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        <ExplanationTxt>THE HOSPITAL PAYS DUES TO VARIOUS ORGANIZATIONS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. THESE ORGANIZATIONS ADVOCATE ON BEHALF OF THEIR MEMBERS TO IMPROVE THE LEGISLATIVE ENVIRONMENT IN A WAY THAT ALLOWS THEIR MEMBER HOSPITALS TO BETTER SERVE THEIR COMMUNITIES.</ExplanationTxt>
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        <ExplanationTxt>THE MEDICAL CENTER AND VMA ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. MANAGEMENT EVALUATED THE MEDICAL CENTER'S TAX POSITIONS AND CONCLUDED THE MEDICAL CENTER HAS MAINTAINED ITS TAX-EXEMPT STATUS, DOES NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME AND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
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        <OwnWebsiteURLTxt>WWW.NMMC.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT</OwnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED BY A GROUP OF COMMUNITY MEMBERS AND HOSPITAL PARTNERS TO CONDUCT A NEEDS ASSESSMENT AND TO DEVELOP STRATEGIES TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE IN THE ST. JOHN VALLEY. THE COMMITTEE REVIEWED DATA FROM VARIOUS DOCUMENTS IN ORDER TO IDENTIFY THE PRIORITIES IN THE CHNA. TARGET AUDIENCE WAS ANYONE WITH A VESTED INTEREST IN PUBLIC HEALTH AND HEALTHCARE INCLUDING MEDICAL STAFF, COMMUNITY BOARD MEMBERS, VOLUNTEERS, DONORS, AND MEMBERS OF THE GENERAL PUBLIC. THE FOLLOWING SECTORS WEREREPRESENTED:- COUNTY OF AROOSTOOK- NORTHERN MAINE GENERAL- GREATER FORT KENT AREA CHAMBER OF COMMERCE- AROOSTOOK MENTAL HEALTH SERVICES- AROOSTOOK COUNTY ACTION PROGRAM- TOWN OF MADAWASKA- UMFK- ST JOHN VALLEY CHAMBER OF COMMERCE- FORT KENT SENIOR CITIZENS CENTER- MADAWASKA SENIOR CITIZENS CENTER- U. MAINE COOPERATIVE EXTENSION- LIFE BY DESIGN- TOWN OF FORT KENT- ST JOHN VALLEY ASSOCIATES- VALLEY UNIFIED SCHOOLS- AROOSTOOK AGENCY ON AGING- HOPE AND JUSTICE PROJECT- EMERGENCY AND RESCUE LEADERS FROM FORT KENT AND MADAWASKA- COMMUNITY MEMBERS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: ATTENTION WAS TAKEN TO INCLUDE A BROAD REPRESENTATION FROM THE COMMUNITY. THIS TOOK PLACE IN TWO WAYS. FIRST, THESTAKEHOLDERS WERE INVITED TO PARTICIPATE IN PUBLIC FORUMS. SECOND, FOUR WORK GROUPS WERE CONVENED TO ADDRESS EACH OF THE FOUR PRIORITIES SELECTED. A FACILITATOR WAS IDENTIFIED FOR EACH GROUP TO LEAD THE ONGOING DISCUSSION AND WORK TO ADDRESS STRATEGIES AND ACTION PLANS FOR EACH OF THE PRIORITIES.THE FOLLOWING SECTORS WERE REPRESENTED:- AMHC- UMFK NURSING DIVISION- NMMC DIRECTOR OF NURSING- NMMC PHARMACIST- LIFE BY DESIGN- AGENCY ON AGING- NMMC CARE MANAGER- VALLEY SCHOOL SUBSTANCE ABUSE