway Suite 2 Bangor,ME04401	Med Office Building-physician svc
10	Northern Light Neurology 498 Essex St Suite 105 Bangor,ME04401	Med Office Building-physician svc
11	Physician Prac in Webber Bld 417 State Street Bangor,ME04401	Med Office Building-physician svc
12	Northern Light Cancer Care 33 Whiting Hill Road Brewer,ME04412	Med Office Building-Cancer treatment
13	Northern Light Primary Care 5721 Cutler Health Center Universit Orono,ME044695721	Ambulatory Care Facility
14	Northern Light Medical Weight Management 404 State St Suite 310 Bangor,ME04401	Med Office Building - physician svc
15	Northern Light Pediatric Primary Care 133 Corporate Drive Bangor,ME04401	Med Office Building - physician svc
16	Northern Light Pediatric Specialty Care 133 Corporate Drive Bangor,ME04401	Med Office Building - physician svc
17	Northern Light Surgical Endoscopy 489 State Street Kagan Bldg Bangor,ME044020404	Medical Office Building - physician svc
18	Northern Light Pediatric Specialty Care 325D Kennedy Memorial Drive Waterville,ME04901	Med Office Building - physician svc
19	Northern Light Primary Care 600 Main Street Building 11 Bar Harbor,ME04609	Med Office Building - physician svc
20	Northern Light Vascular Care 489 State Street Kagan Bldg Bangor,ME044020404	Medical Office Building - physician svc

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 6a - Related Organization Community Benefit Report	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.
Part I, Line 7 - Explanation of Costing Methodology	Ratio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	The costing methodology used to determine the amount reported is cost to charge ratio.
Part III, Line 4 - Bad Debt Expense	Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 17 to 20 - Revenue Recognition and Patient Accounts Receivable section
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light 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.
Part VI, Line 2 - Needs Assessment	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.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	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
Part VI, Line 4 - Community Information	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 & 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.
Part VI, Line 5 - Promotion of Community Health	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.
Part VI, Line 6 - Affilated Health Care System	The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, 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.
Part VI, Line 7 - States Filing of Community Benefit Report	N/A

