FURP.ORG / PUBLIC DATA EXPLORER

MERCY HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL (EIN 01-0211534)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-07
IRS object ID
202322199349301567
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-07T13:49:03-07:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010211534EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1Txt
Business Name Line2Northern Light Mercy HospitalBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 Fore River ParkwayAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Person TitleNLH VP OF FINANCEPersonTitleTxt
Signature2023-08-07SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohn JPersonFirstNm
Person LastDoylePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn DoylePrincipalOfficerNm
Gross Receipts$259,337,226GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://northernlighthealth.org/Mercy-HospitaWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionMercy Hospital d/b/a Northern Light Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee1654TotalEmployeeCnt
Total Volunteers46TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,318,386PYContributionsGrantsAmt
CY Contributions Grants$12,822,394CYContributionsGrantsAmt
PY Program Service Revenue$246,553,773PYProgramServiceRevenueAmt
CY Program Service Revenue$242,866,596CYProgramServiceRevenueAmt
PY Investment Income-$879,510PYInvestmentIncomeAmt
CY Investment Income$161,906CYInvestmentIncomeAmt
PY Other Revenue$1,291,837PYOtherRevenueAmt
CY Other Revenue$3,030,813CYOtherRevenueAmt
PY Total Revenue$253,284,486PYTotalRevenueAmt
CY Total Revenue$258,881,709CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$130,918,143PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$136,085,025CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$111,710,664PYOtherExpensesAmt
CY Other Expenses$132,825,006CYOtherExpensesAmt
PY Total Expenses$242,628,807PYTotalExpensesAmt
CY Total Expenses$268,910,031CYTotalExpensesAmt
PY Revenues Less Expenses$10,655,679PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,028,322CYRevenuesLessExpensesAmt
Total Assets BOY$246,085,431TotalAssetsBOYAmt
Total Assets EOY$235,749,919TotalAssetsEOYAmt
Total Liabilities BOY$189,674,825TotalLiabilitiesBOYAmt
Total Liabilities EOY$190,763,975TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$56,410,606NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,985,944NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMercy Hospital d/b/a Northern Light Mercy Hospital carries out the healing work of Christ by providing clinically excellent, compassionate healthcare for all, with special concern for the poor and disadvantaged.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$188,442,026ExpenseAmt
Revenue$245,721,796RevenueAmt
DescProvide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $2,416,341Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$32,642,239ExpenseAmt
DescMedicare shortfalls (at cost) 40,842 persons servedDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$13,850,692ExpenseAmt
DescMedicaid shortfalls (at cost) 37,769 persons servedDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,293,161TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$236,228,118TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document84IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1654EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn J DoylePersonNm
Phone2079739081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line143 Whiting Hill RoadAddressLine1Txt
CityBrewerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP044121005ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Timothy Dentry
Trustee/Ex-Off1.0050.00Yes (X)Yes (X)$0$1,840,352$60,782
Nicolas F Arredondo
Physician50.000.00$1,290,303$0$41,866
Stephen W Rodrigue
Physician50.000.00$1,246,298$0$416
John Wahlig
Physician50.000.00$1,179,976$0$40,729
Bruce F Gomberg
Physician50.000.00$1,021,150$0$11,976
Anthony Filer
Treasurer1.0050.00Yes (X)$0$934,170$61,116
Lee Thibodeau
Physician50.000.00$877,511$0$42,286
Glenn Martin
Secretary/Pt Yr1.0050.00Yes (X)$0$713,228$112,701
Charles Therrien
Pres/Ex-Off50.000.00Yes (X)Yes (X)$482,104$0$104,672
Craig Brett MD
Trustee/Ex-Off50.000.00Yes (X)$509,576$0$37,510
Paul Bolin
SVP & CPO1.0050.00Yes (X)$0$429,549$105,611
John Southall
VP Sr Phys Exec50.000.00Yes (X)$427,743$0$39,386
Bette L Neville
Former VP, CNO0.0050.00$0$283,206$51,494
George Eaton
Secretary/Pt Yr1.0050.00Yes (X)$0$254,686$42,889
Melissa Skahan
VP Mission Int50.000.00Yes (X)$248,818$0$30,470
Wendy Napolitano
VP Perf Oper50.000.00Yes (X)$233,764$0$41,940
David Kennedy
VP, Finance50.000.00Yes (X)$258,079$0$11,412
Greg Orr
VP Medical Gr50.000.00Yes (X)$229,158$0$22,143
Chris Howard
Trustee1.000.00Yes (X)$0$0$0
Arthur Batson III
Trustee1.000.00Yes (X)$0$0$0
Daniel McGarvey
Trustee1.000.00Yes (X)$0$0$0
Sister Anne-Marie Bourque
Trustee1.000.00Yes (X)$0$0$0
Laura Blaisdell MD
Trustee1.000.00Yes (X)$0$0$0
Sister Mary Morey
Trustee1.000.00Yes (X)$0$0$0
Mike Varney
Trustee1.000.00Yes (X)$0$0$0
Karen Pardue
Trustee1.000.00Yes (X)$0$0$0
Sister Judith Carey RSM
Trustee1.000.00Yes (X)$0$0$0
Douglas McKeown
Trustee/V Chair1.000.00Yes (X)Yes (X)$0$0$0
William Schirmer MD
Trustee1.000.00Yes (X)$0$0$0
Dega Dhalac
Trustee1.000.00Yes (X)$0$0$0
Debra D Taylor
Trustee/Chair2.000.00Yes (X)Yes (X)$0$0$0
Sister Patricia Pora
Trustee1.000.00Yes (X)$0$0$0
Lisa Toner
Trustee1.000.00Yes (X)$0$0$0
Victoria Morales
Trustee1.000.00Yes (X)$0$0$0
Jennifer Palminteri MD
Trustee1.000.00Yes (X)$0$0$0
James Polewaczyk
Trustee1.000.00Yes (X)$0$0$0
Robyn McDevitt
VP Pt Cr Svcs50.000.00Yes (X)$0$0$0
Mark Seelen
VP Surgical Svc50.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,004,480TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,455,191TotReportableCompRltdOrgAmt
Total Other Compensation$859,399TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K218IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Chest Medicine Associates
100 Foden Raod Ste 103South PortlandME041062351Physician & Director Svc$1,628,357
Ogrady-Peyton International
4441 Collection Center DriveChicagoIL606930044Temp Staffing$947,198
Spectrum Healthcare Partners
324 Gannett Dr Ste 200South PortlandME04106Temp Staffing$992,787
HBCS
118 Lukens DriveNew CastleDE19720Collection Fees$1,236,742
Seacoast Pathology Inc
PO Box 100519AtlantaGA303840519Laboratory Services$1,250,539
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$3,572,037RelatedOrganizationsAmt
Government Grants$8,220,936GovernmentGrantsAmt
All Other Contributions$1,029,421AllOtherContributionsAmt
Noncash Contributions$50,370NoncashContributionsAmt
Total Contributions$12,822,394TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$558,663$558,663
Education611710$20,342$20,342
Net Patient Care Service621990$242,287,591$242,287,591
FieldValueIRS element (for citing)
Total Program Service Revenue$242,866,596TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$524,350TotalRevenueColumnAmt
Exclusion$524,350ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$217,149RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$48,988RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$168,161RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$168,161TotalRevenueColumnAmt
Exclusion$168,161ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$25,300OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$387,744OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$362,444OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$362,444TotalRevenueColumnAmt
Exclusion-$362,444ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$26,237GrossSalesOfInventoryAmt
Cost Of Goods Sold$18,785CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,452TotalRevenueColumnAmt
Exclusion$7,452ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340b Pharmacy Benefits621990$2,838,200$2,838,200
Meaningful Use621990$17,000$17,000
FieldValueIRS element (for citing)
Other Revenue Total$2,855,200OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$258,881,709TotalRevenueColumnAmt
Related Or Exempt Func Income$245,163,133RelatedOrExemptFuncIncomeAmt
Exclusion$896,182ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,676,775TotalAmt