COUNSELOR- UMFK BEHAVIORAL HEALTH- U. MAINE COOPERATIVE EXTENSION- NMMC SOCIAL WORKER- NMMC NDPP TRAINER PA- HOPE &amp; JUSTICE- NMMC FINANCIAL COUNSELOR- NMMC PRACTICE COORDINATOR- NMMC COMMUNITY EDUCATOR- POWER OF PREVENTION- FK HIGH SCHOOL WELLNESS- NMMC PSYCH UNIT LEADER- FK RECREATION DIRECTOR- UMFK STUDENT- NMMC COMMUNICATIONS- CATHOLIC CHARITIES- FK COMMUNITY DEVELOPMENT- FRANK NETTER MEDICAL SCHOOL- MAINE HEALTH CENTER FOR TOBACCO INDEPENDENCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE FOLLOWING HOSPITALS WERE INCLUDED IN THE COLLABORATIVE COMMUNITY HEALTH ASSESSMENT: CARY MEDICAL CENTER, DOWN EAST COMMUNITY HOSPITAL, HOULTON REGIONAL HOSPITAL, MAINE COAST MEMORIAL HOSPITAL, MAYO REGIONAL HOSPITAL, MILLINOCKET REGIONAL HOSPITAL, MOUNT DESERT ISLAND HOSPITAL, NORTHERN MAINE MEDICAL CENTER, ANDREDINGTON-FAIRVIEW GENERAL HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: AROOSTOOK MENTAL HEALTH CENTER - ST. JOHN VALLEY PUBLIC SCHOOLS - UNIVERSITY OF MAINE, FORT KENT, BEHAVIORAL HEALTH AND NURSING DIVISIONS - FISH RIVER RURAL HEALTH CENTER - HEALTHY MAINE PARTNERSHIPS - UNIVERSITY OF MAINE COOPERATIVE EXTENSION SERVICE - TOWN GOVERNMENT AND RECREATION DEPARTMENTS - LIFE BY DESIGN MENTAL HEALTH - CLERGY - AROOSTOOK AGENCY ON AGING.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: THE ST. JOHN VALLEY ASSESSMENT HAS BEEN POSTED ON THE NMMC WEBSITE SINCE LATE 2014S. THIS REPORT IS ALSO AVAILABLE FREE UPON REQUEST. EACH YEAR, THEREAFTER, 2015-2016, 2016-2017, 2017-2018 ETC., AN UPDATED REPORT WAS POSTED ON THE NORTHERN MAINE MEDICAL CENTER WEBSITE WITH INSTRUCTIONS ON HOW TO ACCESS THE UPDATES. THE FOUR KEY PRIORITIES THAT NMMC HAS BEEN WORKING ON AND A BRIEF DESCRIPTION OF THE CURRENT ACTIONS TAKEN ARE AS FOLLOWS:1-ADDRESSING GAPS IN MENTAL HEALTH SERVICES BEHAVIORAL AND MENTAL HEALTH REMAINS ON THE ACTION PLAN FOR NMMC. WE HAVE SUCCEEDED IN DECREASING WAIT TIME FOR BEHAVIORAL HEALTH (BH) PATIENTS IN OUR ED BY STREAMLINING PROCESSES AND WORKING WITH OTHER LOCAL BH EXPERTS IN THE AREA TO ASSIST WITH THE STREAMLINING, INCLUDING INCREASED CRISIS WORK IN THE ED. WE HAVE ALSO ESTABLISHED OUTREACH WITH SEVERAL STAKEHOLDERS AT DIFFERENT HEALTHCARE FACILITIES STATEWIDE, CREATING THE OPTIONS FOR INCREASED BED AVAILABILITY AND BETTER OUTPATIENT SERVICES. WE PARTNERED WITH A NATIONAL BH SPECIALIST ORGANIZATION TO AID IN BEST PRACTICE PROCESS AS WELL AS RECRUITMENT OF STAFF AND IN HELPING WITH BED AVAILABILITY. ASIDE FROM HIRING A BH FNP IN 2023, WE HAVE ALSO BEEN UTILIZING THE SERVICES OF LOCUM FNP'S IN THE BH DEPARTMENTS IN-PATIENT UNIT. THIS IS ALSO COMBINED WITH UTILIZING LICENSED CLINICAL SOCIAL WORKERS. LAST, WE HAVE BEEN MAXIMIZING THE AVAILABILITY OF ALL OUR IN-PATIENT BEDS BY CONDUCTING DAILY OUTREACH TO AREA HEALTHCARE FACILITIES AND GIVING UPDATED BED AVAILABILITY NUMBERS. 