Schedule H (Form 990) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Alison Worster VP/HR & Pt Exp	(i) (ii)	211,523 -------------	40,685 -------------	19,998 -------------	12,136 -------------	31,636 -------------	315,978 -------------	-------------
2Anthony Filer SVPCFO Treasurer	(i) (ii)	------------- 584,879	------------- 158,088	------------- 15,491	------------- 22,800	------------- 34,447	------------- 815,705	-------------
3Charles Staley MD Ex-Officio	(i) (ii)	361,179 -------------	28,500 -------------	9,486 -------------	25,650 -------------	8,496 -------------	433,311 -------------	-------------
4Deborah Sanford VP/Nursing&PCS	(i) (ii)	286,856 -------------	55,405 -------------	4,155 -------------	26,287 -------------	14,133 -------------	386,836 -------------	-------------
5Eric Hafener VP/Compliance	(i) (ii)	------------- 195,744	------------- 37,247	------------- 3,157	------------- 16,467	------------- 973	------------- 253,588	-------------
6Glenn Martin VP Gen Counsel Secretary	(i) (ii)	------------- 443,589	------------- 165,077	------------- 43,124	------------- 88,916	------------- 23,581	------------- 764,287	-------------
7James Clarke MD Sr VP/Sr Phy Ex	(i) (ii)	433,676 -------------	83,223 -------------	24,774 -------------	25,906 -------------	35,115 -------------	602,694 -------------	-------------
8James Jarvis Former SVP, Sr Physician Executive	(i) (ii)	341,055 -------------	56,923 -------------	41,699 -------------	22,800 -------------	10,572 -------------	473,049 -------------	-------------
9Jessica Aronowitz MD Orthopedic Surgeon	(i) (ii)	670,124 -------------	369,863 -------------	26,697 -------------	17,100 -------------	32,201 -------------	1,115,985 -------------	-------------
10John D Klemperer MD Physician	(i) (ii)	857,279 -------------	219,179 -------------	8,591 -------------	25,650 -------------	32,446 -------------	1,143,145 -------------	-------------
11Kathryn Rutledge MD Board Member	(i) (ii)	249,345 -------------	1,250 -------------	2,771 -------------	21,082 -------------	11,902 -------------	286,350 -------------	-------------
12Marc Edelman Sr VP/Operation	(i) (ii)	339,936 -------------	62,818 -------------	4,786 -------------	22,800 -------------	31,508 -------------	461,848 -------------	-------------
13Mary Michelle Hood Former NLH President & CEO	(i) (ii)	------------- 277,407	-------------	------------- 322,590	------------- 10,317	------------- 7,819	------------- 618,133	-------------
14Matthew Jay Marston VP/Pharmacy	(i) (ii)	171,232 -------------	16,632 -------------	4,434 -------------	5,810 -------------	19,072 -------------	217,180 -------------	-------------
15Michael Paci MD Neurosurgeon	(i) (ii)	825,299 -------------	-------------	2,367 -------------	14,250 -------------	31,797 -------------	873,713 -------------	-------------
16Michael Reid VP/Phy Services	(i) (ii)	273,685 -------------	58,755 -------------	29,633 -------------	21,063 -------------	22,530 -------------	405,666 -------------	-------------
17Noah Lundy VP/HR East Regi	(i) (ii)	1,578 ------------- 140,228	262 ------------- 23,305	21 ------------- 1,813	94 ------------- 8,326	120 ------------- 10,665	2,075 ------------- 184,337	-------------
18Philippe Morissette Sr VP Finance	(i) (ii)	336,899 -------------	63,632 -------------	5,664 -------------	22,800 -------------	31,531 -------------	460,526 -------------	-------------
19Rand O'Leary President Ex-Officio	(i) (ii)	543,460 -------------	26,251 -------------	7,227 -------------	-------------	23,181 -------------	600,119 -------------	-------------
20Stephen R Thompson MD Orthopedic Surgeon	(i) (ii)	604,080 -------------	279,239 -------------	2,768 -------------	17,100 -------------	29,515 -------------	932,702 -------------	-------------
21Tim Dentry PresidentCEO Ex-Officio	(i) (ii)	------------- 860,379	------------- 182,026	------------- 13,380	------------- 112,598	------------- 32,498	------------- 1,200,881	-------------
22Tracey Roberts VP/Compliance	(i) (ii)	------------- 152,982	------------- 12,548	------------- 2,917	------------- 10,116	------------- 2,390	------------- 180,953	-------------
23Wayne R Waterman MD Neurosurgeon	(i) (ii)	879,564 -------------	-------------	25,162 -------------	22,800 -------------	32,797 -------------	960,323 -------------	-------------

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

Part I, Line 1a: Relevant information in regards to selections on 1a.

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.

Schedule J (Form 990) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number
01-0211501

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Maine Health and Higher E	01-0314384	56042RVZ2	04-03-2020	49,011,499	Refund 2010A Issue		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	6,010,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	57,103,677
4 Gross proceeds in reserve funds .............	4,594,250
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	36,340,000
7 Issuance costs from proceeds ...............	586,471
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	15,582,956
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........	X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........	NA
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........	NA
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Part VI	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.

Schedule K (Form 990) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Richard Riemersma MD	brd memb is director	163,467	DCPA-Pathology servi		No
(2) Rosalie Davis	fam mem=officer	31,906	compensation		No
(3) Tracey Whitten	brd mem=brd mem	261,882	Husson Univ-nurse prog as		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

Schedule L, Part V Supplemental Information

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.

