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Sebasticook Valley Health Northern Light Sebasticook Valley Hosp
Pittsfield, ME 04967
Bed count | 25 | Medicare provider number | 201313 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 52,059,496 Total amount spent on community benefits as % of operating expenses$ 249,741 0.48 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 91,482 0.18 %Medicaid as % of operating expenses$ 0 0 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 60,609 0.12 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 97,037 0.19 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 613 0.00 %Community building*
as % of operating expenses$ 150 0.00 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 1 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 1 Other 0 Persons served (optional) 1 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 1 Other 0 Community building expense
as % of operating expenses$ 150 0.00 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 150 100 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 923,239 1.77 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? NO In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 44888779 including grants of $ 0) (Revenue $ 60501158) Sebasticook Valley Health d/b/a Northern Light Sebasticook Valley Hospital (SVH) is a nonprofit hospital, providing service for all that needs care, regardless of their ability to pay. In the 2022 fiscal year, SVH provided free care of $192,546 and recorded $2,045,344 in bad debts. Our hospital provides 24-hours-a-day emergency services with annual visits of 10,400. SVH provides many free services and programs that are designed to improve the health and well being of our surrounding communities.Additional Statistics:IP Admissions of 865Patient Days 5,105Emergency Room Visits 10,400Surgical Cases 772Outpatient visits 120,916
4B (Expenses $ 159248 including grants of $ 0) (Revenue $ 0) Medicare Shortfalls (at cost) 16,837 persons served
4C (Expenses $ 91482 including grants of $ 0) (Revenue $ 0) Charity Care provided (at cost) 768 persons served
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Facility Information
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2021 and January 2022. All forms of engagement included public forums, community sponsored events, and oral surveys. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Virtual community forums with residents and service providers were held in the county in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the November 16, 2021, Somerset County Shared CHNA Community Engagement Forum and provided valuable feedback on the Maine Shared CHNA.Persons representing broad interests of the community who were consulted during the engagement process (the following list was extracted from the Somerset County CHNA report, page 22): Coburn Park Commission, Healthy Living for ME, Kennebec Behavioral Health (KBH), Maine Center for Disease Control and Prevention, MaineGeneral Health, Maine General Medical Center, Northern Light Health, Northern Light Homecare and Hospice, Northern Light Inland Hospital, Northern Light Sebasticook Valley Hospital, Office of Child and Family Services, Redington Fairview General Hospital, RSU #74, School District, Skowhegan Regional Chamber of Commerce, Somerset Public Health, Trusted Ride Certified. New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreach were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people with a disability; people with a mental health diagnosis; people with low income; and youth.Another effort included conducting oral surveys in collaboration with eight ethnic-based community organizations community health workers in order to better reach Maines immigrant population that included: 1,000 surveys were conducted in either English (32%), Somali, (24%), Arabic (23%), French (8%), Spanish (5%), Lingala (3%), and other languages including Swahili, Maay Maay, Portuguese, Oromo, Eretria, Kirundi, and Amara. When asked for their countries of origin, respondents most commonly cited the United States (212), Iraq (205), Somalia (157), The Democratic Republic of Congo (81), Djibouti (70), Kenya (30), and Mexico (29). Other countries of origin mentioned included Rwanda, Ethiopia, Angola, Syria, Guatemala, South Africa, Palestine, Puerto Rico, Morocco, Afghanistan, El Salvador, Nigeria, Canada, Burundi, Eritrea, France, Honduras, Uganda, Jamaica, Mali, Gabon, Sudan, Nicaragua, Peru, and Brazil.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, included other non-Northern Light Health hospitals who were consulted during the engagement process.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 11 Northern Light Health recently conducted their 2022 Shared Community Health Needs Assessment that will inform priority work for implementation in FY23 FY25. In FY22, Northern Light Sebasticook Valley Hospital developed our plan to address significant needs identified in our 2022 Community Health Strategy (aka, implementation strategy). Though priority work from the 2022 Shared CHNA wont begin until FY23, Sebasticook Valley Hospital will be prepared to implement priority work from our 2022 strategy with no gap in implementation efforts between the two CHNA cycles. While conducting the 2022 Shared CHNA research and outreach, Sebasticook Valley Hospital continued to implement priority work from the final year, FY22, of the three-year 2019 Community Health Strategy (implementation years FY20, FY21, and FY22). Below reflect these efforts related to the 2019 Community Health Strategy.The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Sebasticook Valley Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with Sebasticook Valley Hospital. A hospital task force considered the data and identified areas of significant need including priority concerns, intended actions to address the need, programs and resource allocation, planned collaborations, and population of focus. The implementation strategy was presented and adopted by the hospitals governing board. Northern Light Sebasticook