2-REDUCING SUBSTANCE ABUSE THIS INITIATIVE IS CONTINUING AS DESCRIBED LAST YEAR. IT IS AN INITIATIVE THAT WE ARE EXPANDING WITH THE GROWING NEEDS OF THE AREA COMMUNITIES AND INCREASE DEMAND FOR SUBSTANCE ABUSE AWARENESS AND TREATMENT. THROUGH OUR FAMILY PRACTICE OFFICE AND THE BEHAVIORAL HEALTH OFFICE WE HAVE WORKED WITH THE PRACTITIONERS TO INCREASE ACCESS TO AIDES SUCH AS SUBOXONE AND OUTPATIENT SERVICE TO MONITOR AND GUIDE THE PATIENT TO A HOPEFUL RECOVERY. REDUCING SUBSTANCE ABUSE GOES HAND IN HAND WITH OUR MENTAL HEALTH WORK AND THE PLAN OF ACTION TO INCREASE ACCESS BY SHORTENING WAIT TIMES AND OFFERING MORE AVAILABILITY, DIRECTLY INCREASING THE QUALITY OF SERVICE.3-REDUCE OF ALLEVIATE POVERTYPOVERTY AND LOWER INCOME SUPPORT HAVE EVOLVED INTO A DAILY PLAN OF ACTION. WE PARTNERED WITH THE AROOSTOOK COUNTY ACTION PROGRAM (ACAP) IN ORDER TO OFFER MEALS TO LOW INCOME AND WELL AS PARTNERING WITH THE UNITED WAY BY OFFERING A LOCATION FOR THEM TO HOUSE THEIR FREE TAX PREP PROGRAM TO LOW OR LOWER INCOME. WE ALSO SUPPORTED THE UNITED WAYS FUNDRAISING TURKEY DRIVE THROUGH MONETARY DONATION, OF WHICH THE MONEY WILL BE USED TO PURCHASE FOOD FOR LOCAL PANTRIES. NMMC ALSO DONATED A PALLET OF FROZEN TURKEYS TO THE LOCAL FOOD PANTRIES IN THE ST. JOHN VALLEY. IN AN EFFORT TO GET COMMUNITY MEMBERS OUT IN PUBLIC AND INVOLVED IN ACTIVITIES, WE SPONSORED MOVIE NIGHTS IN THE PARK, HALLOWEEN OUTING FOR CHILDREN IN OUR SERVICE AREA AND A BIKE RALLY FOR ALL AGES WHICH IN TURN ALSO RAISES MONEY FOR LOCAL NON-PROFITS THAT BENEFIT THE AREA COMMUNITY MEMBERS.4- IMPROVE ELDER SERVICESNMMC CONTINUES TO OFFER MEALS IN THE CAFETERIA FOR THE ELDERLY AT NO COST ON DIFFERENT OCCASIONS THROUGHOUT THE YEAR. OUR INCREASED SUPPORT OF THE LOCAL PANTRIES HAS ALSO CONTRIBUTED TO THE SAFE EATING OF THE ELDERLY POPULATION. WE ARE IN THE FINAL STAGES OF BUILDING A NEW, STATE OF THE ART NURSING HOME FACILITY, WHICH WILL INCLUDE PRIVATE ROOMS AND A HOSPICE ROOM FOR THE BEST END OF LIFE CARE AND NEW DAY ROOM AREAS FOR OPTIMAL RESIDENT COMFORT, HAPPINESS AND LONG-TERM MENTAL STATUS. OUR SOCIAL SERVICES DEPARTMENT IS ALSO CONTINUALLY WORKING TO BUILD RELATIONSHIPS WITH OTHER AREA LONG-TERM CARE FACILITIES IN ORDER TO ENSURE WE ARE AWARE OF ALL BED AVAILABILITIES DUE TO THE INCREASED DEMAND IN THE ST. JOHN VALLEY. 