﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-08-05T16:33:14-07:00</ReturnTs>
    <TaxPeriodEndDt>2025-09-30</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>010211501</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Eastern Maine Medical Center</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>Northern Light Eastern Maine Medical Cen</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>EAST</BusinessNameControlTxt>
      <PhoneNum>2079739081</PhoneNum>
      <USAddress>
        <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
        <CityNm>Brewer</CityNm>
        <StateAbbreviationCd>ME</StateAbbreviationCd>
        <ZIPCd>04412</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>John Doyle</PersonNm>
      <PersonTitleTxt>NLH VP of Finance</PersonTitleTxt>
      <SignatureDt>2026-08-05</SignatureDt>
      <DiscussWithPaidPreparerInd>false</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO BinaryAttachment.1" softwareId="24020490" softwareVersionNum="2024v5.2">
      <AddressChangeInd>X</AddressChangeInd>
      <PrincipalOfficerNm>John Doyle</PrincipalOfficerNm>
      <GrossReceiptsAmt>1268569727</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <GroupExemptionNum>5247</GroupExemptionNum>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>https://northernlighthealth.org/Eastern-Maine</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1892</FormationYr>
      <LegalDomicileStateCd>ME</LegalDomicileStateCd>
      <ActivityOrMissionDesc>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.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>4968</TotalEmployeeCnt>
      <TotalVolunteersCnt>516</TotalVolunteersCnt>
      <TotalGrossUBIAmt>25643685</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>6530756</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>13738527</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>46125622</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1025307040</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1103272860</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>607992</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>7343900</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>71885646</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>110779214</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>1111539205</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>1267521596</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>3400</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>495511543</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>508964814</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>693617566</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>758265467</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1189129109</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>1267233681</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-77589904</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>287915</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>931426468</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>912724653</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>685951446</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>651356652</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>245475022</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>261368001</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>999999999</ExpenseAmt>
      <GrantAmt>3400</GrantAmt>
      <RevenueAmt>999999999</RevenueAmt>
      <Desc>Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $10,986,157.Northern Light Eastern Maine Medical Center (EMMC) has served communities throughout our region for 133 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 25,232Cardiac Catheterization Procedures 6,898Cardiac Surgery Cases 451Emergency Room Visits 36,954Medical Imaging Procedures 219,806Surgery Cases 15,681Live Births 1,643Family Practice Visits 120,871Total Outpatient Visits 615,423Patient Days 122,525Services provided to those who could not pay $42,007,105</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>159145038</ExpenseAmt>
        <RevenueAmt>220769703</RevenueAmt>
        <Desc>Medicare shortfalls-$97,850,910 (at cost) 87,845 persons served.Charity care provided-$931,843 (at cost) 1,196 persons served.Medicaid shortfalls-$42,893,631 (at cost) 101,729 persons served.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <Desc>Please see the following excerpt from the Northern Light Health Annual Report 2025 to the Community for details of community benefit projects at NLH members:Guiding the wayEvery day, our Northern Light Health team demonstrates extraordinary commitment to our mission and to the patients, families, and communities who rely on us. Their dedication serves as a constant reminder of the strength that only comes from working together with purpose.This annual report tells some of the stories that reflect our determination to care for the people of Maine. From our smallest health centers to our largest hospitals, Northern Light Health is united in our belief that every person in our state deserves high-quality, compassionate care as close to home as possible.We are proud of our progress, inspired by the work ahead, and committed to leading Northern Light Health toward a future filled with promise. We are committed to serving you for generations to come.Thank you for your trust and support.R. Guy Hudson, MDPresident &amp; CEONorthern Light HealthJohn RyanBoard ChairNorthern Light HealthTraveling HomeTheres no place like Hancock CountyAfter 24 years on the road as a travel nurse, Karen Beinhauer, BSN, RN, has learned that every hospital has its own rhythm. It wasnt until she arrived at Northern Light Maine Coast Hospital that she realized shed found something she didnt even know she was searching for a place to call home.I knew this was where I wanted to stay because when I got here, it felt like coming home, Beinhauer says. The people, the community, the staff, it just felt comfortable and kind. Everyone waves, everyone helps. Its a special place.Beinhauers path to Maine wasnt straightforward. She began her nursing career in Mississippi in the early 2000s, working as a single mother in an intensive care unit (ICU). I was struggling to make my student loan payments, she remembers. My mom suggested travel nursing, and I laughed, Thats for single people! But the next day, a travel nursing brochure showed up in my mailbox. I called, signed up, and that was the start of my journey.After more than two decades on the road, Beinhauer worked across the country, and found her way to Maine. Its paradise here, she says. The sea air, the trees, it smells like Christmas in June. I collect sea glass and shells, go clamming, and make little art pieces for friends. When Im not at work, youll find me on the beach on Little Cranberry Island just enjoying life.When she joined Maine Coast Hospital, Beinhauer felt an immediate connection with the team. We have an incredible group, she adds. Our managers and supervisors step in to help whenever needed, and everyone supports each other. Its about caring for our patients and for each other.For Ann-Margaret Shaheen, MSN, RN, chief nursing officer at Northern Light Maine Coast and Blue Hill hospitals, Beinhauers story represents something much larger. Travel nurses are vital to our staffing model at the current time, but they are not a permanent solution, Shaheen explains.Travel nurses typically sign 13-week contracts. Because they move frequently and work in varied settings, travelers are often quick learners who bring rich clinical experience. We value their expertise, states Shaheen. Our goal, however, is to grow our local teams and to decrease turnover. This will help us improve teamwork, build relationships, and ultimately to standardize processes and quality initiatives that improve patient safety.When a travel nurse decides to stay, I believe it speaks volumes about our culture and work environment. It also strengthens our care team.Weve had two former travel nurses stay and become charge nurses leaders among their peers, Shaheen says. Another stayed and grew into a managerial role. Its wonderful to recruit these nurses and to see that professional growth happens right here.What draws them in? Beyond a supportive work environment with opportunity for professional growth, Shaheen credits the beauty of coastal Maine. We have Acadia National Park, internationally renowned art, music, and sailing, community theater, organic farms, and a welcoming spirit, she says. People fall in love with this area and with the people who live and work here.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>When every mile mattersFor babies born too soon or with critical health needs, every moment matters. Thanks to the incredible generosity of our community, Northern Light Eastern Maine Medical Center now has a new modern ambulance created just for babies in need of critical care. Funded entirely by donations from the Northern Light Eastern Maine Medical Center Auxiliary, the Professional Logging Contractors of the Northeast, and compassionate community members, the new ambulance gives Maines smallest patients their strongest possible start in life.As the only Level III Neonatal Intensive Care Unit (NICU) north of Portland, Eastern Maine Medical Center cares for more than 450 newborns each year, including about 150 who begin their fight for life in other hospitals. Our Neonatal Transport Team is made up of highly trained nurses who stand ready day and night to bring these babies safely to our NICU.Every time we transport a newborn, we know were carrying someones whole world, says Ken Roy, RN, a member of the Neonatal Transport Team. This ambulance gives us everything we need to provide the best care possible and helps us give families hope when they need it most. Parents are often fearful of their newborn infant leaving their side and traveling to a tertiary center miles away, and they are assured that their infant is traveling in a very safe and reliable ambulance, he adds.This ambulance means peace of mind for families and a smoother, safer journey for their babies, says Mikele Neal, RN, associate vice president of Patient Care Services. Its a gift from our community that will touch lives for years to come.Mission ready for flight Northern Light Acadia Hospital and the 101st Air Refueling Wing,Maine Air National Guard unite for mental healthAt Northern Light Acadia Hospital, the mission to improve the health of our communities extends far beyond the hospitals walls. A growing partnership with the Maine Air National Guards 101st Air Refueling Wing, is strengthening mental health awareness among military service members and changing lives.For Susan Slick, MHR, MBA, director of education at Acadia, and a technical sergeant in the 101st, this collaboration represents the perfect intersection of her two worlds. I joined the Maine Air National Guard right out of high school, Slick says. I also started working at Acadia Hospital when it was first built. I thought Id stay at both for my whole career.After a detour, led by her husbands active-duty Air Force career around the country, Slick returned home to Bangor and rejoined the team at Acadia. I left the best job I ever had, she says. When I got the chance to come back, I took it.After resuming her role at the hospital, Slick wanted to do more. I really wanted to bridge the two worlds, what Ive learned in the military and what Ive learned in mental health, she says. So, I rejoined the Guard with the goal of bringing mental health training and understanding to my fellow service members.That vision led to several joint mental health and resiliency workshops between Acadia and the 101st, including Psychological First Aid, a course designed to teach calm, compassionate support in times of crisis.Psychological first aid is like CPR for emotional health, Slick explains. Its not just for when someone is depressed or suicidal. It can be used anytime someone is in crisis like after a car accident, a natural disaster, or a difficult deploymentFor Master Sergeant Amanda Allard, executive secretary for the 101st and member of the bases Disaster Mental Health Team, the training proved immediately valuable.Acadia Hospital approached us about the Psychological First Aid course, and we jumped at the chance, Allard says. It taught us techniques we can use right away, like box breathing, to help calm someone and get them through that initial phase of trauma.Allard soon found herself using the skill outside of work. My husband and I came across a car accident one night, she recalls. One