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Return Reference	Explanation
Form 990, Part III, Line 4d: Other Program Services Description	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
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	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.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	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.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review Process	Form 990 is reviewed by the 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.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	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.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	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 & 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.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Northern Light Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases	Net Change in Funds Held at Affiliates = $2456926
Other Changes In Net Assets Or Fund Balances - Other Increases	Post Retirement Health Benefit FAS158 = $23468827

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Eastern Maine Medical Center
Northern Light Eastern Maine Medical Cen

Employer identification number

01-0211501

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) M Drug LLC 43 Whiting Hill Road Brewer,ME04412 27-2175482	Pharmacy	ME	64,397,217	12,375,208	EMMC
(2) LTC LLC 43 WHITING HILL ROAD BREWER,ME04412 01-0211501	Operation of Nursing Homes	ME	916,023	3,882,261	EMMC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer,ME04412 01-0391036	Leases real estate	ME	501(c)(2)		EMHS		No
(2)Rosscare 43 Whiting Hill Road Brewer,ME04412 01-0391038	Provide services to elderly	ME	501(c)(3)	PF	EMHS		No
(3)Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer,ME04412 01-0527066	Supporting organization for healthcare affiliates	ME	501(c)(3)	12 Type II	N/A		No
(4)Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer,ME04412 01-0459837	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(5)Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer,ME04412 01-0377901	Fund raising for exempt Eastern Maine Medical Center	ME	501(c)(3)	10	EMMC	Yes
(6)Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer,ME04412 22-3183888	Provide healthcare services	ME	501(c)(3)	10	AHC		No
(7)Northern Light Health Foundation 43 Whiting Hill Road Ste 400 Brewer,ME04412 22-2514163	Raise and manage funds for exempt organizations	ME	501(c)(3)	12 Type II	EMHS		No
(8)Inland Hospital 200 Kennedy Memorial Drive Waterville,ME04901 01-0217211	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(9)Lakewood 220 Kennedy Memorial Drive Waterville,ME04901 01-0421234	Provide skilled and long-term nursing care	ME	501(c)(3)	3	Inland Hospital		No
(10)CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville,ME044411129 04-3341666	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(11)Sebasticook Valley Health SVH 447 North Main Street Pittsfield,ME04967 01-0263628	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(12)The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle,ME047690151 01-0372148	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(13)Blue Hill Memorial Hospital 57 Water Street Blue Hill,ME046145231 01-0227195	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(14)Mercy Hospital 175 Fore River Parkway Portland,ME04102 01-0211534	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(15)VNA Home Health & Hospice 50 Foden Road South Portland,ME04106 01-0246804	Provide home health & hospice services	ME	501(c)(3)	10	EMHS		No
(16)WorkHealth LLC 43 Whiting Hill Road Brewer,ME04412 47-4315094	Provide healthcare services	ME	501(c)(3)	12 Type II	EMHS		No
(17)Maine Coast Regional Health Facilities d 50 Union Street Ellsworth,ME04605 01-0198331	Provide healthcare services	ME	501(c)(3)	3	EMHS		No
(18)Maine Coast Medical Realty 50 Union Street Ellsworth,ME04605 01-0390918	Lease medical facilities	ME	501(c)(3)	12 Type I	MCH		No
(19)Beacon Health LLC 43 Whiting Hill Road Brewer,ME04412 45-2967056	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS		No
(20)Beacon Rural Health LLC 43 Whiting Hill Road Brewer,ME04412 47-4483187	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS		No
(21)Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer,ME04412 36-4903784	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS		No
(22)Northern Light Medical Transport 43 Whiting Hill Road Brewer,ME04412 83-0911574	Ambulance	ME	501(c)(3)	10	EMHS		No
(23)MRH Corp dba Northern Light Mayo Hospita 897 W Main Street DoverFoxcroft,ME04426 84-3689003	Provide healthcare services	ME	501(c)(3)	3	EMHS		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) Alliance Heath Documentation LLC 43 Whiting Hill Road Brewer,ME04412 46-2751855	Transcription	ME	AHS					No			No
(2) Colonial Acres Nursing Home 100 Waterman Dr South Portland,ME04106 01-0456929	Nursing Home	ME	N/A	Related	205,840	1,869,762		No		Yes		50.000 %
(3) Katahdin Healthcare LLC 100 Waterman Dr South Portland,ME04106 27-0855625	Nursing Home	ME	N/A	Related	105,471	724,847		No		Yes		50.000 %
(4) Stillwater Healthcare LLC 100 Waterman Dr South Portland,ME04106 27-3000166	Nursing Home	ME	N/A	Related	281,999	2,177,922		No		Yes		50.000 %
(5) Dover-Foxcroft Healthcare LLC DBA Hib 100 Waterman Drive 4th Floor South Portland,ME04106 46-3813555	Nursing Home	ME	N/A	Related	460,765	1,637,943		No		Yes		50.000 %
(6) 22 Walnut Street LLC 100 Waterman Dr South Portland,ME04106 27-0855521	Real Estate	ME	N/A	Related	1,070	140,902		No		Yes		50.000 %
(7) 1037 West Main Street LLC 100 Waterman Drive 4th Floor South Portland,ME04106 46-3807922	Real Estate	ME	N/A	Related	-76,932	2,098,056		No		Yes		50.000 %
(8) Park East Villa LLC 100 Waterman Dr South Portland,ME04106 83-3527254	Nursing Home	ME	N/A	Related	14,290	833,411		No		Yes		50.000 %
(9) Ross Manor Associates 100 Waterman Dr South Portland,ME04106 01-0448532	Nursing Home	ME	N/A	Related	876,782	7,434,669		No		Yes		50.000 %
(10) Dexter Manor Associates 100 Waterman Dr South Portland,ME04106 01-0435902	Nursing Home	ME	N/A	Related	144,291	961,445		No		Yes		50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer,ME04412 01-0385322	Holding co.	ME	EMHS	C					No
(2) Affiliated Healthcare Management 43 Whiting Hill Road Brewer,ME04412 01-0349339	Hlthcr mgmt	ME	AHS	C					No
(3) Affiliated Laboratory Inc 43 Whiting Hill Road Brewer,ME04412 01-0381283	Clinical lab	ME	AHS	C					No
(4) Beacon Direct 43 Whiting Hill Road Brewer,ME04412 37-1864965	Healthcare Self-funded TPA	ME	EMHS	C					No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:	20011551
Software Version:	2020v4.0