Program Services$1,820,508ProgramServicesAmt
Management And General$856,267ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$110,397,949TotalAmt
Program Services$104,346,428ProgramServicesAmt
Management And General$6,051,521ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,438,308TotalAmt
Program Services$3,242,697ProgramServicesAmt
Management And General$195,611ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,607,771TotalAmt
Program Services$11,880,743ProgramServicesAmt
Management And General$727,028ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,964,222TotalAmt
Program Services$6,515,327ProgramServicesAmt
Management And General$448,895ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,168TotalAmt
Program Services$13,168ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,483TotalAmt
Management And General$32,483ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,175TotalAmt
Program Services$8,900ProgramServicesAmt
Management And General$2,275ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,519,977TotalAmt
Program Services$24,385,010ProgramServicesAmt
Management And General$18,134,967ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$909,570TotalAmt
Program Services$909,570ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,641,976TotalAmt
Program Services$5,338,848ProgramServicesAmt
Management And General$1,303,128ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,621,738TotalAmt
Program Services$10,960,560ProgramServicesAmt
Management And General$661,178ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,486,459TotalAmt
Program Services$7,594,118ProgramServicesAmt
Management And General$1,892,341ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$66,397TotalAmt
Program Services$61,016ProgramServicesAmt
Management And General$5,381ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$412,139TotalAmt
Program Services$396,804ProgramServicesAmt
Management And General$15,335ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,271,851TotalAmt
Program Services$2,605,761ProgramServicesAmt
Management And General$666,090ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,566,225TotalAmt
Program Services$6,443,256ProgramServicesAmt
Management And General$1,122,969ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,112,080TotalAmt
Program Services$4,821,246ProgramServicesAmt
Management And General$290,834ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies Expense$35,966,029$35,966,029
Taxes & Licensing$5,488,927$5,483,559$5,368
Repairs & Maintenance$2,793,894$2,550,664$243,230
Dues & Subscriptions$300,101$295,581$4,520

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$610,817TotalAmt
Program Services$588,325ProgramServicesAmt
Management And General$22,492ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$268,910,031TotalAmt
Program Services$236,228,118ProgramServicesAmt
Management And General$32,681,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,000,143BOYAmt
EOY$5,600EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$667,720BOYAmt
EOY$800,326EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,498,642BOYAmt
EOY$40,815,507EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$32,673BOYAmt
EOY$34,887EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,604,219BOYAmt
EOY$3,077,729EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,356,710BOYAmt
EOY$926,173EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$215,410,316LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$63,936,797LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$132,346,197BOYAmt
EOY$151,473,519EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,151,000BOYAmt
EOY$3,151,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$47,428,127BOYAmt
EOY$35,465,178EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$246,085,431BOYAmt
EOY$235,749,919EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$42,726,525BOYAmt
EOY$56,748,289EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,559,671BOYAmt
EOY$4,893,137EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,347,998BOYAmt
EOY$92,083,117EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,492,154BOYAmt
EOY$1,529,776EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,548,477BOYAmt
EOY$35,509,656EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$189,674,825BOYAmt
EOY$190,763,975EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,995,382BOYAmt
EOY$35,967,256EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,415,224BOYAmt
EOY$9,018,688EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,410,606BOYAmt
EOY$44,985,944EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$246,085,431BOYAmt
EOY$235,749,919EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,028,322ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,396,340OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$28,877OtherActivitiesAmt
Total Lobbying Expenditures$28,877TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II-B, Line 1i - Other Activities DescriptionNon-deductible dues
Part IV - Additional Information

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,116,780BeginningYearBalanceAmt
Contributions$1,891,277ContributionsAmt
Investment Earnings Or Losses-$771,544InvestmentEarningsOrLossesAmt
Other Expenditures$1,624,293OtherExpendituresAmt
End Year Balance$3,612,220EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,558,084BeginningYearBalanceAmt
Contributions$28,673ContributionsAmt
Investment Earnings Or Losses$620,156InvestmentEarningsOrLossesAmt
Other Expenditures$90,133OtherExpendituresAmt
End Year Balance$4,116,780EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,506,492BeginningYearBalanceAmt
Contributions$4,868ContributionsAmt
Investment Earnings Or Losses$144,504InvestmentEarningsOrLossesAmt
Other Expenditures$97,780OtherExpendituresAmt
End Year Balance$3,558,084EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,492,269BeginningYearBalanceAmt
Contributions$9,344ContributionsAmt
Investment Earnings Or Losses$67,892InvestmentEarningsOrLossesAmt
Other Expenditures$63,013OtherExpendituresAmt
End Year Balance$3,506,492EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,997,798BeginningYearBalanceAmt
Contributions$1,283,502ContributionsAmt
Investment Earnings Or Losses$273,034InvestmentEarningsOrLossesAmt
Other Expenditures$62,065OtherExpendituresAmt
End Year Balance$3,492,269EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,703,734OtherCostOrOtherBasisAmt
Book Value$9,703,734BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,220,459OtherCostOrOtherBasisAmt
Depreciation$16,582,521DepreciationAmt
Book Value$82,637,938BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,203,719OtherCostOrOtherBasisAmt
Depreciation$1,847,416DepreciationAmt
Book Value$356,303BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,651,716OtherCostOrOtherBasisAmt
Depreciation$44,953,401DepreciationAmt
Book Value$57,698,315BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,630,688OtherCostOrOtherBasisAmt
Depreciation$553,459DepreciationAmt
Book Value$1,077,229BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$151,473,519TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
A/R Workers Compensation Insurance$1,702,572
Assets whose use is limited$1,682,012
Beneficial Interest in Perpetual Trusts$820,923
Board designated funds-Other$7,214
Construction Fund$30
Investment in Net Assets held @ NLHF$8,257,581
Right-of-Use Operating Lease Assets$17,257,372
Self Insurance & Pension Plans$5,689,790
Temporarily Donor Restricted Funds$47,684
FieldValueIRS element (for citing)
Total Book Value Other Assets$35,465,178TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Amounts due to Related Org$5,373,953
Deferred Compensation$5,632,601
Deferred Oper Lease Costs$899,972
LT Charitable Gift Annuity$5,556
Other Liability-Commerce Bank$1,490,179
Reserve for Asset Disposal Costs$57,606
Reserve for Self-Insurance Program$711,283
Right-of-Use Operating Lease Liability$20,759,817
Unfavorable Val of Oper Lease$578,689
FieldValueIRS element (for citing)
Total Liability$35,509,656TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.Endowment funds are designated for purposes that align within this organization's exempt purpose.
