MEMORIAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HOSPITAL (EIN 02-0222156)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-10
IRS object ID
202632229349300973
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-10T10:20:12-05:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222156EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Memorial Hospital at North ConwayBusinessNameLine1Txt
Business Name Line2NHBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMEMOBusinessNameControlTxt
Phone6033565461PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13073 White Mountain HighwayAddressLine1Txt
CityNorth ConwayCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03860ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDiana McLaughlinPersonNm
Person TitleVP Finance-Mountain Reg.PersonTitleTxt
Phone6033565461PhoneNum
Signature2026-07-28SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MaineHealth Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTricia CostiganPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13073 White Mountain HighwayAddressLine1Txt
CityNorth ConwayCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03860ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$154,584,686GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.memorialhospitalnh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1910FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionCritical Access HospitalActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee521TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,352,045PYContributionsGrantsAmt
CY Contributions Grants$308,378CYContributionsGrantsAmt
PY Program Service Revenue$117,206,820PYProgramServiceRevenueAmt
CY Program Service Revenue$133,869,281CYProgramServiceRevenueAmt
PY Investment Income$3,562,152PYInvestmentIncomeAmt
CY Investment Income$3,958,945CYInvestmentIncomeAmt
PY Other Revenue$454,716PYOtherRevenueAmt
CY Other Revenue$433,840CYOtherRevenueAmt
PY Total Revenue$126,575,733PYTotalRevenueAmt
CY Total Revenue$138,570,444CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$54,016,554PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$61,814,155CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$238,674CYTotalFundraisingExpenseAmt
PY Other Expenses$59,737,260PYOtherExpensesAmt
CY Other Expenses$65,131,064CYOtherExpensesAmt
PY Total Expenses$113,753,814PYTotalExpensesAmt
CY Total Expenses$126,945,219CYTotalExpensesAmt
PY Revenues Less Expenses$12,821,919PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,625,225CYRevenuesLessExpensesAmt
Total Assets BOY$134,141,556TotalAssetsBOYAmt
Total Assets EOY$142,575,718TotalAssetsEOYAmt
Total Liabilities BOY$41,871,801TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,607,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$92,269,755NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$103,967,801NetAssetsOrFundBalancesEOYAmt
MissionTHE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H. (MEMORIAL HOSPITAL) PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE AS WELL AS WESTERN MAINE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$122,674,719ExpenseAmt
Revenue$134,187,391RevenueAmt
DescMEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS AND VISITORS OF THE MOUNT WASHINGTON VALLEY AREA OF NEW HAMPSHIRE AND THE WESTERN REGION OF MAINE. MEMORIAL HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES ACUTE INPATIENT SERVICES INCLUDING GENERAL MEDICAL AND SURGICAL, OBSTETRICS AND INTENSIVE CARE UNITS. THE HOSPITAL HAD 5,702 ACUTE PATIENT DAYS IN 2025. THE HOSPITAL ALSO PROVIDES A VARIETY OF OUTPATIENT SERVICES SUCH AS IMAGING, LABORATORY, DIABETES, ONCOLOGY, PHYSICAL REHAB, EMERGENCY MEDICINE, PRIMARY CARE, ORTHOPEDICS AND GENERAL SURGERY. THE HOSPITAL HAD 66,705 OUTPATIENT VISITS AND 69,964 CLINIC VISITS IN 2025.Desc
Total Program Service Expenses$122,674,719TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee521EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Diana McLaughlinBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6033560613PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13073 White Mountain HighwayAddressLine1Txt
CityNorth ConwayCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03860ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Andrew Mueller MD
CEO, MH/Trustee1.0050.00Yes (X)$0$2,556,171$62,225
David Hoeft
Frmr Physician/Frmr Trustee50.000.00Yes (X)$324,267$0$56,899
Mary Vigeant
Nurse Practitioner/Trustee50.000.00Yes (X)$241,959$0$32,297
Tricia Costigan
President50.000.00Yes (X)$0$0$0Yes (X)
Rachael Brown
Trustee1.000.00Yes (X)$0$0$0
Steve Boyle
Trustee1.000.00Yes (X)$0$0$0
Christine Thompson
Secretary1.000.00Yes (X)$0$0$0Yes (X)
Tim Scott
Trustee1.000.00Yes (X)$0$0$0
Michelle O'Donnell
Trustee1.000.00Yes (X)$0$0$0
Chris Perley
Chair1.000.00Yes (X)$0$0$0Yes (X)
Linda Terry
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Corinne Ray
Vice Chair1.000.00Yes (X)$0$0$0Yes (X)
Trampas Hutches
Frmr Interim/Mountain Reg. President1.0050.00Yes (X)$0$735,712$52,365Yes (X)
Bradley Chapman
Frmr President/ Frmr Trustee50.000.00Yes (X)$389,652$0$52,874Yes (X)
Matthew Dunn
Regional CMO - Mountain Region50.000.00$557,395$0$58,726Yes (X)
Diana McLaughlin
VP Finance - Mountain Region1.0050.00$0$309,360$67,280Yes (X)
Kristine Dascoulias
Senior Director - CNO50.000.00$224,190$0$44,925Yes (X)
Douglas Taylor
Physician50.000.00$593,059$0$60,481Yes (X)
Danielle Phinney
Physician50.000.00$616,916$0$49,557Yes (X)
Morice Dennery
Physician50.000.00$497,755$0$58,232Yes (X)
Joshua H Knowles
Associate Medical Director50.000.00$826,669$0$23,527Yes (X)
Gregory B Galvin
Physician50.000.00$612,724$0$55,859Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,884,586TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,601,243TotReportableCompRltdOrgAmt
Total Other Compensation$675,247TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K135IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEATHERBY LOCUMS INC
PO Box 972633DallasTX753972633Locum tenens$504,766
INSIGHT HEALTH CORP
PO Box 847689DallasTX752847689Diagnostic imaging$303,492
DEREK CHASE
15 Winterbird RdStoweVT05672Medical services$285,625
DELTA WAVE ANESTHESIA PLLC
11 Marsten Lane 33EnfieldNH03748Medical services$228,795
SPECTRUM HEALTHCARE PARTNERS
324 Gannett Dr 200SOUTH PORTLANDME04106Medical services$191,589
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$308,378GovernmentGrantsAmt
Total Contributions$308,378TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet patient servicesDesc
Business622110BusinessCd
Total Revenue Column$133,869,281TotalRevenueColumnAmt
Related Or Exempt Func Income$133,869,281RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$133,869,281TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,220,457TotalRevenueColumnAmt
Exclusion$3,220,457ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$186,944RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$71,214RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$115,730RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,730TotalRevenueColumnAmt
Exclusion$115,730ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,680,416SecuritiesAmt
Other$1,100OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,939,195SecuritiesAmt
Other$3,833OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$741,221SecuritiesAmt
Other-$2,733OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$738,488TotalRevenueColumnAmt
Exclusion$738,488ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther revenueDesc
Business900099BusinessCd
Total Revenue Column$318,110TotalRevenueColumnAmt
Related Or Exempt Func Income$318,110RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$318,110OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,570,444TotalRevenueColumnAmt
Related Or Exempt Func Income$134,187,391RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,074,675ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,118,446TotalAmt
Program Services$1,630,520ProgramServicesAmt
Management And General$487,926ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$47,274,491TotalAmt
Program Services$45,713,668ProgramServicesAmt
Management And General$1,405,836ManagementAndGeneralAmt
Fundraising$154,987FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,457,517TotalAmt
Program Services$2,362,877ProgramServicesAmt
Management And General$88,430ManagementAndGeneralAmt
Fundraising$6,210FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,722,515TotalAmt
Program Services$6,424,524ProgramServicesAmt
Management And General$259,253ManagementAndGeneralAmt
Fundraising$38,738FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,241,186TotalAmt
Program Services$3,098,114ProgramServicesAmt
Management And General$132,609ManagementAndGeneralAmt
Fundraising$10,463FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,592TotalAmt
Management And General$7,592ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,128TotalAmt
Management And General$56,128ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,313,511TotalAmt
Program Services$13,727,887ProgramServicesAmt
Management And General$585,624ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$836,753TotalAmt
Program Services$777,903ProgramServicesAmt
Management And General$34,235ManagementAndGeneralAmt
Fundraising$24,615FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,855,731TotalAmt
Program Services$1,779,806ProgramServicesAmt
Management And General$75,925ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,054TotalAmt
Program Services$62,275ProgramServicesAmt
Management And General$2,784ManagementAndGeneralAmt
Fundraising$2,995FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$145,357TotalAmt
Program Services$139,410ProgramServicesAmt
Management And General$5,947ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$550,589TotalAmt
Program Services$528,062ProgramServicesAmt
Management And General$22,527ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,962,715TotalAmt
Program Services$2,841,500ProgramServicesAmt
Management And General$121,215ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$69,194TotalAmt
Program Services$66,363ProgramServicesAmt
Management And General$2,831ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$21,390,611$21,390,611
Integrated services$17,183,411$16,480,375$703,036
Medicaid tax$4,786,708$4,786,708
Food$450,476$432,045$18,431

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$454,234TotalAmt
Program Services$432,071ProgramServicesAmt
Management And General$21,497ManagementAndGeneralAmt
Fundraising$666FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$126,945,219TotalAmt
Program Services$122,674,719ProgramServicesAmt
Management And General$4,031,826ManagementAndGeneralAmt
Fundraising$238,674FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,748,829BOYAmt
EOY$46,947,467EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,148,755BOYAmt
EOY$592,710EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,211BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,721,666BOYAmt
EOY$14,991,773EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,270,324BOYAmt
EOY$3,548,240EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$255,457BOYAmt
EOY$254,884EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$104,132,590LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$73,293,178LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,797,892BOYAmt
EOY$30,839,412EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,400,544BOYAmt
EOY$34,273,991EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,362,607BOYAmt
EOY$8,188,093EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,408,271BOYAmt
EOY$2,939,148EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$134,141,556BOYAmt
EOY$142,575,718EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,258,729BOYAmt
EOY$6,247,403EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$305,952BOYAmt
EOY$63,691EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,929,641BOYAmt
EOY$10,251,188EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$875,112BOYAmt
EOY$154,967EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,502,367BOYAmt
EOY$21,890,668EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,871,801BOYAmt
EOY$38,607,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$92,269,755BOYAmt
EOY$103,967,801EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,269,755BOYAmt
EOY$103,967,801EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$134,141,556BOYAmt
EOY$142,575,718EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,625,225ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,952,994NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,880,173OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$21,662OtherActivitiesAmt
Total Lobbying Expenditures$21,662TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS DUES TO THE NEW HAMPSHIRE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$50,911,906BeginningYearBalanceAmt
Investment Earnings Or Losses$3,724,977InvestmentEarningsOrLossesAmt
Other Expenditures$11,582,089OtherExpendituresAmt
End Year Balance$43,054,794EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$45,346,263BeginningYearBalanceAmt
Investment Earnings Or Losses$5,565,643InvestmentEarningsOrLossesAmt
End Year Balance$50,911,906EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,305,879BeginningYearBalanceAmt
Investment Earnings Or Losses$3,040,384InvestmentEarningsOrLossesAmt
End Year Balance$45,346,263EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$31,681,985BeginningYearBalanceAmt
Contributions$15,000,000ContributionsAmt
Investment Earnings Or Losses-$4,376,106InvestmentEarningsOrLossesAmt
End Year Balance$42,305,879EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,648,048BeginningYearBalanceAmt
Investment Earnings Or Losses$3,033,937InvestmentEarningsOrLossesAmt
End Year Balance$31,681,985EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,545,066OtherCostOrOtherBasisAmt
Book Value$4,545,066BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,583,438OtherCostOrOtherBasisAmt
Depreciation$42,802,322DepreciationAmt
Book Value$15,781,116BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,107,884OtherCostOrOtherBasisAmt
Depreciation$30,490,856DepreciationAmt
Book Value$9,617,028BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$896,202OtherCostOrOtherBasisAmt
Book Value$896,202BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,839,412TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Common/collective trusts$1,131,735F
Real estate$34,080C
Limited partnerships$3,139,794F
Hedge funds$3,882,484F
FieldValueIRS element (for citing)
Total Book Value Securities$8,188,093TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Estimated third party settlements$10,483,335
Due to affiliates$10,291,789
Professional insurance payable$1,115,544
FieldValueIRS element (for citing)
Total Liability$21,890,668TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:FIN 48 FOOTNOTE THE HOSPITAL AND ITS SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TAX-EXEMPT 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 FINANCIAL ACCOUNTING STANDARDS BOARD (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. THE HOSPITAL HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE HOSPITAL HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2025.
Part V, LINE 1e - OTHER EXPENDITURES FOR FACILITIES AND PROGRAMSTHIS AMOUNT REFLECTS A FINANCIAL STATEMENT RECLASSIFICATION OF INVESTMENTS TO CASH AND CASH EQUIVALENTS WITH NO USAGE LIMITATIONS.
PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDSTHE ENDOWED FUNDS SUPPORT COMMUNITY HEALTH INITIATIVES FOR THE MEMORIAL HOSPITAL SERVICE AREA AND PATIENTS. THEY PROVIDE SUPPORT FOR THE DIABETES AND ONCOLOGY PROGRAMS AND ASSIST PURCHASING CAPITAL ASSETS FOR CLINICAL AREAS OF THE HOSPITAL.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,733,155TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,733,155NetCommunityBenefitExpnsAmt
Total Expense0.01370TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,279,655TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,299,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$980,642NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,012,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,299,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,713,797NetCommunityBenefitExpnsAmt
Total Expense0.02140TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$569,817TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$569,817NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,875,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,823,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,052,225NetCommunityBenefitExpnsAmt
Total Expense0.03980TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,445,369TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,823,327DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,622,042NetCommunityBenefitExpnsAmt
Total Expense0.04430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,458,179TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,122,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,335,839NetCommunityBenefitExpnsAmt
Total Expense0.06570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,625,014BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$59,138,409ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$62,107,927CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,969,518MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13073 White Mountain HighwayAddressLine1Txt
CityNorth ConwayCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03860ZIPCd
FieldValueIRS element (for citing)
Website Addressmainehealth.org/Memorial-HospitalWebsiteAddressTxt
State License#00009StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted25CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.MaineHealth.org/chnaOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt25ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.MaineHealth.org/chnaStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Memorial HospitalPart V, Section B, Line 5: MAINEHEALTH MEMORIAL HOSPITAL, IN COLLABORATION WITH THE MAINE SHARED CHNA, CONDUCTED A MULTIPRONG HEALTH AND WELL-BEING ASSESSMENT FOR CARROLL COUNTY, NH USING A SET OF STEWARDSHIP GUIDELINES TO ENSURE DATA IS COLLECTED, ANALYZED, SHARED, PUBLISHED, AND STORED IN A TRANSPARENT AND RESPONSIBLE MANNER. THE MAINE SHARED CHNA IS A COLLABORATIVE PARTNERSHIP BETWEEN CENTRAL MAINE HEALTHCARE (CMHC), NORTHERN LIGHT HEALTH (NLH), MAINEGENERAL HEALTH (MGH), MAINEHEALTH (MH), THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, A DIVISION OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (MAINE CDC), AND THE MAINE COMMUNITY ACTION PARTNERSHIP (MeCAP). COMMUNITY OUTREACH AND ENGAGEMENT FOR THE MAINE SHARED CHNA INCLUDED THE FOLLOWING EFFORTS:- FOCUS GROUPS- KEY INFORMANT INTERVIEWS- CARROLL COUNTY COMMUNITY SURVEY - BAY AREA REGIONAL HEALTH INEQUITIES INITIATIVE FRAMEWORK- STAKEHOLDER FORUM- ORAL SURVEYS PERSONS FROM THE FOLLOWING ORGANIZATIONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY WHO PARTICIPATED IN THE FORUM PROCESS: CARROLL COUNTY COALITION FOR PUBLIC HEALTH, CHILDREN'S UNLIMITED, CONWAY POLICE DEPARTMENT, FIRST CONGREGATIONAL CHURCH, GIBSON CENTER FOR SENIOR SERVICES, GRANITE UNITED WAY, MAINEHEALTH ACCESS TO CARE, MAINEHEALTH BEHAVIORAL HEALTHCARE, MAINEHEALTH COMMUNITY HEALTH IMPROVEMENT, MAINEHEALTH MEMORIAL HOSPITAL, MT WASHINGTON VALLEY ADULT DAY CENTER, MWV FARMERS MARKET, NORTHERN HUMAN SERVICES, SAU 9, TAMWORTH COMMUNITY NURSE ASSOCIATION, TOWN OF CONWAY- NEW HAMPSHIRE, TOWN OF FREEDOM- NEW HAMPSHIRE, TTCAPTRI COUNTY CAP, VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY, WAYSTATION (DAY RESOURCE CENTER FOR HOMELESS & HOUSING INSECURE RESIDENTS OF MT. WASHINGTON VALLEY), WHITE HORSE RECOVERY AND WHITE MOUNTAIN COMMUNITY HEALTH CENTER. PLEASE SEE THE 2025 MAINEHEALTH MEMORIAL HOSPITAL AND CARROLL COUNTY (NEW HAMPSHIRE) CHNA REPORTS AND THE 2025-2028 IMPLEMENTATION PLANS AT www.mainehealth.org/chna FOR DETAILS.
Memorial HospitalPart V, Section B, Line 6a: CENTRAL MAINE HEALTHCARE, NORTHERN LIGHT HEALTH, MAINEGENERAL HEALTH, MAINEHEALTH.
Memorial HospitalPart V, Section B, Line 6b: THE MAINE COMMUNITY ACTION PARTNERSHIP,THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL OF PUBLIC SERVICE, AND CRESCENDO CONSULTING GROUP.
Memorial HospitalPart V, Section B, Line 11: THE ORGANIZATION HAS IDENTIFIED PRIORITIES AND DEVELOPED STRATEGIES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND PROVIDED REASONS IF IDENTIFIED NEEDS ARE NOT BEING ADDRESSED. PLEASE SEE THE 2025-2028 CHNA IMPLEMENTATION PLAN AT www.MaineHealth.org/chna FOR DETAILS.
PART V, SECTION B, LINES 16a, 16b, 16cTHE FINANCIAL ASSISTANCE POLICY (FREE CARE POLICY AND BILLING AND COLLECTION POLICY), FREE CARE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE FOLLOWING WEBSITE: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:CHARITY CARE LEVELS ARE DETERMINED BY A THREE PRONG TEST FOR ELIGIBILITY. RESIDENCY, INCOME LEVEL, AND HOUSEHOLD SIZE ARE EXAMINED TO DETERMINE LEVEL OF ELIGIBILITY. DISCOUNTED CARE IS REQUIRED BY NEW HAMPSHIRE STATE LAW FOR ALL UNINSURED SELF-PAY PATIENTS. THE DISCOUNT WAS 46.75% UNTIL DECEMBER 31, 2024, WHEN THE DISCOUNT INCREASED TO 47.85% FOR THE REMAINDER OF THE TAX YEAR.
Part I, Line 6a:MEMORIAL HOSPITAL'S COMMUNITY BENEFIT DATA IS CONTAINED IN A REPORT PREPARED BY MAINEHEALTH SERVICES (EIN 01-0431680), THE ORGANIZATION'S SOLE MEMBER. THE REPORT CAN BE FOUND AT THE LINK BELOW:https://annualreport.mainehealth.org/#community
Part I, Line 7:A COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED INTHE TABLE. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. ACOST-TO-CHARGE RATIO WAS USED.
Part III, Line 2:MEMORIAL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIALSTATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE." HOWEVER, REFERENCE ISMADE WITHIN THE FOOTNOTES TO THE TREATMENT OF BAD DEBT. WITHIN THE FOOTNOTE DESCRIBING "PATIENT ACCOUNTS RECEIVABLE", THE FOLLOWING EXPLAINS THE PROVISION FOR BAD DEBTS:PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF.WHEN THE HOSPITAL HAS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE. THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES, ULTIMATELY WRITTEN OFF AS BAD DEBT AT MEMORIAL, HAS BEEN CALCULATED AT $3,917,704 FOR THE CURRENT FISCAL YEAR. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES MEMORIAL HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT ORGANIZATION, MEMORIAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. MEMORIAL CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, MEMORIAL BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.
Part III, Line 4:MEMORIAL HOSPITAL DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIALSTATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE." SEE PART III, LINE 2 FOR BAD DEBT EXPENSE METHODOLOGY.
Part III, Line 8:MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO. MEMORIAL HOSPITAL BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE MEMORIAL HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY MEMORIAL HOSPITAL, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT.
Part III, Line 9b:PATIENTS WHO QUALIFY FOR FREE CARE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY ONCE FREE CARE HAS BEEN APPROVED. AS A TAX EXEMPT HOSPITAL, MEMORIAL HOSPITAL PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES.
Part VI, Line 2:THE ORGANIZATION PREPARES A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. SEE www.MaineHealth.org/chna FOR THE COMPLETED CHNA.
Part VI, Line 3:MEMORIAL HOSPITAL'S POLICY OF CHARITY CARE AND FINANCIAL ASSISTANCE ISEASILY UNDERSTOOD, PROMINENTLY POSTED, AND PUBLICLY AVAILABLE. APROCESS EXISTS FOR OFFERING CHARITY CARE OR FINANCIAL ASSISTANCE TOPATIENTS WHO ARE UNABLE TO PAY AFTER THEY HAVE ALREADY BEEN BILLED. INADDITION TO MONITORING COLLECTION PRACTICES, COPIES OF THE CHARITY CAREPOLICY ARE MADE AVAILABLE TO PATIENTS AT ALL ENTRY POINTS(REGISTRATION, ED, ETC.) AND WITH BILL/COLLECTION NOTICES. MEMORIALHOSPITAL USES SIMPLE APPLICATION PROCEDURES FOR CHARITY CARE ORFINANCIAL ASSISTANCE THAT DO NOT INTIMIDATE OR CONFUSE APPLICANTS.MEMORIAL HOSPITAL'S EMPLOYEES WHO WORK IN ADMISSIONS, BILLING, ACCOUNTSRECEIVABLE, OR PATIENT SERVICES ARE FULLY INFORMED AND EDUCATED ABOUTALL FINANCIAL ASSISTANCE POLICIES. THESE STAFF MEMBERS IDENTIFY UNPAIDBILLS WHERE PERSONS ARE UNABLE TO PAY, AND SEPARATE THESE POTENTIAL"CHARITY CARE" BILLS FROM OTHER BAD DEBT ACCOUNTS. ON A CASE-BY-CASE BASIS, WE HAVE GRANTED ASSISTANCE TO INDIVIDUALS THAT MAY EARN ABOVE 200% OF THE FEDERAL POVERTY GUIDELINES BUT HAVE MET THE CATASTROPHIC ILLNESS PARAMETERS.
Part VI, Line 4:THE CHNA DESCRIBES THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVICES. SEE www.MaineHealth.org/chna FOR THE COMPLETED CHNA.
Part VI, Line 5:THE TAX EXEMPT PURPOSE OF THE ORGANIZATION TO IMPROVE THE HEALTH OF THECOMMUNITY IS PROMOTED AND ENHANCED IN THE FOLLOWING WAYS:- THE MAJORITY OF THE GOVERNING BODY IS COMPOSED OF PERSONS LIVINGWITHIN THE HOSPITAL SERVICE AREA THAT ARE NEITHER EMPLOYED BY, NOR HAVECONTRACTUAL RELATIONSHIPS WITH, THE HOSPITAL OR ITS AFFILIATES.- MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS INTHE COMMUNITY.- SOLICITATION OF COMMUNITY INPUT IN THE STRATEGIC PLANNING PROCESS.- COMMON GOVERNANCE OF THE HOSPITAL, LONG-TERM CARE AND PHYSICIANSERVICES PROVIDED IN THE COUNTY TO PROMOTE COMMON HEALTH CARE ANDIMPROVEMENT PLANNING AND CONTROL COSTS.- VOLUNTARY CAP ON INCOME FROM OPERATIONS TO RESTRAIN PRICES AND TOFUND HEALTH CARE AND HEALTH IMPROVEMENT ACTIVITIES.- SURPLUS FUNDS ARE REINVESTED IN CAPITAL EQUIPMENT AND IMPROVEMENTS TOENSURE HIGH QUALITY CARE.
Part VI, Line 6:MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATION'S TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, COASTAL, AND MOUNTAIN REGIONAL SERVICE AREAS. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., MAINEHEALTH NEW HAMPSHIRE AMBULATORY CARE, MAINEHEALTH CARE AT HOME, NORDX, MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION AND MAINEHEALTH MAINE AMBULATORY CARE. THE STRATEGIC AFFILIATES OF MAINEHEALTH ARE MAINEGENERAL HEALTH AND ST. MARY'S HEALTH SYSTEM.
Part VI, Line 7, Reports Filed With StatesME,NH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Andrew Mueller MD
CEO, MH/Trustee$0$1,450,665$0$800,143$0$305,363$0$13,800$0$48,425$0$2,618,396$0$0
Joshua H Knowles
Associate Medical Director$734,357$0$45,218$0$47,094$0$13,800$0$9,727$0$850,196$0$0$0
Trampas Hutches
Frmr Interim/Mountain Reg. President$0$465,941$0$162,160$0$107,611$0$13,800$0$38,565$0$788,077$0$0
Gregory B Galvin
Physician$515,709$0$30,109$0$66,906$0$13,800$0$42,059$0$668,583$0$0$0
Danielle Phinney
Physician$593,670$0$11,538$0$11,708$0$13,800$0$35,757$0$666,473$0$0$0
Douglas Taylor
Physician$571,867$0$14,334$0$6,858$0$17,250$0$43,231$0$653,540$0$0$0
Matthew Dunn
Regional CMO - Mountain Region$333,413$0$111,878$0$112,104$0$17,250$0$41,476$0$616,121$0$0$0
Morice Dennery
Physician$484,969$0$9,264$0$3,522$0$17,250$0$40,982$0$555,987$0$0$0
Bradley Chapman
Frmr President/ Frmr Trustee$287,782$0$66,330$0$35,540$0$13,800$0$39,074$0$442,526$0$0$0
David Hoeft
Frmr Physician/Frmr Trustee$227,535$0$61,186$0$35,546$0$14,467$0$42,432$0$381,166$0$0$0
Diana McLaughlin
VP Finance - Mountain Region$0$223,962$0$49,116$0$36,282$0$25,900$0$41,380$0$376,640$0$0
Mary Vigeant
Nurse Practitioner/Trustee$187,223$0$30,897$0$23,839$0$12,300$0$19,997$0$274,256$0$0$0
Kristine Dascoulias
Senior Director - CNO$188,980$0$34,245$0$965$0$11,688$0$33,237$0$269,115$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTHE FORMER PRESIDENT RECEIVED AN AUTO ALLOWANCE THAT WAS TREATED AS TAXABLE INCOME AND INCLUDED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J, PART II, COLUMN (B)(iii).
Part I, Line 1bTHE AUTO ALLOWANCE HAS HISTORICALLY BEEN PROVIDED TO THE MEMORIAL HOSPITAL PRESIDENT AND IS PART OF THEIR OFFER LETTER. THIS IS REVIEWED AS PART OF AN ANNUAL INDEPENDENT COMPENSATION BENCHMARK ANALYSIS PERFORMED BY AN OUTSIDE FIRM, SULLIVAN COTTER. THE COMPENSATION DECISIONS FOR THIS EMPLOYEE ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES.
Part I, Line 7MAINEHEALTH ESTABLISHED A PERFORMANCE INCENTIVE PLAN (THE PLAN) TO ENCOURAGE AND REWARD PLAN PARTICIPANTS FOR ACHIEVING DEFINED PERFORMANCE GOALS THAT ARE SUPPORTIVE OF MAINEHEALTH'S MISSION, STRATEGIC INITIATIVES, AND OPERATING OBJECTIVES. THE PLAN IS ADMINISTERED BY THE MAINEHEALTH COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. A COMPONENT OF COMPENSATION FOR CERTAIN MEDICAL PROFESSIONALS IS BASED ON A RVU (RELATIVE VALUE UNIT) CALCULATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1New Hampshire Health & Ed Facilities AuthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN020279866BondIssuerEIN
CUSIP64461XAF2CUSIPNum
Bond Issued2016-12-22BondIssuedDt
Issue Price$15,795,685IssuePriceAmt
PurposeRefund bonds issued 06/14/2006PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$4,860,000RetiredAmt
Total Proceeds$15,795,685TotalProceedsAmt
Issuance Costs From Proceeds$315,914IssuanceCostsFromProceedsAmt
Other Spent Proceeds$15,479,771OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Jacqueline Martin
See Part V$88,177See Part V0
Grace Perley
See Part V$20,672See Part V0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch L, Part IV, Business Transactions Involving Interested Persons:FormAndLineReferenceDesc
ExplanationJacqueline Martin, daughter of Mary Vigeant (board member), is employed by Memorial Hospital.Grace Perley, daughter of Chris Perley (board chair), is employed as an LNA and compensated by Memorial Hospital.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1a -MAINEHEALTH (EIN 01-0238552), ACTING ON BEHALF OF THE MAINEHEALTH SYSTEM FILED 1,738 FORM 1099S FOR THE CALENDAR YEAR 2024.
Form 990, Part VI, Section A, line 6THE SOLE MEMBER OF THE ORGANIZATION IS MAINEHEALTH SERVICES (EIN# 01-0431680).
Form 990, Part VI, Section A, line 7aTHE SOLE MEMBER OF THE ORGANIZATION ELECTS THE TRUSTEES OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7bDECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS AND MARKETING STRATEGIC PLANS, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY MAINEHEALTH SERVICES (EIN# 01-0431680).
Form 990, Part VI, Section B, line 11bHIGHLIGHTS OF THE 990 ARE REVIEWED WITH THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE 990 IS REVIEWED IN DETAIL BY THE VP FINANCE - MOUNTAIN REGION AND MADE AVAILABLE TO THE FULL BOARD OF DIRECTORS PRIOR ITS TO FILING.
Form 990, Part VI, Section B, line 12cMAINEHEALTH'S AUDIT & COMPLIANCE SERVICES SENDS CONFLICT OF INTEREST (COI) DISCLOSURE FORM REQUESTS TO OVER 3,000 CARE TEAM MEMBERS (INCLUDING ALL BOARD MEMBERS, OFFICERS, AND OTHER SENIOR LEADERS) EACH YEAR. AUDIT & COMPLIANCE SERVICES COLLECTS THE DISCLOSURE FORMS AND REVIEWS EACH SUBMISSION FOR POSSIBLE REPORTED CONFLICTS TO DETERMINE IF A MANAGEMENT MITIGATION PLAN IS REQUIRED. THE RESULTS OF THE ANNUAL COI PROCESS ARE REPORTED TO THE MAINEHEALTH EXECUTIVE COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, LOCAL HEALTH SYSTEM PRESIDENTS, AND THE BOARD OF TRUSTEES CHAIRPERSONS.
Form 990, Part VI, Section B, line 15COMPENSATION PROCESS FOR PRESIDENTS (LINE 15a) MAINEHEALTH, A RELATED ORGANIZATION USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS ANNUALLY FOR THE PRESIDENT OF MEMORIAL HOSPITAL. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MAINEHEALTH TO REVIEW THE EXECUTIVE COMPENSATION REPORT. THE EXECUTIVE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY BEFORE MAKING A FINAL DECISION. ALL MEETING DECISIONS ARE CAPTURED IN MINUTES WITH APPROPRIATE APPROVALS AT ALL LEVELS. COMPENSATION PROCESS FOR OFFICERS (LINE 15b) COMPENSATION FOR OFFICERS OF MEMORIAL HOSPITAL IS PART OF THE INDEPENDENT BENCHMARK ANALYSIS PERFORMED ANNUALLY BY SULLIVAN COTTER. ALL COMPENSATION DECISIONS ARE REVIEWED AND APPROVED BY THE MAINEHEALTH CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF PEOPLE OFFICER.
Form 990, Part VI, Section C, line 19DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, line 11gContract labor: Program service expenses 3,753,469. Management and general expenses 160,121. Fundraising expenses 0. Total expenses 3,913,590. Labs: Program service expenses 3,741,780. Management and general expenses 159,621. Fundraising expenses 0. Total expenses 3,901,401. Purchased services: Program service expenses 2,567,735. Management and general expenses 109,538. Fundraising expenses 0. Total expenses 2,677,273. Contract services: Program service expenses 3,650,290. Management and general expenses 155,719. Fundraising expenses 0. Total expenses 3,806,009. Consulting: Program service expenses 10,312. Management and general expenses 441. Fundraising expenses 0. Total expenses 10,753. Physician recruitment: Program service expenses 4,301. Management and general expenses 184. Fundraising expenses 0. Total expenses 4,485.
Form 990, Part XI, line 9:Net equity transfers to controlled entities -1,880,173.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MaineHealth
22 Bramhall StreetPortlandME04102010238552HospitalME501(c)(3)Line 3MaineHealth services0
MaineHealth Care at Home
15 Industrial ParkSacoME04072222571902Home healthME501(c)(3)Line 10MaineHealth Services0
Memorial Hospital Foundation
3073 White Mountain HighwayNorth ConwayNH03860462137291FundraisingNH501(c)(3)Line 12a, IThe Memorial HospitalYes (1)
NorDx
301A US Route OneScarboroughME04074010511356LabME501(c)(3)Line 10MaineHealth Services0
MaineHealth Services
110 Free StreetPortlandME04101010431680HealthcareME501(c)(3)Line 12c, III-FI0N/A
Memorial Elder Health Services
3073 White Mountain HighwayNorth ConwayNH03860813653215Nursing HomeNH501(c)(3)Line 10The Memorial HospitalYes (1)
MaineHealth Maine Ambulatory Care
110 Free StreetPortlandME04101995016862Health treatment facilityME501(c)(3)Line 10MaineHealth Services0
MaineHealth New Hampshire Ambulatory Care
110 Free StreetPortlandME04101995034841Health treatment facilityME501(c)(3)Line 10MaineHealth services0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Memorial Elder Health Services
R-$1,980,000Cash
Memorial Hospital Foundation
S$99,827Cash

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