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	5,456
6	Total number of volunteers (estimate if necessary) .............	6	1,069
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	11,618,011
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	1,020,161

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	9,579,518	11,441,116
9	Program service revenue (Part VIII, line 2g) .........	876,808,685	1,023,182,751
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,618,933	1,755,842
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	50,824,148	66,192,068
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	940,831,284	1,102,571,777
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	469,016,289	478,830,083
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	501,826,278	565,714,232
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	970,842,567	1,044,544,315
19	Revenue less expenses. Subtract line 18 from line 12.......	-30,011,283	58,027,462
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,005,801,244	991,119,374
21	Total liabilities (Part X, line 26).............	736,104,038	637,049,858
22	Net assets or fund balances. Subtract line 21 from line 20.....	269,697,206	354,069,516

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 951,917,702 including grants of $ ) (Revenue $ 999,999,999 )
	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

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ 89,957,381 )
	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.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	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 & 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 & 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 & 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

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses951,917,702

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,969,620	3,635,971	1,083,793

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,173,555
e	Government grants (contributions)		1e	4,438,786

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,828,775

g	Noncash contributions included in lines 1a - 1f:$		1g	22,760

h Total. Add lines 1a-1f.......		11,441,116

		Business Code
2a	Cafeteria	722514	2,818,422		927	2,817,495
b	Healthcare Education	611710	1,181,055	1,181,055
c	Lodging	721110	407,945			407,945
d	Net Patient Care Service	621990	18,775,330	8,107,126	10,668,204
e	Net Patient Care Service	621990	999,999,999	999,999,999
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,023,182,751