Part X : FIN48 FootnoteNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the more-likely-than-not threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served4109PersonsServedCnt
Total Community Benefit Expns$1,293,161TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,293,161NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served37769PersonsServedCnt
Total Community Benefit Expns$35,451,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,600,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,850,692NetCommunityBenefitExpnsAmt
Total Expense0.05150TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served41878PersonsServedCnt
Total Community Benefit Expns$36,744,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,600,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,143,853NetCommunityBenefitExpnsAmt
Total Expense0.05630TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served558PersonsServedCnt
Total Community Benefit Expns$1,547,788TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,547,788NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$9,691TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,691NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served558PersonsServedCnt
Total Community Benefit Expns$1,557,479TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,557,479NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served42436PersonsServedCnt
Total Community Benefit Expns$38,301,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,600,475DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,701,332NetCommunityBenefitExpnsAmt
Total Expense0.06210TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$534,994TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$534,994NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$534,994TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$534,994NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,416,341BadDebtExpenseAmt
Reimbursed By Medicare$73,801,004ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$106,443,243CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$32,642,239MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northern Light Mercy HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 Fore River ParkwayAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04102ZIPCd
FieldValueIRS element (for citing)
Website Addressnorthernlighthealth.org/Mercy-WebsiteAddressTxt
State License38065StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northern Light Mercy HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Line 16j for URLOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Line 16j for URLOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Line 16j for URLStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Line 16j for URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Line 16j for URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Line 16j for URLFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Northern Light Mercy Hospital - Part V, Section B, Line 5The 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 October 5 & 26, 2021 Cumberland 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 Cumberland County CHNA report, page 22): Bridgton Hospital, Central Maine Healthcare, City of Portland, City of Portland - Public Health Division, Hospital Community Representative, Cumberland County Government, Cumberland Public Health District, From the First Tooth, Gateway Community Services, Good Shepherd Food Bank, Greater Portland Health, Healthcare Coalition of Maine, Healthy Androscoggin, Lake Region Community Health Committee, Macdonald Motors, Maine Access Immigrant Network, Maine Access Points, Maine Behavioral Healthcare, Maine Medical Center, Maine Medical Center Research Institute, Maine Medical Partners, Maine Medical Partners Pediatrics, MaineHealth, Northern Light Beacon Health, Northern Light Health, Northern Light Home Care & Hospice, Northern Light Mercy Hospital, Northern New England Poison Center, Planned Parenthood of Northern New England, Portland Public Schools, Protech Solutions / Good Grid, Rural Health & Primary Care Program; Department of Health and Human Services, Spring Harbor Hospital, The Opportunity Alliance, The Opportunity Alliance WIC, The Opportunity Alliance; Lake Region Community Health Committee, Through These Doors, Town of Raymond, United Way of Southern Maine. 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 Mercy Hospital - Part V, Section B, Line 6aThe 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 Mercy Hospital - Part V, Section B, Line 11Northern 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 Mercy 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, Mercy 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, Mercy 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 Mercy 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 Mercy 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 Mercy Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Social determinants of healthActions taken by Mercy Hospital to address this priority in FY22: Northern Light Health made significant progress in Social Determinants of Health (SDOH) screening and intervention. 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 an SDOH screening dashboard that 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 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. Community members can also access Findhelp at any time via a public portal.Substance useActions taken by Mercy Hospital to address this priority in FY22: Northern Light Mercy Hospital delivered training that allows primary care providers to obtain their x-waiver and prescribe Suboxone for opioid use disorder. This commitment ensures that all five primary care sites at Northern Light Mercy Hospital are well prepared to serve patients with substance use disorder.Access to careActions taken by Mercy Hospital to address this priority in FY22: Northern Light Mercy Hospital continued to support work at local housing authorities with outreach activities at 100 State Street and testing and vaccination at the Fore River Campus Pharmacy and within primary care offices. A survey was administered at 100 State Street to ensure that transportation was not a barrier to services offered at the Fore River Campus. Health Promotion Clinics and Urgent Care Services were offered for New Mainers at local hotels in South Portland and Yarmouth with follow up care occurring in Primary Care, Womens Health, Pediatrics, and Specialty Care. Transportation, access to medication, housing insecurity, and lack of case management added complexity for Mercys care teams.Mental health Actions taken by Mercy Hospital to address this priority in FY22: Northern Light Mercy Hospital provided trainings for nurses and providers specific to tactics to successfully engage patients with severe and persistent mental illness. These trainings were developed in response to requests from nursing staff, who were seeking greater insight, expected behaviors, proven engagement tactics, and treatments available for persons with complex trauma, personality disorders, and substance use disorders. This has a promoted dialogue and ongoing requests for education resources and training for clinical teams.Older adult health/healthy agingActions taken by Mercy Hospital to address this priority in FY22: Northern Light Mercy Hospital offered training for all primary care practices with medical leaders of Northern Light Healths Palliative Care Program on advance care planning and palliative care. In FY22, each practice was provided educational materials and specific tools to engage patients and families in advance care planning conversations. Northern Light Mercy Hospital also acquired a geriatrics practice that increased our capacity to provide care for older adults and medical direction for local nursing homes.Additional information related to actions taken by Northern Light Mercy 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 Mercy Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. Northern Light Mercy Hospital opted to work on all top five priorities as identified in the Shared CHNA.