woman was very upset, so I used box breathing with her, in for four seconds, hold, out for four seconds, hold again. She looked at me afterward and said, Do it again. It was so validating to see how much it helped.Allard says the training changed the way she approaches stressful situations. It helped me understand that if I walk into a situation calm, that calm spreads, she says. These are things I use not just at work, but in my personal life, too.The collaboration between Northern Light Acadia Hospital and the 101st Air Refueling Wing to provide these trainings is crucial, Allard says. The continued collaboration helps us all be better prepared to take care of each other.Slick agrees. The Guard and Acadia both support each other in incredible ways, she says. Taking care of people mentally, emotionally, and physically is at the heart of what we do.Learn more at northernlighthealth.org/behavioralservicesCare that meets you where you areLocated just a few blocks off the main road in Sangerville, the Northern Light Health Center serves as a vital connection point between Northern Light Mayo Hospital and Northern Light CA Dean Hospital. The facility offers greater access to services than many rural communities could imagine.A 30-minute drive from Greenville and just a 12-minute drive from Dover-Foxcroft, the Sangerville health center is a hub for care, accessible to patients in Piscataquis and parts of Penobscot and Somerset Counties. The facility offers an unique breadth of services for a rural location, including urology, womens health, prenatal care, newborn and pediatric care, primary care, diabetes management, physical and occupational therapy, ultrasound and x-ray, lab draws, walk-in care, and behavioral health support, all under one roof.Many practitioners at Sangerville split their time between the health center, Mayo, and CA Dean Hospital locations. While Ahmed Elnoor, MD, a urologist and Kristin Hartt, MD, a family practitioner focusing on womens health see patients in Sangerville, Dr. Elnoor performs surgery and Dr. Hartt delivers babies at Mayo Hospital. Galen Durose, MD, a family medicine provider, sees patients in Greenville and Sangerville. This integrated model allows patients to receive coordinated care close to home.Being able to care for patients throughout their lifespan from routine primary care to pregnancy and delivery right here in Sangerville makes a meaningful difference for families, says Dr. Hartt. Im proud to be part of a team that brings comprehensive care to our community, without the need for long travel.By building on historic ties with CA Dean hospital and leveraging proximity to Dover-Foxcroft, the Sangerville health center continues to ensure that patients in rural Maine have exceptional access to care right in their own backyard.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>From hospital to horsebackHealing through horsesAt Northern Light Mercy Hospital, compassion often extends well beyond the walls of the workplace. For Donna Lariviere, an occupational therapist, that commitment continues at a local horseback riding center, where she spends countless hours supporting therapeutic riding and hippotherapy programs. This specialized therapy provided by trained clinicians, including occupational therapists, uses the horses natural movement as part of treatment. She helps with lessons, barn operations, and daily horse care, serving riders who range in age from just 15 months to adults in their nineties. Each rider enters the arena with their own goals, challenges, and hopes, and Lariviere meets them where they are.Therapeutic riding gives disabled riders physical support by helping them get stronger, but it also gives them emotional support because it gives them confidence by doing something different, Lariviere addsBeyond physical gains, therapeutic riding offers powerful emotional and psychological benefits. Riders often experience increased confidence, improved emotional regulation, reduced stress, and meaningful social connection, whether through bonding with the horse or interacting with others in the program.The work, she says, is deeply rewarding, in part because her two worlds naturally overlap. My two worlds really intersect, Lariviere says. The same skills I use as an occupational therapist at Mercy hospital, meeting people where they are, building trust, and focusing on what matters most to them, are the skills I bring into the arena every day. Advancing cancer care close to homeFor people facing cancer, the journey can be uncertain. Between appointments, treatments, and everything that comes with a diagnosis, being surrounded by family, friends, and familiar places can make an incredible difference.At Northern Light AR Gould Hospital, a new TrueBeam linear accelerator, an advanced radiation therapy system, now ensures that patients can continue to receive state-of-the-art care without leaving their communities. This technology delivers quicker, more precise treatments, and replaces an older model that served Aroostook County for more than a decade.Radiation is an essential option for cancer treatment, explains Naghmeh Isfahanian, MD, radiation oncologist. It can be used before surgery to shrink a tumor, after surgery to eliminate remaining cancer cells, or even as a primary treatment on its own. The new linear accelerator allows us to deliver those treatments faster and more accurately while protecting healthy tissue and minimizing side effectsWith its enhanced imaging and speed, the TrueBeam also expands what is possible. We can now treat certain cancers, like those in the liver or multiple brain lesions, that we could not safely treat before, says Dr. Isfahanian.For patients in northern Maine, where winter roads and long drives can turn daily radiation treatments into a major challenge, having this technology closer to home is life-changing. Radiation therapy typically happens Monday through Friday for several weeks, Dr. Isfahanian notes. For someone who would otherwise have to travel two or three hours each way, being able to stay close to home truly matters.Other recent investments, including new infusion chairs at Northern Light Mayo Hospital and a hair preservation program at Northern Light Maine Coast Hospital, are just some of the ways Northern Light Health extends advanced, compassionate cancer care to patients throughout Maine.Every patient deserves quality safe care, says Brenda Farnham, BSN, RN, associate vice president for clinical services at Northern Light Cancer Care in Brewer. Sixty-one percent of Maines population lives in rural communities. We know the barriers people face, such as distance, weather, cost, and time away from work and family. By continuing to invest in facilities, equipment, and creative care models, we can reduce those burdens and improve outcomes.David Brewster: A neighbors gift;a communitys lifeline to Northern Light CA Dean HospitalSome places stay with you long after you first encounter them. For David Brewster, that place is Moosehead Lake. A college trip decades ago brought him to the region for the first time, and something about its vastness, quiet strength, and sense of community settled into his soul. He never got it out of his system, nor did he ever want to.Today, Brewster, a retired attorney from Boston, treasures his home in Beaver Cove, where his family now gathers and feels connected to something larger than themselves. With that deep affection has come an equally deep sense of responsibility to the people who call this region home year-round. Brewster has long been known locally as someone who gives generously and quietly, supporting Northern Light CA Dean Hospital and other charities that ensure his neighbors have access to food, shelter, transportation, and healthcare.The Moosehead Lake region has been part of my life for so many years, and giving back has always been central to who I am. Helping neighbors access care is one small way to honor a place that means so much to our family, reflects Brewster.In 2025, that commitment took on new urgency. Donors of Northern Light CA Dean and Mayo Hospitals learned of the critical need for a wheelchair-accessible van to help patients across Piscataquis County, where there is no public transportation. For older adults, people with mobility challenges, and patients requiring frequent medical visits, reaching care can sometimes feel impossible.Brewster understood this immediately. After decades navigating the rural roads and long distances of the Moosehead Lake region, he knew how life-changing reliable transportation could be. Within days of receiving the appeal, he contacted the philanthropy team to learn more. When he heard how many people the van would serve, he offered to fund the entire purchase so the barrier could be removed at once.His gift is more than a donation; it is a lifeline. The new van will help residents reach essential appointments safely, restore mobility, and lift a heavy burden off of families and caregivers.For the people of Piscataquis County, Brewsters generosity is invaluable. For Brewster and his family, it is a heartfelt tribute to a place they love and a community they proudly call home.Giving by Organization Acadia Hospital $154,145AR Gould Hospital $151,445Blue Hill Hospital $490,320CA Dean Hospital $210,058EMMC &amp; Childrens Miracle Network Hospitals $3,851,036Home Care &amp; Hospice $498,322Inland Hospital $55,964Maine Coast Hospital $322,378Mayo Hospital $77,368Mercy Hospital $2,502,496Northern Light Health Foundation $24,310Sebasticook Valley Hospital $95,153Total $8,432,995Community BenefitFor the year ended September 30, 2025Total Community Investment by CategoryCommunity Health Improvement Services $2,366,195Health Professions Education $1,822,491Research $1,517,647Cash and In-Kind Contributions $131,121Community Building Activities $347,504Community Benefit Operations $1,901,310Traditional Charity Care $10,300,762Unpaid Cost of Public Programs: Medicaid $68,118,402 Medicare $151,080,806Total Systemwide $237,586,238Northern Light Health Member Community Benefit Acadia Hospital $12,992,305AR Gould Hospital $19,401,076Blue Hill Hospital $433,598CA Dean Hospital $416,063Eastern Maine Medical Center $143,946,350Home Care &amp; Hospice $1,070,707Home Office $442,685Inland Hospital $11,620,066Maine Coast Hospital $9,281,055Mayo Hospital $103,478Mercy Hospital $36,320,867Sebasticook Valley Hospital $1,557,988</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>Safe beginningsNorthern Light Health earns gold for infant sleep safetyNorthern Light Health is proud to share that all of our hospitals with birthing programs have earned Gold Safe Sleep Hospital certification from the Cribs for Kid National Safe Sleep Hospital Certification Program. This recognition honors our commitment to following the highest standards in infant safe sleep and ensuring that every newborn receives the safest start possible.This achievement reflects the dedication and compassion of our teams across Northern Light Health, says Natalia Hall, MBA, associate vice president, Northern Light Womens Health. Our caregivers have worked diligently to meet these gold-level standards, because every baby deserves a safe and healthy beginning.Congratulations to our safe sleep certified hospitals, delivering on our promise of comprehensive and compassionate care for expectant mothers, newborns, and families throughout Maine every day. Northern Light AR Gould Hospital Northern Light Eastern Maine Medical Center Northern Light Maine Coast Hospital Northern Light Mayo Hospital Northern Light Mercy HospitalOn the road or in the hospital,these new devices never skip a beatEvery second counts when your heart stops. Thanks to a grant from the Maine Emergency Medical Services Stabilization Program, our teams now have new chest compression devices.Manual compressions require switching out providers every two minutes, which can be hard in urgent situations, explains Michael St. Laurent, EMT-P, manager of EMS operations. With these devices, we can maintain consistent compressions while allowing our team to focus on other critical aspects of care for that same patient. Chest compression devices are portable, automated machines built to keep chest compressions going without interruption, allowing EMS and emergency staff the chance to place more focus on airway support, IV access, medication, and other needs.One device is ready around the clock on a 24-hour ambulance and the other moves between a 12-hour ambulance before moving to the Emergency Department at Northern Light Sebasticook Valley Hospital overnight.Were so grateful for the state funding that made this possible, says Randy