2022-08-03T08:32:15-07:00 2021-09-30 990 2020-10-01 010211534 Mercy Hospital Northern Light Mercy Hospital MERC 2079739081 175 Fore River Parkway Portland ME 04102 John J Doyle NLH VP OF FINANCE 2022-08-03 false John J Doyle 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z X John Doyle 254636071 false X https://northernlighthealth.org/Mercy-Hospita X 1945 ME Mercy 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. 21 14 1837 596 0 9339036 6318386 209752641 246553773 281649 -879510 296261 1291837 219669587 253284486 0 0 123962729 130918143 0 0 98555803 111710664 222518532 242628807 -2848945 10655679 210923997 246085431 165125331 189674825 45798666 56410606 X Mercy 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. false false 165445105 247553773 Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $3,450,274 32753253 Medicare shortfalls (at cost) 45,746 persons served 10847304 Medicaid shortfalls (at cost) 43,920 persons served 839287 209884949 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false true true true false false false false true false false false true 78 0 true 1837 true false false false false false false false 0 false false false false false false false X 21 14 false false false false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 044121005 Timothy Dentry Trustee/Ex-Off 1.00 50.00 X X 0 1055785 145096 John Wahlig Physician 50.00 0.00 1067416 0 40067 Nicolas F Arredondo Physician 50.00 0.00 816388 0 41672 Anthony Filer Treasurer 1.00 50.00 X 0 758458 57247 Glenn Martin Secretary 1.00 50.00 X 0 651790 112497 Lee Thibodeau Physician 50.00 0.00 714910 0 41622 Charles Therrien Pres/Ex-Off 50.00 0.00 X X 536221 0 101966 Mary Michelle Hood Former NLH President & CEO 1.00 50.00 0 599997 18136 Christopher Kleeman Medical Director 50.00 0.00 568265 0 31246 Craig Brett MD Trustee/Ex-Off 50.00 0.00 X 530006 0 36838 Paul Bolin SVP & CHRO 1.00 50.00 X 0 459978 106714 Wayne Kruithoff Physician 50.00 0.00 510178 0 8999 Benjamin Russell MD Trustee/PT YR 50.00 0.00 X 448940 0 28976 Colleen Hilton Former Officer 0.00 50.00 0 335658 73668 John Southall MD Trustee 50.00 0.00 X 361024 0 36717 Michael Duffy MD VP Senior Phys 50.00 0.00 X 314888 0 36696 Bette Neville Former VP, CNO 50.00 0.00 209936 98761 19758 Bruce Sandstrom Former VP of Finance 50.00 0.00 277668 0 13121 Melissa Skahan VP Mission Int 50.00 0.00 X 244049 0 30245 Wendy Napolitano VP Perf Oper 50.00 0.00 X 180465 0 39150 David Kennedy VP, Finance 50.00 0.00 X 88985 0 354 Greg Orr VP Medical Gr 50.00 0.00 X 52389 0 1633 Chris Howard Trustee 1.00 0.00 X 0 0 0 Arthur Batson III Trustee 1.00 0.00 X 0 0 0 Daniel McGarvey Trustee 1.00 0.00 X 0 0 0 Sister Anne-Marie Bourque Trustee 1.00 0.00 X 0 0 0 Laura Blaisdell MD Trustee 1.00 0.00 X 0 0 0 Sister Mary Morey Trustee 1.00 0.00 X 0 0 0 Mike Varney Trustee 1.00 0.00 X 0 0 0 Joseph Gray Trustee 1.00 0.00 X 0 0 0 Karen Pardue Trustee 1.00 0.00 X 0 0 0 Sister Judith Carey RSM Trustee/PT YR 1.00 0.00 X 0 0 0 Douglas McKeown Trustee/V Chair 1.00 0.00 X X 0 0 0 Paul Lones Chairman/PT YR 2.00 0.00 X X 0 0 0 William Schirmer MD Trustee 1.00 0.00 X 0 0 0 Dega Dhalac Trustee/PT YR 1.00 0.00 X 0 0 0 Debra D Taylor Trustee/Chair 2.00 0.00 X X 0 0 0 Sister Patricia Pora Trustee 1.00 0.00 X 0 0 0 Lisa Toner Trustee 1.00 0.00 X 0 0 0 Victoria Morales Trustee/PT YR 1.00 0.00 X 0 0 0 Jennifer Palminteri MD Trustee/Ex-Off 50.00 0.00 X 0 0 0 James Polewaczyk Trustee/PT YR 1.00 0.00 X 0 0 0 6921728 3960427 1022418 210 true true false CHEST MEDICINE ASSOCIATES 100 FODEN ROAD SUITE 103 SOUTH PORTLAND ME 04106 PHYSICIAN & DIRECTOR SERV 1607730 OGRADY-PEYTON INTERNATIONAL 4441 COLLECTION CENTER DRIVE CHICAGO IL 60693 TEMP STAFFING 690919 SPECTRUM HEALTHCARE 324 GANNETT DR SUITE 200 SOUTH PORTLAND ME 04106 TEMP STAFFING/PHSN 658570 HBCS 118 LUKENS DRIVE NEW CASTLE DE 19720 COLLECTION FEES 1066884 SOUTHERN MAINE ORTHOPAEDIC 16 NORTHBROOK DRIVE FALMOUTH ME 04105 PHYSICIAN FEES 730125 28 3465534 2330238 522614 39429 6318386 Cafeteria 722514 592635 592635 Education 611710 7500 7500 Net Patient Care Service 621990 245953638 245953638 246553773 384098 384098 0 0 329702 29083 300619 300619 300619 45594 1309202 -1263608 -1263608 -1263608 0 0 4518 13300 -8782 -8782 Insurance Proceeds 524298 1000000 1000000 1000000 253284486 246961138 4962 X 0 0 0 0 3069542 2342016 727526 0 105092348 98394894 6697454 3337374 3134565 202809 12541298 11766397 774901 6877581 6459636 417945 0 1436 71 1365 32480 32480 0 0 3199 2387 812 29709835 12336072 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false false false true 23524 23524 false false Part II-B, Line 1i - Other Activities Description Non-deductible dues 3558084 28673 620156 90133 4116780 3506492 4868 144504 97780 