Facility: Northern Light Mercy Hospital - Part V, Section B, Line 16jResponse for 7a (list URL) is: https://northernlighthealth.org/Mercy-HospitalResponse for 7b (list URL) is: https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-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/Mercy-Hospital under "Pay My Bill"

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Northern Light Womens Health
195 Fore River Parkway Suite 310PortlandME04102Medical Office Building - Physician Svc
Northern Light Breast Care
195 Fore River Parkway Suite 250PortlandME04102Medical Office Building - Physician Svc
Northern Light PrimaryUrgent Care
19 South Gorham CrossingGorhamME04038Medical Office Building - Physician Svc
Northern Light Cancer Care
195 Fore River Parkway Suite 360PortlandME04102Medical Office Building - Physician Svc
Northern Light Lymphedema Care
1364 Congress Street Suite 3PortlandME04102Medical Office Building - Physician Svc
Northern Light Spine Surgery
195 Fore River Parkway Suite 440PortlandME04102Medical Office Building - Physician Svc
Northern Light Endocrinology and Diabetes Care
155 Fore River ParkwayPortlandME04102Medical Office Building - Physician Svc
Northern Light Cardiovascular Care
195 Fore River Parkway Suite 460PortlandME04102Medical Office Building - Physician Svc
Northern Light Gastroenterology
155 Fore River Parkway Suite 130PortlandME04102Medical Office Building - Physician Svc
Northern Light Womens Imaging
195 Fore River Parkway Suite 260PortlandME04102Medical Office Building - Mammography Svc
Northern Light Pain Management
195 Fore River Parkway Suite 120PortlandME04102Medical Office Building - Physician Svc
Northern Light Physical Therapy
1364 Congress Street Suite 3PortlandME04102Medical Office Building - Physical Therapy Svc
Northern Light Primary Care
25 Long Creek DriveSouth PortlandME04106Medical Office Building - Physician Svc
Northern Light Internal Medicine
43 Baxter BoulevardPortlandME04101Medical Office Building - Physician Svc
Northern Light Surgery
195 Fore River Parkway Suite 210PortlandME04102Medical Office Building - Physician Svc
Northern Light Primary Care
75 Gray RoadFalmouthME04105Medical Office Building - Physician Svc
Northern Light PrimaryUrgent Care
409 Roosevelt TrailWindhamME04062Medical Office Building - Physician Svc
Northern Light Wound and Hyperbaric Medicine
155 Fore River Parkway Suite 110PortlandME04102Medical Office Building - Physician Svc
Northern Light Primary Care
385 Route OneYarmouthME04096Medical Office Building - Physician Svc
Dr Harry E Davis Pediatrics
195 Fore River Parkway Suite 160PortlandME04102Medical Office Building - Physician Svc
Dr Harry E Davis Pedatrics
385 Route OneYarmouthME04096Medical Office Building - Physician Svc
Dr Harry E Davis Pediatrics
409 Roosevelt TrailWindhamME04062Medical Office Building - Physician Svc
Northern Light Ear Nose and Throat Care
195 Fore River Parkway Suite 420PortlandME04102Medical Office Building - Physician Svc
Northern Light Mercy Midwives
527 Ocean AvenuePortlandME04103Medical Office Building - Physician Svc
Northern Light Orthopedics
20 Northbrook DriveFalmouthME04105Medical Office Building - Physician Svc
Northern Light Mercy Outpatient Specialty & Surgery Center
155 Fore River ParkwayPortlandME04102Medical Office Building - Physician Svc

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportThe Northern Light Mercy 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 MethodologyRatio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseThe costing methology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt ExpensePatient 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 BenefitMedicare 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 PatientsAll 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 Mercy 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 AssistanceNorthern 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 InformationLocated in Portland, Maine, Northern Light Mercy 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 Mercy Hospitals primary service area include: Buxton, Cape Elizabeth, Casco, Cornish, Cumberland, East Baldwin, Falmouth, Freeport, Gorham, Gray, Hollis, Limington, North Yarmouth, Old Orchard Beach, Portland, Pownal, Raymond, Saco, Scarborough, South Portland, Standish, Steep Falls, West Baldwin, Westbrook, Windham, and Yarmouth. Towns representing Mercy Hospitals secondary service area include: Acton, Alfred, Bath, Biddeford, Bridgton, Brownfield, Brunswick, Denmark, Durham, East Waterboro, Fryeburg, Harpswell, Harrison, Hiram, Kennebunk, Kennebunkport, Lebanon, Limerick, Lovell, Naples, New Gloucester, North Waterboro, Parsonsfield, Poland, Porter, Sanford, Sebago, Shapleigh, Springvale, Topsham, Waterboro, Waterford, and West Newfield.Cumberland Countys race/ethnicity and selected demographics are provided below for Mercy Hospital based on the hospitals physical location in Cumberland County.Cumberland County - Race/Ethnicity: American Indian/Alaskan Native 0.2% (578), Asian 2.2% (6,350), Black/African American 3.0% (8,863), Native Hawaiian or Pacific Islander 0.0% (34), White 91.7% (268,151), Some other race 0.4% (1,091), Two or more races 2.5% (7,240), Hispanic 2.1% (6,061), Non-Hispanic 97.9% (286,246), Total county population 292,307.Cumberland County - Selected Demographics: Median household income $73,072, Unemployment rate 5.3%, Individuals living in poverty 9.0%, Children living in poverty 9.2%, 65+ living alone 29.8%, Veterans 7.2%, Gay, lesbian, and bisexual (high school students) 12.1%, Gay, lesbian and bisexual (adults) 4.4%, Transgender youth (high school students) 1.7%, Persons with a disability 11.4%.Other hospitals serving the Northern Light Mercy Hospital community: Based on the State of Maines definition of hospital service area, Northern Light Mercy Hospitals community is served by an additional two other hospitals, New England Rehabilitation Hospital and Maine Medical Center per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Mercy Hospitals service area as having a total of 22 medically underserved populations.