Clark, MBA, president of Northern Light Sebasticook Valley Hospital. This is another way we can be there for our patients, whether on the road or here in the hospital when every heartbeat matters.The grant also funded devices that benefit communities supported by Acadia Hospital, CA Dean Hospital, Eastern Maine Medical Center, and Mayo Hospital.Northern Light HealthBy the numbersOur Members 9 Hospitals 34 Primary care locations 38 Primary care practices 1 Integrated physician organization 7 Nursing homes 6 Emergency transport members 5 Joint ventures 9,790 Employees 1 Home care and hospice organizationOur Services 379,154 Primary care visits 30,714 Inpatient admissions 7,393 Observation admission 2,995 Births 28,546 Surgical cases outpatient 7,363 Surgical cases inpatient 462,302 Imaging procedures 525 Nursing home long-term care beds 721 Available acute care beds 15,686 ER visits inpatient 101,789 ER visits outpatient 2,292,865 Outpatient visits 104,048 Telehealth visits 451 EMMC cardiac surgeries 1,300 Home care and hospice patients 7,410 Cath lab procedures 69,808 Walk-in care visitsLifeFlight of Maine 1,866 Helicopter Air Transports 220 Fixed Wing Air Transports 836 Ground Transports 257 Total Scene Calls 113 Towns Responded to for Scene Calls 514 Traumatic Injury TransportsNorthern Light Medical Transport 17,607 Total Transports 1,999 Total Number of Wheelchair Van Transports 112 Total Number of Towns/Townships/Unorganized Territories in Response Area Home Care &amp; Hospice and Telehealth 132,154 Home Health Patient Visits 44,736 Hospice Patient Visits 176,890 Total Home Care &amp; Hospice Patient Visits 198,938 Telehealth Visits Day MonitoredJoint Ventures County Physical Therapy, LLC LifeFlight of Maine, LLC LTC, LLC MedComm, LLC Uniship Courier Services, LLC System MapBangorNorthern Light Acadia HospitalNorthern Light Eastern Maine Medical CenterNorthern Light Health FoundationNorthern Light Home Care &amp; HospiceNorthern Light PharmacyNorthern Light Work HealthNorthern Light Healthy Life EAPBlue HillNorthern Light Blue Hill HospitalBrewerNorthern Light Eastern Maine Medical CenterNorthern Light Health Home OfficeNorthern Light PharmacyDover FoxcroftNorthern Light Mayo HospitalNorthern Light Work HealthEllsworthNorthern Light Home Care &amp; HospiceNorthern Light Maine Coast HospitalNorthern Light Work HealthGreenvilleNorthern Light CA Dean HospitalPittsfieldNorthern Light Sebasticook Valley HospitalNorthern Light Work HealthPortlandNorthern Light Home Care &amp; HospiceNorthern Light Mercy HospitalNorthern Light PharmacyNorthern Light Healthy Life EAPNorthern Light Work HealthPresque IsleNorthern Light AR Gould HospitalNorthern Light Home Care &amp; HospiceNorthern Light Work HealthWatervilleNorthern Light Home Care &amp; HospiceNorthern Light Work HealthOur mission, vision, and values Our Mission We improve the health of the people and communities we serve. Our Vision Northern Light Health will be a leader in healthcare excellence. Our Values To accomplish its mission and vision, Northern Light Health will embrace these values: Integrity: We commit to the highest standards of behavior and doing the correct thing for the right reasons. Respect: We respect the dignity, worth, and rights of others, and are deeply committed to fostering psychological safety for all. We prohibit discrimination against and harassment of others. Compassion: We deliver care focused on the needs of each person and guide families and individuals through the experience with kindness and professionalism. Accountability: We take a responsible and disciplined approach to achieving our priorities and responding to an ever-changing environment.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalProgramServiceExpensesAmt>1159145037</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="IRS990ScheduleC">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRSScheduleD">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="IRS990ScheduleH">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd>true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="IRS990ScheduleK.1">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="IRS990ScheduleL">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="IRS990ScheduleL">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="IRS990ScheduleL">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="IRSScheduleL">true</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="IRS990ScheduleM">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="IRS990ScheduleR">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>209</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>4968</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <Form8282FiledCnt>0</Form8282FiledCnt>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>true</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>true</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>ME</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>John J Doyle</PersonNm>
        <PhoneNum>2079739081</PhoneNum>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tim Dentry PresidentCEO</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1591453</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67928</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen R Thompson MD</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>1500504</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57907</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jessica Aronowitz MD</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>1431614</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68813</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Greg LaFrancois</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1278394</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60492</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Pantino MD</PersonNm>
        <TitleTxt>Cardiothoracic Sur</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>1211049</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56564</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John D Klemperer MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>1022895</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68103</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jessica Watson MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>997475</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33466</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Filer</PersonNm>
        <TitleTxt>Former SVP-CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>917096</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>70527</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sean Barnett MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>808472</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48739</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alan Jansujwicz MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>778460</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66136</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Eaton SVP Chief Legal</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>683456</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56885</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Clarke MD</PersonNm>
        <TitleTxt>SVP Sr Phy Exec</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>541924</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66955</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Holly Fanjoy</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>457254</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66275</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Rohrbaugh CPA SVPCFO</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>440146</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18083</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Jarvis</PersonNm>
        <TitleTxt>Former SVP, Sr Phys Exec</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>355742</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64402</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carolyn Fetha</PersonNm>
        <TitleTxt>VP Provider Svs</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>335377</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63883</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Sanford</PersonNm>
        <TitleTxt>VP Nursing&amp;PCS</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>339886</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46986</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alison Worster</PersonNm>
        <TitleTxt>VP HR &amp; Pt Exp</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>310932</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56263</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jay Matthew Marston</PersonNm>
        <TitleTxt>VP Pharmacy</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>308271</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42153</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Noah Lundy</PersonNm>
        <TitleTxt>VP HR East Reg</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>273221</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39302</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maura Kelly</PersonNm>
        <TitleTxt>Former VP Finance</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>289231</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14224</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tracy Roberts</PersonNm>
        <TitleTxt>VP Compliance&amp;P</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>244788</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31825</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Hafener</PersonNm>
        <TitleTxt>Former VP Compliance &amp; Privacy</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>231446</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20997</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chris Shaw</PersonNm>
        <TitleTxt>Interim VP Oper</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>178029</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30701</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Randy Albert</PersonNm>
        <TitleTxt>VP Finance</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>166531</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20454</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Donna Boehm</PersonNm>
        <TitleTxt>Former VP Oncology</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>138861</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10826</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ava Jo Collins President</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>101649</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>375</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jenifer Butler</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angela Fochesato</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Hammond</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael McGoldrick MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nathanial Putnman</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brien Walton JD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lynne Spooner</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Simpson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Ziegelaar</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Heather Furth</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Benjamin Layman</PersonNm>
        <TitleTxt>Interim VP Oper</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>9958681</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>6975475</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1249264</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>948</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Simplfi</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5020 Northshore Drive Suite 2</AddressLine1Txt>
            <CityNm>North Little Rock</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
        <CompensationAmt>40669167</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quest Diagnostics Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5763 Collections Ctr Drive</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Laboratory Services</ServicesDesc>
        <CompensationAmt>24765086</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>True North Anesthesia LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>455 Harlow Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Anesthesia Services</ServicesDesc>
