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MRH Corp Northern Light Mayo Hospital
Mayo Regional Hospital
897 West Main StreetDover-Foxcroft, ME 04426
| Bed count | 25 | Medicare provider number | 201309 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 843689003
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
0.33%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2019-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 60,009,276 Total amount spent on community benefits as % of operating expenses$ 198,528 0.33 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 30,578 0.05 %Medicaid as % of operating expenses$ 0 0 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 116,077 0.19 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 51,873 0.09 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 3,470,697 5.78 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? NO In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 54094417 including grants of $ 0) (Revenue $ 63338844) 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 $3,470,697 other uncompensated care (at cost).Additional Statistics:Outpatient vists 101,448Emergency room visits 10,019Hospital admissions 723Ambulance transports 3,617
4B (Expenses $ 463911 including grants of $ 0) (Revenue $ 0) Medicare shortfalls (at cost) 3,140 persons served.
4C (Expenses $ 30578 including grants of $ 0) (Revenue $ 0) Charity care provided (at cost) 216 persons served.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
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 2021 and January 2022. All forms of engagement included public forums, community sponsored events, and oral surveys. The purpose of these outreach efforts was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Virtual community forums with residents and service providers were held in the county in partnership with the Maine CDC to solicit input from individuals representing populations with health disparities including medically underserved, low-income, or minority populations. The following organizations attended the September 7, 2021, 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, page 20): Bangor Public Health and Community Services, Bangor Public Health Department, Child Behavioral Health Services, Downeast Public Health District, Eastern Area Agency on Aging, Healthy Acadia, Helping Hands with Heart /Maine Highlands Investment Partnership, Northeastern Workforce Development Board, Northern Light Acadia Hospital, Northern Light CA Dean Hospital, Northern Light Health Systems, Northern Light Mayo Hospital, Office of Child and Family Services, Maine Department of Health and Human Services, Partners for Peace, Penquis, Penquis Public Health District, Piscataquis Regional Food Center, Public Health Care, Public Health Nursing, Maine Center for Disease Control and Prevention, State of Maine, United Way of Eastern Maine, WIC Nutrition Program. New this cycle was an expanded effort to reach those who may experience systemic disadvantages and therefore experience a greater rate of health disparities. Two types of outreach were piloted in this effort.One effort included nine community sponsored events hosted by organizations having statewide reach representing the following communities: Black or African Americans; people who are homeless or formerly homeless; older adults; people who are deaf or hard of hearing; people who define themselves or identify as lesbian, gay, bisexual, transgender, and queer and/or questioning (LGBTQ+); people with a disability; people with a mental health diagnosis; people with low income; and youth.Another effort included conducting oral surveys in collaboration with eight ethnic-based community organizations community health workers in order to better reach Maines immigrant population that included: 1,000 surveys were conducted in either English (32%), Somali, (24%), Arabic (23%), French (8%), Spanish (5%), Lingala (3%), and other languages including Swahili, Maay Maay, Portuguese, Oromo, Eretria, Kirundi, and Amara. When asked for their countries of origin, respondents most commonly cited the United States (212), Iraq (205), Somalia (157), The Democratic Republic of Congo (81), Djibouti (70), Kenya (30), and Mexico (29). Other countries of origin mentioned included Rwanda, Ethiopia, Angola, Syria, Guatemala, South Africa, Palestine, Puerto Rico, Morocco, Afghanistan, El Salvador, Nigeria, Canada, Burundi, Eritrea, France, Honduras, Uganda, Jamaica, Mali, Gabon, Sudan, Nicaragua, Peru, and Brazil.
Facility: Northern Light Mayo Hospital - Part V, Section B, Line 6a The Maine Shared CHNA was conducted through a collaborative effort among Maines four largest health-care systems Central Maine Healthcare, Northern Light Health (legal name Eastern Maine Healthcare Systems), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). Northern Light Health member organizations participating in the Shared CHNA included Acadia Hospital, AR Gould Hospital, Blue Hill Hospital, CA Dean Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Hospital, Mayo Hospital, Mercy Hospital, and Sebasticook Valley Hospital. See Line 5s response for a comprehensive list of participating organizations, included other non-Northern Light Health hospitals who were consulted during the engagement process.
Facility: Northern Light Mayo Hospital - Part V, Section B, Line 11 Northern Light Health recently conducted their 2022 Shared Community Health Needs Assessment that will inform priority work for implementation in FY23 FY25. In FY22, Northern Light Mayo Hospital developed our plan to address significant needs identified in our 2022 Community Health Strategy (aka, implementation strategy). Though priority work from the 2022 Shared CHNA wont begin until FY23, Mayo Hospital will be prepared to implement priority work from our 2022 strategy with no gap in implementation efforts between the two CHNA cycles. While conducting the 2022 Shared CHNA research and outreach, Mayo Hospital continued to implement priority work from the final year, FY22, of the three-year 2019 Community Health Strategy (implementation years FY20, FY21, and FY22). Below reflect these efforts related to the 2019 Community Health Strategy.The data gathered from the 2019 Shared Community Health Needs Assessment (Shared CHNA) informed Mayo Hospitals Community Health Strategy (Implementation Strategy) developed with input from community stakeholders including those who serve priority populations, the local Public Health District Liaison, local business leaders, and community advocates. Priorities were selected after weighing the severity of each priority area, availability of known and effective interventions, determination that the priority area was un-addressed or under-addressed, and community collaborations underway with 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 hospitals governing board. Northern Light Mayo Hospital identified four 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 FY22: Northern Light Mayo Hospital was able to increase the number of sites offering Medication-Assisted Treatment options from two to four.Mental healthActions taken by Mayo Hospital to address this priority in FY22: Northern Light Mayo Hospital further explored programs and curriculums that address the stigma around mental health. We worked with local schools to begin implementing Lions Quest SEL in the early spring. Lions Quest social and emotional learning programs support, encourage, and celebrate diversity. This program is designed to create a learning environment based on the needs of all students in an environment in which no one is an outsider because everyone is needed, valued, and important. Mayo Hospital partnered with several community agencies to host a Mental Health Day at Penquis Valley Middle and High schools. This day aimed to reduce the stigma surrounding mental health and also had students practice stress relieving activities that they could then apply to their everyday lives such as Yoga, painting, breathing, etc. In addition, we are working with Community Health and Counseling Services (CHCS) on a pilot program at Piscataquis Community Secondary School (PCSS). PCSS was chosen to work with the Maine Department of Education on this Pilot program due to the strong work being done in the schools with the Positive Action Programs co-advised by Northern Light Health staff.ObesityActions taken by Mayo Hospital to address this priority in FY22: Northern Light Mayo Hospitals Community Health specialist, Kate Fergola, worked with schools, childcare centers, and afterschool programs to bring fun, and engaging programs that focus on healthy eating and active living. We held a successful story walk in July in partnership with SNAP (Supplemental Nutrition Assistance Program) Education and have been offering free afterschool programming at SeDoMoCha since the start of the 2022-2023 school year.Access to healthy food food insecurityActions taken by Mayo Hospital to address this priority in FY22: Northern Light Mayo Hospital worked hard to implement the screening throughout our organization. By providing continued education related to the importance of using the validated 2-question food insecurity screening at all of our sites while maintaining proper documentation of efforts, and continued work with community partners will ensure that we are meeting the needs of our patients and our community. We are proud to report we were able to complete and exceed our goal.Additional information related to actions taken by Northern Light Mayo Hospital on the above priorities can be found in their FY22 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. A number of priorities not selected, due to a variety of reasons are listed below:Older adult health/Healthy aging while not specifically identified as a stand-alone priority area of work for Northern Light Mayo Hospitals Community Health Strategy, three of the identified priority areas of work (mental health, access to care, and social determinants of health) have specifically identified the elderly as a primary population of focus. Therefore, due to our current identified priorities that includes work with our elderly and ongoing collaborative work focused on elder health and healthy aging, we have chosen to focus our efforts on other priority areas of need.
Facility: Northern Light Mayo Hospital - Part V, Section B, Line 13h Income Levels
Facility: Northern Light Mayo Hospital - Part V, Section B, Line 16j "Response for 7a (list URL) is: https://northernlighthealth.org/Northern-Light-Mayo-HospitalResponse for 7b (list URL) is: https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Shared-CHNA-ReportsResponse for 10a (list URL) is: https://northernlighthealth.org/Community-Health-Needs-Assessment/2022-Community-Health-StrategyResponse for 16a, 16b, 16c (list URL) is https://northernlighthealth.org/Northern-Light-Mayo-Hospital under ""Pay My Bill"""
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 6a - Related Organization Community Benefit Report Northern Light Mayo Hospital community benefit report is contained in an annual community benefit report prepared by Northern Light Health which is the parent organization of all related organizations.
Part I, Line 7 - Explanation of Costing Methodology Ratio of Patient Care Cost-to-Charges is used in calculations.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense The costing methodology used to determine the amount is cost to charge ratio.
Part III, Line 4 - Bad Debt Expense Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. See Footnote 2 of the attached financial statements, page 16 to 19 - Patient Service Revenue and 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 2 - Needs Assessment Northern Light Mayo Hospital conducts an environmental scan in the areas of Substance Use Prevention, Tobacco Prevention and Healthy Eating, Active living. These scans are conducted once every five (5) years in conjunction with the Maine Prevention Services funding cycles.
Part VI, Line 3 - Patient Education of Eligibility for Assistance Northern Light Health Financial Counselors screen patients for federal, state or government programs and brochures are displayed at all Northern Light locations. Financial Assistance is widely publicized within the community by the following methods:Offered by receiving a conspicuous written notice on their billing statementsListed on the Northern Light Health web portal www.northernlighthealth.org/billing Posters are displayed in public locations in each hospital facilityCommunity posters are displayed outside of the organization (Food Cupboards, Libraries, Auditoriums, Churches, Banks)Packets are provided at all check in locations which include an application, instructions, and a Financial Assistance Policy (FAP) Plain Language Summary
Part VI, Line 4 - Community Information Located in Dover-Foxcroft, Maine, Northern Light Mayo Hospital has a service area comprised of both primary and secondary service areas, together referred to as the total service area. Total service areas (TSAs) are developed by the Northern Light Health Planning department based on neighboring zip codes from which a majority of a hospitals inpatient admissions originate. TSAs can sometimes overlap due to hospital locations or because of the specialty services provided by the hospitals.Towns representing Mayo Hospitals primary service area include: Dexter, Cambridge, Sangerville, Guilford, Abbot, Monson, Dover-Foxcroft, Sebec, Milo, and Brownville.Towns representing Mayo Hospitals secondary service area include: Garland, Charleston, Corinth, Exeter, and Corinna.Piscataquis Countys race/ethnicity and selected demographics are provided below for Mayo Hospital based on the hospitals physical location in Piscataquis County.Piscataquis County - Race/Ethnicity: American Indian/Alaskan Native 0.8% (135), Asian 0.8% (131), Black/African American 0.6% (96), Native Hawaiian or Pacific Islander 0.0% (0), White 95.8% (16,128), Some other race 0.7% (119), Two or more races 1.3% (227), Hispanic 1.5% (245), Non-Hispanic 98.5% (16,591), Total county population 16,836.Piscataquis County - Selected Demographics: Median household income $40,890, Unemployment rate 5.5%, Individuals living in poverty 18.5%, Children living in poverty 23.8%, 65+ living alone 27.4%, Veterans 12.6%, Gay, lesbian, and bisexual (high school students) 9.6%, Gay, lesbian, and bisexual (adults) 3.2%, Transgender youth (high school students) 1.7%, Persons with a disability 26.3%.Other hospitals serving the Northern Light Mayo Hospital community: Based on the State of Maines 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 Hospitals service area as having a total of eight medically underserved populations/area.
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 FY22:Community Health Education: Lets Go obesity prevention; University of New England Substance Abuse Prevention - Provide substance use prevention services that lead to the prevention of opioid and other substance use in Maine; Rural Health Clinic Vaccine Confidence Program to improve vaccine and counter vaccine hesitancy in rural communities where COVID-19 uptake lags in comparison to more populated areas; Drug Free Communities addressing substance use.Northern Light Mayo Hospital Board of Directors majority is independent. Northern Light Mayo Hospital extends medical staff privileges to all qualified physicians in the community for some of its departments. We have offered CME programs on site and invited medical staff to participate at no charge to them.
Part VI, Line 6 - Affilated Health Care System The 2022 Maine Shared Community Health Needs Assessment (CHNA) was conducted by Northern Light Health in collaboration with several member/affiliated hospitals, non-affiliated hospitals as well as public health and community organizations across the state. The Maine Shared CHNA informs initiatives to promote community health across the system as well as within each member hospitals local service area. Each member hospital adopted a local implementation strategy referred to as a Community Health Strategy and annual community health improvement plans, tailored to meet local needs.
Part VI, Line 7 - States Filing of Community Benefit Report N/A
