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← MEMORIAL HOSPITAL

Form 990 for tax year 2022

Filed by MEMORIAL HOSPITAL.

Totals

Total revenue
$113,533,022
Total expenses
$105,333,975
Contributions and grants received
$808,473
Grants paid
$0
Program service revenue
$109,770,525
Investment income
$2,496,142
Other revenue
$457,882
Total assets, end of year
$127,146,321
Total liabilities, end of year
$50,431,324
Net assets or fund balances, end of year
$76,714,997
Program services expenses (Part IX)
$99,969,084
Management and general expenses
$5,154,444
Fundraising expenses
$210,447
Program service expenses (Part III)
$99,969,084

Program services were 94.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $439,653

  • 1f · All other contributions, gifts and grants

    $368,820

  • 2a · Program service revenue: Net patient services

    total $109,770,525 · related or exempt $109,770,525

  • 3 · Investment income

    total $1,860,640 · excluded $1,860,640

  • 6a · Gross rents

    real property $584,109

  • 6b · Less rental expenses

    real property $458,205

  • 6c · Rental income or loss

    real property $125,904

  • 6d · Net rental income or loss

    total $125,904 · related or exempt $125,904

  • 7a · Gross sales of assets other than inventory

    securities $39,420,711 · other assets $13,200

  • 7b · Less cost or other basis and sales expenses

    securities $38,798,409 · other assets $0

  • 7c · Gain or loss

    securities $622,302 · other assets $13,200

  • 7d · Net gain or loss

    total $635,502 · related or exempt $635,502

  • 11a · Other revenue: Other revenue

    total $331,978 · related or exempt $331,978

  • 11e · Other revenue, total

    $331,978

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,887,301 · program services $1,316,282 · management and general $571,019

  • 7 · Other salaries and wages

    total $36,065,794 · program services $34,255,191 · management and general $1,672,653 · fundraising $137,950

  • 8 · Pension plan contributions

    total $2,066,799 · program services $1,948,487 · management and general $110,561 · fundraising $7,751

  • 9 · Other employee benefits

    total $3,868,899 · program services $3,624,361 · management and general $230,120 · fundraising $14,418

  • 10 · Payroll taxes

    total $3,687,112 · program services $3,455,863 · management and general $217,797 · fundraising $13,452

  • 11b · Fees: legal

    total $124,018 · management and general $124,018

  • 11c · Fees: accounting

    total $51,788 · management and general $51,788

  • 11g · Fees: other

    total $16,242,831 · program services $15,285,445 · management and general $957,386

  • 12 · Advertising and promotion

    total $2,788 · program services $2,623 · management and general $165

  • 13 · Office expenses

    total $982,156 · program services $889,652 · management and general $58,016 · fundraising $34,488

  • 14 · Information technology

    total $3,334,116 · program services $3,137,171 · management and general $196,945

  • 16 · Occupancy

    total $1,990,905 · program services $1,873,303 · management and general $117,602

  • 17 · Travel

    total $51,250 · program services $46,826 · management and general $3,027 · fundraising $1,397

  • 19 · Conferences, conventions and meetings

    total $124,723 · program services $117,356 · management and general $7,367

  • 20 · Interest

    total $627,211 · program services $590,162 · management and general $37,049

  • 22 · Depreciation, depletion and amortization

    total $4,305,565 · program services $4,051,236 · management and general $254,329

  • 23 · Insurance

    total $1,350,606 · program services $1,270,826 · management and general $79,780

  • 24a · Other expenses: Medical supplies

    total $15,737,368 · program services $15,737,368

  • 24b · Other expenses: MMC integrated services

    total $6,071,741 · program services $5,713,085 · management and general $358,656

  • 24c · Other expenses: Medicaid tax

    total $4,963,700 · program services $4,963,700

  • 24d · Other expenses: Dues assessments

    total $540,632 · program services $508,697 · management and general $31,935

  • 24e · All other expenses

    total $1,256,672 · program services $1,181,450 · management and general $74,231 · fundraising $991

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $22,653,893 · end of year $33,561,948