        <CompensationAmt>23259387</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Freedom Healthcare Staffing</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1725 Windward Concourse</AddressLine1Txt>
            <CityNm>Alpharetta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
        <CompensationAmt>15640322</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Comphealth Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 972651</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972651</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Services</ServicesDesc>
        <CompensationAmt>7233924</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>47</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>2682056</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>38983240</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4460326</AllOtherContributionsAmt>
      <NoncashContributionsAmt>91049</NoncashContributionsAmt>
      <TotalContributionsAmt>46125622</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Cafeteria</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>968285</TotalRevenueColumnAmt>
        <ExclusionAmt>968285</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Healthcare Education</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1242966</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1242966</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Lodging</Desc>
        <BusinessCd>721110</BusinessCd>
        <TotalRevenueColumnAmt>140416</TotalRevenueColumnAmt>
        <ExclusionAmt>140416</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Care Service</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1018515352</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>999999999</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>18515353</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Care Service</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>82405841</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82405841</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1103272860</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8300837</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>7083756</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1217081</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>372415</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>6287</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>366128</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>366128</TotalRevenueColumnAmt>
        <ExclusionAmt>366128</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>84907</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1041844</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-956937</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-956937</TotalRevenueColumnAmt>
        <ExclusionAmt>-956937</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>340B Pharmacy Benefits</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>108973582</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>108973582</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Opioid Settlement</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1094832</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1094832</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Telephone</Desc>
        <BusinessCd>517000</BusinessCd>
        <TotalRevenueColumnAmt>209015</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>209015</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>135657</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>91081</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>44576</UnrelatedBusinessRevenueAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>110413086</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1267521596</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1194017316</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>25643685</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1734973</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>3400</TotalAmt>
        <ProgramServicesAmt>3400</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3829077</TotalAmt>
        <ProgramServicesAmt>3829077</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>405010384</TotalAmt>
        <ProgramServicesAmt>395855845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9154539</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>23451849</TotalAmt>
        <ProgramServicesAmt>22910886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>540963</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>51909843</TotalAmt>
        <ProgramServicesAmt>50119074</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1790769</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>24763661</TotalAmt>
        <ProgramServicesAmt>24067952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>695709</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>746200</TotalAmt>
        <ProgramServicesAmt>257175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>489025</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>190390</TotalAmt>
        <ManagementAndGeneralAmt>190390</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>24902</TotalAmt>
        <ProgramServicesAmt>24664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>258289040</TotalAmt>
        <ProgramServicesAmt>175184241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83104799</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>209972</TotalAmt>
        <ProgramServicesAmt>209972</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>14878256</TotalAmt>
        <ProgramServicesAmt>12505562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2372694</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>59481909</TotalAmt>
        <ProgramServicesAmt>57970881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1511028</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>15625828</TotalAmt>
        <ProgramServicesAmt>12330186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3295642</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>457396</TotalAmt>
        <ProgramServicesAmt>449787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7609</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1393091</TotalAmt>
        <ProgramServicesAmt>1388689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4402</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>12028203</TotalAmt>
        <ProgramServicesAmt>11962053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66150</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>29390951</TotalAmt>
        <ProgramServicesAmt>25167529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4223422</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>13188812</TotalAmt>
        <ProgramServicesAmt>12869981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>318831</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>312991657</TotalAmt>
        <ProgramServicesAmt>312991657</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Taxes and Licensing</Desc>
        <TotalAmt>28067337</TotalAmt>
        <ProgramServicesAmt>28057719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9618</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Maintenance</Desc>
        <TotalAmt>8947233</TotalAmt>
        <ProgramServicesAmt>8671240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>275993</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and Subscriptions</Desc>
        <TotalAmt>982646</TotalAmt>
        <ProgramServicesAmt>976727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5919</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1371644</TotalAmt>
        <ProgramServicesAmt>1340740</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30904</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1267233681</TotalAmt>
        <ProgramServicesAmt>1159145037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108088644</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>211636679</BOYAmt>
        <EOYAmt>135880914</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>188819</BOYAmt>
        <EOYAmt>154094</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1117864</BOYAmt>
        <EOYAmt>1014410</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>234380736</BOYAmt>
        <EOYAmt>294142630</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>1489817</BOYAmt>
        <EOYAmt>1321997</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>17656351</BOYAmt>
        <EOYAmt>21070999</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3999678</BOYAmt>
        <EOYAmt>4002595</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>902139322</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>558628449</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>361050692</BOYAmt>
        <EOYAmt>343510873</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>41510777</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>757778</BOYAmt>
        <EOYAmt>551111</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>57637277</BOYAmt>
        <EOYAmt>111075030</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>931426468</BOYAmt>
        <EOYAmt>912724653</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>183620986</BOYAmt>
        <EOYAmt>167966000</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>483775</BOYAmt>
        <EOYAmt>243535</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>23006348</BOYAmt>
        <EOYAmt>28189524</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>130999974</BOYAmt>
        <EOYAmt>118373215</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>347840363</BOYAmt>
        <EOYAmt>336584378</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>685951446</BOYAmt>
        <EOYAmt>651356652</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>207309614</BOYAmt>
        <EOYAmt>222745642</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>38165408</BOYAmt>
        <EOYAmt>38622359</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>245475022</BOYAmt>
        <EOYAmt>261368001</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>931426468</BOYAmt>
        <EOYAmt>912724653</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>287915</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>15605064</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="24020490" softwareVersionNum="2024v5.2">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="24020490" softwareVersionNum="2024v5.2">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="24020490" softwareVersionNum="2024v5.2">
      <Form4720FiledSection4955TaxInd>false</Form4720FiledSection4955TaxInd>
      <CorrectionMadeInd>false</CorrectionMadeInd>
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>65747</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>65747</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1i - Other Activities Description</FormAndLineReferenceDesc>
        <ExplanationTxt>Non-deductible dues</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV - Additional Information</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="24020490" softwareVersionNum="2024v5.2">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>29319574</BeginningYearBalanceAmt>
        <ContributionsAmt>24565</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1588010</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>632990</OtherExpendituresAmt>
        <EndYearBalanceAmt>30299159</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25182800</BeginningYearBalanceAmt>
        <ContributionsAmt>88934</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4558004</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>510164</OtherExpendituresAmt>
        <EndYearBalanceAmt>29319574</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>24030763</BeginningYearBalanceAmt>
        <ContributionsAmt>128702</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1990297</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>966962</OtherExpendituresAmt>
        <EndYearBalanceAmt>25182800</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>29702168</BeginningYearBalanceAmt>
        <ContributionsAmt>70945</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-4636733</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1105617</OtherExpendituresAmt>
        <EndYearBalanceAmt>24030763</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>25885842</BeginningYearBalanceAmt>
        <ContributionsAmt>21677</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4782913</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>988264</OtherExpendituresAmt>