Valley Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of health social needsActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Health made significant progress in Social Determinants of Health (SDOH) screening and intervention in our primary care practices. The Northern Light Health SDOH Team defined completed SDOH screening and established a system policy for minimum SDOH screening standards to provide consistency in screening guidelines. During the course of FY22, the SDOH Team worked with Information Systems to continually improve the SDOH Screening Tool based on user recommendations and will continue to manage user requests moving forward. SDOH Team leaders worked with members of Northern Light Health Quality to develop a SDOH screening dashboard which provides real-time screening rates by member organization, practice, provider, and payor type, as well as prevalence of SDOH need from positive screening results. The dashboard is undergoing validation and is anticipated to be available in FY23. Northern Light Health achieved a significant milestone in responding to social health needs when the new Northern Light Health findhelp platform went live on September 13, 2022. Findhelp is a national social care network that will make it easier for patients and providers to find and connect with local resources. The platform is embedded within our electronic health record so that care teams can find and refer patients to resources and has a public portal that community members can access at any time. In addition, Northern Light Sebasticook Valley Hospital used the patient navigator and community partners to refer patients to implement screening and referral to health-related social services.Substance useActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital (SVH) used the partnerships and resources from the Rural Communities Opioid Response Program (RCORP) grant and the Comprehensive Addiction and Recovery Act (CARA) Local Drug Crisis grant to engage in community-based substance use prevention efforts. Through these partnerships with community organizations, SVH was able to increase substance use prevention efforts by distributing resources for prevention, treatment, and recovery; hosting community events to raise awareness; enhancing skills among youth and their families through implementing evidence-based curriculum in local school departments; training community members on overdose prevention and naloxone administration; promoting substance use prevention efforts through social media platforms and digital media campaigns; and passing a policy to include community-based overdose prevention education and naloxone distribution.Social determinants of health food insecurityActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital continued to conduct patient screenings in Cerner (our electronic medical records) as part of in-take information. Each of the five practices participated in the food insecurity screening. Additionally, all practices participated in the Good Shepherd Community Health and Hunger Program by giving pre-bagged food to patients in need.Mental health Actions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital (SVH) used community partnerships to increase educational programs to raise awareness, readiness, and access to mental health services. Through these partnerships, SVH was able to increase awareness through the distribution of behavioral health guides; develop social media posts to promote mental health awareness; conducted trainings for local school staff and community members; and lastly, enhance skills of youth and families through the distribution of stress less kits and tips.Older adult health/healthy agingActions taken by Sebasticook Valley Hospital to address this priority in FY22: Northern Light Sebasticook Valley Hospital partnered with the primary care providers to increase patient education and raise awareness of palliative and end-of-life care options. Patient education is occurring during visits via telehealth, in-patient care, or within the primary care setting. The primary care provider also attends the weekly Integrated Discharge Team meetings with palliative north group and has attended five Cerner (our electronic medical record) palliative care meetings.Additional information related to actions taken by Northern Light Sebasticook Valley Hospital on the above priorities can be found in their FY22 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Sebasticook Valley Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Northern Light Sebasticook Valley Hospital is currently poised to focus only on the highest priorities at this time. A number of priorities not selected, due to a variety of reasons are listed below:Access to Care - This identified health need is not being addressed directly as a strategy born out of our community health needs assessment as our hospital has current initiatives focused on improving access to care such as provider recruitment, community health navigators (to link vulnerable populations with needed resources), and other efforts that are ongoing and part of our continual mission to improve access to care.
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 13h Income Levels
Facility: Northern Light Sebasticook Val - Part V, Section B, Line 16j "Response for 7a (list URL) is https://northernlighthealth.org/Sebasticook-Valley-HospitalResponse for 7b (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Shared-CHNA-ReportsResponse for 10a (list URL) is https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-StrategyResponse for 16a, 16b, 16c (list url) is https://northernlighthealth.org/Sebasticook-Valley-Hospital under ""Pay My Bill"""
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Supplemental Information
Part I, Line 6a - Related Organization Community Benefit Report The Northern Light Sebasticook Valley Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Patient Service Revnue and Accounts Receivable section.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light Sebasticook Valley Hospital. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.
Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary
Part VI, Line 4 - Community Information Located in Pittsfield, Maine, Northern Light Sebasticook Valley Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Sebasticook Valley Hospitals primary service area include: Corinna, Detroit, Hartland, Newport, Palmyra, Pittsfield, Plymouth, and Saint Albans.Towns representing Sebasticook Valley Hospitals secondary service area include: Albion, Belgrade, Belgrade Lakes, Burnham, Clinton, Dexter, Dixmont, Etna, Exeter, Fairfield, Freedom, Garland, North Vassalboro, Oakland, Palermo, Smithfield, South China, Thorndike, Troy, Unity, Vassalboro, and Waterville.Somerset Countys race/ethnicity and selected demographics are provided below for Sebasticook Valley Hospital based on the hospitals physical location in Somerset County.Somerset County - Race/Ethnicity: American Indian/Alaskan Native 0.5% (244), Asian 0.4% (194), Black/African American 0.6% (313), Native Hawaiian or Pacific Islander 0.0% (0), White 96.5% (48,759), Some other race 0.1% (60), Two or more races 1.9% (950), Hispanic 1.1% (554), Non-Hispanic 98.9% (49,966), Total county population 50,520.Somerset County - Selected Demographics: Median household income $44,256, Unemployment rate 6.6%, Individuals living in poverty 20.4%, Children living in poverty 22.6%, 65+ living alone 31.2%, Veterans 10.6%, Gay, lesbian, and bisexual (high school students) 13.1%, Gay, lesbian, and bisexual (adults) 2.4%, Transgender youth (high school students) 1.5%, Persons with a disability 21.7%.Other hospitals serving the Northern Light Sebasticook Valley Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Sebasticook Valley Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Sebasticook Valley Hospitals service area as having a total of eight medically underserved populations.
Part VI, Line 4 - Community Building Activities Northern Light Sebasticook Valley Hospitals community building activities included job shadowing opportunities for one high school student with a CRNA.
Part VI, Line 6 - Affilated Health Care System The 2022 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.
Part VI, Line 7 - States Filing of Community Benefit Report N/A
Part VI, Line 5 - Promotion of Community Health Northern Light Sebasticook Valley Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY22: Community Health Education: CARA Local Drug Crisis Grant addressing substance abuse; Rural Health Clinic Vaccine Confidence Program to improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas.SVH full and part time employees and spouses are eligible to enroll in Elements, an on-line wellness reward system program. Employees and spouses can earn up to $400.00 (taxable)each per year by engaging in healthy behaviors, wellness offerings and health information focused on improving overall physical and mental health. SVH offered an Emergency Medical Technician (EMT) training course (Earn while you Learn). This six-week training course offered classroom and clinical experience. Candidates work alongside our dedicated EMS providers. Candidates were brought into the program as a 'Work to Grow' employee and be paid forty hours a week, which will compensate them for class and job shadow time. Upon successful completion of the program and obtaining a Maine EMT license, candidates will be hired to EMT. SVH hosted an ARC blood drive on June 10, 2022, which is open to SVH employees and community members. Staff and volunteers recruit donors and staff provide help on the day of the drive. The drive resulted in 24 sign ups and a collection of 16 units.The SVH education department offered Heartsaver First Aid and CPR/AED classes to community members and a Heartsaver Pediatric CPR/First Aid class to a local business. A total of 49 people attended classes in FY22. In addition, community members may also register for Advanced Cardiac Life Support (ACLS) classes when space allows. In FY22, one community member attended this class.SVH held its annual Drive Thru flu clinic on 10/1/2021 for adults as a convenient way to receive their annual influenza vaccination. Seventy-eight community members received their vaccination without ever having to leave their vehicle. Patients on Medicare and Medicare Advantage present their card to receive their vaccination. Community members not on those plans were able to pay for their vaccination and received a receipt, (upon request), to submit to their private health insurer. In addition, three adults were able to receive their first dose of the COVID-19 vaccination.