2026-08-14T15:18:37-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 220 DULUTH MN 55812 990 2024-10-01 010234189 NORTHERN MAINE MEDICAL CENTER NORT 2078343155 194 E MAIN STREET FORT KENT ME 04743 AARON TEACHOUT CFO 2078343155 2026-08-03 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2026-07-27 2024 2025-03-06 01:10:19Z JEFF ZEWE 194 E MAIN STREET FORT KENT ME 04743 84827446 0 X WWW.NMMC.ORG X 1948 ME ACUTE CARE & LONG TERM CARE HOSPITAL AND MENTAL HEALTH SERVICES FACILITY. 11 10 577 22 9540043 0 3674842 181937 64703275 84107632 2166424 483344 44930 26054 70589471 84798967 7497 13999 0 0 35832179 39972544 0 0 0 34767868 48434347 70607544 88420890 -18073 -3621923 105352233 114859972 62041159 76493943 43311074 38366029 THE MISSION OF NORTHERN MAINE MEDICAL CENTER IS TO PROVIDE, COORDINATE, OR SUPPORT ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE AND TO POSITIVELY IMPACT OUR COMMUNITIES' QUALITY OF LIFE BY IMPROVING HEALTH STATUS. 0 0 76732905 13999 74248549 MEDICAL CARE & ANCILLARY SERVICES, NURSING HOME & SKILLED SERVICES, PHYSICIAN SERVICES. 76732905 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 103 0 577 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X AARON TEACHOUT 2078343155 194 E MAIN STREET FORT KENT ME 04743 JAMES HARRIS MD DIRECTOR 50.00 X 525589 0 39223 DONALD GUIMOND CHAIR/DIRECTOR 1.50 X X 0 0 0 ERIN SOUCY VICE-CHAIR/CHAIR 1.50 X X 0 0 0 DOUGLAS CYR DIRECTOR/VICE CHAIR 1.50 X X 0 0 0 GISELE DIONNE DIRECTOR 1.50 X 0 0 0 JOHN EZZY DIRECTOR 1.50 X 0 0 0 NORMAN FOURNIER DIRECTOR 1.50 X 0 0 0 STEVEN OUELLETTE DIRECTOR 1.50 X 0 0 0 STEVEN PELLETIER DIRECTOR 1.50 X 0 0 0 LUCIE TABOR DIRECTOR 1.50 X 0 0 0 DAN VAILLANCOURT DIRECTOR 1.50 X 0 0 0 JEFF ZEWE PRESIDENT/CEO 50.00 X 420526 0 43522 AARON TEACHOUT TREASURER/CFO 50.00 X 307204 0 0 ALAIN BOIS SECRETARY/COO 50.00 X 240241 0 31202 DR SHAHRIAR ANOUSHFAR GENERAL SURGEON 50.00 X 934999 0 52192 DR MARK OVERTON PHYSICIAN 50.00 X 783409 0 41192 DR SILWANA SIDORCZUK PHYSICIAN 50.00 X 617367 0 46934 DR WALTER DOERFLER ER PHYSICIAN 50.00 X 526545 0 36930 DR DANIEL MIRAU ER PHYSICIAN 50.00 X 459623 0 48037 4815503 0 339232 54 0 1 0 DEVOE CONSTRUCTION INC PO BOX 190 EAGLE LAKE ME 04739 GENERAL CONSTRUCTION 6105251 AB STAFFING SOLUTIONS LLC 3451 S MERCY ROAD GILBERT AZ 85297 STAFFING AGENCY 1670007 QHR HEALTH LLC 1573 MALLORY LANE BRENTWOOD TN 37027 OUTSOURCED BILLING SERVICES 1405822 CLINICAL COLLEAGUES INC 1765 E NINE MILE RD PENSACOLA FL 32514 ANESTHESIA CONSULTING/STAFFING SERVICE 1187926 BERRY DUNN MCNEIL & PARKER 2211 CONGRESS STREET PORTLAND ME 04102 CONSULTING & AUDITING FIRM 578942 55 39039 142898 3197 181937 PATIENT SERVICE REVENUE 623000 68857120 68857120 RETAIL PHARMACY 456110 9540043 9540043 5710469 5391429 319040 84107632 481374 481374 42203 0 42203 42203 42203 11129 9159 1970 1970 1970 3171 39039 19320 -16149 -16149 84798967 74248549 9540043 828438 X 13999 13999 1875279 1671439 