        <EndYearBalanceAmt>29702168</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00190</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.99810</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3412146</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3412146</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>279703713</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>147793743</DepreciationAmt>
        <BookValueAmt>131909970</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>13849779</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11971970</DepreciationAmt>
        <BookValueAmt>1877809</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>573153869</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>381994275</DepreciationAmt>
        <BookValueAmt>191159594</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>32019815</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>16868461</DepreciationAmt>
        <BookValueAmt>15151354</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>343510873</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Assets Held Under Trust Indenture</Desc>
        <BookValueAmt>4194999</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Beneficial Trust Assets</Desc>
        <BookValueAmt>2891972</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Board Designated Funds</Desc>
        <BookValueAmt>48130519</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Investment in New England Life Care</Desc>
        <BookValueAmt>1875773</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Investment in Nursing Homes</Desc>
        <BookValueAmt>7888984</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Permanently Restricted Donor Funds</Desc>
        <BookValueAmt>10959734</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-Use Operating Lease Assets</Desc>
        <BookValueAmt>10080172</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Self-Insurance Funds Held by Trustee</Desc>
        <BookValueAmt>282224</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Temporarily Restricted Donor Funds</Desc>
        <BookValueAmt>24770653</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>111075030</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Post Retirement Benefits</Desc>
        <Amt>102243880</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Amounts due to Related Org</Desc>
        <Amt>146742135</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liability-Advanced Payments</Desc>
        <Amt>60370500</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liability-Commerce Bank</Desc>
        <Amt>3877886</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Reserve for Asset Disposal Costs</Desc>
        <Amt>3387071</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Right-of-Use Lease Liabilities</Desc>
        <Amt>19962906</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>336584378</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment Funds are designated for purposes that align within this organization's exempt purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="24020490" softwareVersionNum="2024v5.2">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>1196</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>931843</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>931843</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00070</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>101729</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>210735716</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>167842085</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>42893631</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03380</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>102925</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>211667559</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>167842085</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>43825474</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03450</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>5</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>3309</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>407831</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>407831</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>1472</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>308816</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>308816</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <ResearchGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>1517647</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1517647</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00120</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>1150</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>21818</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>21818</NetCommunityBenefitExpnsAmt>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>9</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>5931</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2256112</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2256112</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00170</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>9</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>108856</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>213923671</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>167842085</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>46081586</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03620</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>310</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>13854</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>13854</NetCommunityBenefitExpnsAmt>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>310</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>13854</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>13854</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>10986157</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>389650355</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>487501265</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-97850910</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Ross Manor Associates</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Dexter Manor Associates</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Colonial Acres Nursing Home</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Katahdin Healthcare LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Stillwater Healthcare LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Dover-Foxcroft Healthcare</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>22 Walnut Street LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1037 West Main Street LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>Park East Villa LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.50000</OrgProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>NL Eastern Maine Medical Cente</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>489 State Street</AddressLine1Txt>
          <CityNm>Bangor</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04401</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://northernlighthealth.or</WebsiteAddressTxt>
        <StateLicenseNum>38447</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>NL Eastern Maine Medical Cente</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Line 16j for URL</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>See Part V, Line 16j for URL</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Line 16j for URL</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.0000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.0000</FPGFamilyIncmLmtDscntCarePct>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Line 16j for URL</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Line 16j for URL</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Line 16j for URL</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between February 2024 and December 2024. Forms of engagement included statewide focus groups, county-level focus groups, key informant interviews, a community survey, and stakeholder forums. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Details about our engagement efforts can be found in the Penobscot Countys CHNA reports methodology section starting on page A1. (https://northernlighthealth.org/Community-Health-Needs-Assessment/2025-Shared-CHNA-Reports) A virtual stakeholder forum was held in Penobscot County in partnership with the Maine CDC, and Community Action Partnership to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations on prioritizing needs based on a review of the community engagement efforts. The following organizations attended the September 19, 2024, Penobscot County Shared CHNA Community Engagement Forum and provided valuable feedback on the most recent Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the stakeholder engagement process (the following list was extracted from the Penobscot County CHNA report, page A8-9): Bangor Area Comprehensive Transportation System, Bangor Public Health and Community Services, Bangor Public Health Department, Health Access Network, Heart of Maine United Way, Maine Center for Disease Control and Prevention, Maine Multicultural Center, Millinocket Regional Hospital, Northern Light Acadia Hospital, Northern Light Eastern Maine Medical Center, Northern Light Health, Penobscot Community Health Care - Hope House, Penobscot Community Health Center, Penobscot Valley Hospital, Penquis, St. Joseph Healthcare, Wabanaki Public Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared Community Health Needs Assessment (Maine Shared CHNA) is a collaborative partnership between Central Maine Healthcare (CMHC), Northern Light Health (NLH), MaineGeneral Health (MGH), MaineHealth (MH), the Maine Center for Disease Control and Prevention (Maine CDC), and the Maine Community Action Partnership (MeCAP). By engaging and learning from people and communities and through data analysis, the partnership aims to improve the health and well-being of all people living in Maine. Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, including other non-Northern Light Health hospitals who were consulted during the engagement process.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Health recently conducted their 2025 Shared Community Health Needs Assessment that will inform priority work for implementation in FY26 FY28. In FY25, Northern Light Eastern Maine Medical Center developed our plan to address significant needs identified in our board approved 2025 Community Health Implementation Strategy (aka, implementation strategy). Though priority work from the 2025 Shared CHNA wont begin until FY26, Eastern Maine Medical Center will be prepared to implement priority work from our 2025 strategy with no gap in implementation efforts between the two CHNA cycles. While conducting the 2025 Shared CHNA research and outreach, Eastern Maine Medical Center continued to implement priority work from the final year, FY25, of the three-year 2022 Community Health Strategy (implementation years FY23, FY24, and FY25). Below reflect these efforts related to the 2022 Community Health Strategy. Mental HealthActions taken by Northern Light Eastern Maine Medical Center to address this priority in FY25: Eastern Maine Medical Center trained staff in Psychological First Aid (PFA), an evidence-informed approach to help anyonechildren, adolescents, adults, and familiesin the immediate aftermath of a traumatic experience and has proven to be effective when someone is experiencing a mental health crisis at any time. PFA shines a light on the impact of collective trauma, builds resiliency, and assists in self-care action plans by incorporating five evidence-based principles: safety, calming, connectedness, self and community reliance, and hope.Certified Eastern Maine Medical Center staff then engaged schools and/or youth serving organizations to educate and empower others to respond to mental and behavioral health needs of children using the PFA training model. Attendees received training in eight core elements; engagement, safety, stabilization, information gathering, practical assistance, connection to social supports, information on coping, and connecting with collaborative services. Eastern Maine Medical Center conducted three PFA training sessions with 23 individuals trained. Northern Light Healths systemwide collective impact of our shared objective, since this effort began in 2023, has resulted