3558084 3492269 9344 67892 63013 3506492 1997798 1283502 273034 62065 3492269 1926568 1600 69630 1997798 1.00000 false true true 9703734 9703734 63702189 13999450 49702739 2025624 1554940 470684 55860796 40735624 15125172 57880952 537084 57343868 132346197 A/R Workers Compensation Insurance 1466238 Assets whose use is limited 1817536 Beneficial Interest in Perpetual Trusts 1063881 Board designated funds-Other 9661 Construction Fund 8144348 Investment in Net Assets held @ NLHF 9240552 Right-of-Use Operating Lease Assets 18780804 Self Insurance & Pension Plans 6687012 Temporarily Donor Restricted Funds 218095 47428127 Amounts due to Related Org 5586791 Deferred Compensation 6629823 Deferred Landmark Amort on MOB 30432 Deferred Oper Lease Costs 1224916 Estimated Third Party Payor Settlements 883024 LT Charitable Gift Annuity 5892 Reserve for Asset Disposal Costs 54514 Reserve for Self-Insurance Program 800194 Right-of-Use Operating Lease Liability 19685497 Unfavorable Val of Oper Lease 647394 35548477 X Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose. Part X : FIN48 Footnote Northern 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. true true true X true X true true false false true true 6813 839287 839287 0.00350 43920 31608722 20761418 10847304 0.04470 50733 32448009 20761418 11686591 0.04820 26 93 1732561 1732561 0.00710 1 5777 5777 4 6726 6726 31 93 1745064 1745064 0.00710 31 50826 34193073 20761418 13431655 0.05530 2 365218 365218 0.00150 1 578 578 3 365796 365796 0.00150 true 3450274 74051996 106805249 -32753253 X true true 1 1 Northern Light Mercy Hospital 144 STATE STREET PORTLAND ME 04101 northernlighthealth.org/Mercy- 38065 X X X Northern Light Mercy Hospital 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 19 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Mercy Hospital - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in the county. All forms of engagement included public forums and key informant interviews. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Local forums were conducted in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the October 4 and 11, 2018 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, pages 28-30): Acadia Healthcare, Africans for Improved Access, Allons Health, Alzheimers Association, American Cancer Society, Birch Lane Strategies/ CDPHC, Bridgton Academy, Bridgton Community Center, Bridgton Hospital, Bridgton Hospital Physicians Group, Bridgton Lake Region Rotary Club, Bridgton Public Library, Cardiac activist, speaker, author of, An Arrow through the Heart, Catholic Charities Maine, Center for Grieving Children, Center for Tobacco Independence/MaineHealth, Central Maine HealthCare, System Director, Primary Care, Central Maine Medical Group, City of Portland Public Health Department, City of South Portland, Community Advocate, Community Health Educator, Community Dental, Community Members, Crooked River Counseling, Cross Cultural Consulting Group, Cumberland County Food Security Council, Cumberland Public Health District, Cutler Research Institute, USM Muskie School, Day One, First Congregational Church of Bridgton, Frannie Peabody Center, Gateway Community Services, Good Shepherd Food Bank, Greater Portland Health, Greater Portland Council of Governments, Hanley Leadership Center, Harry E. Davis Pediatric Center, Harpswell Dept. of Safety and Emergency Services, Homeless Health Partners, House of Languages, Lake Region Community Health Board, Lakes Environmental Association, Lakes Region Recovery Center, Lakes Region Substance Abuse Coalition, LearningWorks/Americorps, Lakes Region Substance Awareness Coalition Board Member - Key Bank Employee, Maine Access Immigrant Network (MAIN), Maine Behavioral Healthcare/Spring Harbor Hospital, Maine CDC, District Public Health Liaison, Maine Families, Maine Farmland Trust, Maine Immigrants Rights Coalition, MaineHealth, MaineHeath Care Partners, Maine Medical Center for Outcomes Research and Evaluation, Maine Medical Center, Maine Medical Partners, Martins Point HealthCare, MedAccess, Memorial Hospital, NH, Mid Coast Hospital, MSAD 61, National Alliance on Mental Illness (NAMI), Nautilus Public Health, Navigator Program, Bridgton Community Center, Northern Light Home Care & Hospice, Northern Light Mercy Hospital, Planned Parenthood of Northern New England, Portland Outright, Preble Street Learning Collaborative, Retired founding officer of Genzyme Corp., Cambridge, Retired M.D., Retired/ Community Member, Retired/Volunteer, Sam L. Cohen Foundation, SoPo Unite, Spring Harbor Hospital, Tai Chi Maine, The Bridgton News, The Opportunity Alliance, The Opportunity Alliance/Head Start, Town of Bridgton, Grant Writer, Town of Bridgton/Harrison, Local Health Officer, Town of Gray, Tri County Mental Health, United Way of Greater Portland, U.S. Centers for Disease Control & Prevention, U.S. Committee for Refugees and Immigrants, University of New England, University of Southern Maine, Westbrook Schools, Special Supplemental Nutrition Program for Women Infants, and Children (WIC).Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically underserved and vulnerable populations to ensure their input was heard and captured included:Veterans; Tribal communities; Adults ages 65 and older who are isolated or have multiple chronic conditions; Non-native English speakers, undocumented individuals, immigrants, and refugees; Deaf individuals and those with other physical disabilities; Adolescents/youth; LGBTQ; People with mental health conditions and developmental disabilities; Rural individuals; Individuals in substance use disorder recovery/substance use disorder prevention and treatment professionals.The following is a list of organizations who participated in Key Informant Interviews. No Tribal representatives were able to be interviewed. In the future we hope to include this important group of in the CHNA process:Alpha One, Androscoggin Home Healthcare + Hospice, Bingham Foundation, Cary Medical Center, Catholic Charities of Maine, Community Concepts, Community Caring Collaborative, Edmund Ervin Pediatric Center, MaineGeneral Health, Equality Maine, Family Medicine Institute, Frannie Peabody Center, Greater Portland Council of Governments, Healthy Acadia, Healthy Androscoggin, Healthy Communities of the Capitol Area, Kennebec Valley Council of Governments, Long Creek Youth Development Center, Maine Access Immigrant Network, Maine Alliance for Addiction and Recovery, Maine Alliance to Prevent Substance Abuse, Maine Chapter Multiple Sclerosis Society, Maine Council on Aging, Maine Migrant Health, Maine Seacoast Mission, Millinocket Chamber of Commerce, National Alliance on Mental Illness, Nautilus Public Health, Northern Light Maine Coast Hospital, Office of Aging and Disability Services, Penquis Community Action Agency, Portland Public Health, Seniors Plus, Sunrise Opportunities, Tri-County Mental Health Services, United Ambulance Service, Veterans Administration Maine Healthcare System, York County Community Action Corporation. Facility: Northern Light Mercy Hospital - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. Facility: Northern Light Mercy Hospital - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light 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 FY21: Northern Light Mercy Hospital participated in the Northern Light Social Determinants of Health (SDOH) system workgroup, which met bi-weekly through November 2020. The workgroup suspended meetings after this date to accommodate new system-level SDOH efforts. In January 2021, Northern Light activated four critical path project teams to plan and operationalize a system approach to identifying patients with social health needs. These groups oversaw standardization of the Cerner Social History Tool in the medical record, which will ensure patient demographics and health history are documented in a consistent fashion across all Northern Light member hospitals. The existing Food Insecurity form in Cerner was then updated to include six additional evidence-based questions to assess patients housing status and safety, transportation, utilities, daily activities, and isolation. The updated screening form aligns with most of the recommendations developed by the SDOH workgroup members. Both the SDOH Screening form and the updated Social History Tool went live in Cerner on 5/18/21 and are now available for use. Additional efforts during this year included foundational work to operationalize the Social Vulnerability Index and developing recommendations for implementation of a social care network platform (called Aunt Bertha). These additional Cerner functions are slated to go live in fiscal year 2022 (FY22) and will provide Northern Light with enhanced ability to understand social needs by populations and geographic location and provide seamless patient referrals to community-based organizations for assistance with social needs. Moving forward, the SDOH workgroup will be re-established in FY22 as the SDOH Team and report to Northern Lights Quality Council and will be responsible for developing, implementing, monitoring, and evaluating the effectiveness of the systems implementation of SDOH screening and intervention.Substance useActions taken by Mercy Hospital to address this priority in FY21: Northern Light Mercy Hospital advanced internal as well as external efforts to allow seamless access to Medication Assisted Treatment. These efforts