2024-08-01T13:16:59-07:00 2023-09-30 990 2022-10-01 843689003 MRH Corp Northern Light Mayo Hospital MRHC 2079739081 43 Whiting Hill Road Brewer ME 04412 John Doyle NLH VP of Finance 2024-08-01 false true 2022 2024-08-08 14:25:15Z John Doyle 69349635 false 5247 X https://northernlight.org/mayo X 1978 ME The mission of MRH Corp. d/b/a Northern Light Mayo Hospital is to provide up-to-date, high quality, compassionate and affordable healthcare. 13 9 528 14 2050 134 828692 1672683 61803690 64666143 9090 -16119 2607562 2945938 65249034 69268645 0 0 34821879 36566607 0 0 25187397 24489818 60009276 61056425 5239758 8212220 35069270 42845965 19085277 18613311 15983993 24232654 X The mission of MRH Corp. d/b/a Northern Light Mayo Hospital is to provide up-to-date, high quality, compassionate and affordable healthcare. false false 54337433 67610206 MRH Corp. d/b/a Northern Light Mayo Hospital is a 25 bed Critical Access Hospital in the Maine Highlands region providing emergency, ambulance, inpatient acute care, primary care, internal medicine, OBGYN, pediatrics, urology, general surgery, orthopedic surgery and behavioral health. Provided $1,316,848 other uncompensated care (at cost).Additional Statistics:Discharges 798Patient days 3,400Outpatient vists 116,353Emergency room visits 11,434 1125434 Medicare shortfalls (at cost) 2,795 persons served. 172903 Charity care provided (at cost) 186 persons served. 55635770 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 68 0 true 528 true true true false false false false false false 0 false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Timothy Dentry Ex-Officio 1.00 50.00 X X 0 1509740 62092 Anthony Filer Treasurer 1.00 50.00 X 0 695430 64042 Ahmad Abed Elnoor Physician 40.00 0.00 321944 322348 40078 Paul Bolin SVP & CPO 1.00 50.00 X 0 543269 110033 George Eaton Esq Secretary 1.00 50.00 X 0 444533 50549 David McDermott MD VP-Sr Phys Exec 37.00 13.00 X 338243 112748 31439 Glenn Martin Former SVP-Chief Legal Officer 1.00 50.00 0 363438 106106 Abhijit Shaligram MD Ex-Officio 50.00 0.00 X 417649 0 34923 Marie Vienneau Ex-Officio 30.00 20.00 X X 198173 132115 90369 Jessica Richmond Physician 40.00 0.00 375239 0 33646 Kristen Wagner Physician 40.00 0.00 334894 0 34797 Hosam Ahmad Abdallah Physician 40.00 0.00 324851 0 37615 Kyrsten Sutton Physician 40.00 0.00 352388 0 7460 Jennifer Goodrich VP Finance 25.00 25.00 X 140365 140366 41892 Lori Towne Ex-Officio 50.00 0.00 X 229614 0 3114 Denise Scuderi VP Patient Care 50.00 0.00 X 142782 0 36647 Nikki Chadwick VP Quality & Ed 50.00 0.00 X 118498 0 23259 Barbara Austin Trustee 0.50 0.00 X 0 0 0 Christopher Winstead Trustee 0.50 0.00 X 0 0 0 Jensen Bissell V Chair/Trustee 1.00 0.00 X X 0 0 0 Dr Richard Cabot Trustee 0.50 0.00 X 0 0 0 Stephanie Doore Trustee/Ass Sec 0.50 0.00 X 0 0 0 James Fowle Trustee 0.50 0.00 X 0 0 0 Vittoria Stevens Trustee 0.50 0.00 X 0 0 0 Amanda Thomas Chairman/Truste 1.00 0.00 X X 0 0 0 Andrew Walker Trustee 0.50 0.00 X 0 0 0 Tony Zambrano Trustee 0.50 0.00 X 0 0 0 3294640 4263987 808061 50 true true false Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 Software Support 1117291 Freedom Healthcare Staffing 2851 S Parker Rd Aurora CO 80014 Staffing Services 1157087 Simplifi 5020 Northshore Drive North Little Rock AR 72118 Staffing Services 3224094 Down East Orthopedics 78 Ridgewood Dr Bangor ME 04401 Physician Services 392945 Emergency Physician Associates PO Box 634850 Cincinnati OH 45263 Physician Services 929525 16 2700 1618119 51864 1672683 Cafeteria 722514 61604 61604 Education 611710 19384 19384 Net Patient Care Service 621990 64585155 64583105 2050 64666143 29467 29467 0 0 2050 2050 2050 2050 35045 80631 -45586 -45586 -45586 0 0 184 359 -175 -175 340b Pharmacy Benefits 621990 2944063 2944063 2944063 69268645 67546552 2050 47360 X 0 0 0 0 1782013 1368308 413705 0 28360408 26103162 2257246 387885 360530 27355 4158138 3728350 429788 1878163 1734899 143264 0 139121 128509 10612 9861 9861 0 0 0 8960480 8509158 451322 84891 84891 1276485 731420 545065 1745025 1611916 133109 0 1575911 1277544 298367 65345 62844 2501 0 123093 120549 2544 411037 333215 77822 0 1443828 938580 505248 833278 769716 63562 Medical Supplies 6053550 6053550 Taxes & Licenses 1194278 1191249 3029 Repairs & Maintenance 477932 438341 39591 Miscellaneous 47737 41398 6339 47966 47641 325 61056425 55635770 5420655 0 1695 1695 7557506 20622999 38496 108285 16395272 11859807 0 0 79005 79005 945729 739323 56264 22331 13067297 5471039 8087980 7596258 0 0 0 50000 50000 1857323 1766262 35069270 42845965 17291309 17061312 719584 300123 214722 171996 859662 1079880 19085277 18613311 X 14585470 22796497 1398523 1436157 15983993 24232654 35069270 42845965 X 8212220 36441 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 6689 6689 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. Part IV - Additional Information 1690000 1690000 1646891 404892 1241999 9094562 4931951 4162611 635844 134196 501648 