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,864,824		916,023	948,801
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents	12,000	327,260	6a
b	Less: rental expenses		5,798	6b
c	Rental income or (loss)	12,000	321,462	6c
d	Net rental income or (loss).......			333,462			333,462
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	285,545	5,611,802	7a
b	Less: cost or other basis and sales expenses	374,916	5,631,413	7b
c	Gain or (loss)	-89,371	-19,611	7c
d	Net gain or (loss).........			-108,982			-108,982
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	340B Pharmacy Benefits		621990	65,481,660	65,481,660
b	Meaningful Use		621990	93,500	93,500
c	Telephone		517000	191,013	191,013
d	All other revenue ....			92,433	59,576	32,857
e	Total. Add lines 11a–11d ......			65,858,606
12	Total revenue. See instructions.....			1,102,571,777	1,075,113,929	11,618,011	4,398,721

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	4,172,583	2,793,885	1,378,698
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	379,241,184	375,820,633	3,420,551
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	21,347,307	20,636,804	710,503
9	Other employee benefits .......	51,285,748	48,284,992	3,000,756
10	Payroll taxes ...........	22,783,261	21,798,750	984,511
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	142,838	140,370	2,468
c	Accounting ...........	176,319		176,319
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	95,358	18,114	77,244
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	178,309,536	115,660,307	62,649,229
12	Advertising and promotion ....	1,773,971	1,773,971
13	Office expenses .......	19,943,469	13,923,724	6,019,745
14	Information technology ......	46,750,056	45,054,174	1,695,882
15	Royalties ..	0
16	Occupancy ...........	14,739,046	10,679,220	4,059,826
17	Travel ............	348,588	342,532	6,056
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	1,275,971	1,268,132	7,839
20	Interest ...........	13,062,754	12,976,691	86,063
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	29,159,129	23,339,049	5,820,080
23	Insurance ...	11,786,545	11,387,338	399,207
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	218,393,082	218,393,082
b	Taxes and Licensing	17,951,510	17,944,043	7,467
c	Repairs & Maintenance	10,172,427	8,097,701	2,074,726
d	Dues and Subscriptions	881,155	876,568	4,587
e	All other expenses	752,478	707,622	44,856
25	Total functional expenses. Add lines 1 through 24e	1,044,544,315	951,917,702	92,626,613	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			257,591,176	1	196,880,625
2	Savings and temporary cash investments .........			841,550	2	445,691
3	Pledges and grants receivable, net ......			931,361	3	875,004
4	Accounts receivable, net .............			183,808,379	4	251,635,191
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6	0
7	Notes and loans receivable, net ...........			2,656,752	7	1,682,499
8	Inventories for sale or use ............			11,560,376	8	9,497,274
9	Prepaid expenses and deferred charges ......			3,520,476	9	2,675,424
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	853,836,063
b	Less: accumulated depreciation	10b	449,821,574	421,326,450	10c	404,014,489
11	Investments—publicly traded securities .			41,598,895	11	46,885,177
12	Investments—other securities. See Part IV, line 11 .....				12	0
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets ...............			1,584,445	14	1,377,778
15	Other assets. See Part IV, line 11 ...........			80,381,384	15	75,150,222
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,005,801,244	16	991,119,374

17	Accounts payable and accrued expenses .....	139,985,729	17	93,140,869
18	Grants payable ...		18
19	Deferred revenue .........	93,840,444	19	73,879,317
20	Tax-exempt bond liabilities .........	187,785,929	20	28,318,496
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	1,416,678	23	145,123,701
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	313,075,258	25	296,587,475
26	Total liabilities. Add lines 17 through 25..	736,104,038	26	637,049,858

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	231,664,186	27	313,214,801
28	Net assets with donor restrictions ...........	38,033,020	28	40,854,715
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	269,697,206	32	354,069,516
33	Total liabilities and net assets/fund balances ........	1,005,801,244	33	991,119,374