Part VI, Line 4 - Community Building ActivitiesNorthern Light Mercy Hospitals community building activities include Garys House that provides affordable housing for families of patients in Portland area hospitals.
Part VI, Line 5 - Promotion of Community HealthNorthern Light Mercy Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY22:Health Care Support Services: Maine Cancer Foundation piloting Uber Health provide reliable transportation for cancer patients in the Portland area; Medication-Assisted Treatment Mercy Medical Neighborhood & Improving access to quality Care Social and Environmental Improvement Activities: McAuley Bangor Residence (OSA) - Develop housing-based programs employing evidence-based strategies in a holistic approach to recovery for vulnerable families affect by substance abuse. Program must treat mother affected by substance abuse with at least one child under 10 years of age.The majority of Northern Light Mercy Hospitals Board of Directors resides in the primary service area and is not employees or independent contractors. Mercy also has an open medical staff. Northern Light Mercy Hospital donates food weekly as part of a food rescue program to local food pantries and soup kitchens. Northern Light Mercy Hospital also provides money to the City of Portlands Minority Health Department each year in support of the Community Health Outreach Workers, whose role is to provide health education, outreach, and patient navigation for vulnerable populations.
Part VI, Line 6 - Affilated Health Care SystemThe 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.Northern Light Mercy Hospital participated two CHNA public forums to garner feedback and insights from local community members.
Part VI, Line 7 - States Filing of Community Benefit ReportN/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Anthony Filer
Treasurer$574,255$344,462$15,453$26,100$35,016$995,286
Bette L Neville
Former VP, CNO$273,718$9,488$18,854$32,640$334,700
Bruce F Gomberg
Physician$998,086$23,064$11,976$1,033,126
Charles Therrien
Pres/Ex-Off$385,680$96,399$22,558$586,776$25$82,114$69,744
Craig Brett MD
Trustee/Ex-Off$455,012$23,553$30,260$547,086$31,011$7,250
David Kennedy
VP, Finance$218,625$2,080$1,117$269,491$37,374$10,295
George Eaton
Secretary/Pt Yr$244,831$9,855$20,537$22,352$297,575
Glenn Martin
Secretary/Pt Yr$426,623$161,695$124,910$90,651$22,050$825,929$80,809
Greg Orr
VP Medical Gr$184,639$16,096$22,143$251,301$28,423
John Southall
VP Sr Phys Exec$349,189$1,175$29,369$467,129$77,379$10,017
John Wahlig
Physician$903,697$22,782$33,479$1,220,705$253,497$7,250
Lee Thibodeau
Physician$536,064$40,674$35,036$919,797$300,773$7,250
Melissa Skahan
VP Mission Int$198,250$3,900$25,451$279,288$46,668$5,019
Nicolas F Arredondo
Physician$744,991$23,182$34,616$1,332,169$522,130$7,250
Paul Bolin
SVP & CPO$381,000$19,733$28,816$74,824$30,787$535,160
Stephen W Rodrigue
Physician$1,243,976$2,322$416$1,246,714
Timothy Dentry
Trustee/Ex-Off$1,006,465$377,555$456,332$25,716$35,066$1,901,134$436,044
Wendy Napolitano
VP Perf Oper$185,712$4,043$32,821$275,704$44,009$9,119

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.The following received a wellness program incentive:Nicolas Arredondo, highest compensated employee $300Greg Orr, officer 30The benefit is available for all employees.