include the training for Mercy employed providers and planned transition of prescribing to primary care physicians. This strategy also includes the expansion of McAuley Residence in Bangor with a third site planned for Mercy Hospitals campus redevelopment, participation in the MaineMOM effort for mothers with opioid use disorder, and the continued efforts of the Greater Portland Addiction Collaborative.Access to careActions taken by Mercy Hospital to address this priority in FY21: Northern Light Mercy Hospital provided onsite universal COVID-19 testing and vaccination for vulnerable persons. This required clinical and non-clinical staff to travel to homeless shelters, Cumberland County Jail, housing authority developments, and other area low-income elderly housing facilities to offer both testing and vaccination. Mercy also launched a mass vaccination clinic at the Portland Exposition Building with special attention to New Mainers. This required the engagement of informal and formal leaders, the creating of multiple multilingual videos to promote vaccination, and the development of alternative pathways to registration and scheduling vaccination appointments.Mental healthActions taken by Mercy Hospital to address this priority in FY21: Northern Light Mercy Hospital delivered multiple trainings to clinical teams, community, and emergency medical services (EMS) for increased understanding of patients with co-occurring disorders. A panel of women with polysubstance use disorder, who were pregnant or post-partum was held on January 21st for clinical teams. A presentation by Sadie Knott, PMHNP and lead provider for medication-assisted treatment (MAT) around prevalent street drugs was delivered on May 19th. Mercys two Recovery Coaches have started to attend staff meetings to provide education around lived experience and opportunity for their support of hospitalized patients and those in the outpatient practices.Older adult health/healthy agingActions taken by Mercy Hospital to address this priority in FY21: Northern Light Mercy Hospital delivered four presentations to increase awareness of end of life and palliative care options.Additional information related to actions taken by Northern Light Mercy Hospital on the above priorities can be found in their FY21 Progress Report to Our Community at https://northernlighthealth.org/2019-Community-Health-Strategy. Northern Light Mercy Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. Northern Light Mercy Hospital has opted to work on all top five priorities as identified in the Shared CHNA. Facility: Northern Light Mercy Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is: https://northernlighthealth.org/Mercy-HospitalResponse for 7b (list URL) is: https://northernlighthealth.org/Community-Health-Needs-Assessment/2019-CHNA-ReportsResponse for 10a (list URL) is:https://northernlighthealth.org/2019-Community-Health-StrategyResponse for 16a, 16b, 16c (list URL) is https://northernlighthealth.org/Mercy-Hospital under "Pay My Bill" Northern Light Womens Health 195 Fore River Parkway Suite 310 Portland ME 04102 Medical Office Building - Physician Svc Northern Light Breast Care 195 Fore River Parkway Suite 250 Portland ME 04102 Medical Office Building - Physician Svc Northern Light PrimaryUrgent Care 19 South Gorham Crossing Gorham ME 04038 Medical Office Building - Physician Svc Northern Light Cancer Care 195 Fore River Parkway Suite 360 Portland ME 04102 Medical Office Building - Physician Svc Northern Light Lymphedema Care 1364 Congress Street Suite 3 Portland ME 04102 Medical Office Building - Physician Svc Northern Light Spine Surgery 195 Fore River Parkway Suite 440 Portland ME 04102 Medical Office Building - Physician Svc Northern Light Endocrinology and Diabetes Care 144 State Street 4th Floor Portland ME 04101 Medical Office Building - Physician Svc Northern Light Cardiovascular Care 144 State Street 5th Floor Portland ME 04101 Medical Office Building - Physician Svc Northern Light Gastroenterology 25 Long Creek Drive South Portland ME 04106 Medical Office Building - Physician Svc Northern Light Womens Imaging 195 Fore River Parkway Suite 260 Portland ME 04102 Medical Office Building - Mammography Svc Northern Light Pain Management 144 State Street 1st Floor Portland ME 04101 Medical Office Building - Physician Svc Northern Light Physical Therapy 1364 Congress Street Suite 3 Portland ME 04102 Medical Office Building - Physical Therapy Svc Northern Light Primary Care 778 Main Street Suite 1 South Portland ME 04106 Medical Office Building - Physician Svc Northern Light Internal Medicine 43 Baxter Boulevard Portland ME 04101 Medical Office Building - Physician Svc Northern Light Surgery 195 Fore River Parkway