203840 31309707 27865256 3444451 318658 284020 34638 4348672 3875978 472694 2120228 1889763 230465 264389 57920 206469 85506 67464 18042 76475 76475 14823971 10670620 4153351 34575 1276 33299 893260 738264 154996 2345132 1673845 671287 1679974 1324202 355772 144171 120925 23246 443297 398968 44329 3431035 3087931 343104 1104257 993856 110401 MEDICAL SUPPLIES 17409959 16963350 446609 BAD DEBT EXPENSE 3273187 3273187 HEALTHCARE PROVIDER TAX 753556 753556 REPAIRS & MAINTENANCE 574838 526195 48643 1096765 480891 615874 88420890 76732905 11687985 0 3688307 6305374 12243017 17206374 3080648 3080648 6290381 8361324 15063 1188787 1842199 572478 575275 111120935 49158110 58110116 61962825 9330374 3733937 90024 90024 3424468 4039948 7318570 7662044 105352233 114859972 8806047 10469225 50140051 60529338 261946 926351 724039 2109076 4569029 62041159 76493943 X 41998971 36926003 1312103 1440026 43311074 38366029 105352233 114859972 X -3621923 105509 -1428631 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11236 11236 0 PART II-B, LINE 1: THE HOSPITAL PAYS DUES TO VARIOUS ORGANIZATIONS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. THESE ORGANIZATIONS ADVOCATE ON BEHALF OF THEIR MEMBERS TO IMPROVE THE LEGISLATIVE ENVIRONMENT IN A WAY THAT ALLOWS THEIR MEMBER HOSPITALS TO BETTER SERVE THEIR COMMUNITIES. 363800 363800 46310438 26157077 20153361 26474872 23001033 3473839 37971825 37971825 61962825 DEFERRED COMPENSATION 2365134 CASH SURRENDER VALUE OF LIFE INSURANCE 296819 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1055120 INSURANCE CLAIMS RECEIVABLE 1654314 OTHER RECEIVABLES 196676 CAPITAL LEASE 83981 ROU ASSETS 2010000 7662044 DEFERRED COMPENSATION 2365134 OPERATING LEASE LIABILITY 2010000 CAPITAL LEASE PAYABLE 193895 4569029 81679520 105509 124706 230215 81449305 76475 3273187 3349662 84798967 85195934 124706 124706 85071228 76475 3273187 3349662 88420890 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 19,320. PURCHASE DISCOUNTS 105,386. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,273,187. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 19,320. PURCHASE DISCOUNTS 105,386. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,273,187. TOUR DE LA VALLEE 42210 39039 3171 7112 1300 3726 800 6382 42210 39039 3171 7112 1300 3726 800 6382 19320 -16149 1 1 X 1 X 1 X 0 1 0 1 1 112717 112717 0.00130 9644970 9899433 0 0.00000 9757687 9899433 112717 0.00130 8314693 6709779 1604914 0.01820 13899 13899 0.00020 8328592 6709779 1618813 0.01840 18086279 16609212 1731530 0.01970 1 18108940 18767988 -659048 X 1 1 2 1 NORTHERN MAINE MEDICAL CENTER 194 E MAIN STREET FORT KENT ME 04743 WWW.NMMC.ORG 39668 X X X 2 FOREST HILL 20 BOLDUC AVENUE FORT KENT ME 04743 WWW.NMMC.ORG 40018 X LICENSED HOSPITAL RELATED FACILITY NORTHERN MAINE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X WWW.NMMC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X 1 24 1 WWW.NMMC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 150.000000000000 200.000000000000 1 1 X X X 1 X HTTP://WWW.NMMC.ORG/BILLING/ X HTTP://WWW.NMMC.ORG/BILLING/ X HTTP://WWW.NMMC.ORG/BILLING/ X X X X X X 1 X 0 X X X X 1 X 0 0 NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED BY A GROUP OF COMMUNITY MEMBERS AND HOSPITAL PARTNERS TO CONDUCT A NEEDS ASSESSMENT AND TO DEVELOP STRATEGIES TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE IN THE ST. JOHN VALLEY. THE COMMITTEE REVIEWED DATA FROM VARIOUS DOCUMENTS IN ORDER TO IDENTIFY THE PRIORITIES IN THE CHNA.TARGET AUDIENCE WAS ANYONE WITH A VESTED INTEREST IN PUBLIC HEALTH AND HEALTHCARE INCLUDING MEDICAL STAFF, COMMUNITY BOARD MEMBERS, VOLUNTEERS, DONORS, AND MEMBERS OF THE GENERAL PUBLIC. THE FOLLOWING SECTORS WERE REPRESENTED:- AROOSTOOK COUNTY ACTION PROGRAM- AROOSTOOK MENTAL HEALTH CENTER- AROOSTOOK AGENCY ON AGING/AROOSTOOK COMMUNITY HEALTH IMPROVMENT PARTNERSHIP- CARY MEDICAL CENTER-FISH RIVER RURAL HEALTH- HOULTON REGIONAL HOSPITAL- MAINE CENTER FOR DISEASE CONTROL AND PREVENTION- MAINE MOBILE HEALTH PROGRAM- NORTHERN LIGHT AR GOULD- OFFICE SENATOR KING- ST APOLLONIA DENTAL CLINIC- THE CENTER FOR THE ADVANCEMENT OF RURAL LIVING- UNITED WAY OF AROOSTOOK- WABANAKI PUBLIC HEALTH AND WELLNESS NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 5: ATTENTION WAS TAKEN TO INCLUDE A BROAD REPRESENTATION FROM THE COMMUNITY. GROUP DISCUSSIONS WERE CONDUCTED AND FACILITATED TO IDENTIFY PRIORITIES. THE FOLLOWING SECTORS WERE REPRESENTED:- AROOSTOOK MENTAL HEALTH AGENCY- MAINE CDC- NMMC DIRECTOR OF NURSING- NMMC PHARMACIST- AROOSTOOK AREA AGENCY ON AGING- NMMC CARE MANAGER- NMMC SOCIAL WORKER- NMMC FINANCIAL COUNSELOR- NMMC PRACTICE COORDINATOR- NMMC COMMUNITY EDUCATOR- NMMC PSYCH UNIT LEADER- NMMC COMMUNICATIONS NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITALS WERE INCLUDED IN THE COLLABORATIVE COMMUNITY HEALTH ASSESSMENT: CARY MEDICAL CENTER, HOULTON REGIONAL HOSPITAL, AND AR GOULD HOSPITAL. NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 6B: AROOSTOOK MENTAL HEALTH CENTER - FISH RIVER RURAL HEALTH - MAINE CDC - WABANAKI PUBLIC HEALTH AND WELLNESS -MAINE MOBILE HEALTH - ST APOLLONIA DENTAL CLINIC THE CENTER FOR THE ADVANCEMENT OF RURAL LIVING - UNITED WAY OF AROOSTOOK - AROOSTOOK AGENCY ON AGING. NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 7D: THE ST. JOHN VALLEY ASSESSMENT HAS BEEN POSTED ON THE NMMC WEBSITE SINCE LATE 2014S. THIS REPORT IS ALSO AVAILABLE FREE UPON REQUEST.EACH YEAR, THEREAFTER, AN UPDATED REPORT IS POSTED ON THE NORTHERN MAINE MEDICAL CENTER WEBSITE WITH INSTRUCTIONS ON HOW TO ACCESS THE UPDATES. THE FOUR KEY PRIORITIES THAT NMMC HAS BEEN WORKING ON AND A BRIEF DESCRIPTION OF THE CURRENT ACTIONS TAKEN ARE AS FOLLOWS:1-ADDRESSING GAPS IN MENTAL HEALTH SERVICESBEHAVIORAL AND MENTAL HEALTH REMAINS ON THE ACTION PLAN FOR NMMC. WE HAVE SUCCEEDED IN DECREASING WAIT TIME FOR BEHAVIORAL HEALTH (BH) PATIENTS IN OUR ED BY STREAMLINING PROCESSES AND WORKING WITH OTHER LOCAL BH EXPERTS IN THE AREA TO ASSIST WITH THE STREAMLINING, INCLUDING INCREASED CRISIS WORK IN THE ED. WE HAVE ALSO ESTABLISHED OUTREACH WITH SEVERAL STAKEHOLDERS AT DIFFERENT HEALTHCARE FACILITIES STATEWIDE, CREATING THE OPTIONS FOR INCREASED BED AVAILABILITY AND BETTER OUTPATIENT SERVICES. WE PARTNERED WITH A NATIONAL BH SPECIALIST ORGANIZATION TO AID IN BEST PRACTICE PROCESS AS WELL AS RECRUITMENT OF STAFF AND IN HELPING WITH BED AVAILABILITY. A BIG EFFORT WAS PLACED IN RECRUITING NEW PROVIDERS TO ADDRESS OUR LOCAL NEED WHICH INCLUDES TWO NEW NURSE PRACTITIONERS AND FIVE NEW LCSWS WHO PROVIDE THERAPIES. IN ADDITION, WE HAVE EXPANDED OUR PSYCHIATRIST COVERAGE TO ALL LOCAL LONG TERM CARE FACILITIES ON A MONTHLY BASIS - HE CURRENTLY COVERS 8 LONG TERM CARE FACILITIES MONTHLY. 2-ADDRESSING CARDIOVASCULAR DISEASEMORE EMPHASIS WAS PLACED ON THIS INITIATIVE IN 2025 WITH THE SUCCESSFUL RECRUITMENT OF TWO CARDIOLOGISTS AND THE TRAINING OF A NURSE PRACTITIONER IN CARDIOLOGY SERVICE LINE. WE ADDED THE ADDITION OF A NEW CT SCAN THAT PROVIDES BOTH CALCIUM SCORING AND CT ANGIOGRAMS WHICH FACILITATE IDENTIFYING CARDIOVASCULAR DISEASE AND PREVENT MORTALITY. THESE TWO NEW MODALITIES WERE NOT AVAILABLE BEFORE. EFFORTS HAVE ALSO TAKEN PLACE IN CREATING PACEMAKER CLINIC AT NORTHERN MAINE MEDICAL CENTER. 3-PROVIDER AVAILABILITYTHIS INITIATIVE HAS BEEN A PRIORITY FOR NORTHERN MAINE MEDICAL CENTER IN ADDRESSING SOME OF THE NEEDS IDENTIFIED IN THE CHNA. AS MENTIONED ABOVE, WE HAVE SUCCESSFULLY ONBOARDED 8 NEW BEHAVIORAL HEALTH PROVIDERS AT NMMC COVERING BOTH THE FORT KENT AND MADAWASKA LOCATION, WE SUCCESSFULLY ONBOARDED A NEW CARDIOLOGIST, RECRUITED A WOMEN'S HEALTH NURSE PRACTITIONER, TWO NEW GENERAL SURGEONS, AN ORTHOPEDIC SURGEON AND FINALLY PAIN MANAGEMENT SPECIALISTS. OUR RECRUITMENT EFFORTS WILL INCREASE ACCESS TO SERVICES CLOSE TO HOME AND PREVENT OUR PATIENTS TO TRAVEL LONG DISTANCES. 4- OBESITY & WEIGHT STATUSNMMC HAS PRIORITIZE SOME OF ITS INVOLVEMENT IN THE COMMUNITY FOCUSING ON EVENTS THAT PROMOTES WELLNESS AND OBESITY. WE HAVE SPONSORED THE TOUR DE LA VALLEE - A BIKE RIDE IN THE ST JOHN VALLEY THAT RAISES MONEY FOR THE EDGAR J PARADIS CANCER FUND AND PROMOTES WELLNESS. WE ALSO SPONSORED AND COORDINATED THE ALZHEIMER'S WALK AS WELL AS THE OUT OF DARKNESS WALK. NMMC SPONSORED MULTIPLE PROGRAMS/HIGH SCHOOL SPORTING EVENTS TO PROMOTE AND SUPPORT WELLNESS, AND THEREFORE ADDRESS OBESITY. THE HOSPITAL'S COMMUNITY ADVISORY COMMITTEE AND THE BOARD OF TRUSTEES IS ALSO PROVIDED A SUMMARY ON AN ANNUAL BASIS. NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 11: THE ORGANIZATION HAS THE FOLLOWING PRIORITIES: 1. ADDRESS GAPS IN COMMUNITY RESOURCES FOR MENTAL HEALTH SERVICES2. WORK COLLABORATIVELY WITH COMMUNITY ORGANIZATIONS TO REDUCE THE AMOUNT OF SUBSTANCE USE IN THE COMMUNITY3. TO FIND WAYS TO ALLEVIATE SOCIAL DETERMINANTS OF HEALTH RELATED TO POVERTY IN THE COMMUNITY4. TO IMPROVE ELDER CARE SERVICES IN THE ST JOHN VALLEY SO PEOPLE CAN LIVE QUALITY LIVES AT HOME FOR AS LONG AS POSSIBLE AND THEN RECEIVE QUALITY CARE IN RESIDENTIAL FACILITIES IF REMAINING AT HOME BECOMES POSSIBLE.IT HAS ADDRESSED THESE PRIORITIES AS DESCRIBED BELOW: PRIORITY 1 MENTAL HEALTH ACTION STEPS - MEMBER OF THE MAINE HOSPITAL ASSOCIATION BEHAVIORAL HEALTH COUNCIL - STREAMLINED ADMISSION PROCESS THROUGH THE EMERGENCY ROOM BY ELIMINATING THE NEED FOR AMHC CRISIS WORKER TO EVALUATE PATIENTS FIRST TO MAKE REFERRALS FOR ADMISSIONS. NMMC PROVIDERS AND STAFF ARE NOW EVALUATING EMERGENCY ROOM PATIENT FOR ADMISSIONS, THEREFORE DECREASING LENGTH OF STAY IN THE EMERGENCY ROOM - ADDED A RESOURCE NURSE POSITION TO OUR INPATIENT UNITS WHO CALLS DELAY REFERRING HOSPITALS AND OTHER STAKEHOLDERS UPDATING THEM ON CURRENT BED STATUS AND FACILITATING REFERRALS AND ADMISSIONS - ADDED A COMMUNITY OUTREACH COORDINATOR ROLE TO INCREASE OUTREACH FOR OUTPATIENT SERVICES - INCREASED INPATIENT ADMISSIONS BY 18% SINCE 2021 - NMMC CONTINUES TO HAVE A PRESENCE IN THE COMMUNITY AND FACILITATES THE OUT OF DARKNESS WALK SUPPORTING SUICIDE PREVENTION ANNUALLY - SOCIAL MEDIA POSTS ON MENTAL HEALTH WELLNESS BEING PROMOTED - ADDING ADDITIONAL RESOURCES - SUCH AS A NEW PSYCHIATRIST, A MENTAL HEALTH NURSE PRACTITIONERS AND CONTINUES TO RECRUIT - INCREASED BEHAVIORAL HEALTH SERVICES TO MADAWASKA BY AN ADDITIONAL TWO DAYS PER WEEK - SCREENING ALL PATIENTS SEEN IN PRIMARY CARE SERVICES WITH APPROPRIATE REFERRALS BEING MADE AS NEEDED - IMPLEMENTED TELEHEALTH SERVICES FOR BEHAVIORAL HEALTH VISITS - PARTICIPATE IN EDUCATION OPPORTUNITIES INTERNALLY AND EXTERNALLY - ENTERING INTO AN AGREEMENT TO PROVIDE INTENSIVE OUTPATIENT PROGRAMMING FOR OLDER INDIVIDUALS WITH MENTAL HEALTH AFFLICTIONS - COO REMAINS ACTIVE MEMBER OF THE MAINE HOSPITAL ASSOCIATION BEHAVIORAL HEALTH COUNCILPRIORITY 2 - COORDINATES COMMUNICATIONS AND EDUCATION IN THE COMMUNITY TO REDUCE STIGMA AROUND THE TOPIC OF SUBSTANCE USE AND TO RAISE AWARENESS OF EXISTING RESOURCES. THIS INCLUDES ACTIVE PARTICIPATION IN COMMUNITY EVENTS THAT PROMOTE EDUCATION AND AWARENESS - SOCIAL MEDIA POSTS ON SUBSTANCE USE PREVENTION - SUBOXONE THERAPY IS OFFERED IN OUR PRIMARY CARE NETWORK - NARCOTICS PRESCRIPTION CONTRACTS IS IMPLEMENTED IN OUR PROVIDER PRACTICES - MEDICATION ASSISTED THERAPY (MAT) PROGRAM IMPLEMENTED IN OUR EMERGENCY ROOMPRIORITY 3 POVERTY ACTION STEPS - REVISED CHARITY POLICY AND IMPLEMENTED NEW STRATEGIES WITH THE REFERRALS PROCESS ON SUPPORT INDIVIDUALS IN NEED OF FINANCIAL ASSISTANCE - PRICE TRANSPARENCY POSTED ON THE NMMC WEBSITE - PROVIDE ENROLLMENT ASSISTANCE FOR MEDICARE, MEDICAID AND MARKETPLACE - SOCIAL SERVICES UTILIZE ON ALL ADMISSIONS A SOCIAL DETERMINANT OF HEALTH TO BETTER IDENTIFY AT RISK POPULATION AND DEVELOP RESOURCES TO ASSIST THEM - ENHANCE