7596258 Deferred Compensation 185531 Other Liability-Commerce Bank 401641 Right-of-Use Lease Liabilities 492708 1079880 X Part X : FIN48 Footnote Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying 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 the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis 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. true true X true X true X true true true false true true 186 172903 172903 0.00280 186 172903 172903 0.00280 2 132 34378 34378 0.00060 3 69 100600 100600 0.00160 5 201 134978 134978 0.00220 5 387 307881 307881 0.00500 1 8 2056 2056 1 8 2056 2056 true 1316848 22341709 23467143 -1125434 X true true 1 1 Northern Light Mayo Hospital 897 W Main Street Dover Foxcroft ME 04426 northernlighthealth.org/Mayo 39260 X X X X Northern Light Mayo Hospital 1 false false true X X X X X X X X X 22 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 22 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Mayo Hospital - 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 September 7, 2021, Piscataquis 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 engagement process (the following list was extracted from the Piscataquis County CHNA report, page 20): Bangor Public Health and Community Services, Bangor Public Health Department, Child Behavioral Health Services, Downeast Public Health District, Eastern Area Agency on Aging, Healthy Acadia, Helping Hands with Heart /Maine Highlands Investment Partnership, Northeastern Workforce Development Board, Northern Light Acadia Hospital, Northern Light CA Dean Hospital, Northern Light Health Systems, Northern Light Mayo Hospital, Office of Child and Family Services, Maine Department of Health and Human Services, Partners for Peace, Penquis, Penquis Public Health District, Piscataquis Regional Food Center, Public Health Care, Public Health Nursing, Maine Center for Disease Control and Prevention, State of Maine, United Way of Eastern Maine, WIC Nutrition Program.New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreach were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people who live 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 Mayo Hospital - 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, including other non-Northern Light Health hospitals who were consulted during the engagement process. Facility: Northern Light Mayo Hospital - Part V, Section B, Line 11 As a member of a partnering healthcare system in the Maine Shared Community Health Needs Assessment (Shared CHNA) effort, Northern Light Healths Community Health Council recognized the value, reach, and influence of aligned engagement efforts with a shared purpose. Review of the county CHNA forum priority voting revealed that mental health, social determinants of health, and substance use were among the top four priorities in almost every county CHNA forum. These three priority areas were presented and adopted by our hospitals governing board as shared priorities where Northern Light Health member organizations would engage in common strategy to achieve greater statewide effect. Northern Light Mayo Hospitals community health strategy was developed to include our systemwide shared priority areas of work reflecting upon the quantitative health profile indicators and qualitative prioritization derived from the Shared CHNAs community engagement process. We also considered local readiness and capacity to address these needs in partnership with our local communities. The following provides an update on the actions taken on the three priority areas in fiscal year 2023 (FY23): Mental Health: Actions taken by Northern Light Mayo Hospital to address this priority in FY23: Mayo Hospital 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 Mayo Hospital 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. Mayo Hospital conducted two PFA training sessions with 19 individuals trained. Northern Light Healths systemwide collective impact of our shared objective to increase the number of individuals trained to support the mental health needs of children and youth resulted in 35 youth mental health training sessions with 584 individuals trained.Social Determinants of HealthActions taken by Northern Light Mayo Hospital to address this priority in FY23: 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 allow users to directly communicate with referral partners to coordinate care of our patients.Northern Light Mayo Hospital 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. Mayo Hospital participated on a monthly systemwide workgroup focused on community engagement efforts to educate community partners on the availability and uses of findhelp.org. Community partners were provided with assistance in adding their program information to the platform directory and with activating the ability to receive referrals or requests for information through the platform. Mayo Hospital engaged two community partners