5 - NMMC HAS RE-IMPLEMENTED THE COMMUNITY ADVISORY COMMITTEE, CONSISTING OF 12 TO 15 COMMUNITY MEMBERS IN ORDER TO GATHER CONCERNS AND SHARE UPDATES THAT ARE IMPERATIVE TO BETTERING THE HEALTH AND WELL-BEING OF THE CITIZENS IN THE ST. JOHN VALLEY. THE COMMITTEE CONSISTS OF VARYING AGE RANGES AND SOCIAL STATUS, IN AN EFFORT TO HAVE TRUE AND CURRENT INPUT. THE HOSPITAL'S COMMUNITY ADVISORY COMMITTEE AND THE BOARD OF TRUSTEES IS ALSO PROVIDED A SUMMARY ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE ORGANIZATION HAS THE FOLLOWING PRIORITIES: 1. ADDRESS GAPS IN COMMUNITY RESOURCES FOR MENTAL HEALTH SERVICES2. WORK COLLABORATIVELY WITH COMMUNITY ORGANIZATIONS TO REDUCE THE AMOUNT OF SUBSTANCE USE IN THE COMMUNITY3. TO FIND WAYS TO ALLEVIATE SOCIAL DETERMINANTS OF HEALTH RELATED TO POVERTY IN THE COMMUNITY4. TO IMPROVE ELDER CARE SERVICES IN THE ST JOHN VALLEY SO PEOPLE CAN LIVE QUALITY LIVES AT HOME FOR AS LONG AS POSSIBLE AND THEN RECEIVE QUALITY CARE IN RESIDENTIAL FACILITIES IF REMAINING AT HOME BECOMES POSSIBLE.IT HAS ADDRESSED THESE PRIORITIES AS DESCRIBED BELOW: PRIORITY 1 MENTAL HEALTH ACTION STEPS - MEMBER OF THE MAINE HOSPITAL ASSOCIATION BEHAVIORAL HEALTH COUNCIL - STREAMLINED ADMISSION PROCESS THROUGH THE EMERGENCY ROOM BY ELIMINATING THE NEED FOR AMHC CRISIS WORKER TO EVALUATE PATIENTS FIRST TO MAKE REFERRALS FOR ADMISSIONS. NMMC PROVIDERS AND STAFF ARE NOW EVALUATING EMERGENCY ROOM PATIENT FOR ADMISSIONS, THEREFORE DECREASING LENGTH OF STAY IN THE EMERGENCY ROOM - ADDED A RESOURCE NURSE POSITION TO OUR INPATIENT UNITS WHO CALLS DELAY REFERRING HOSPITALS AND OTHER STAKEHOLDERS UPDATING THEM ON CURRENT BED STATUS AND FACILITATING REFERRALS AND ADMISSIONS - ADDED A COMMUNITY OUTREACH COORDINATOR ROLE TO INCREASE OUTREACH FOR OUTPATIENT SERVICES - INCREASED INPATIENT ADMISSIONS BY 18% SINCE 2021 - NMMC CONTINUES TO HAVE A PRESENCE IN THE COMMUNITY AND FACILITATES THE OUT OF DARKNESS WALK SUPPORTING SUICIDE PREVENTION ANNUALLY - SOCIAL MEDIA POSTS ON MENTAL HEALTH WELLNESS BEING PROMOTED - ADDING ADDITIONAL RESOURCES - SUCH AS A NEW PSYCHIATRIST, A MENTAL HEALTH NURSE PRACTITIONERS AND CONTINUES TO RECRUIT - INCREASED BEHAVIORAL HEALTH SERVICES TO MADAWASKA BY AN ADDITIONAL TWO DAYS PER WEEK - SCREENING ALL PATIENTS SEEN IN PRIMARY CARE SERVICES WITH APPROPRIATE REFERRALS BEING MADE AS NEEDED - IMPLEMENTED TELEHEALTH SERVICES FOR BEHAVIORAL HEALTH VISITS - PARTICIPATE IN EDUCATION OPPORTUNITIES INTERNALLY AND EXTERNALLY - ENTERING INTO AN AGREEMENT TO PROVIDE INTENSIVE OUTPATIENT PROGRAMMING FOR OLDER INDIVIDUALS WITH MENTAL HEALTH AFFLICTIONS - COO REMAINS ACTIVE MEMBER OF THE MAINE HOSPITAL ASSOCIATION BEHAVIORAL HEALTH COUNCILPRIORITY 2 - COORDINATES COMMUNICATIONS AND EDUCATION IN THE COMMUNITY TO REDUCE STIGMA AROUND THE TOPIC OF SUBSTANCE USE AND TO RAISE AWARENESS OF EXISTING RESOURCES. THIS INCLUDES ACTIVE PARTICIPATION IN COMMUNITY