Part I, Line 7: Non-Fixed payments not listed abovePhysician bonuses reported in Part II, column (ii) are based on worked RVUs.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Maine Health & Higher EduBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN010314384BondIssuerEIN
CUSIP56042RH88CUSIPNum
Bond Issued2021-05-01BondIssuedDt
Issue Price$101,765,219IssuePriceAmt
PurposeRefinance 2020 & 2014 BondsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingYes (true)PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$2,310,000RetiredAmt
Total Proceeds$101,765,219TotalProceedsAmt
In Reserve Fund$6,455,850InReserveFundAmt
Refunding Escrow$81,060,000RefundingEscrowAmt
Issuance Costs From Proceeds$933,374IssuanceCostsFromProceedsAmt
Other Spent Proceeds$13,315,995OtherSpentProceedsAmt
Substantial Completion2021SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJennifer Palminteri MDPersonNm
FieldValueIRS element (for citing)
Relationship Descriptionofficer=partnerRelationshipDescriptionTxt
Transaction$1,707,591TransactionAmt
Transactioncontractual provide serviTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationJennifer Palminteri, board member is partner of Chest Medicine Associates who contractually provides services to Northern Light Mercy Hospital.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$10,456NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$5,756NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$570NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Gift Certificate1$8,000FMV
Yes (X)Gift Certificate1$7,000FMV
Yes (X)Gift Cert18$18,113FMV
Yes (X)Jewelry2$475FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Charity care provided (at cost): 4,109 persons served OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2022 to the Community for details of comminity benefit projects at NLH members:Northern Light HealthPromisesAnnual Report 2022A promise made must be a promise kept. - AristotleWhen people keep their promises to us, we feel valued, respected, and appreciated. At Northern Light Health, we understand the importance of making a promise and doing the work to keep it.Our promise to the people and communities we serve across our great state of Maine is to make healthcare work for you. This means that we promise to get better every day by raising quality through teamwork, efficiency, and innovation. We promise to guide the way for our patients and their families, through the care experience. We live in a big, rural state, and we know access to care can be challenging for some people in our communities. So, we are committed to improving access. And last, but certainly not least, we promise to see patients as diverse individuals with their own unique needs.In this annual report, we highlight the ways our valued employees and community partners are working together to keep our promises to the communities we serve. From helping firefighters access lung cancer studies at world-class research hospitals, to helping busy parents schedule pediatrics appointments on their own time, and using the latest in diagnostic technology to help people with congestive heart failure stay out of the hospital. We are also helping the state address a critical shortage of psychiatric inpatient beds while addressing the state's long-term community-based mental and behavioral health needs.These stories in this report are just a few examples of the promises we work hard to keep every day. This work inspires us. We hope it inspires you too.Timothy J. Dentry, MBAPresident & CEONorthern Light HealthKathy CoreyBoard ChairNorthern Light HealthAcadia for AllEmerald Forcier is walking an aisle of gleaming white chairs carefully set on a lush green lawn overlooking the Penobscot River. Her husband, Kurt is hustling along on a lawn tractor, making sure the lawn is short and neat for the upcoming wedding the couple plans to host at their venue, Penobscot Bay Weddings in Winterport. As her four-year-old daughter, Maisie picks wildflowers, Forcier is holding her 8-month-old son Miles in her arms while she thinks about all the work she has left to do in the wedding tent. I often say to friends and family when they ask how I'm doing, I'm like, I am exhausted. We're starting a new business. And yet the deep, important things are wonderful.But seven years ago, things were not wonderful for Forcier in terms of her mental health. She was living on the island of Bali; she was having difficulty getting the medications to manage her depression, and she was in a suicidal state. She moved back to the United States and attended an inpatient treatment program, which she credits with saving her life. After six months of hard work restarting her life, she was back in Maine, but her health insurance was due to expire at the beginning of the new year. Despite spending four weeks consistently trying, Forcier could not access any outpatient provider to renew her prescriptions. Desperate for help, she ended up in a hospital emergency department on New Year's Eve 2015. Even then, she was sent away multiple times because psychiatric care was not available.I remember what it was like when I had reached my rock bottom and I needed inpatient services. I also remember the fear and helplessness of being stuck in the emergency department, unable to access the care I needed. I frankly cannot even imagine the terror and the sadness of experiencing both of these things at once. The day a person needs inpatient care is one of the worst days of their life. To be stuck in an emergency department with nowhere to go is a devastating experience far too many people face, and I cannot imagine a child or their parent going through that.Forcier's experience is unfortunately all too common. Across Maine, there simply are not enough inpatient beds and people who end up in crisis situations turn to hospital emergency departments.Nadia Mendiola, MD, an adolescent psychiatrist at Northern Light Acadia Hospital, sees it all too often. She says it's particularly troubling when children get stuck in these emergency departments for several weeks, or even months, waiting for an inpatient bed. Emergency care physicians, they're wonderful at their job but they're not psychiatrists. They have limited options, they have limited space, and you're talking about kids who can't even function in a big home or a big school and now you're confining them to a little spot. It's just not conducive to good care.This is one of the reasons why Northern Light Acadia Hospital is undertaking an ambitious expansion project to double the number of its single occupancy rooms. The 50,000 square feet expansion will add 50 pediatric inpatient rooms as well as new group and individual treatment spaces. The 50 existing inpatient rooms are being remodeled to single occupancy, adult inpatient rooms to better meet current behavioral healthcare standards.Acadia President Scott Oxley knows the expansion is needed. Unfortunately, the kids we see today are sicker than they were 30 years ago, so we need more circulation space, more room for group therapies. And really, our existing facility does not accommodate that, shares Oxley.In addition to the new inpatient rooms, there will also be an expansion of the Mood and Memory clinic for patients with Alzheimer's disease and dementia, and an endowment created for workforce development, recruitment, and retention. All this work requires substantial investment, and Oxley says community support thus far has been exceptional.Long term, the key to our success is early detection, early intervention, keeping folks in their communities, and keeping them out of the highest level of care. The reality is there's such a shortage of inpatient beds, that the need is urgent for inpatient beds while we work strategically and collaboratively on the longer-term plan.For more information about the Capital Campaign go to northernlight.org/AcadiaForAll Donors have given generously to the Acadia for All campaign including the Stephen and Tabitha King Foundation which donated one million dollars. OTHER PROGRAM SERVICES 6: Bingo!How's your heart health?Beverly Fowler is her name and Bingo is her game. Every Monday and Wednesday, Fowler leaves her Bangor apartment and heads to the Bangor Elks Lodge to have lunch with friends, play a few card games, and set up for evening Bingo. Usually on a Monday night, we get between 80 and 100 people, which is a good, good evening. Some winter nights, if it's snowing or something, we only get about 70, but that's still pretty good, she says. Fowler also plays Tuesdays, Thursdays, Fridays, and Sundays. Saturday is a free day, she says with a chuckle.At 83 years old, Fowler enjoys staying active and socializing, but managing her congestive heart failure was slowing her down. I kept filling up with fluids and ending up in the hospital for a week at a time. That's happened three or four times, says Fowler.Alan Jansujwicz, MD, general cardiologist and director of Northern Light Cardiovascular Care is working to improve the quality of life of patients like Beverly by keeping them out of the hospital. We know patients with heart failure end up being hospitalized over the course of time and each hospitalization matters. The statistics say that if you're hospitalized with heart failure, over the next six months to a year, your risk of not doing well is higher than before you were hospitalized, says Dr. Jansujwicz.Now, Northern Light Health is offering a new option to patients like Fowler, so they can monitor their condition and correct course before needing hospitalization. A remote monitoring device is implanted in the patient's pulmonary artery through a blood vessel in the groin. It measures pulmonary artery pressure and sends information to a receiver that resembles a giant pillow, which the patient lays on to take daily readings. The receiver records and sends the information to a secure website where a patient care manager like Janet Glidden, RN, BSN, MBA, reviews it. If Glidden sees troubling changes in a patient's numbers, she can call them and talk about what's happening. I'll look at their readings, and if I see they are ranging up, I'll call. They may not feel like there's any change, but I'll say, Your numbers are up. What did you do differently yesterday?' It almost always relates to diet or having too many fluids, Glidden shares.If the pressure's going up, it tells us the patient might be heading toward heart failure. Maybe we can stop that before it happens by increasing their therapies as opposed to them just slowly
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtGeorge Eaton, officer and Mike Varney, board member are board members of Galen Cole Family Foundation.