who added two programs to the findhelp directory. Northern Light Healths systemwide collective impact of our shared objective to increase community partner engagement with FindHelp.org resulted in 28 programs added to findhelp and 89 programs that increased engagement with findhelp.Substance UseActions taken by Northern Light Mayo Hospital to address this priority in FY23: In collaboration with other Northern Light Health member organizations and community-based organizations, trained Mayo Hospital 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 Mayo Hospital 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 & Community, Mayo Hospital worked in the community setting to provide education on the use of these naloxone kits to end-users to facilitate the reversal of private overdoses in the community. Mayo Hospital distributed 183 state-sponsored naloxone kits. Northern Light Healths systemwide collective impact of our shared objective to improve distribution and preventive access to state sponsored naloxone kits systemwide resulted in 1,453 naloxone kits distributed throughout Northern Light Healths service area. Additional information related to actions taken by Mayo Hospital on the above priorities can be found in their FY23 Progress Report to Our Community at https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-Strategy . Mayo Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. Access to care: Access to care was not selected as an independent priority of focus as many of our efforts identified in our strategy are connected to access issues. In addition, our hospital has current initiatives that are ongoing and part of our continual mission to improve access to care such as provider recruitment, engagement of navigators or the equivalent, and other efforts that support this priority. Facility: Northern Light Mayo Hospital - Part V, Section B, Line 13h Income Levels Facility: Northern Light Mayo Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is: https://northernlighthealth.org/Northern-Light-Mayo-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/billing-help/Bill-Pay-Assistance under "Pay My Bill" Northern Light Primary Care Corinth 492 Main Street Corinth ME 04427 Outpatient Medical Facility Northern Light Internal Medicine Dexter 41 High Street Dexter ME 04930 Outpatient Medical Facility Northern Light Primary Care Dover Foxcroft 891 West Main Street Suite 200 Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Orthopedics 43 Dwelley Avenue Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Behavioral Health 69 High Street Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Behavioral Health 41 High Street Dexter ME 04930 Outpatient Medical Facility Northern Light Surgery 891 West Main Street Suite 500 Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Womens Health 891 West Main Street Suite 500 Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Primary Care Milo 135 Park Street Milo ME 04463 Outpatient Medical Facility Northern Light Pain Management 43 Dwelley Avenue Dover Foxcroft ME 04426 Outpatient Medical Facility Part I, Line 6a - Related Organization Community Benefit Report Northern Light Mayo Hospital 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 In FY23, Northern Light Health members incorporated a methodology for capturing indirect costs which comply with community benefit reporting requirements. 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 Revenue 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 Mayo Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients 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 Dover-Foxcroft, Maine, Northern Light Mayo 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 Mayo Hospitals primary service area include: Dexter, Cambridge, Sangerville, Guilford, Abbot, Monson, Dover-Foxcroft, Sebec, Milo, and Brownville.Towns representing Mayo Hospitals secondary service area include: Garland, Charleston, Corinth, Exeter, and Corinna.Piscataquis Countys race/ethnicity and selected demographics are provided below for Mayo Hospital based on the hospitals physical location in Piscataquis County.Piscataquis County - Race/Ethnicity: American Indian/Alaskan Native 0.8% (135), Asian 0.8% (131), Black/African American 0.6% (96), Native Hawaiian or Pacific Islander 0.0% (0), White 95.8% (16,128), Some other race 0.7% (119), Two or more races 1.3% (227), Hispanic 1.5% (245), Non-Hispanic 98.5% (16,591), Total county population 16,836.Piscataquis County - Selected Demographics: Median household income $40,890, Unemployment rate 5.5%, Individuals living in poverty 18.5%, Children living in poverty 23.8%, 65+ living alone 27.4%, Veterans 12.6%, Gay, lesbian, and bisexual (high school students) 9.6%, Gay, lesbian, and bisexual (adults) 3.2%, Transgender youth (high school students) 1.7%, Persons with a disability 26.3%.Other hospitals serving the Northern Light