Suite 420 Portland ME 04102 Medical Office Building - Physician Svc Northern Light Primary Care 75 Gray Road Falmouth ME 04105 Medical Office Building - Physician Svc Northern Light PrimaryUrgent Care 409 Roosevelt Trail Windham ME 04062 Medical Office Building - Physician Svc Northern Light Wound Care 144 State Street 4th Floor Portland ME 04101 Medical Office Building - Physician Svc Northern Light Primary Care 385 Route One Yarmouth ME 04096 Medical Office Building - Physician Svc Dr Harry E Davis Pediatrics 195 Fore River Parkway Suite 160 Portland ME 04102 Medical Office Building - Physician Svc Dr Harry E Davis Pedatrics 385 Route One Yarmouth ME 04096 Medical Office Building - Physician Svc Dr Harry E Davis Pediatrics 409 Roosevelt Trail Windham ME 04062 Medical Office Building - Physician Svc Northern Light Ear Nose and Throat Care 195 Fore River Parkway Suite 420 Portland ME 04102 Medical Office Building - Physician Svc Northern Light Mercy Midwives 527 Ocean Avenue Portland ME 04103 Medical Office Building - Physician Svc Northern Light Orthopedics 20 Northbrook Drive Falmouth ME 04105 Medical Office Building - Physician Svc Part I, Line 6a - Related Organization Community Benefit Report The 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 Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 17 to 20 - Revenue Recognition and Patient Accounts Receivable section. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Northern Light 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 Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary Part VI, Line 4 - Community Information Located in 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 demographic and social determinants of health data are provided below for Mercy Hospital based on the hospitals physical location in Cumberland County.Cumberland County - Demographic Data: American Indian/Alaskan Native 0.2% (650), Asian 2.0% (5,899), Black/African American 2.7% (7,833), Hispanic 1.9% (5,538), Some other race 0.4% (1,132), Two or more races 2.3% (6,768), White 92.3% (265,918). Total county population 288,204.Cumberland County Social Determinants of Health Data: Median household income $61,902, Unemployment rate 2.9%, Individuals living in poverty 11.1%, Children living in poverty 13.3%, 65+ living alone 46.4%, People living in rural areas 36.1%, Food insecurity 14.0%.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 Activities Northern Light Mercy Hospital's holds annual community health sessions and community building activities for the general public and vulnerable populations. In 2021, these activities included coordinating COVID 19 response by developing remote and universal COVID testing sites, supporting community response for COVID positive patients, education and messaging to promote vaccine confidence, and mass vaccination planning with Portlands Public Health, Public Housing Authority, non-profit community-based organizations, social service providers, and faith communities Health education sessions and health promotion clinics with preventive screening also occurred with partner organizations. Garys House, a department of Northern Light Mercy Hospital, is a safe, comfortable, and affordable home-away-from-home for families and individuals with loved ones receiving medical treatment in any greater Portland area hospital. Nine individual apartments and beautiful dining area and kitchen facilities provide respite for families. A donation of $15 per night is accepted for those able to pay for lodging. Several local organizations such as the United Way and UNUM volunteer regularly at Garys House. Northern Light Mercy Hospital operates McAuley Residence, a comprehensive two generational program for families affected by substance use disorder. The program provides intensive wrap-around services for both mother and child(ren) during a two-year length of stay. Northern Light Mercy Hospital offers Rapid Access Medication Assisted Treatment in the Emergency Department for persons with Opioid Use Disorders and partners with Amistad Peer Support and Recovery for Recovery Coaching Services. Northern Light Mercy Hospital facilitates a weekly meeting of providers and staff to advance the coordination of care, ensure vulnerable patients have access to a medical home, and address the social determinants of health such as housing, transportation, food, and medications for persons who use the Emergency Room frequently. Part VI, Line 5 - Promotion of Community Health Northern Light Mercy Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Health Care Support Services: Maine Cancer Foundation 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 - Develop housing-based programs employing