in 110 training sessions with 2,066 individuals trained.Social Determinants of HealthActions taken by Northern Light Eastern Maine Medical Center to address this priority in FY25: Findhelp.org is the nations leading social care network, making it easier to connect patients and their families with free or reduced-cost programs from local partners and national support services with dignity and ease, and is one component of Northern Light Healths response to need in the communities we serve. Northern Light findhelp will continue to develop, allowing users to search and connect to community services.Northern Light Eastern Maine Medical Center engaged in meaningful, trusted community partnerships to reach priority populations with equitable access to community resources and social supports and connect individuals with community resources they need to improve their health and well-being through the findhelp.org platform. In fiscal year 2025, Northern Light's Community Health researched findhelp data, and engaged clinical user feedback, to understand the most frequently searched social health needs in our geographic region to meet the needs of specific populations. These topic areas were featured on the findhelp platform as specific "folders" containing a minimum of five relevant community resource links providing findhelp users with easy access to the resources compiled by our organization. Northern Light Eastern Maine Medical Center created the following Northern Light findhelp resource folders: food security folder, housing folder, and a transportation folder.As a result of ongoing community engagement and promotion of Northern Light Health findhelp, use of the platform to find assistance continues to increase. In 2025, there were 18,111 searches by Penobscot County residents compared to 6,939 searches in 2023. Search data trends show that food assistance remains the dominant need in Penobscot County.Substance UseActions taken by Northern Light Eastern Maine Medical Center to address this priority in FY25: In collaboration with other Northern Light Health member organizations and community-based organizations, trained Eastern Maine Medical Center staff representing pharmacy and community health departments, worked diligently to improve processes and partnerships to reduce barriers and provide equitable access to state-sponsored naloxone (Narcan) kits for priority populations. Northern Light Eastern Maine Medical Center participated in the Maine Naloxone Distribution Initiative which provides state-purchased naloxone to community organizations, clinical sites, and end-users throughout the State of Maine to distribute free of charge. Through a collaboration with Bangor Public Health &amp; Community Services, Eastern Maine Medical Center worked in the inpatient and emergency department settings to provide education on the use of these naloxone kits to end-users to facilitate the reversal of private overdoses in the community. Eastern Maine Medical Center distributed 97 state-sponsored naloxone kits. Northern Light Healths systemwide collective impact of our shared objective, since this effort began in 2023, has resulted in 3,257 naloxone kits distributed throughout Northern Light Healths service area. Additional information related to actions taken by Eastern Maine Medical Center on the above priorities can be found in their FY23-FY25 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-Strategy. Eastern Maine Medical Center considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. Access to care was not selected as an independent focus for the community health strategy. However, the selected priority areas identified in our strategy do support and connect to increased access to care. In addition, the medical center has current ongoing initiatives that are part of annual goals for the organization as a whole.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>Income Level</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility: NL Eastern Maine Medical Cente - Part V, Section B, Line 16j</FormAndLineReferenceDesc>
        <ExplanationTxt>Response for 7a (list URL) is https://northernlighthealth.org/Eastern-Maine-Medical-CenterResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2025-Shared-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2025-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/billing-help/Bill-Pay-Assistance under "Pay My Bill".</ExplanationTxt>
      </SupplementalInformationGrp>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>Union Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7 Main Road North</AddressLine1Txt>
            <CityNm>Hampden</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04444</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>234 State Street</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Sleep Diagnostics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>290 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - outpatient svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>302 Husson Ave Ste 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Internal Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>302 Husson Ave</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>84 Kelly Road</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04473</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Cardiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 Northeast Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Urology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>55 Broadway Suite 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Urology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>404 State St Suite 610</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Physician Prac in Webber Bld</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>417 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Cancer Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33 Whiting Hill Road</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - cancer treatment</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5721 Long Road University of ME</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04469</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Surgical Weight Management</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>404 State St Suite 310</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044016623</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Pediatric Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Pediatric Specialty Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Pediatric Specialty Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>325D Kennedy Memorial Drive</AddressLine1Txt>
            <CityNm>Waterville</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04901</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Out Patient Services</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>489 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Rehabilitation</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 Hammond St Ste D</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Anticoagulation Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>302 Husson Ave Suite 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Behavioral Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>84 Kelley Road</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04473</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northern Light Multiple Sclerosis Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>84 Kelley Road</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04473</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a - Related Organization Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center is a member of Northern Light Health (EIN = Eastern Maine Health Systems DBA NLH 01-0527066). Our Community Benefit Report is included in the following documents annually:Northern Light Healths Annual Report; a sub-section in the report https://northernlighthealth.org/About-Us Northern Light Health Community Benefit Reports are available at: https://northernlighthealth.org/Community-Health-Needs-Assessment/Community-Benefit-Reports</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Ratio of Patient Care Cost-to-Charges is used in calculations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to determine the amount reported is cost to charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 15 to 19 - Patient Service Revenue and Accounts Receivable section.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>No additional assessment of health care needs was conducted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Located in Bangor, Maine, Northern Light Eastern Maine Medical Center has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals. Northern Light Eastern Maine Medical Center patients are community members from the following counties; Aroostook, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo, and Washington.Penobscot Countys race/ethnicity and selected demographics are provided below for Eastern Maine Medical Center based on the hospitals physical location in Penobscot County.Penobscot County - Race/Ethnicity: American Indian/Alaskan Native 1.1% (1,697), Asian 1.0% (1,486), Black/African American 1.0% (1,504), Native Hawaiian or Pacific Islander 0.0% (34), Some other race 0.7% (1,038), Two or more races 3.3% (5,101), White 92.9% (141,780), Hispanic 1.6% (2,498), Non-Hispanic 98.4% (150,142), Total county population 152,640.Penobscot County - Selected Demographics: Median household income $59,438, Unemployment rate 2.9%, Individuals living in poverty 13.4%, Children living in poverty 14.8%, 65+ living alone 31.2%, Veterans 8.6%, and persons with a disability 18.3%.Other hospitals serving the Northern Light Eastern Maine Medical Centers community: Based on the State of Maines definition of hospital service area, Northern Light Eastern Maine Medical Centers community is served by an additional two other hospitals, Northern Light Acadia Hospital, and St. Joseph Hospital per Hospital Service Area (HSA) designation. Additionally, the Health Resources &amp; Services Administration designated Eastern Maine Medical Centers service area as having a total of 16 medically underserved populations/areas.Northern Light Eastern Maine Medical Centers patients also include community members from nine other counties where their HSAs are designated as having medically underserved populations and/or medically underserved areas: Aroostook County has four hospitals; Hancock County has three hospitals; Kennebec County has two hospitals; Knox County has one hospital; Penobscot County has five hospitals including Northern Light Eastern Maine Medical Center; Piscataquis County has two hospitals; Somerset County has two hospitals; Waldo County has one hospital; Washington County has two hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Workforce Development - 2 activities; 310 persons served; $13,854 total community building expense.Bangor Housing Career Exploration Event - This was an in-person career exploration event for Eastern Maine Community College/Bangor Housings Career Exploration students. Three staff members attended and representing CT, File Office, and Vascular Lab areas of Imaging.Career Exploration Days This educational event focused on giving high school students, from 12 local school districts, insights to what a future in healthcare could look like for them. Students in attendance were able to visit department specific booths to learn more about different healthcare career options. 29 departments were represented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center furthers its exempt purpose by promoting the health of the community through the following community health improvement grant activity in FY25:Community Based Clinical Services: Maine Cancer Foundation - Increasing breast cancer screening and reducing barriers through the Caring Connections program with the Bangor Region YMCA; Pediatrics Specialty Clinics - Genetics Clinics; Cystic Fibrosis Clinics.Health Care Support Services: Perinatal - Support prevention and early intervention in order to promote the health and well-being of Maine's pregnant and post-partum women, infants and children by providing technical assistance, consultation and training to Maternal and Child Health (MCH) Providers; MEHAF SUD SIIRG - Support establishment and development of relations with community partners and community of focus to gather input related to both the need and feasibility of creating a Street Medicine program with the Family Medicine Residency Program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affilated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2025 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted shared local implementation strategies referred to as a Community Health Implementation Strategy and annual community health improvement plans, tailored to meet local needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - States Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="24020490" softwareVersionNum="2024v5.2">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alan Jansujwicz MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <BaseCompensationFilingOrgAmt>623208</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>148664</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6588</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27600</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>38536</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>844596</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alison Worster</PersonNm>