THE TOUR DE LA VALLEE TO INCREASE FUNDS AVAILABLE TO INDIVIDUALS REQUIRING TRAVELS FOR CANCER CARE - REMAINED A KEY EMPLOYER SUPPORTING THE LOCAL ECONOMY AND WELL-BEING OF OUR EMPLOYEES - COO REMAINS ACTIVE AS A BOARD MEMBER OF THE AROOSTOOK REGIONAL TRANSPORTATION SYSTEM TO ENSURE ACCESS TO TRANSPORTATION IN OUR CATCHMENT AREA FOR INDIVIDUALS IN NEEDPRIORITY 4 ELDER CARE ACTION STEPS - NMMC STARTED THE CONSTRUCTION OF A NEW NURSING WITH 45 PRIVATE ROOMS FOR ALL OF ITS RESIDENTS - ENTERING INTO AN AGREEMENT TO PROVIDE INTENSIVE OUTPATIENT PROGRAMING FOR OLDER INDIVIDUALS WITH MENTAL HEALTH AFFLICTIONS - ENTERING INTO AN AGREEMENT TO PROVIDE OUTPATIENT CARDIAC AND RESPIRATORY REHAB PROGRAMING - BEHAVIORAL HEALTH OUTREACH PROGRAM TO POST-ACUTE CARE FACILITIES TO PROVIDE CARE WITHIN THE FACILITIES ON A REGULAR BASIS - REINSTATING OUTPATIENT PHYSICAL THERAPY SERVICES - ACTIVELY PARTICIPATE IN EVENTS THAT OFFER OPPORTUNITIES TO REDUCE SOCIAL ISOLATION - FACILITATES THE ALZHEIMER'S COMMUNITY SUPPORT GROUP NORTHERN MAINE MEDICAL CENTER PART V, SECTION B, LINE 24: INDIVIDUALS ARE BILLED AT GROSS AMOUNTS AND CHARGES ARE ADJUSTED ACCORDINGLY, IF THEY QUALIFY FOR ASSISTANCE. 2 1 - FOREST HILL LONG TERM CARE 25 BOLDUC AVENUE FORT KENT ME 04743 LTC 2 - ACADIA FAMILY HEALTH CENTER 460 MAIN STREET MADAWASKA ME 04756 RHC PART III, LINE 8: THE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND, AS SUCH, A PORTION OF ITS REVENUE IS PAID UNDER A COST REIMBURSEMENT SYSTEM. THE TOTAL MEDICARE REVENUE SHOWN BASED ON THE IRS 990 INSTRUCTIONS INCLUDES ONLY A PORTION OF THE TOTAL MEDICARE REVENUE OF THE HOSPITAL. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART VI, LINE 2: PLEASE SEE SCHEDULE H, PART V, SECTION B, LINE 5 FOR A DESCRIPTION OF NMMC'S ASSESSMENT PROCESS. WE ALSO HOLD REGULAR MEETINGS WITH OUR COMMUNITY ADVISORY COMMITTEE FOR INPUT AND FEEDBACK. THE LEADERSHIP TEAM PARTICIPATE IN MANY COMMITTEES AT THE LOCAL AND STATE LEVEL TO STAY INFORMED OF NEW NEEDS PRESENTING IN OUR CATCHMENT AREA. PART VI, LINE 3: WE NOTIFY PATIENTS AND CUSTOMERS ABOUT ACCESS TO ASSISTANCE IN VARIOUS WAYS. THE SIMPLEST WAY IS THE SIGNAGE, PAMPHLETS, AND EDUCATIONAL MATERIAL LOCATED AROUND THE ORGANIZATION AND IN VARIOUS OFFICES. IN EVERY PATIENT ACCESS/PATIENT FINANCIAL SERVICES AREA IS A SIGN EXPLAINING THE AVAILABILITY OF FREE/DISCOUNTED CARE AND THE FEDERAL POVERTY GUIDELINES. THERE ARE ALSO PAMPHLETS LOCATED IN THE OUTPATIENT AREAS EXPLAINING FREE/DISCOUNTED CARE AND PROVIDING INFORMATION ON MAINECARE. FOR INPATIENTS, THERE IS A BOOK IN EACH ROOM WHICH PROVIDES ALL THE INFORMATION ON ALL PROGRAMS AVAILABLE.THROUGH THE PATIENT ACCOUNTING DEPARTMENT, WE PROVIDE INFORMATION ABOUT THESE STATEMENTS. WE ALSO COUNSEL PATIENTS ON THE PHONE ABOUT ALL THE PROGRAMS AVAILABLE WHETHER IT IS MEDICAID OR A HOSPITAL PROGRAM. PART VI, LINE 4: NORTHERN MAINE MEDICAL CENTER IS A 25 LICENSED BED (25 A&P WHICH