evidence-based strategies in a holistic approach to recovery for vulnerable families affected by substance abuse. Program must treat mother affected by substance abuse with at least one child under 10 years of age; John T Gorman McAuley Residence Support - Bolster interventions and supports provided to the children and parents participating in the McAuley Residence program.The majority of Northern Light Mercy Hospitals Board of Directors resides in the primary service area and are 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 System The 2019 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.Northern Light Mercy Hospital participated in two CHNA public forums to garner feedback and insights from local community members. Part VI, Line 7 - States Filing of Community Benefit Report N/A X true true false true false false false false false true false Anthony Filer Treasurer 584879 158088 15491 22800 34447 815705 Benjamin Russell MD Trustee/PT YR 374037 68500 6403 6528 22448 477916 Bette Neville Former VP, CNO 163569 85623 36972 10688 9395 2450 4086 7046 8626 221068 107387 Bruce Sandstrom Former VP of Finance 189593 43562 44513 3538 9583 290789 Charles Therrien Pres/Ex-Off 404113 105437 26671 79786 22180 638187 Christopher Kleeman Medical Director 426261 139976 2028 31246 599511 Colleen Hilton Former Officer 263550 68233 3875 58995 14673 409326 Craig Brett MD Trustee/Ex-Off 439284 67258 23464 7125 29713 566844 Glenn Martin Secretary 443589 165077 43124 88916 23581 764287 John Southall MD Trustee 333877 25330 1817 7033 29684 397741 John Wahlig Physician 865714 178895 22807 7125 32942 1107483 Lee Thibodeau Physician 664446 16236 34228 7125 34497 756532 Mary Michelle Hood Former NLH President & CEO 277407 322590 10317 7819 618133 Melissa Skahan VP Mission Int 203210 37889 2950 5104 25141 274294 Michael Duffy MD VP Senior Phys 265034 47058 2796 7125 29571 351584 Nicolas F Arredondo Physician 717634 72435 26319 7125 34547 858060 Paul Bolin SVP & CHRO 365022 59878 35078 71686 35028 566692 Timothy Dentry Trustee/Ex-Off 860379 182026 13380 112598 32498 1200881 Wayne Kruithoff Physician 424870 60000 25308 7125 1874 519177 Wendy Napolitano VP Perf Oper 148117 28864 3484 7118 32032 219615 Part I, Line 1a: Relevant information in regards to selections on 1a. The following received a wellness program incentive:Nicolas Arredondo, highest compensated employee $400Michael Duffy, officer 160 Wayne Kruithoff, highest compensated employee 400 Charles Therrien, director/officer 50 The benefit is available for all employees. Part I, Line 7: Non-Fixed payments not listed above Physician bonuses reported in Part II, column (ii) are based on worked RVUs. A Maine Health & Higher Edu 010314384 56042RH88 2021-05-01 101765219 Refinance 2020 & 2014 Bonds false false true A 101765219 6455850 83370000 933374 11005995 2021 false true true true A false false false false false true A false true false NA false NA false true A true Jennifer Palminteri MD officer=partner 1621242 contractual provide servi false Sarah Varney fam mem=brd mem 107428 compensation false Schedule L, Part V Supplemental Information Jennifer Palminteri, board member is partner of Chest Medicine Associates who contractually provides services to Northern Light Mercy Hospital.Sarah Varney is a family member of a board member and is an employee of Northern Light Mercy Hospital. X 2743 FMV X 6 17925 FMV X GIFT CERTIFICATE 1 8061 FMV X GIFT CERT 11 10520 FMV X JEWELRY 1 180 FMV false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Charity care provided (at cost): 6,813 persons served OTHER PROGRAM SERVICES 5: Please see the following excerpt from the Northern Light Health Annual Report 2021 to the Community for details of community benefit projects at NLH members:Community partnershipsTeamworkThe greatness of a community is most accurately measured by the compassionate actions of its members." - Coretta Scott King These words strongly resonate when we look across our Northern Light Health community. If we measure a community's greatness by the compassionate actions of its members, then we are truly surrounded by greatness and there is much to celebrate. Our culture of caring begins with caring for one another and extends to the care we deliver to people across Maine in the many communities we serve. But if the pandemic has taught us anything, it's that compassion is evident not only in our excellent staff and community members but also in our community partners. Your generosity and innovation have helped extend our reach in living up to our promise to make healthcare work for the people we serve. Our list of community heroes is long, and this Annual Report only features a handful of the people and organizations