        <TitleTxt>VP HR &amp; Pt Exp</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>268497</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>41827</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>608</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>19278</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36985</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>367195</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anthony Filer</PersonNm>
        <TitleTxt>Former SVP-CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>662989</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>136597</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>117510</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>31050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>39477</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>987623</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>94026</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carolyn Fetha</PersonNm>
        <TitleTxt>VP Provider Svs</TitleTxt>
        <BaseCompensationFilingOrgAmt>286071</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>45788</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3518</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30662</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33221</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>399260</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chris Shaw</PersonNm>
        <TitleTxt>Interim VP Oper</TitleTxt>
        <BaseCompensationFilingOrgAmt>152675</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16367</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8987</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14411</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16290</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>208730</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Pantino MD</PersonNm>
        <TitleTxt>Cardiothoracic Sur</TitleTxt>
        <BaseCompensationFilingOrgAmt>903163</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>305210</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2676</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35864</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1267613</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Deborah Sanford</PersonNm>
        <TitleTxt>VP Nursing&amp;PCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>291947</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>43147</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4792</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31289</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15697</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>386872</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Donna Boehm</PersonNm>
        <TitleTxt>Former VP Oncology</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>105971</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>30899</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1991</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>2790</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8036</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>149687</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Hafener</PersonNm>
        <TitleTxt>Former VP Compliance &amp; Privacy</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>176731</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>31035</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>23680</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>18444</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>2553</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>252443</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>George Eaton SVP Chief Legal</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>487327</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>100188</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>95941</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>30314</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>26571</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>740341</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>48647</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Greg LaFrancois</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>475392</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>123393</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>679609</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>56731</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>3761</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1338886</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>531201</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Holly Fanjoy</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <BaseCompensationFilingOrgAmt>401453</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>31400</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24401</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25855</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>40420</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>523529</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Clarke MD</PersonNm>
        <TitleTxt>SVP Sr Phy Exec</TitleTxt>
        <BaseCompensationFilingOrgAmt>437849</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>68956</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>35119</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>34500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32455</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>608879</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Jarvis</PersonNm>
        <TitleTxt>Former SVP, Sr Phys Exec</TitleTxt>
        <BaseCompensationFilingOrgAmt>352855</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2887</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31010</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33392</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>420144</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Rohrbaugh CPA SVPCFO</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>314621</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>125525</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18083</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>458229</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jay Matthew Marston</PersonNm>
        <TitleTxt>VP Pharmacy</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>266485</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>40632</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1154</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>18493</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>23660</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>350424</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Aronowitz MD</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>758998</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>647576</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25040</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>44663</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1500427</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Watson MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>638140</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>335465</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>23870</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12766</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1030941</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John D Klemperer MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>894386</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>120498</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8011</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>34500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33603</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1090998</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maura Kelly</PersonNm>
        <TitleTxt>Former VP Finance</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>212228</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>55059</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>21944</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5275</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8949</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>303455</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Noah Lundy</PersonNm>
        <TitleTxt>VP HR East Reg</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>212511</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>35646</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25064</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>17439</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>21863</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>312523</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Randy Albert</PersonNm>
        <TitleTxt>VP Finance</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>165456</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1075</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11668</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8786</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>186985</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sean Barnett MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <BaseCompensationFilingOrgAmt>800112</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>8360</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24589</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>857211</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen R Thompson MD</PersonNm>
        <TitleTxt>Orthopedic Surgeon</TitleTxt>
        <BaseCompensationFilingOrgAmt>645529</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>851012</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3963</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33757</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1558411</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tim Dentry PresidentCEO</PersonNm>
        <TitleTxt>Ex-Officio</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1302495</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>264580</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>24378</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>31050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>36878</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1659381</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tracy Roberts</PersonNm>
        <TitleTxt>VP Compliance&amp;P</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>209183</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>31731</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>3874</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>17309</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14516</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>276613</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>The following received tuition:Chris Shaw, officer $2,544</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="24020490" softwareVersionNum="2024v5.2">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Maine Health and Higher E</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>010314384</BondIssuerEIN>
        <CUSIPNum>56042RVZ2</CUSIPNum>
        <BondIssuedDt>2020-04-03</BondIssuedDt>
        <IssuePriceAmt>49011499</IssuePriceAmt>
        <PurposeDesc>Refund 2010A Issue</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>14000000</RetiredAmt>