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsAmended Bylaws as follows:(1)Amended Article I (Name, Purpose, Registered Agent, Office, Seal), Section 1 (Name) added The Corporation is duly registered in the State of Maine to carry on activities under the assumed name Northern Light Mercy Hospital..(2)Amended Article I (Name, Purpose, Registered Agent, Office, Seal), Section 2 (Purposes and Disposition of Assets) Changed Sisters of Mercy to Sisters of Mercy of the Americas, (Sisters of Mercy).(3)Amended Article III (Board), Section 2 (Number and Tenure; Qualifications) under subsection b. Qualifications changed Northeast Community to Sisters of Mercy.(4)Amended Article III (Board), Section 5 (Annual Meeting and Regular Meetings) (a)Removed in Portland, Maine from the first sentence of Section 5: The Annual Meeting of the Corporation for the election of the Board of Trustees shall be held in Portland, Maine during the month of January in each year, at such time and place as shall be fixed by the Board of Trustees and set forth in the notice of the meeting.(5)Amended Article III (Board), Section 12 (Participation in Meeting by Telephone) (a)Changed Section name to Remote Participation in Meeting(b)Changed to Board members, or members of any Board committee, may participate in a meeting of the Board or such committee by, or conduct the meeting through the use of, any means of communication by which all persons participating in the meeting may simultaneously hear each other during the meeting, and such participation in a meeting shall constitute presence in person at such meeting(6)Amended Article V (Committees), Section 4 (Designations) - added although a non-Trustee committee member may chair a committee meeting in the absence of the committee chair to the end of the third sentence in Section 4, which now reads: Individuals other than Trustees may serve on all committees, provided nevertheless that the chair of each committee shall always be a Trustee, although a non-Trustee committee member may chair a committee meeting in the absence of the committee chair.(7)Amended Article V (Committees), Section 7 (Governance Committee) changed Northeast Community to Sisters of Mercy.(8)Amended Article V (Committees), Section 8 (Quality and Professional Affairs Committee) removed the last sentence of Section 8: A majority of the Committee must be independent as defined in Article VIII when functioning with such delegated authority.(9)Amended Article V (Committees), Section 11 (Catholic Identity and Ministry Committee) changed Northeast Community to Sisters of Mercy.(10)Amended Article VIII (Fiduciary Duty; Prohibited Transactions; Divided Loyalty; Independence), Section 5 (Independent Trustee) (a)Changed in subsection b. $10,000 to $100,000 in Neither the Trustee nor any member of the immediate family of the Trustee has, within any of the last three fiscal years of the Corporation, accepted payments from the Corporation and/or its affiliates aggregating in excess of $10,000 other than compensation to an immediate family member employed by the Corporation or any of its affiliates in a non-executive capacity, compensation for former services as chair or President, or benefits received under a tax-qualified retirement plan.(b)Changed in subsection e. $80,000 to $100,000 and $4,000,000 to $5,000,000 in Neither the Trustee nor any member of the immediate family of the Trustee is, or has been within the last three years, a partner, member, shareholder or executive officer of a company that made payments to, or received payments from, the Corporation and/or its affiliates in an amount which, in any of the last three fiscal years of the Corporation, equaled or exceeded (i) $80,000, or (ii) 2% of such companys consolidated gross revenues if such companys consolidated gross revenues were less than $4,000,000, in any of such three fiscal years.(11)Amended Article IX (Indemnification), Section 1 (Indemnification) - changed to read as follows:(a)The Corporation (i) shall in all cases indemnify any person who is or was at the time of the conduct in question, a trustee, officer or member of a committee of the Board of Trustees, or a director, officer or a member of a committee of the Board of Directors of the Corporations Member (Mandatory Indemnitees), and (ii) may (subject to subsection (c) of this section) indemnify any other person, who is or was a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative, by reason of the fact that such person is or was a trustee, officer, employee or agent of the Corporation or the Corporations Member, or is or was serving at the request of the Corporation as a director, officer, trustee, partner, fiduciary, employee or agent of another corporation, partnership, joint venture, trust, pension or other employee benefit plan or other enterprise (Discretionary Indemnitees) by reason of the fact that such person is or was a Board member, officer, employee or agent of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against expenses, including attorneys' fees, judgments, fines and amounts paid in settlement, actually and reasonably incurred by such person in connection with such action, suit or proceeding. Nevertheless, no indemnification shall be provided for any person with respect to any matter as to which such person shall have been finally adjudicated in any action, suit or proceeding not to have acted in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful. The termination of any action, suit or proceeding by judgment, order or conviction adverse to such person or by settlement or plea of nolo contendere or its equivalent shall not of itself create a presumption that such person did not act in good faith in the reasonable belief that such person's action was in the best interests of the Corporation or, with respect to any criminal action or proceeding, had reasonable cause to believe that such person's conduct was unlawful.(b)Indemnification of Mandatory Indemnitees shall be required in all cases regardless of the capacity in which such Trustee or a Director of the Corporations Member is or was made or threatened to be made a party to the action, suit or proceeding.(c)Indemnification of Discretionary Indemnitees under subsection (a)(ii), unless ordered by a court or required by these Bylaws, shall be made by the Corporation only as authorized in the specific case upon a determination that indemnification is proper in the circumstances and in the best interests of the Corporation. Where such a determination is required under this subsection, that determination shall be made by the Board of Directors of the Member and a majority vote of the Board of Trustees by Trustees who were not parties to that action, suit or proceeding. Provided, however, that if more than half of the Trustees are involved in such action, suit or proceeding, the determination shall be made by a majority vote of a committee of five disinterested Trustees chosen by the disinterested Trustees at a regular or special meeting. If there are fewer than five (5) disinterested Trustees, the determination shall be based upon the opinion of independent legal counsel retained by the Corporation for such purpose. Such a determination once made may not be revoked and, upon the making of that determination, the person being indemnified may enforce the indemnification against the Corporation by a separate action notwithstanding any attempted or actual subsequent action by the Board of Trustees or the Board of Directors of the Member.(12)Amended Article IX (Indemnification), Section 2 (Advances Against Expenses) added by a Mandatory or Discretionary Indemnitee and provided, however that advances for expenses incurred by Discretionary Indemnitees shall be made to the extent authorized for such Discretionary Indemnitee in accordance with Section 1(c) above.