INCLUDES SWING BEDS, ICU BEDS, 9 PSYCH BEDS (DISTINCT UNIT), AND 45 SNF BEDS), FULL-SERVICE, CRITICAL ACCESS, NOT-FOR PROFIT HOSPITAL LOCATED IN FORT KENT, MAINE (AROOSTOOK COUNTY). THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION AND ITS MISSION IS TO SERVE ITS COMMUNITIES WITH EXCELLENCE IN HEALTH CARE. ITS SERVICES INCLUDE ACUTE INPATIENT, PSYCH INPATIENT, SNF, 24-HOUR EMERGENCY CENTER, DIAGNOSTIC, AND SURGICAL SERVICES. ALONG WITH THESE HOSPITAL SERVICES, THE HOSPITAL EMPLOYS/CONTRACTS WITH THE MAJORITY OF PRIMARY AND SPECIALTY CARE PHYSICIANS IN THE AREA. PART VI, LINE 5: NORTHERN MAINE MEDICAL CENTER IS A LOCAL, NOT-FOR-PROFIT HOSPITAL THAT SERVES ITS LOCAL COMMUNITIES AND PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. NORTHERN MAINE PROVIDES FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS TO SELF-PAY AND LOW-INCOME PATIENTS. ALSO THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICARE, MEDICAID, VA, AND TRICARE. THE VOLUNTEER BOARD OF TRUSTEES SETS THE STRATEGIC DIRECTION FOR THE HOSPITAL AND IS COMPRISED OF COMMUNITY MEMBERS FROM THE HOSPITAL'S SERVICE AREA. THIS GROUP IS MADE UP OF LOCAL BUSINESS OWNERS, PROFESSIONALS, AND RETIREES. NORTHERN MAINE'S NON-PROFIT STATUS ALLOWS THE HOSPITAL TO REINVEST ANY EXCESS OF REVENUES OVER EXPENSE BACK INTO THE HOSPITAL TO CONTINUOUSLY IMPROVE THE MEDICAL CARE IT DELIVERS. THE HOSPITAL ALLOWS ACCESS TO HEALTHCARE THAT WOULD OTHERWISE BE DIFFICULT. THE HOSPITAL IS THE MAIN EMPLOYER FOR THE LOCAL PHYSICIANS, INCLUDING SPECIALTY PHYSICIANS THAT WOULD OTHERWISE HAVE TO BE ACCESSED OUT OF THE AREA. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES ME X X X 0 0 0 0 0 0 0 1 0 DR SHAHRIAR ANOUSHFAR GENERAL SURGEON 510847 0 422862 0 1290 0 10350 0 41842 0 987191 0 0 0 DR MARK OVERTON PHYSICIAN 405134 0 356974 0 21301 0 0 0 41192 0 824601 0 0 0 DR SILWANA SIDORCZUK PHYSICIAN 350440 0 266237 0 690 0 10350 0 36584 0 664301 0 0 0 JAMES HARRIS MD DIRECTOR 416274 0 100000 0 9315 0 2622 0 36601 0 564812 0 0 0 DR WALTER DOERFLER ER PHYSICIAN 464931 0 20000 0 41614 0 6449 0 30481 0 563475 0 0 0 DR DANIEL MIRAU ER PHYSICIAN 396853 0 62500 0 270 0 7200 0 40837 0 507660 0 0 0 JEFF ZEWE PRESIDENT/CEO 338150 0 81086 0 1290 0 33350 0 10172 0 464048 0 0 0 AARON TEACHOUT TREASURER/CFO 307204 0 0 0 0 0 0 0 0 0 307204 0 0 0 ALAIN BOIS SECRETARY/COO 223968 0 100 0 16173 0 5526 0 25676 0 271443 0 0 0 PART I, LINE 7 JEFFREY ZEWE, CEO, RECEIVED A PERFORMANCE BONUS, WHICH WAS REVIEWED AND APPROVED BY THE BOARD. A MAINE HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 010314384 56042RUP5 2019-11-06 14035000 REFUNDING BOND & RENOVATION OF OPERATING ROOM 0 0 1 B MAINE HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 010314384 56042RUP3 2022-06-02 39480000 CONSTRUCTION OF NEW NURSING HOME 0 0 1 C MAINE HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY 010314384 56042SFB1 2025-05-15 12070000 RENOVATION AND EQUIPMENT OF NEW CLINIC 0 0 1 A 2410000 15820042 981150 293305 209443 7361187 6974957 2020 1 0 1 1 B 1685000 42339170 2685563 4100272 460452 154670 32743610 1817 2192786 0 0 1 1 C 12625262 800838 171428 19952 492361 122 11140562 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MAINE HEALTH AND HIGHER EDUCATION FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/06/2024 SP REAL ESTATE LLC OWNER STEVE PELLETIER IS BOARD DIRECTOR 107230 LEASING OF RESIDENTIAL & COMMERCIAL SPACE 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT PUBLIC ACCOUNTING FIRM AND THOROUGHLY REVIEWED BY THE CFO AND CONTROLLER. THE COMPLETED FORM IS SENT ELECTRONICALLY TO BOARD MEMBERS PRIOR TO THE FORM BEING FILED. IN ADDITION, CEO HAS DOCUMENTS FOR REVIEW PRIOR TO SENDING TO THE BOARD MEMBERS AND HAS OPPORTUNITY TO REQUEST ANY EDITS. WHEN THE FORMS ARE SENT TO BOARD MEMBERS, THEY ARE INSTRUCTED TO CONTACT CEO OR CFO WITH QUESTIONS. ANY QUESTIONS ARE RESPONDED TO IMMEDIATELY UPON REQUEST AND AT THE FOLLOWING FINANCE OR BOARD MEETINGS, CFO PROVIDES ABILITY FOR ANYONE TO ASK ANY ADDITIONAL QUESTIONS. FINANCE COMMITTEE MAY REQUEST A FORMAL/DETAILED PRESENTATION BY CONSULTANTS IF DEEMED NECESSARY BUT HAVE NOT REQUESTED THAT LEVEL OF REVIEW RECENTLY. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, BOARD MEMBERS MUST READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, DISCLOSE ANY POTENTIAL CONFLICTS, AND RETURN THE SIGNED STATEMENT TO ADMINISTRATION. IF TOPICS ARISE WHERE A MEMBER HAS AN ACTUAL OR POTENTIAL CONFLICT, THE GROUP WILL DETERMINE THE LEVEL TO WHICH THE INDIVIDUAL MAY BE INVOLVED IN DISCUSSIONS AND THE MEMBER WITH THE CONFLICT WILL NOT HAVE A VOTE. IN SOME INSTANCES, THE MEMBER WILL BE EXCUSED FROM THE MEETING AND CAN ONLY REJOIN WHEN THE BOARD HAS MOVED ON TO A DIFFERENT TOPIC. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CEO USING COMPENSATION STUDIES AND COMPARABILITY DATA. THE CEO DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IN A SIMILAR MANNER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,098,493. MANAGEMENT AND GENERAL EXPENSES 1,984,498. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,082,991. MAINTENANCE CONTRACT: PROGRAM SERVICE EXPENSES 759,355. MANAGEMENT AND GENERAL EXPENSES 295,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,054,920. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,069,290. MANAGEMENT AND GENERAL EXPENSES 1,583,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,653,190. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 10,578. MANAGEMENT AND GENERAL EXPENSES 4,118. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,696. CONSULTING: PROGRAM SERVICE EXPENSES 732,904. MANAGEMENT AND GENERAL EXPENSES 285,270. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,018,174. FORM 990, PART XI, LINE 9: INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 127,923. PRIOR PERIOD ADJUSTMENT -1,556,554.