2022-08-03T10:41:06-07:00 2021-09-30 990 2020-10-01 843689003 MRH Corp Northern Light Mayo Hospital MRHC 2079739081 43 Whiting Hill Road Brewer ME 04412 John Doyle NLH VP of Finance 2022-08-03 false John Doyle 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z John Doyle 60263205 false 5247 X https://northernlight.org/mayo X 1978 ME The mission of MRH Corp. d/b/a Northern Light Mayo Hospital is to provide up-to-date, high quality, compassionate and affordable healthcare. 13 9 541 70 0 186127 278298 32225966 59966942 92686 5474 34901 856 32539680 60251570 0 0 20661210 34876272 0 0 10618118 20633178 31279328 55509450 1260352 4742120 38455548 37605393 32748067 27139100 5707481 10466293 X The mission of MRH Corp. d/b/a Northern Light Mayo Hospital is to provide up-to-date, high quality, compassionate and affordable healthcare. false false 48691879 59966942 MRH Corp. d/b/a Northern Light Mayo Hospital is a 25 bed Critical Access Hospital in the Maine Highlands region providing emergency, ambulance, inpatient acute care, primary care, internal medicine, OBGYN, pediatrics, urology, general surgery, orthopedic surgery and behavioral health. Provided $99,830 other uncompensated care (at cost).Additional Statistics:Outpatient vists 10,835Emergency room visits 9,470Hospital admissions 1,426Ambulance transports 3,182 309562 Charity care provided (at cost) 303 persons served. 308762 Medicare shortfalls (at cost) 603 persons served. 49310203 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 85 0 true 541 true false false false false false false false 0 false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true true false false ME X X X John J Doyle 2079739081 43 Whiting Hill Road Brewer ME 04412 Timothy Dentry Ex-Officio 1.00 50.00 X X 0 1055785 145096 Anthony Filer Treasurer 1.00 50.00 X 0 758458 57247 Glenn Martin Secretary 1.00 50.00 X 0 651790 112497 Paul Bolin SVP & CHRO 1.00 50.00 X 0 459978 106714 Ahmad Abed Elnoor Physician 40.00 0.00 512917 0 40655 Marie Vienneau Ex-Officio 30.00 20.00 X X 216088 144059 54241 David McDermott MD Sr Physician Ex 37.00 13.00 X 279429 93143 38345 Abhijit Shaligram MD Ex-Officio 50.00 0.00 X 374873 0 32717 Kristen Wagner Physician 40.00 0.00 336466 0 27490 Jessica Richmond Physician 40.00 0.00 332920 0 17380 Krysten Sutton Physician 40.00 0.00 329713 0 6000 Robert Rice Physician 40.00 0.00 289071 0 16556 Robert Lodato MD Ex-Officio 50.00 0.00 X 296506 0 7689 Jennifer Goodrich VP Finance 25.00 25.00 X 117325 117325 35862 Denise Scuderi VP Patient Care 50.00 0.00 X 194207 0 24236 Nikki Chadwick VP Quality & Ed 50.00 0.00 X 159729 0 21840 Barbara Austin Trustee 0.50 0.00 X 0 0 0 George Barton Trustee 0.50 0.00 X 0 0 0 Jensen Bissell Trustee 0.50 0.00 X 0 0 0 Dr Richard Cabot Vice Chair 1.00 0.00 X X 0 0 0 Stephanie Doore Trustee/Asst Se 0.50 0.00 X 0 0 0 Kimberly Ellms Trustee 0.50 0.00 X 0 0 0 Vittoria Stevens Trustee 0.50 0.00 X 0 0 0 Amanda Thomas Chairman 1.00 0.00 X X 0 0 0 Andrew Walker Trustee 0.50 0.00 X 0 0 0 Tony Zambrano Trustee 0.50 0.00 X 0 0 0 3439244 3280538 744565 48 false true false Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 Software Support 1123643 Focusone Solutions LLC 13609 California St Omaha NE 68145 Staffing Services 417920 Comtrix Solutions 23099 Red Sunset Place Aldie VA 20105 Staffing Services 314426 Down East Othopedics 78 Ridgewood Dr Bangor ME 04401 Physician Services 232455 Securitas Security Services USA Inc PO Box 403412 Atlanta GA 30384 Security Services 171233 13 41588 194587 42123 1370 278298 Cafeteria 722514 27502 27502 Education 611710 10844 10844 Net Patient Care Service 621990 59928596 59928596 59966942 4572 4572 0 0 1300 1300 1300 1300 12000 11098 902 902 902 0 0 93 537 -444 -444 0 60251570 59939440 33832 X 0 0 0 0 1803874 1419985 383889 0 26757732 23760377 2997355 179220 159687 19533 4304592 3895059 409533 1830854 1666073 164781 0 872 779 93 27737 27737 0 0 0 6302542 5452738 849804 83358 83358 1008362 621693 386669 1364311 1219042 145269 0 1068425 911359 157066 58092 45353 12739 0 41238 41098 140 145778 124348 21430 0 1658988 1202572 456416 674151 602369 71782 Medical Supplies 5723389 5723389 Taxes & Licenses 1629868 1624837 5031 Repairs & Maintenance 676551 592493 84058 Miscellaneous 106229 103339 2890 63287 60255 3032 55509450 49310203 6199247 0 7106247 4654447 4745633 3365058 0 13225751 17317784 0 0 211821 79480 962843 898882 547690 450388 11539176 2483475 10050783 9055701 0 0 0 50000 50000 1554780 1733653 38455548 37605393 24365395 20958991 7142215 5197715 858909 467271 381548 515123 32748067 27139100 X 4623469 9365001 1084012 1101292 5707481 10466293 38455548 37605393 X 4742120 16692 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 10023 10023 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 1690000 1690000 1559908 181600 1378308 7773527 2247805 5525722 515741 54070 461671 9055701 Deferred Compensation 515123 515123 X Part X : FIN48 Footnote Income TaxesNorthern Light Health, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying 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 the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. Northern Light Health has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of Northern Light Health's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material. true true true X true X true true false false true true 303 149198 149198 0.00270 303 149198 149198 0.00270 3 216606 216606 0.00390 2 104509 104509 0.00190 5 321115 321115 0.00580 5 303 470313 470313 0.00850 true 99830 2114575 2423337 -308762 X true true 1 1 Northern Light Mayo Hospital 897 W Main Street Dover Foxcroft ME 04426 northernlighthealth.org/Mayo 39260 X X X X Northern Light Mayo Hospital 1 false false true X X X X X X X X X 19 true true true true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X true 20 true See Part V, Line 16j for URL false false true X 150.0000 250.0000 X true true X X X true X See Part V, Line 16j for URL X See Part V, Line 16j for URL X See Part V, Line 16j for URL X X X X X X X true X false X X X X true X false false Facility: Northern Light Mayo Hospital - Part V, Section B, Line 3j Part V, Line 2 - Acquisition of Facility Placed in ServiceDue to system limitations, unable to answer yes to question number 2 and e-file the return. Following is the details of the acquisition:The Hospital (f/d/b/a/ Hospital Administrative District No. 4 d/b/a Mayo Regional Hospital) became a member hospital of Northern Light Health effective as of March 1, 2020. This was accomplished through the filing of Articles of Merger with the Maine Secretary of States office pursuant to which Hospital Administrative District No. 4 merged into MRH Corp., a Maine non-profit, public benefit corporation whose sole corporate member is Northern Light Health. The effect of the merger described above is that as of March 1, 2020, the Hospital became a non-profit, public benefit corporation governed by the Maine Nonprofit Corporation Act.Part V, Line 3j - Description of Other Needs AssessmentBecause of its status as a quasi-governmental hospital administrative district, prior to March 1, 2020, HAD#4, the predecessor by merger to Northern Light Mayo Hospital, was not required to provide certain reporting elements connected to the Community Health Needs Assessment. Northern Light Mayo Hospital intends to evaluate and report on the impact of its efforts going forward. Facility: Northern Light Mayo Hospital - Part V, Section B, Line 5 The Maine Shared CHNA research team conducted a statewide qualitative assessment among stakeholders to identify and prioritize significant health issues in communities across the state. The assessment, coordinated with the Maine CDC, engaged public health expertise throughout the process. Community outreach was conducted between September 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 under-served, low-income, or minority populations. The following organizations attended the September 18, 2018 Piscataquis 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 Piscataquis County CHNA report, pages 25-27): Bangor Public Health and Community Services, Bangor Public Health Department, Charlotte White Center, Division for the Blind and Visually Impaired, Eastern Area Agency on Aging, Helping Hands with Heart, Maine CDC, Maine Family Planning, Maine Highlands Senior Center, Maine Resilience Building Network, Mayo Regional Hospital, Mayo Regional Hospital Community Outreach, Northern Light Acadia Healthcare, Northern Light Acadia Hospital, Northern Light CA Dean Hospital, Northern Light CA Dean Hospital Foundation, Northern Light Health, Northern Light Health Foundation, Northern Light Home Care & Hospice, Partners for Peace, Penquis, Penquis Public Health District, Pine Tree Hospice, Piscataquis County Economic Development Council, Piscataquis Democratic Committee, Piscataquis Regional Food Center, Regional School Unit 68, Retired individual, The Commons at Central Hall, United Way of Eastern Maine, University of Maine Cooperative Extension, U.S. Senator Angus King's Office.Key informant interview populations identified by the Maine Shared CHNA steering committee included medically under-served 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.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 Mayo Hospital - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maine's 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 Mayo Hospital - Part V, Section B, Line 11 The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Northern Light Mayo Hospital's 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 Mayo 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 Hospital's governing board. Northern Light Mayo Hospital identified five priority areas of focus addressing the significant needs identified in its 2019 CHNA as follows:Substance useActions taken by Mayo Hospital to address this priority in FY21: Northern Light Mayo Hospital struggled to gain traction in this particular area. In person meetings were significantly affected due to COVID-19 restrictions. The internal Mayo Hospital team met to discuss alternative delivery options such as using ZOOM as a platform to deliver education, however the team felt it would be difficult to get the word out and gain momentum. We decided to pause progress on this measure until in person meetings could resume. In September of 2021 we discussed the possibility of hiring a childbirth educator who would work with expectant mothers with substance use disorders in addition to the regular childbirth education classes. We are hopeful to have this position in place by Spring of 2022.Mental healthActions taken by Mayo Hospital to address this priority in FY21: Northern Light Mayo Hospital was unable to decrease the number of patients utilizing the Emergency Department for mental health needs. A barrier to this seems to be an increase in mental health patients amidst a pandemic we are still working to get under control. We have had positive, engaging conversations with leaders and plan to continue this work when the Emergency Department is not so overwhelmed with the Pandemic.Access to careActions taken by Mayo Hospital to address this priority in FY21: Northern Light Mayo Hospital worked to increase access to same-day visits in our Primary Care offices. When this plan was developed in the fall of 2020, we had a false sense of hope the Pandemic would not plague our efforts. Due to continued COVID-19 related factors we were unable to increase access to same-day visits. We have continued to have open dialogue about how we will achieve this goal in the future once we can resume to normal operating practices within Primary Care and elsewhere.ObesityActions taken by Mayo Hospital to address this priority in FY21: Northern Light Mayo Hospital, in collaboration with Lets GO 5-2-1-0, brought programming and activities to schools and childcare centers across Piscataquis County. The FY21 school year posed challenges due to the local schools not allowing visitors inside the building. During the summer of 2021, our 5-2-1-0 coordinator, delivered cooking matters training, sugary drink demonstrations, and physical activities training to local recreation departments and childcare sites. This work helped us achieve our goals to deliver healthy eating and active living programming in our region.Access to healthy food food insecurity Actions taken by Mayo Hospital to address this priority in FY21: Northern Light Mayo Hospital was successful in screening patients for food insecurity and tracking the data. We expanded to eight sites participating in the two-question validated screening. We have received wonderful feedback and have been able to directly help many families. In addition to the work with Good Shepherd Food Bank, we have partnered with the Christine B. Foundation to provide oncology patients with healthy nutritious foods, weekly, at no cost. This partnership has enhanced our ability to meet the food needs of our patients.Additional information related to actions taken by Northern Light Mayo 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 Mayo Hospital considered all priorities identified in the Shared CHNA, as well as other sources, through an extensive review process. While the full spectrum of needs is important, Mayo Hospital is currently poised to focus only on the highest priorities at this time. Priorities not selected, due to a variety of reasons are listed below:- Older adult health/Healthy aging while not specifically identified as a stand-alone priority area of work for Northern Light Mayo Hospitals Community Health Strategy, three of the identified priority areas of work (mental health, access to care, and social determinants of health) have specifically identified the elderly as a primary population of focus. Therefore, due to our current identified priorities that includes work with our elderly and ongoing collaborative work focused on elder health and healthy aging, we have chosen to focus our efforts on other priority areas of need. Facility: Northern Light Mayo Hospital - Part V, Section B, Line 13h Income Levels Facility: Northern Light Mayo Hospital - Part V, Section B, Line 16j Response for 7a (list URL) is: https://northernlighthealth.org/MayoResponse 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/Mayo under "Pay My Bill" Northern Light Primary Care Corinth 492 Main Street Corinth ME 04427 Outpatient Medical Facility Northern Light Internal Medicine Dexter 41 High Street Dexter ME 04930 Outpatient Medical Facility Northern Light Primary Care Dover Foxcroft 891 West Main Street Suite 200 Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Orthopedics 43 Dwelley Avenue Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Behavioral Health 69 High Street Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Behavioral Health 41 High Street Dexter ME 04930 Outpatient Medical Facility Northern Light Surgery 891 West Main Street Suite 500 Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Womens Health 891 West Main Street Suite 500 Dover Foxcroft ME 04426 Outpatient Medical Facility Northern Light Primary Care Milo 135 Park Street Milo ME 04463 Outpatient Medical Facility Northern Light Pain Management 43 Dwelley Avenue Dover Foxcroft ME 04426 Outpatient Medical Facility Part I, Line 6a - Related Organization Community Benefit Report Northern Light Mayo Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations. Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio. Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 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 Mayo Hospital. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay. Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check-in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary Part VI, Line 4 - Community Information Located in Dover-Foxcroft, Maine, Northern Light Mayo Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospital's inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Mayo Hospital's primary service area include, Dexter, Cambridge, Sangerville, Guilford, Abbot, Monson, Dover-Foxcroft, Sebec, Milo, and Brownville.Towns representing Mayo Hospital's secondary service area include, Garland, Charleston, Corinth, Exeter, and Corinna.Piscataquis County's demographic and social determinants of health data are provided below for Mayo Hospital based on the hospital's physical location in Piscataquis County.Piscataquis County - Demographic Data: American Indian/Alaskan Native 0.6% (94), Asian 0.4% (64), Black/African American 0.5% (88), Hispanic 1.2% (210), Some other race 0.4% (69), Two or more races 1.9% (328), White 96.2% (16,401). Total county population 17,044.Piscataquis County Social Determinants of Health Data: Median household income $36,938, Unemployment rate 5.1%, Individuals living in poverty 20.6%, Children living in poverty 31.4%, People living in rural areas 100.0%, Food insecurity 16.8%.Other hospitals serving the Mayo Hospital community: Based on the State of Maine's definition of hospital service area, Northern Light Mayo Hospital is the only hospital in this community per Hospital Service Area (HSA) designation. Additionally, the Health Resources & Services Administration designated Mayo Hospital's service area as having a total of 10 medically under-served areas/populations. Part VI, Line 5 - Promotion of Community Health Northern Light Mayo Hospital furthers its exempt purpose by promoting the health of the community through the following grant activity in FY21:Community Health Education: Lets Go obesity prevention; UNE Substance Abuse Prevention - Provide substance use prevention services that lead to the prevention of opioid and other substance use in Maine; Rural Health Clinic Vaccine Confidence Program - Improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas: Drug Free Community addressing substance use.Northern Light Mayo Hospital Board of Directors majority is independent. Northern Light Mayo Hospital extends medical staff privileges to all qualified physicians in the community for some of its departments. We have offered CME programs on site and invited medical staff to participate at no charge to them. 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. Part VI, Line 7 - States Filing of Community Benefit Report N/A false true false false false false false false false Abhijit Shaligram MD Ex-Officio 312125 61571 1177 21642 11075 407590 Ahmad Abed Elnoor Physician 431766 77830 3321 28998 11657 553572 Anthony Filer Treasurer 584879 158088 15491 22800 34447 815705 David McDermott MD Sr Physician Ex 270504 90168 8405 2802 520 173 20391 6797 8368 2789 308188 102729 Denise Scuderi VP Patient Care 139381 54591 235 10435 13801 218443 Glenn Martin Secretary 443589 165077 43124 88916 23581 764287 Jennifer Goodrich VP Finance 92445 92445 17741 17741 7139 7139 8265 8265 9666 9666 135256 135256 Jessica Richmond Physician 270296 61350 1274 6929 10451 350300 Kristen Wagner Physician 267010 67402 2054 20475 7015 363956 Krysten Sutton Physician 282818 46465 430 6000 335713 Marie Vienneau Ex-Officio 197514 131676 17894 11929 680 454 16692 11128 15853 10568 248633 165755 Nikki Chadwick VP Quality & Ed 119434 40118 177 13527 8313 181569 Paul Bolin SVP & CHRO 365022 59878 35078 71686 35028 566692 Robert Lodato MD Ex-Officio 247853 42934 5719 4038 3651 304195 Robert Rice Physician 287851 1220 3104 13452 305627 Timothy Dentry Ex-Officio 860379 182026 13380 112598 32498 1200881 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Charity care provided (at cost) 303 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 th Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder MRH Corp, d/b/a Northern Light Mayo Hospital (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems, d/b/a Northern Light Health (NLH), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation. Form 990, Part VI, 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 MRH Corp. d/b/a Northern Light Mayo Hospital. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. Form 990, Part VI, 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 SVP & President of MRH Corp d/b/a Northern Light Mayo Hospital and the system Chief Executive Officer (CEO) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems d/b/a Northern Light Health (NLH).The NLH Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the NLH CEO. It shall have authority to set the compensation of the NLH CEO, and to review the recommendations of the NLH CEO with respect to the compensation of the Presidents of the Member Organizations and other key management personnel. The Committee is comprised entirely of independent Directors per NLH bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the NLH board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the NLH executive compensation philosophy.-Reviews and updates the NLH executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by NLH does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the NLH CEO.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at NLH deemed appropriate.-Maintains minutes of the meetings and communicates actions to the NLH Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The NLH CEO reviews all direct report compensation actions with the committee. In addition, the NLH CEO ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available MRH Corp. d/b/a Northern Light Mayo Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Net Change in Funds Held at NLH Foundation = $28929 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary - NLH Foundation = -$12237 Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Road Brewer ME 04412 010527066 Supporting org for healthcare affiliates ME 501(c)(3) 12 Type II N/A false WorkHealth LLC 43 Whiting Hill Road Brewer ME 04412 474315094 Provide healthcare services ME 501(c)(3) 12 Type II EMHS false Beacon Health LLC 43 Whiting Hill Road Brewer ME 04412 452967056 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Rural Health LLC 43 Whiting Hill Road Brewer ME 04412 474483187 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer ME 04412 364903784 Accountable care organization ME 501(c)(3) 12 Type II EMHS false Eastern Maine Healthcare Real Estate 43 Whiting Hill Road Brewer ME 04412 010391036 Leases real estate ME 501(c)(2) EMHS false Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer ME 04412 010459837 Provide healthcare services ME 501(c)(3) 3 EMHS false Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer ME 04412 223183888 Provide healthcare services ME 501(c)(3) 10 AHC false Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor ME 044020404 010211501 Provide healthcare services ME 501(c)(3) 3 EMHS false LTC LLC 43 Whiting Hill Road Brewer ME 04412 010211501 Operation of nursing homes ME 501(c)(3) 3 EMMC false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME 501(c)(3) 3 EMMC false Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer ME 04412 010377901 Fund raising for exempt EMMC ME 501(c)(3) 10 EMMC false Northern Light Health Foundation 43 Whiting Hill Road Ste 400 Brewer ME 04412 222514163 Raise and manage funds for exempt orgs ME 501(c)(3) 12 Type II EMHS false Rosscare 43 Whiting Hill Road Ste 400 Brewer ME 04412 010391038 Provide services to elderly ME 501(c)(3) PF EMHS false Inland Hospital 200 Kennedy Memorial Drive Waterville ME 04901 010217211 Provide healthcare services ME 501(c)(3) 3 EMHS false Lakewood 220 Kennedy Memorial Drive Waterville ME 04901 010421234 Provide skilled & long-term nursing care ME 501(c)(3) 3 Inland Hospital false CA Dean Memorial Hospital Pritham Avenue PO Box 1129 Greenville ME 044411129 043341666 Provide healthcare services ME 501(c)(3) 3 EMHS false Blue Hill Memorial Hospital 57 Water Street Blue Hill ME 046145231 010227195 Provide healthcare services ME 501(c)(3) 3 EMHS false Sebasticook Valley Health SVH 447 North Main Street Pittsfield ME 04967 010263628 Provide healthcare services ME 501(c)(3) 3 EMHS false The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle ME 047690151 010372148 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Regional Health Facilities 50 Union Street Ellsworth ME 04605 010198331 Provide healthcare services ME 501(c)(3) 3 EMHS false Maine Coast Medical Realty 50 Union Street Ellsworth ME 04605 010390918 Lease medical facilities ME 501(c)(3) 12 Type I MCMH false Mercy Hospital 175 Fore River Parkway Portland ME 04102 010211534 Provide healthcare services ME 501(c)(3) 3 EMHS false VNA Home Health & Hospice 50 Foden Road South Portland ME 04106 010246804 Provide home health and hospice services ME 501(c)(3) 10 EMHS false Northern Light Medical Transport 43 Whiting Hill Road Brewer ME 04412 830911574 Ambulance ME 501(c)(3) 10 EMHS false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. 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