who have made an important difference during a challenging time. We hope you find these stories as empowering and inspirational as we do.Timothy J. Dentry, MBA President & CEO Northern Light HealthKathy Corey Board ChairNorthern Light HealthA vaccine for everyone AccessOn a sunny July day, a brightly colored RV emblazoned with the faces of children from across the world sits parked outside the Luca Caf in Arundel. The Luca Caf is a quaint seasonal restaurant with Asian-inspired food that has covered outdoor seating and picnic tables. Standing beside some tables and folding chairs in front of the RV, Peggy Akers, RN, and Mary Robbins, RN, two Northern Light Home Care & Hospice nurses, administer doses of the COVID-19 vaccine to a diverse and willing group of peoplea group which might not have been vaccinated if not for the convenience of this mobile clinic and all the community partners that made it possible. There are populations that we are just not reaching. People who are undocumented, who would feel unsafe coming to a mass vaccination clinic where they might otherwise be asked to present identification or insurance information. We as an organization make it our mission that the only requirements for getting vaccinated are, are you a human being and do you want to be vaccinated? shares Robbins.Their partners for this clinic are Maine Community Action Partners, the New England Arab American Organization, Maine Association for New Americans, Maine Access Immigrant Network (MAIN), and the Maine Department of Health and Human Services COVID-19 Community Support Team. Chanbopha (Chan) Himm is also a member of the support team and co-founder of the Cambodian Community Association and Unified Asian Communities. Her mission is to help get people in underserved populations vaccinated. As some Asian Americans show up, she speaks with them in their native language and offers assurances. She has a welcoming smile and charisma, which seems to make her a natural fit for this kind of work. "They couldn't ask for a better place to get vaccinated," explains Himm, "because they've got the nurses here that care so much about them. And then they've got their cultural brokersthe ones doing the translations, the community leaders standing right behind them and letting them know that they're going to be okay. What more can someone ask for?" Himm is not just offering lip service when she compliments the Northern Light Home Care & Hospice nurses doing the clinics. Both Akers and Robbins have been doing this kind of work for a long time with community partners and have earned praise for their compassion and sensitivity. "I feel so lucky in a way to be part of this journey. Doing these vaccines has just been such a gift," shares Akers.If you would like to learn more about the COVID-19 vaccine or get vaccinated, please visit https://covid.northernlighthealth.org/Good health is good businessResiliencyA light summer breeze comes off the Union River as customers gather on picnic tables shaded by umbrellas on the lawn outside the Union River Lobster Pot restaurant in Ellsworth. They are hoisting glasses of cold draft beer as servers carry out plates piled high with steamed clams and boiled lobster garnished with leafy green parsley and lemon wedges. To restaurant owner Brian Langley, the summer of 2021 looks a lot different than the summer of 2020. It's a lot closer to normal, at least in terms of business volume. "We've seen a real influx of customers looking to escape to Maine from wherever they were in the country. They had to get out, and they wanted to go someplace safe. Maine was the epitome of both of those things, says Langley.But as normal as things look, it was a challenge to get here. Like many business owners, Langley was dealing with so many unknowns. How could he keep employees and customers safe from COVID-19? How could he overcome supply chain issues, staffing shortages, social distancing requirements, and government mandates? For these questions and more, Langley turned to Northern Light Health which had started offering business-to-business webinars via the Zoom video conferencing portal. "We call these webinars Good Health is Good Business," explains Carrie Arsenault, MBA, president of Northern Light Beacon Health, which spearheads the webinar series. "We bring experts together from across Northern Light Health and share resources and advice on how to return to business safely for employees, visitors, and customers." As a large employer dealing directly with COVID-19, Northern Light Health had the expertise and resources that business owners needed, with experts in infection prevention, supply chain, finance, and behavioral health, to name a few. "One of the reasons you found me every two weeks watching the webinars was to get an idea of what we would be facing, explains Langley. I looked for trusted information, and there you had it from the horse's mouth. You could ask the doctors and other experts direct questions, and if they didn't know something they acknowledged that. It wasn't curated, it was objective and unbiased" Langley explains. A planning group meets regularly to discuss topics, create presentations, and book panelists. James Jarvis, MD, FAAFP, Physician Leader, Incident Command, Northern Light Health, is a frequent panelist because of his expertise in the COVID-19 response. "Initially, I think they just wanted updates on what healthcare was doing and what was going on in our communities in relation to COVID-19. We realized that we needed to be a voice of science and reason to help mitigate fear. There was so much unknown in the beginning part of this pandemic that we felt an obligation to inform our businesses and communities of what we knew and what we thought was going to happen," explains Dr. Jarvis. Another panelist, Yemaya St. Clair, LCPC, counselor, Northern Light Work Force EAP, was brought in to offer mental health advice to business owners. Many recognized that their employees, and in some cases customers, were struggling to cope with the new normal of the pandemic. "Early on, when the masking mandates went into effect, we provided coaching around de-escalation, to help people stay calm. We also provided resiliency training and ways to help manage stress," shares St. Clair. For Brian Langley, valuable advice helped him navigate an uncertain time, helped his employees cope, and provided current information to help adapt his business. He used the pandemic as an opportunity to try new menu items and offerings, such as outdoor seating. Eventually, Langley took what he learned and shared it with other business owners as a webinar panelist. "What can I do that's different, and how do I survive? I think that's what I wanted to share," explains Langley. Arsenault says Northern Light Beacon Health will continue offering the webinars as long as there is a community need. "We are thrilled to be part of the solution to create healthy employees, healthy businesses and, as a result, healthy communities."Ladders of opportunityPart 1 DiversityWhen Ngozi Christopher, RN, BSN, first started working at Northern Light Eastern Maine Medical Center in 2017, she had already worked as a nurse for several years in Nigeria. She had clinical experience and a nursing education but didn't know how steep the cultural curve would be. She remembers one particularly difficult exchange with a patient's wife who was mad at Ngozi because she wouldn't make constant eye contact with her or her husband. "In Nigeria, when you're talking to an elder, you're not supposed to look eye-to-eye because thats a sign of rudeness," Ngozi explains. She now understands that generally, eye contact is important in western culture. Ngozi was recruited to work at Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Mercy 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 Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the NLH Board of Directors. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The NLH President has authority to appoint and remove the SVP, President of the Corporation. NLH also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. amendments to the corporations Articles of Incorporation or Bylaws;II. changes in legal form of organization of the Corporation;III. election of the Directors/Trustees of the Corporation;IV. action concerning the Corporations operating budget and capital expenditures;V. the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. transfer of 5% or more of the assets of the Corporation;VII. financing transactions concerning the Corporation; VIII. merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. add or revise a health care service of the Corporation;X. discontinue or close a health care service of the Corporation;XI. action concerning the Corporations role in the NLH Strategic Plan;XII. action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with NLH; andXIII. dissolution of the Corporation. Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the 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 Conflicts The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction.The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter.All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The 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 Available Northern Light Mercy Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. 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