EVENTS THAT PROMOTE EDUCATION AND AWARENESS - SOCIAL MEDIA POSTS ON SUBSTANCE USE PREVENTION - SUBOXONE THERAPY IS OFFERED IN OUR PRIMARY CARE NETWORK - NARCOTICS PRESCRIPTION CONTRACTS IS IMPLEMENTED IN OUR PROVIDER PRACTICES - MEDICATION ASSISTED THERAPY (MAT) PROGRAM IMPLEMENTED IN OUR EMERGENCY ROOMPRIORITY 3 POVERTY ACTION STEPS - REVISED CHARITY POLICY AND IMPLEMENTED NEW STRATEGIES WITH THE REFERRALS PROCESS ON SUPPORT INDIVIDUALS IN NEED OF FINANCIAL ASSISTANCE - PRICE TRANSPARENCY POSTED ON THE NMMC WEBSITE - PROVIDE ENROLLMENT ASSISTANCE FOR MEDICARE, MEDICAID AND MARKETPLACE - SOCIAL SERVICES UTILIZE ON ALL ADMISSIONS A SOCIAL DETERMINANT OF HEALTH TO BETTER IDENTIFY AT RISK POPULATION AND DEVELOP RESOURCES TO ASSIST THEM - ENHANCE THE TOUR DE LA VALLEE TO INCREASE FUNDS AVAILABLE TO INDIVIDUALS REQUIRING TRAVELS FOR CANCER CARE - REMAINED A KEY EMPLOYER SUPPORTING THE LOCAL ECONOMY AND WELL-BEING OF OUR EMPLOYEES - COO REMAINS ACTIVE AS A BOARD MEMBER OF THE AROOSTOOK REGIONAL TRANSPORTATION SYSTEM TO ENSURE ACCESS TO TRANSPORTATION IN OUR CATCHMENT AREA FOR INDIVIDUALS IN NEEDPRIORITY 4 ELDER CARE ACTION STEPS - NMMC STARTED THE CONSTRUCTION OF A NEW NURSING WITH 45 PRIVATE ROOMS FOR ALL OF ITS RESIDENTS - ENTERING INTO AN AGREEMENT TO PROVIDE INTENSIVE OUTPATIENT PROGRAMING FOR OLDER INDIVIDUALS WITH MENTAL HEALTH AFFLICTIONS - ENTERING INTO AN AGREEMENT TO PROVIDE OUTPATIENT CARDIAC AND RESPIRATORY REHAB PROGRAMING - BEHAVIORAL HEALTH OUTREACH PROGRAM TO POST-ACUTE CARE FACILITIES TO PROVIDE CARE WITHIN THE FACILITIES ON A REGULAR BASIS - REINSTATING OUTPATIENT PHYSICAL THERAPY SERVICES - ACTIVELY PARTICIPATE IN EVENTS THAT OFFER OPPORTUNITIES TO REDUCE SOCIAL ISOLATION - FACILITATES THE ALZHEIMER'S COMMUNITY SUPPORT GROUP</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTHERN MAINE MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 24: INDIVIDUALS ARE BILLED AT GROSS AMOUNTS AND CHARGES ARE ADJUSTED ACCORDINGLY, IF THEY QUALIFY FOR ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - FOREST HILL LONG TERM CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 BOLDUC AVENUE</AddressLine1Txt>
            <CityNm>FORT KENT</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04743</ZIPCd>
          </USAddress>
          <FacilityTxt>LTC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - ACADIA FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>460 MAIN STREET</AddressLine1Txt>
            <CityNm>MADAWASKA</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04756</ZIPCd>
          </USAddress>