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderMercy Hospital d/b/a Northern Light Mercy 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, Line 7a: How Members or Shareholders Elect Governing BodyEach year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is reviewed by the VP of Finance of Northern Light Mercy 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, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction.The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter.All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe President of Northern Light Mercy 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 meeting 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 - 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, Line 19: Other Organization Documents Publicly AvailableNorthern Light Mercy Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other DecreasesChange in net assets held @ NLH Foundation = -$982971
Other Changes In Net Assets Or Fund Balances - Other DecreasesChange in net unrealized losses on investments = -$413369

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill RoadBrewerME04412010527066Supporting org for healthcare affiliatesME501(c)(3)12 Type IIN/Afalse
Acadia Hospital Corp AHC
43 Whiting Hill RoadBrewerME04412010459837Provide healthcare servicesME501(c)(3)3falseEMHS
Acadia Healthcare Inc AHI
43 Whiting Hill RoadBrewerME04412223183888Provide healthcare servicesME501(c)(3)10falseAHC
Eastern Maine Medical Center
PO Box 404 489 State StBangorME044020404010211501Provide healthcare servicesME501(c)(3)3falseEMHS
Eastern Maine Medical Center Auxiliary
43 Whiting Hill RoadBrewerME04412010377901Fund raising for exempt EMMCME501(c)(3)10falseEMMC
Northern Light Health Foundation
43 Whiting Hill Road Ste 400BrewerME04412222514163Raise and manage funds for exempt orgsME501(c)(3)12 Type IIfalseEMHS
Rosscare
43 Whiting Hill RoadBrewerME04412010391038Provide services to elderlyME501(c)(3)PFfalseEMHS
Inland Hospital
200 Kennedy Memorial DriveWatervilleME04901010217211Provide healthcare servicesME501(c)(3)3falseEMHS
Lakewood
220 Kennedy Memorial DriveWatervilleME04901010421234Provide skilled and long-term nursing caME501(c)(3)3falseInland Hospital
CA Dean Memorial Hospital
Pritham Avenue PO Box 1129GreenvilleME044411129043341666Provide healthcare servicesME501(c)(3)3falseEMHS
Blue Hill Memorial Hospital
57 Water StreetBlue HillME046145231010227195Provide healthcare servicesME501(c)(3)3falseEMHS
Sebasticook Valley Health SVH
447 North Main StreetPittsfieldME04967010263628Provide healthcare servicesME501(c)(3)3falseEMHS
The Aroostook Medical Center TAMC
PO Box 151 140 Academy StreetPresque IsleME047690151010372148Provide healthcare servicesME501(c)(3)3falseEMHS
VNA Home Health & Hospice
225 Gorham Rd Ste 200South PortlandME04106010246804Provide home health and hospice servicesME501(c)(3)10falseEMHS
Eastern Maine Healthcare Real Estate
43 Whiting Hill RoadBrewerME04412010391036Leases of real estateME501(c)(2)falseEMHS
WorkHealth LLC
43 Whiting Hill RoadBrewerME04412474315094Provide healthcare servicesME501(c)(3)12 Type IIfalseEMHS
Maine Coast Regional Health Facilities
50 Union StreetEllsworthME04605010198331Provide healthcare servicesME501(c)(3)3falseEMHS
Maine Coast Medical Realty
50 Union StreetEllsworthME04605010390918Lease medical facilitiesME501(c)(3)12 Type IfalseMCH
Beacon Health LLC
43 Whiting Hill RoadBrewerME04412452967056Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
Beacon Rural Health LLC
43 Whiting Hill RoadBrewerME04412474483187Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
Beacon Health ACO Holdings LLC
43 Whiting Hill RoadBrewerME04412364903784Accountable care organizationME501(c)(3)12 Type IIfalseEMHS
LTC LLC
43 Whiting Hill RoadBrewerME04412010211501Operation of nursing homesME501(c)(3)3falseEMMC
Northern Light Medical Transport
43 Whiting Hill RdBrewerME04412830911574AmbulanceME501(c)(3)10falseEMHS
M Drug LLC
43 Whiting Hill RoadBrewerME04412272175482PharmacyME501(c)(3)3falseEMMC
MRH Corp dba NL Mayo Hospital
897 W Main StreetDoverFoxcroftME04426843689003Provide healthcare servicesME501(c)(3)3falseEMHS

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Affiliated Healthcare Systems AHS
43 Whiting Hill RoadBrewerME04412010385322Holding co.MEEMHSCfalse
Affiliated Laboratory Inc
43 Whiting Hill RoadBrewerME04412010381283Clinical labMEAHSCfalse
Affiliated Healthcare Management
43 Whiting Hill RoadBrewerME04412010349339Hlthcr mgmtMEAHSCfalse
Beacon Direct
43 Whiting Hill RoadBrewerME04412371864965Healthcare Self Funded TPAMEEMHSCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd