2021-08-16T10:21:37-07:00 2020-09-30 990 2019-10-01 843689003 Eastern Maine Healthcare Systems MRH Corp EAST 2079739081 43 Whiting Hill Road Brewer ME 04412 John Doyle NLH VP of Finance 2021-08-16 false 2019 2022-09-23 18:48:47Z X John Doyle 32540076 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 10 0 39 0 186127 32225966 92686 34901 32539680 0 0 20661210 0 0 10618118 31279328 1260352 38455548 32748067 5707481 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 24504368 32259966 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 $868,642 other uncompensated care (at cost).Additional Statistics:Primary care visits 20,600Outpatient vists 5,849Emergency room visits 5,137Hospital admissions 762Ambulance transports 1,875 894335 Medicaid shortfalls (at cost) 6,484 persons served. 829219 Medicare shortfalls (at cost) 5,176 persons served. 430018 26657940 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 false false false false false false false false false false false false false false true false false false true X 0 0 false 0 false false false false false false false 0 false false false false false false false X 13 10 false false true 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 X X 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 Richard Cabot Vice Chair 1.00 0.00 X X 0 0 0 Timothy Dentry Ex-Officio 1.00 50.00 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 Robert Lodato MD Ex-Officio 50.00 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 Marie Vienneau Ex-Officio 30.00 20.00 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 Anthony Filer Treasurer 1.00 50.00 X 0 0 0 Denise Scuderi VP Patient Care 50.00 0.00 X 0 0 0 Glenn Martin Secretary 1.00 50.00 X 0 0 0 Nikki Chadwick VP Quality & Ed 50.00 0.00 X 0 0 0 Jennifer Goodrich VP Finance 25.00 25.00 X 0 0 0 David McDermott MD Sr Physician Ex 25.00 25.00 X 0 0 0 0 false false false NONE 0 594 138764 46769 3305 186127 Cafeteria 722514 32318 32318 Education 611710 5078 5078 Net Patient Care Service 621990 32188570 32188570 32225966 92686 92686 0 0 550 550 550 550 0 0 0 747 396 351 351 Meaningful Use 621990 34000 34000 34000 32539680 32227648 125905 X 0 0 0 0 0 0 16428662 14160383 2268279 90744 78186 12558 2914855 2511486 403369 1226949 1057159 169790 0 51664 44514 7150 41594 41594 0 0 0 3422773 2592119 830654 30636 30636 566567 268242 298325 642113 553255 88858 0 546937 469182 77755 37515 29079 8436 0 4678 4668 10 130699 111733 18966 0 1066519 792816 273703 238411 205419 32992 Medical Supplies 2951300 2951300 Repairs & Maintenance 563153 481434 81719 Taxes & Licenses 247816 244048 3768 Miscellaneous 44922 42328 2594 30821 29953 868 31279328 26657940 4621388 0 7106247 4745633 0 13225751 0 0 211821 962843 547690 10882443 831660 10050783 0 0 0 50000 1554780 0 38455548 24365395 7142215 858909 381548 0 32748067 X 4623469 1084012 0 5707481 0 38455548 X 1260352 4447129 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 9369 9369 false false Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues. 1690000 1690000 1324720 103824 1220896 5164298 707807 4456491 2703425 20029 2683396 10050783 Deferred Compensation 381548 381548 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 287 430018 430018 0.01370 6484 6608778 5714443 894335 0.02860 6771 7038796 5714443 1324353 0.04230 4 5800 5800 0.00020 2 56668 56668 0.00180 6 62468 62468 0.00200 6 6771 7101264 5714443 1386821 0.04430 true 868642 5678964 6508183 -829219 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 225.0000 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 question number 2 yes and e-file the return. Following is the details of the acquisition:The Hospital (former dba Hospital Administrative District No. 4, dba 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 State's 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, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, Sebasticook Valley Hospital, and AR Gould 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 board of directors. 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 FY20: Northern Light Mayo Hospital began working to integrate Medication-Assisted Treatment (MAT) options for expectant mothers within our obstetrics program. In the last few years, we have seen an increase in substance exposed infants and felt that mitigating further exposure to substances was necessary. In addition to the increased medication options we also collaborated with PENQUIS to refer our patients to their parenting classes and started our own Mommy and Me groups that meet weekly at the hospital. Mental healthActions taken by Mayo Hospital to address this priority in FY20: Northern Light Mayo Hospital began exploring the ability to increase mental health services in our psychiatry and counseling practices to alleviate the need for acute mental health needs to be seen in the Emergency Department regularly. Unfortunately, with the COVID-19 pandemic, mental health needs increased, and our capacity was largely decreased due to the inability to see patients in the office for a short period of time. We also engaged in social distancing within the office which further impacted our capacity once the stay at home order was lifted.Access to careActions taken by Mayo Hospital to address this priority in FY20: Northern Light Mayo Hospital worked to identify areas of improvement. These areas include better work-flows within the practice setting to allow for more patient access. Due to the COVID-19 pandemic and the limitation of the number of staff and patients permissible in our practices at one time, our efforts were set aside as we focused on the health and safety of our patients and staff. In the midst of the pandemic, leaders and staff continued to discuss ways to increase access by utilizing telehealth options when able.ObesityActions taken by Mayo Hospital to address this priority in FY20: Northern Light Mayo Hospital worked collaboratively with school partners and the Let's GO! 5-2-1-0 program to increase parents, students, and community members awareness of the importance of healthy eating and active living. Work with wellness teams to ensure policies were up to date, distribution of informational materials were sent home in backpacks, and school cafeterias were encouraged to try new, healthier options.Access to healthy food food insecurity Actions taken by Mayo Hospital to address this priority in FY20: Northern Light Mayo Hospital continued to implement the screen and intervene approach to identifying patients with food insecurity. We expanded from just primary care settings to include all inpatient settings. This expansion allowed us to further meet the needs of patients who were experiencing food insecurity and link them with long-term food access solutions.Additional information related to actions taken by Mayo Hospital on the above priorities can be found in their FY20 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 Hospital's 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-Hospital under "Bill Pay & Financial Assistance" Corinth Medical Associates 492 Main Street Corinth ME 04427 Outpatient Medical Facility Dexter Family Practice 51 High Street Dexter ME 04930 Outpatient Medical Facility Dexter Internal Medicine 41 High Street Dexter ME 04930 Outpatient Medical Facility Dover Foxcroft Family Medicine 891 West Main Street Dover Foxcroft ME 04426 Outpatient Medical Facility Mayo OrthopaedicsWorkWISEPain Clinic 43 Dwelley Avenue Dover Foxcroft ME 04426 Outpatient Medical Facility Mayo Psychiatry and Counseling 69 High Street Dover Foxcroft ME 04426 Outpatient Medical Facility Mayo Psychiatry and Counseling 41 High Street Dexter ME 04930 Outpatient Medical Facility Mayo Surgical Associates 891 West Main Street Suite 500 Dover Foxcroft ME 04426 Outpatient Medical Facility Mayo Womens Health 891 West Main Street Suite 500 Dover Foxcroft ME 04426 Outpatient Medical Facility Milo Family Practice 135 Park Street PO Box 7 Milo ME 04463 Outpatient Medical Facility Part I, Line 6a - Related Organization Community Benefit Report Part I, Line 3b - Charity Care Eligibility Criteria (FPG is not Used)Due to software limitations an other amount could not be entered. Response for line 3b should be 225% of family income limit for eligibility for discounted care. Part V, Line 3j - Description of Other Needs AssessmentNorthern 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 16 to 19 - 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 Mayo Hospital offers patients the resource of a Patient Financial Services representative in order to counsel them on what resources may be available to help meet the financial needs resulting from patient care. We also have licensed clinical social workers available to patients should they need assistance with other federal, state or local programs. 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 7 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 FY20:-Community Health Education: Let's 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.- Health care Support Services: Healthy Acadia Maine ARC - Create a Recovery Coach Site Coordinator position to expand, enhance, improve the quality of, and direct the work of the volunteer Recovery Coaches among opioid and polysubstance users in Piscataquis County. 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 and the many 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 hospital's 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 Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Charity care provided (at cost) 287 persons served.Please see the following excerpt from the Northern Light Health Annual Report 2020 to the Community for details of community benefit projects at NLH members:HEROES AMONG US Healthcare Heroes As we reflect on 2020, people around the world would do well to remember these words by Nelson Mandela, Do not judge me by my successes, judge me by how many times I fell down and got back up again. We faced a global pandemic that took the lives of more than 500,000 of our fellow Americans and more than 2.5 million people worldwide and counting. We also faced deadly wildfires and hurricanes, racial unrest, and a country divided by politics. But during this turbulent time, we also saw the very best in people, including those whom we work alongside every day to deliver compassionate healthcare to the people of Maine. We saw our colleagues rise to the challenges of an unprecedented global pandemic, show courage in the face of adversity, and make selfless sacrifices to heal the sick and protect our communities. These people are heroes. They are the front line workers who provided direct patient care to those who became infected with coronavirus. They are also the people who worked behind the scenes to ensure our staff had the personal protective equipment and telehealth technology they needed to continue to provide care safely. They are the support staff that cleaned and disinfected rooms, prepared meals, and countless other tasks to support our direct care workers. In this years annual report, we celebrate these heroes. They may not have flashy costumes or superpowers like the comic book heroes or those in Hollywood films. But like those heroes, they must don masks as they face a genuine and dangerous enemy. In the pages of this years annual report, you will learn more about who they are and what they do. We will take you behind their masks to discover the true identity of the heroes among us. Timothy J. Dentry, MBA President & CEO Kathy Corey Northern Light Health, Board Chair HEROES ON THE FRONT LINES When it comes to caring for sick patients, Northern Light Healths front line staff put themselves at risk to provide exceptional care. We know they are brave and compassionate people, but COVID-19 has shown how far they are willing to go to help others. The following are a few of the many examples of courage and caring that we witnessed during this global pandemic. Cathy Bean, RNManager of Clinical and Community Health Services Northern Light Home Care & Hospice In late March, Portland saw a spike in the population of homeless people who were getting sick with COVID-19. To help protect the citys homeless residents, city leaders immediately opened the Portland Expo as an alternative shelter site that would allow them to maintain their shelter capacity while adhering to the Centers for Disease Controls (CDC) social distancing guidelines. But how would they separate the healthy population from those with the virus? Cathy Bean, RN stepped up to help. Donning protective gear, she and her staff went into the shelters daily to screen and test the residents. Northern Light Home Care & Hospice also equipped the city of Portland with a telehealth system so home care nurses could provide follow up appointments. As a result, they were able to help shelter residents with other medical conditions that may have been missed. Many of these people, due to COVID-19, were in quarantine, and meals brought outside their door with no one able to check on them. Now, we could get in there and take care of these people, and thats been very rewarding. Cathy Bean, RNElizabeth Bigler, RN Emergency Department Northern Light Blue Hill Hospital Elizabeth Bigler, RN thinks the most significant change to her job since COVID-19 is how much more physically exhausting it has become. She must often wear respirators, hoods, and other personal protective equipment, which can get quite hot and stuffy during a shift in the Emergency Department. Her biggest concern is making sure she doesnt bring this virus into her home. Its why she enters through a basement door, places her clothing directly into the wash, and showers before interacting with her family. My daughter who is eight is a sensitive, insightful soul. And shes had a lot of fears about me getting sick, not being able to see me if I did get sick, or me not coming home. Her daughter wrote her a touching letter one morning, telling her to be safe and that she loved her. Shes a really strong little girl. I had to tell her that this is a community effort. I cant not go because its scary. Some people still need help, and our job as community members is to help them. Elizabeth Bigler, RNJames Jarvis, MDSenior Physician ExecutiveIncident Command, Northern Light Health When Northern Light Health knew COVID-19 would arrive in Maine, James Jarvis, MD was chosen to coordinate the systems response among its member hospitals in addition to coordinating with state and local governments and the other major healthcare systems in Maine. Another unexpected role that Dr. Jarvis fulfilled during the pandemic was to be the primary spokesperson for Northern Light Health for weekly statewide news conferences via Zoom. Several times a week he would convey critical information to members of the media and our communities. One of the pleasant surprises Ive had during this time was somebody randomly driving by, lowering their window, and saying, Dr. Jarvis, how are you doing? You always ask how were doing through TV, we want to make sure youre okay. I teared up a little because, sure its neat to be recognized, but it was that sense of community that Mainers have to say, we need to make sure youre okay because we appreciate what youre doing. James Jarvis, MDCaroline Joyce, PACNorthern Light Primary Care Northern Light CA Dean Hospital Caroline Joyce loves the outdoors and dreams of retiring in a small rural community where hiking, fishing, and camping abound. She and her husband built their retirement home in Greenville, and she took a job at Northern Light CA Dean Hospital in September of 2019. Little did she realize how good her timing was to move to a rural community before the outbreak of COVID-19. As a primary and acute care provider, she willingly staffed the drive-up screening tent outside CA Dean. She endured wind and rain and snow to screen patients. And, she did all this while her mother, living in a nursing home in another state, was diagnosed with COVID-19. Luckily, my mom experienced mild symptoms, and while I wanted to see her, she was in an area of Massachusetts that was really hit hard by the coronavirus, and I was here seeing patients. I couldnt risk exposing them or my family. Caroline Joyce, PACSue-Anne Hammond, DOMedical Director of Primary CareNorthern Light Mercy Hospital For Dr. Hammond, COVID-19 became personal very quickly as one of her long-time patients, with whom shed experienced many ups and downs, was among the first in Maine to die of the deadly coronavirus. It was a curve ball, and it felt so unfair, she said. Dr. Hammond was instrumental in setting up the COVID-19 response plan for Northern Light Mercy Hospital, which became a model shared with other Northern Light Health hospitals across the state. The drive-up swab and go tent at Mercys Fore River campus allowed people to safely and easily get tested for the coronavirus. The plan also included a respiratory tent site in Westbrook to assess whether people with symptoms needed to be admitted to the emergency department or sent home with care instructions. And it included a virtual clinic to keep patients out of hospital and primary care settings through telehealth for follow-up appointments. She worked seven days a week while her children were being schooled at home. She and her husband, also a front line provider, tried to allay their familys fears and correct misinformation in their communities. On the hardest days I still love what I do. I dont feel like Im a hero; Im doing what was asked of me and what I chose to do as a doctor. This is a hard time, but I dont think I want to be anywhere else in the middle of all of this. Sue-Anne Hammond, DOJodi Kierstead, RNNurse Manager, Specialty ICU Northern Light AR Gould Hospital As a nurse manager, Jodi Kiersteads world radically changed when COVID-19 showed up in Maine. She went from managing budgets and staff training to suddenly responding to a pandemic. She enjoyed watching her staff pull together. Youre taking a bunch of people out of their comfort zone and putting them through huge changes and for them to do it with a smile it was amazing! And Jodi did her part to help too. As Northern Light Mercy Hospital in Portland was becoming inundated with patients, they put out a call for additional staff to help. Not only did Jodi travel to Portland and support her colleagues, despite having a 10-month-old baby at home, she and her team assembled a care pac Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents On March 1, 2020 Hospital Administrative District No. 4 d/b/a Mayo Regional Hospital, merged into MRH Corp., a Maine nonprofit corporation, doing business as Northern Light Mayo Hospital, of which Eastern Maine Healthcare Systems doing business as Northern Light Health (NLH) is the sole corporate member. Northern Light Mayo Hospital is a 25 bed, critical access hospital located in Dover-Foxcroft, Maine. The purpose of the affiliation is to promote improved efficiencies in healthcare delivery, access, and population health in Piscataquis County of Maine.The transaction was accounted for as an acquisition in accordance with Accounting Standards Update (ASU) No. 2010-07, Not-for-Profit Entities: Mergers and Acquisitions, which requires the assets and liabilities of Mayo to be accounted for at fair value as of the date of the acquisition. The fair value of the net assets at the date of acquisition was recognized as a contribution received in the acquisition of Mayo as part of other gains and net assets with donor restrictions, if any, on such net assets. There was no monetary consideration transferred in connection with the transaction.On of March 1, 2020, Mayo adopted the bylaws that were consistent with the current NLH bylaws and other members on that date. 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 Contribution received in the acquisition of Mayo = $14008660 Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt parent - Eastern Maine Healthcare Systems = -$9561531 Part V, Line 1a & line 2a MRH Corp dba Northern Light Mayo Hospital began services 03/01/2020, as a result there is no calendar year that ends with or within the short year and no 1099's to report for Part V, line 1a or no employees to report for Part V, line 2a. Part VII, Section A & Section B MRH Corp dba Northern Light Mayo Hospital began services 03/01/2020, as a result there is no calendar year that ends with or within the short year and no compensation/benefits reported in Part VII, Section A, columns (D), (E) and (F) or in Part VII, Section B, columns (A) through (C). Tax Year MRH Corp dba Northern Light Mayo Hospital began services 03/01/2020. The IRS records has the tax year for FY2020 as 10/01/2019 to 09/30/2020. In order to e-file the tax year beginning date needs to match the IRS records. 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 EMHS 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 Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield ME 04967 010357854 Provide patient care ME 501(c)(3) 10 SVH 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 144 State Street Portland ME 04101 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 Meridian Mobile Health LLC 43 Whiting Hill Road Brewer ME 04412 010512673 Ambulance ME AHS false false Alliance Health Documentation LLC 43 Whiting Hill Road Brewer ME 04412 462751855 Transcription ME AHS false false M Drug LLC 43 Whiting Hill Road Brewer ME 04412 272175482 Pharmacy ME AHS false false Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer ME 04412 010385322 Holding co. ME EMHS C corp false Affiliated Healthcare Management 43 Whiting Hill Road Brewer ME 04412 010349339 Hlthcr mgmt ME AHS C corp false Affiliated Laboratory Inc 43 Whiting Hill Road Brewer ME 04412 010381283 Clinicl lab ME AHS C corp false Beacon Direct 43 Whiting Hill Road Brewer ME 04412 371864965 Healthcare Self-funded TPA ME EMHS C corp false false false false false false false false false false false false true true false false true false true true