          <FacilityTxt>RHC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE SCHEDULE H, PART V, SECTION B, LINE 5 FOR A DESCRIPTION OF NMMC'S ASSESSMENT PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>WE NOTIFY PATIENTS AND CUSTOMERS ABOUT ACCESS TO ASSISTANCE IN VARIOUS WAYS. THE SIMPLEST WAY IS THE SIGNAGE, PAMPHLETS, AND EDUCATIONAL MATERIAL LOCATED AROUND THE ORGANIZATION AND IN VARIOUS OFFICES. IN EVERY PATIENT ACCESS/PATIENT FINANCIAL SERVICES AREA IS A SIGN EXPLAINING THE AVAILABILITY OF FREE/DISCOUNTED CARE AND THE FEDERAL POVERTY GUIDELINES. THERE ARE ALSO PAMPHLETS LOCATED IN THE OUTPATIENT AREAS EXPLAINING FREE/DISCOUNTED CARE AND PROVIDING INFORMATION ON MAINECARE. FOR INPATIENTS, THERE IS A BOOK IN EACH ROOM WHICH PROVIDES ALL THE INFORMATION ON ALL PROGRAMS AVAILABLE.THROUGH THE PATIENT ACCOUNTING DEPARTMENT, WE PROVIDE INFORMATION ABOUT THESE STATEMENTS. WE ALSO COUNSEL PATIENTS ON THE PHONE ABOUT ALL THE PROGRAMS AVAILABLE WHETHER IT IS MEDICAID OR A HOSPITAL PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHERN MAINE MEDICAL CENTER IS A 94 LICENSED BED (27 A&amp;P WHICH INCLUDES SWING BEDS, 6 ICU BEDS, 16 PSYCH BEDS, AND 45 SNF BEDS), FULL-SERVICE, ACUTE-CARE, NOT-FOR PROFIT HOSPITAL LOCATED IN FORT KENT, MAINE (AROOSTOOK COUNTY). THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION AND ITS MISSION IS TO SERVE ITS COMMUNITIES WITH EXCELLENCE IN HEALTH CARE. ITS SERVICES INCLUDE ACUTE INPATIENT, PSYCH INPATIENT, SNF, 24-HOUR EMERGENCY CENTER, DIAGNOSTIC, AND SURGICAL SERVICES. ALONG WITH THESE HOSPITAL SERVICES, THE HOSPITAL EMPLOYS/CONTRACTS WITH THE MAJORITY OF PRIMARY AND SPECIALTY CARE PHYSICIANS IN THE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHERN MAINE MEDICAL CENTER IS A LOCAL, NOT-FOR-PROFIT HOSPITAL THAT SERVES ITS LOCAL COMMUNITIES AND PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. NORTHERN MAINE PROVIDES FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS TO SELF-PAY AND LOW-INCOME PATIENTS. ALSO THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS INCLUDING MEDICARE, MEDICAID, VA, AND TRICARE. THE VOLUNTEER BOARD OF TRUSTEES SETS THE STRATEGIC DIRECTION FOR THE HOSPITAL AND IS COMPRISED OF COMMUNITY MEMBERS FROM THE HOSPITAL'S SERVICE AREA. THIS GROUP IS MADE UP OF LOCAL BUSINESS OWNERS, PROFESSIONALS, AND RETIREES. NORTHERN MAINE'S NON-PROFIT STATUS ALLOWS THE HOSPITAL TO REINVEST ANY EXCESS OF REVENUES OVER EXPENSE BACK INTO THE HOSPITAL TO CONTINUOUSLY IMPROVE THE MEDICAL CARE IT DELIVERS. THE HOSPITAL ALLOWS ACCESS TO HEALTHCARE THAT WOULD OTHERWISE BE DIFFICULT. THE HOSPITAL IS THE MAIN EMPLOYER FOR THE LOCAL PHYSICIANS, INCLUDING SPECIALTY PHYSICIANS THAT WOULD OTHERWISE HAVE TO BE ACCESSED OUT OF THE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>ME</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MICHELLE PLOURDE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF PETER SIROIS, FORMER CEO</RelationshipDescriptionTxt>
        <TransactionAmt>12252</TransactionAmt>
        <TransactionDesc>EMPLOYMENT 7/22/24 - 8/31/24</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NMMC CLOSED ITS CHILD &amp; ADOLESCENT PSYCH UNIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT PUBLIC ACCOUNTING FIRM AND THOROUGHLY REVIEWED BY THE CFO AND CONTROLLER. THE COMPLETED FORM IS SENT ELECTRONICALLY TO BOARD MEMBERS PRIOR TO THE FORM BEING FILED. IN ADDITION, CEO HAS DOCUMENTS FOR REVIEW PRIOR TO SENDING TO THE BOARD MEMBERS AND HAS OPPORTUNITY TO REQUEST ANY EDITS. WHEN THE FORMS ARE SENT TO BOARD MEMBERS, THEY ARE INSTRUCTED TO CONTACT CEO OR CFO WITH QUESTIONS. ANY QUESTIONS ARE RESPONDED TO IMMEDIATELY UPON REQUEST AND AT THE FOLLOWING FINANCE OR BOARD MEETINGS, CFO PROVIDES ABILITY FOR ANYONE TO ASK ANY ADDITIONAL QUESTIONS. FINANCE COMMITTEE MAY REQUEST A FORMAL/DETAILED PRESENTATION BY CONSULTANTS IF DEEMED NECESSARY BUT HAVE NOT REQUESTED THAT LEVEL OF REVIEW RECENTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, BOARD MEMBERS MUST READ THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, DISCLOSE ANY POTENTIAL CONFLICTS, AND RETURN THE SIGNED STATEMENT TO ADMINISTRATION. IF TOPICS ARISE WHERE A MEMBER HAS AN ACTUAL OR POTENTIAL CONFLICT, THE GROUP WILL DETERMINE THE LEVEL TO WHICH THE INDIVIDUAL MAY BE INVOLVED IN DISCUSSIONS AND THE MEMBER WITH THE CONFLICT WILL NOT HAVE A VOTE. IN SOME INSTANCES, THE MEMBER WILL BE EXCUSED FROM THE MEETING AND CAN ONLY REJOIN WHEN THE BOARD HAS MOVED ON TO A DIFFERENT TOPIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CEO USING COMPENSATION STUDIES AND COMPARABILITY DATA. THE CEO DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IN A SIMILAR MANNER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,464,498. MANAGEMENT AND GENERAL EXPENSES 1,683,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,148,125. MAINTENANCE CONTRACT: PROGRAM SERVICE EXPENSES 858,462. MANAGEMENT AND GENERAL EXPENSES 323,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,182,201. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,114,676. MANAGEMENT AND GENERAL EXPENSES 797,475. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,912,151. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 169,771. MANAGEMENT AND GENERAL EXPENSES 64,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 233,796.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCREASE IN NET ASSETS WITH DONOR RESTRICTIONS 146,982.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>