2025-08-12T15:20:29-05:00 2024-09-30 990 2023-10-01 813653215 Memorial Elder Health Services MEMO 6033560613 3073 White Mountain Hwy North Conway NH 038607101 Diana McLaughlin Chief Financial Officer 6033560613 2025-07-17 0 2023 2025-03-06 01:10:19Z Tricia Costigan 3073 White Mountain Hwy North Conway NH 038607101 4808346 0 X N/A X 2017 NH TO SERVE THE PHYSICAL, (CONTINUED ON SCHEDULE O)EMOTIONAL, RECREATIONAL, SOCIAL AND THERAPEUTIC NEEDS OF SENIOR CITIZENS WITH DEGENERATIVE ILLNESSES ASSOCIATED WITH AGING FOR THE COMMUNITY MEMBERS OF OUR SERVICE AREA.SIGNIFICANT ACTIVITY INCLUDES A 45 BED INTERMEDIATE CARE FACILITY (MERRIMAN HOUSE) LOCATED IN THE CONWAY, NEW HAMPSHIRE AREA. 12 8 0 0 0 0 0 0 4377617 4808346 0 0 0 0 4377617 4808346 0 0 0 0 3323974 3808019 0 0 0 1877469 2070201 5201443 5878220 -823826 -1069874 1231777 1405813 1120500 1564410 111277 -158597 THE MISSION OF MEMORIAL ELDER HEALTH SERVICES IS TO SERVE THE PHYSICAL, EMOTIONAL, RECREATIONAL, SOCIAL AND THERAPEUTIC NEEDS OF SENIOR CITIZENS WITH DEGENERATIVE ILLNESSES ASSOCIATED WITH AGING FOR THE COMMUNITY MEMBERS OF OUR SERVICE AREA. 0 0 5552775 4808346 THE INTERMEDIATE CARE FACILITY PROVIDES GENERAL NURSING CARE AND OTHER HEALTHCARE NEEDS FOR ITS RESIDENTS. THE FACILITY ALSO PROVIDED EDUCATIONAL ACTIVITIES TO PROMOTE THE RESIDENTS' CONTINUED HEALTH AND WELL-BEING. THE FACILITY HAD AN AVERAGE DAILY CENSUS OF 40 WITH TOTAL RESIDENT DAYS OF 14,446. 5552775 1 0 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Diana McLaughlin 6033560613 3073 White Mountain Hwy North Conway NH 038607101 Andrew Mueller MD CEO and President, MH/Trustee 1.00 50.00 X 0 2222049 55268 David Hoeft Physician/Trustee 1.00 50.00 X 0 262433 49539 Mary Vigeant Nurse Practitioner/Trustee 1.00 50.00 X 0 220952 30454 Steve Boyle Trustee 1.00 0.00 X 0 0 0 Greg Frizzell Former Trustee 1.00 0.00 X 0 0 0 Tim Scott Trustee 1.00 0.00 X 0 0 0 Alec Tarberry Former Trustee 1.00 0.00 X 0 0 0 Christine Thompson Trustee 1.00 0.00 X 0 0 0 Rachael Brown Trustee 1.00 0.00 X 0 0 0 Jill Berry Bowen Frmr Interim President/Frmr Trustee 1.00 50.00 X X 0 217645 4006 Bradley Chapman President/Trustee 1.00 50.00 X X 0 0 0 Michelle O'Donnell Board Chair 1.00 0.00 X X 0 0 0 Chris Perley Board Vice Chair 1.00 0.00 X X 0 0 0 Linda Terry Board Treasurer 1.00 0.00 X X 0 0 0 Corinne Ray Board Secretary 1.00 0.00 X X 0 0 0 Diana McLaughlin Chief Financial Officer 1.00 50.00 X 0 267054 58344 Art Mathisen Frmr President/Frmr Trustee 0.00 50.00 X 0 283439 15681 0 3473572 213292 0 1 1 0 0 Patient services 621110 4808346 4808346 4808346 4808346 4808346 0 0 3035327 2811265 224062 541656 541656 231036 231036 300 300 395455 395455 129886 129886 117747 117747 737 737 57170 57170 19750 19750 Integrated services 936634 855301 81333 Medicaid tax 240000 240000 Medical supplies 81919 81919 Food 50614 50614 39989 39989 5878220 5552775 325445 0 312250 346405 86661 109638 288888 426690 8269 5349 3456303 3139762 373709 316541 162000 201190 1231777 1405813 105735 88408 101504 122462 913261 1353540 1120500 1564410 X 111277 -158597 111277 -158597 1231777 1405813 X -1069874 800000 X 0 1 X 1 0 X 70870 589569 660439 4384280 4269073 4312738 4377617 4808346 22152054 4384280 4339943 4902307 4377617 4808346 22812493 0 0 0 22812493 4384280 4339943 4902307 4377617 4808346 22812493 1.00000 0.00000 X 0 0 0 0 0 0 0 0 1 906 906 0 Part II-B, Line 1: THE ORGANIZATION PAYS DUES TO THE NEW HAMPSHIRE HEALTH CARE ASSOCIATION AND THE AMERICAN HEALTH CARE ASSOCIATION, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. 0 1 X 2802931 2571577 231354 653372 568185 85187 316541 Other receivables 200000 Due from affiliates 1190 201190 Due to affiliates 1353540 1353540 X Part IV, Line 2b: MEMORIAL ELDER HEALTH SERVICES MAINTAINS CUSTODIAL FUNDS REPRESENTING PATIENT DEPOSITS AND RESIDENT TRUST ACCOUNTS. THE FUNDS ARE REPORTED AS A LIABILITY ON FORM 990, PART X, LINE 21. Part X, Line 2: FIN 48 Footnote THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS 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 ORGANIZATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURN. THE ORGANIZATION HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2024. 0 0 0 0 0 0 0 0 0 Andrew Mueller MD CEO and President, MH/Trustee 0 1371192 0 670196 0 180661 0 13200 0 42068 0 2277317 0 0 Diana McLaughlin Chief Financial Officer 0 218258 0 38278 0 10518 0 22114 0 36230 0 325398 0 0 David Hoeft Physician/Trustee 0 231529 0 0 0 30904 0 11064 0 38475 0 311972 0 0 Art Mathisen Frmr President/Frmr Trustee 0 152203 0 0 0 131236 0 11385 0 4296 0 299120 0 0 Mary Vigeant Nurse Practitioner/Trustee 0 169451 0 4912 0 46589 0 11227 0 19227 0 251406 0 0 Jill Berry Bowen Frmr Interim President/Frmr Trustee 0 217645 0 0 0 0 0 4006 0 0 0 221651 0 0 Form 990, Part V, Line 1a MAINEHEALTH (EIN 01-0238552), ACTING ON BEHALF OF THE MAINEHEALTH SYSTEM FILED 1,391 FORM 1099S FOR THE CALENDAR YEAR 2023. Form 990, Part V, Line 2a MAINEHEALTH (EIN 01-0238552), ACTING ON BEHALF OF THE MAINEHEALTH SYSTEM FILED FORM W-3, REPORTING 26,951 EMPLOYEES FOR THE CALENDAR YEAR 2023. Form 990, Part VI, Section A, line 6 MEMORIAL HOSPITAL AT NORTH CONWAY, NH (EIN# 02-0222156) IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Section A, line 7a ALL TRUSTEES WHO ARE NOT EX-OFFICIO ARE ELECTED BY THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Section A, line 7b DECISIONS OF THE GOVERNING BODY SUCH AS ADOPTION OF BUDGETS, BUSINESS,MARKETING AND STRATEGIC PLANS, SIGNIFICANT FINANCIAL COMMITMENTS AND AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF AGREEMENT ARE SUBJECT TO THE APPROVAL OF ITS SOLE MEMBER, MEMORIAL HOSPITAL (EIN #02-0222156) AND MAINEHEALTH SERVICES (EIN #01-0431680) WHO IS THE SOLE MEMBER OF MEMORIAL HOSPITAL. Form 990, Part VI, Section B, line 11b THE 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING VIA ELECTRONIC MEANS. KEY COMPONENTS OF THE 990 ARE REVIEWED WITH THE GOVERNANCE COMMITTEE OF THE PARENT COMPANY AND THE CFO REVIEWS THE 990 IN DETAIL PRIOR TO ITS FILING. Form 990, Part VI, Section B, line 12c MAINEHEALTH'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 15 COMPENSATION 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 ELDER HEALTH SERVICES. 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 ELDER HEALTH SERVICES 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 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: Equity transfers from affiliates 800,000. MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 The Memorial Hospital at North Conway NH 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital NH 501(c)(3) Line 3 MaineHealth Services 0 Memorial Hospital Foundation 3073 White Mountain Highway North Conway NH 03860 462137291 Fundraising NH 501(c)(3) Line 12a, I The Memorial Hospital 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1