        <TotalProceedsAmt>57103677</TotalProceedsAmt>
        <InReserveFundAmt>4594250</InReserveFundAmt>
        <RefundingEscrowAmt>28350000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>586471</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>23572956</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II, Line 3, Column A, does not equal Part I, line a, column E as a result of other sources of funds from DSF-Interest, DSF-Principle, and DSRF balance totalling $8,092,178.Part IV, Line 2c, Column A, date the rebate computation was performed-4/3/25</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="24020490" softwareVersionNum="2024v5.2">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Ava Geaghan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>fam mem=officer</RelationshipDescriptionTxt>
        <TransactionAmt>75482</TransactionAmt>
        <TransactionDesc>compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Brien Walton JD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>brd mem=brd mem</RelationshipDescriptionTxt>
        <TransactionAmt>205971</TransactionAmt>
        <TransactionDesc>Husson Univ-nurse prog as</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Michael McGoldrick</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>brd mem=partner</RelationshipDescriptionTxt>
        <TransactionAmt>200000</TransactionAmt>
        <TransactionDesc>NE Nephrology-dialysis se</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Ava Geaghan is a family member of an officer and is an employee of Northern Light Eastern Maine Medical Center (NL EMMC).Brien Walton, JD, board member is a board member of Husson University. NL EMMC had business transactions with Husson University to provide nursing program assistance during the fiscal year.Michael McGoldrick, MD, board member is a partner of Northeast Nephrology. NL EMMC had business transactions with Northeast Nephrology to provide dialysis services during the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020490" softwareVersionNum="2024v5.2">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>13925</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>11</ContributionCnt>
        <NoncashContributionsRptF990Amt>13021</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Pizzas for Event</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>11380</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Wheelchair</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>34229</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Cards</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>10000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Cards</Desc>
        <ContributionCnt>32</ContributionCnt>
        <NoncashContributionsRptF990Amt>5888</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Event Tickets</Desc>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>2606</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Sean Barnett, board member and John Simpson, board member are board members of Bangor Historical Society.Jenifer Butler, officer/board member and John Simpson, board member are board members of Sarah's House of Maine.Jenifer Butler, officer/board member and Deborah Sanford, officer are board members of Rotary Club of Bangor.George Eaton, officer and Susan Hammond, board member are board members of Bangor Savings Bank.Susan Hammond, board member and Brein Walton, board member are board members of Maine Venture Fund.Robert Ziegelaar, board member and Alison Worster, officer are board members of Challenger Learning Center of Maine.Deborah Sanford, officer and Chris Shaw, officer are board members of Heart of Maine - United Way.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Eastern Maine Medical Center d/b/a Northern Light Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems d/b/a Northern Light Health ("NLH"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the NLH Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the NLH Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII.dissolution of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the VP of Finance. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The SVP, President of Northern Light Eastern Maine Medical Center and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH). The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.- Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at NLH deemed appropriate.- Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system CEO and EMMC Executive &amp; Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Northern Light Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Net Change in Funds Held at NLH Foundation = $576274</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Post Retirement Pension &amp; Health Benefit FAS 158 = $15028790</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX, Statement of Functional Expenses, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>The unrelated business income taxes accrued during the tax year of $1,931,042 is reported in Part IX, Statement of Functional Expenses, line 24b as a component of Taxes and Licensing.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="24020490" softwareVersionNum="2024v5.2">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>M Drug LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>272175482</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <TotalIncomeAmt>104290812</TotalIncomeAmt>
        <EndOfYearAssetsAmt>39182696</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LTC LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010211501</EIN>
        <PrimaryActivitiesTxt>Operation of Nursing Homes</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <TotalIncomeAmt>7083756</TotalIncomeAmt>
        <EndOfYearAssetsAmt>7888984</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Real Estate</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010391036</EIN>
        <PrimaryActivitiesTxt>Leases real estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Rosscare</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010391038</EIN>
        <PrimaryActivitiesTxt>Provide services to elderly</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010527066</EIN>
        <PrimaryActivitiesTxt>Supporting organization for healthcare affiliates</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Acadia Hospital Corp AHC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010459837</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Eastern Maine Medical Center Auxiliary</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010377901</EIN>
        <PrimaryActivitiesTxt>Fund raising for exempt Eastern Maine Medical Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Acadia Healthcare Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>223183888</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Health Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road Ste 400</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>222514163</EIN>
        <PrimaryActivitiesTxt>Raise and manage funds for exempt organizations</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Inland Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010217211</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lakewood</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010421234</EIN>
        <PrimaryActivitiesTxt>Provide skilled and long-term nursing care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Inland Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Charles A Dean Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>043341666</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sebasticook Valley Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010263628</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Aroostook Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010372148</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Blue Hill Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010227195</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010211534</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA Home Health &amp; Hospice</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010246804</EIN>
        <PrimaryActivitiesTxt>Provide home health &amp; hospice services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Wellbeing LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474315094</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Regional Health Facilities d</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010198331</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Medical Realty</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010390918</EIN>
        <PrimaryActivitiesTxt>Lease medical facilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>452967056</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Beacon Rural Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474483187</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northern Light Medical Transport</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>830911574</EIN>
        <PrimaryActivitiesTxt>Ambulance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MRH Corp dba Northern Light Mayo Hospit</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>843689003</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Colonial Acres Nursing Home</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010456929</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>456577</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2119036</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Katahdin Healthcare LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>270855625</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>182736</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>834542</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Stillwater Healthcare LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>273000166</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>143725</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2323725</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dover-Foxcroft Healthcare LLC DBA Hib</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Drive 4th Floor</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>463813555</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>1186401</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>2374213</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>22 Walnut Street LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>270855521</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-3492</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>112898</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>1037 West Main Street LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Drive</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>463807922</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-239023</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1583479</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Park East Villa LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>833527254</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>15977</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>796675</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Ross Manor Associates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010448532</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>913216</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6626069</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dexter Manor Associates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>100 Waterman Dr</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010435902</EIN>
        <PrimaryActivitiesTxt>Nursing Home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>139762</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>983057</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Systems AHS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010385322</EIN>
        <PrimaryActivitiesTxt>Holding co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010349339</EIN>
        <PrimaryActivitiesTxt>Hlthcr mgmt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Laboratory Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010381283</EIN>
        <PrimaryActivitiesTxt>Clinical lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Beacon Direct</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>371864965</EIN>
        <PrimaryActivitiesTxt>Healthcare Self-funded TPA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>