Mayo Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Mayo Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Mayo Hospitals service area as having a total of eight medically underserved populations/area. Part VI, Line 4 - Community Building Activities Student job shadowingHigh school students who were interested in pursuing a degree in healthcare shadowed staff as a learning opportunity. This promotes positive relationships with local youth and encourages higher education. Part VI, Line 5 - Promotion of Community Health Northern Light Mayo Hospital furthers its exempt purpose by promoting the health of the community through the following community health improvement grant activity in FY23:Community Health Education: Lets Go - Obesity Prevention; UNE Substance Abuse Prevention - Provide substance use prevention services that lead to the prevention of opioid and other substance use in Maine.; Maine Prevention Network Substance Abuse Prevention - Provide substance use prevention services that lead to the prevention of opioid and other substance use in Maine.; Maine Prevention Network HEAL - Implement programs and strategies in an effort to address obesity; Maine Prevention Network Tobacco - Implement programs and strategies in an effort to address tobacco use prevention; STOP - Address priority substance abuse treatment, prevention and mental health needs of regional and national significance.; Rural Health Clinic Vaccine Confidence Program - Improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas.; Drug Free Communities - Addressing Substance Abuse; Community Based Clinical Services: Maine Cancer Foundation Screening Navigation - Piscataquis County Mobile Mammography Project 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 shared local implementation strategies 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 X true true false true false false false false false false false Abhijit Shaligram MD Ex-Officio 392986 3477 21186 6100 28823 452572 Ahmad Abed Elnoor Physician 228910 321864 30870 62164 484 1155 6100 13575 19248 336674 347696 Anthony Filer Treasurer 597838 82139 15453 27450 36592 759472 David McDermott MD VP-Sr Phys Exec 324259 108087 13984 4661 3708 1236 19871 6624 361822 120608 Denise Scuderi VP Patient Care 129681 13101 3037 33610 179429 George Eaton Esq Secretary 360612 60144 23777 26795 23754 495082 Glenn Martin Former SVP-Chief Legal Officer 238691 124747 88673 17433 469544 77993 Hosam Ahmad Abdallah Physician 294462 8850 21539 4511 33104 362466 Jennifer Goodrich VP Finance 103088 103089 25703 25703 11574 11574 10745 10745 10201 10201 161311 161312 Jessica Richmond Physician 324591 14000 36648 2236 31410 408885 Kristen Wagner Physician 309850 3350 21694 5154 29643 369691 Kyrsten Sutton Physician 304259 50 48079 6093 1367 359848 Lori Towne Ex-Officio 115577 113817 220 2538 576 232728 Marie Vienneau Ex-Officio 195762 130508 2411 1607 32504 21669 21717 14479 252394 168263 Paul Bolin SVP & CPO 386106 127480 29683 82758 27275 653302 Timothy Dentry Ex-Officio 1180115 308222 21403 27450 34642 1571832 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received tuition:Jessica Richmond, highest compensated employee $11,673Kyrsten Sutton, highest compensated employee 34,750Kristen Wagner, highest compensated employee 14,750The following received a wellness program incentive:Hosam Ahmad Abdallah, highest compensated employee $ 125 Jennifer Goodrich, officer 55David McDermott, officer 25Jessica Richmond, highest compensated employee 25Denise Scuderi, officer 35Abhijit Shaligram, director 25Kyrsten Sutton, highest compensated employee 25Marie Vienneau, director/officer 25Kristen Wagner, highest compensated employee 25The benefit is available for all employees. Form 990, Part III, Line 4d OTHER PROGRAM SERVICES 4: Please see the following excerpt from the Northern Light Health Annual Report 2023 to the Community for details of community benefit projects at NLH members:Northern Light HealthAnnual Report 2023HOW ARE YOU?How are you is a simple question that we ask many times throughout the day, but its also a question that goes beyond conversation, an expression of genuine care and interest in the wellbeing of others. Its a foundation of the deeper, more meaningful relationships we build with our employees, patients, community members, and others. We hope this annual report illustrates how this question, while at the heart of our character, is one of the ways we guide our patients and their families through the healthcare experience. This year, we highlight ways our incredible employees and community partners work together to ensure we are making healthcare work for all people in Maine. From a nurse who provides healing care in the hospital and nourishing food in a restaurant, to helping community members combat opioid use disorder with Narcan training.Our commitment extends well beyond the walls of our facilities; we are training community organizations in psychological first aid and are collaborating with our local communities to promote health education and help create a healthier Maine. We extend our gratitude to our dedicated staff and community partners, and to the people of Maine who place their trust in us. We hope you take a moment to ask, How are you? and see how incorporating this simple but meaningful question into your daily interactions can positively affect our relationships and create meaningful connections.We hope you enjoy the 2023 Annual Report.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthJohn RyanBoard ChairNorthern Light HealthHOW ARE YOUGOING TO SAVE A LIFE?Northern Light Healths Narcan Program: Saving Lives in Maine Andrew Mitchell found himself in a situation he never expected. He was outside a restaurant in Bangor one August afternoon in 2022 when a life changing experience convinced him of the importance of the overdose-reversing medication, Narcan. Mitchell, who received a Narcan kit at the Blue Hill Fair, was out with a friend when a woman across the street urgently called out that a man was overdosing. Quickly, Mitchell rushed to his truck, grabbed the Narcan kit, and administered the life-saving drug to the unconscious man, whose lips had turned blue. Thanks to his timely intervention, the man began to regain consciousness. Mitchell received his free Narcan kit from Northern Light Blue Hill Hospital, which has been at the forefront of addressing Maines opioid epidemic. Employees handed out these kits to the public at the Blue Hill Fair in 2022 and 2023. Mitchell shares, I had no medical training at all, and if I can use Narcan, anyone else can use it too. Its straightforward, he shares. Northern Light Healths efforts extend beyond Narcan distribution to individuals. Hospitals across the system are engaging the community in a new and meaningful way. Northern Light Inland Hospital in Waterville and Northern Light Sebasticook Valley Hospital in Pittsfield provide training to community organizations on the use of Narcan. The hospitals training programs are part of a three-year federal grant program to reduce overdose deaths in Maine. Hanna Bouchard, a community health outreach coordinator with both hospitals, plays a vital role in this program. Her experience as an emergency medical technician, coupled with her dedication to the cause has made her a key figure in providing Narcan training to community partners, including Kennebec Valley Community College in Fairfield. This program is not just about teaching people how to use Narcan; its about giving them the knowledge and tools to save lives, shares Bouchard. In the battle against opioid overdoses, data tells a compelling story. Maine experienced more than 700 overdose deaths in 2022, and while the numbers are alarming, Narcan is making a difference. Of the 9,394 reported non-fatal overdoses, 2,200 were reversed thanks to community members carrying Narcan. Now with Food and Drug Administration approval, this life-saving medication is available over the counter. Across Maine, the opioid crisis remains a significant challenge. These initiatives, whether distributing Narcan kits at the Blue Hill Fair or providing community trainings, are crucial steps towards reducing drug overdose deaths. These programs serve as beacons of hope, reminding us that every life is worth saving, and every intervention counts. A Vital Connection Are you monitoring your health? Northern Light Home Care & Hospice is one of the first home healthcare agencies to endorse and promote telehealth for patients who qualify. Through LiveConnected, Northern Lights telehealth program, monitors can be installed in a patients home. Our nurses train patients on how to read and record the information to monitor their condition, and the machine does the rest! More than 630 Mainers statewide use LiveConnected, including those who are not patients of Home Care & Hospice.The service uses monitoring equipment to provide daily readings of vital signs to registered nurses. The nurses work with the patient and their physician to maintain and adjust medications from the convenience of home. Each day at a pre-determined time, the machine guides the patient through the steps to monitor their health.Northern Light Home Care & Hospice uses a team approach to deliver care, educate our patients, and to better manage conditions like chronic heart and lung diseases. Often, managing chronic health conditions means frequent trips to the doctor or hospital to monitor vital signs. Using telemonitoring and offering care, such as physical therapy, occupational therapy, and speech language pathology to patients at home eliminates the stress of frequent trips and difficult access to transportation. Each Northern Light Home Care & Hospice patient receives a customized care plan that includes clinical home visits, telehealth monitoring, and education designed for the individual, allowing patients to manage their care from the comfort of home.To learn more about LiveConnected visit northernlighthealth.org/liveconnected. To find out if you qualify, please call 800-757-3326 to speak to a member of our Home Care & Hospice team.HOW ARE YOUAND YOUR BABY?Transforming Lives: Francis Warde Home For decades, Portland has been a destination for people seeking asylum; leaving their home countries, seeking safety and protection in a new place to call home. Sometimes, there are cracks in the social safety net for this vulnerable population, and some of the most vulnerable are pregnant women.One woman, who came to Northern Light Mercy Hospital on a cold rainy day in June, was five months pregnant, without shelter, and in dire need of care. Melissa Skahan, vice president of Mission Integration at Mercy, recounts her story, This woman was ill, had no home, and a discharge plan would potentially put her back out on the street or into another short-term shelter.Thankfully, Skahan was already working on a solution. Mercy Hospital had recently teamed up with the non-profit In Her Presence (IHP), to start a new, two-generational program for pregnant women who are seeking asylum. The new program would open soon, in the former Francis Warde Convent, a residence once owned by the Sisters of Mercy of the Americas and named after one of the original Sisters of Mercy.The Francis Warde Home was nearly ready to open, so instead of sending this pregnant woman back into uncertainty, hospital staff stepped in. Within 48 hours, they made a crucial decision that would change her life. Skahan adds, Our staff kept her here, and the program launch was timed so that we were able to move her quickly into Francis Warde.The Francis Warde program, as it is commonly referred to, ensures that vulnerable women in need of shelter, basic needs, and healthcare receive support. Overseeing the day-to-day operations of the Francis Warde program is Claudette Ndayininahaze, the co-founder and executive director of IHP. Ndayininahaze emphasizes, We are just beginning to understand how to see the whole person and serve the whole person. The IHP approach is creating long-term community and lifelong learners who give back. We need to integrate culture and ensure a true balance of power so that women from all over the world feel empowered to shape their healthcare.The program goes beyond providing shelter and healthcare. It extends to offering educational opportunities, including English language classes and workforce training at Northern Light Mercy Hospital. The women who benefit from the program go through a remarkable transformation.In Skahans words, Its transformative. Ive seen people who have been in the program for a few months, and they look like different people than when you first meet them because their basic needs are met, and they are cons Form 990, Part VI, Section A, Line 6 MRH Corp. d/b/a Northern Light Mayo Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, Section A, Line 7a Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Section A, Line 7b The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Section B, Line 11b Form 990 is reviewed by the VP of Finance of MRH Corp. d/b/a Northern Light Mayo Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, Section B, Line 12c The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Section B, Line 15a The SVP & President of MRH Corp. d/b/a Northern Light Mayo Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Section C, Line 19 MRH Corp. d/b/a Northern Light Mayo Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part XI, Line 9 Net Change in Funds Held at NLH Foundation = $38851 Form 990, Part XI, Line 9 Transfer to exempt subsidiary - NLH Foundation = -$2410 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A false Northern Light Wellbeing LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Acadia Healthcare Inc 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS false LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC false Northern Light Health Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS false Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled & long-term nursing care ME 501(c)(3) 3 Inland Hospital false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false The Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false The Aroostook Medical Center PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Regional Health Facilities 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH false Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 225 Gorham Rd STE 200 South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C corp false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C corp false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C corp false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C corp false false false false false false false false false false false false true true false false true false true true