  • 2 · Savings and temporary cash investments

    beginning of year $10,949,865 · end of year $11,456,629

  • 3 · Pledges and grants receivable

    beginning of year $26,245 · end of year $37,325

  • 4 · Accounts receivable

    beginning of year $12,805,617 · end of year $11,958,415

  • 8 · Inventories for sale or use

    beginning of year $2,446,129 · end of year $3,149,698

  • 9 · Prepaid expenses and deferred charges

    beginning of year $362,110 · end of year $298,115

  • 10a · Land, buildings and equipment: cost or other basis

    $95,626,267

  • 10b · Land, buildings and equipment: accumulated depreciation

    $67,518,738

  • 10c · Land, buildings and equipment, net

    beginning of year $28,967,158 · end of year $28,107,529

  • 11 · Investments: publicly traded securities

    beginning of year $23,316,102 · end of year $26,052,409

  • 12 · Investments: other securities

    beginning of year $8,039,912 · end of year $7,837,225

  • 15 · Other assets

    beginning of year $7,839,790 · end of year $4,687,028

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,601,959 · end of year $8,151,591

  • 19 · Deferred revenue

    beginning of year $628,147 · end of year $295,391

  • 20 · Tax-exempt bond liabilities

    beginning of year $12,196,547 · end of year $11,578,094

  • 23 · Secured mortgages and notes payable

    beginning of year $647,346 · end of year $1,604,001

  • 25 · Other liabilities

    beginning of year $30,214,856 · end of year $28,802,247

  • 27 · Net assets without donor restrictions

    beginning of year $67,117,966 · end of year $76,714,997

Mission and programs · 2022

Mission

THE 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.

Activities or mission (Part I)

Critical Access Hospital

  • MEMORIAL 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 6,054 ACUTE PATIENT DAYS IN 2023. 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 58,615 OUTPATIENT VISITS AND 56,135 CLINIC VISITS IN 2023.

    Expenses $99,969,084 · Revenue $110,863,909

As filed on the 2022 return.

Listed in Part VII

  • Andrew Mueller

    CEO, MH/Trustee

    Total calculated
    $1,844,911
    From this org
    $0
    From related orgs
    $1,792,868
    Other
    $52,043
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,278,238 related
    Bonus
    $0 + $442,969 related
    Other
    $0 + $71,661 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $39,843 related
    Filer's total
    $0 + $1,844,911 related

  • Kelly Elkins

    COO, MH/Frmr Trustee

    Total calculated
    $1,129,790
    From this org
    $0
    From related orgs
    $1,100,614
    Other
    $29,176
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $734,790 related
    Bonus
    $0 + $174,375 related
    Other
    $0 + $191,449 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $16,976 related
    Filer's total
    $0 + $1,129,790 related

  • Douglas Taylor

    Physician

    Total calculated
    $624,255
    From this org
    $575,493
    From related orgs
    $0
    Other
    $48,762
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $571,804
    Bonus
    $0
    Other
    $3,689
    Deferred
    $9,150
    Nontaxable benefits
    $39,612
    Filer's total
    $624,255

  • Danielle Phinney

    Osteopathic Physician

    Total calculated
    $596,608
    From this org
    $554,814
    From related orgs
    $0
    Other
    $41,794
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $479,517
    Bonus
    $1,500
    Other
    $73,797
    Deferred
    $9,150
    Nontaxable benefits
    $32,644
    Filer's total
    $596,608

  • Morice Dennery

    Physician

    Total calculated
    $538,182
    From this org
    $490,864
    From related orgs
    $0
    Other
    $47,318
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $489,497
    Bonus
    $0
    Other
    $1,367
    Deferred
    $9,150
    Nontaxable benefits
    $38,168
    Filer's total
    $538,182

  • Art Mathisen

    Frmr President/Frmr Trustee

    Total calculated
    $478,186
    From this org
    $461,421
    From related orgs
    $0
    Other
    $16,765
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $293,420
    Bonus
    $80,295
    Other
    $87,706
    Deferred
    $9,150
    Nontaxable benefits
    $7,615
    Filer's total
    $478,186

  • Craig Smith

    VP-Phys & App Services

    Total calculated
    $469,526
    From this org
    $430,379
    From related orgs
    $0
    Other
    $39,147
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $386,441
    Bonus
    $750
    Other
    $43,188
    Deferred
    $9,150
    Nontaxable benefits
    $29,997
    Filer's total
    $469,526

  • Matthew Dunn

    Regional CMO - Mountain Reg

    Total calculated
    $454,228
    From this org
    $411,948
    From related orgs
    $0
    Other
    $42,280
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $315,282
    Bonus
    $62,001
    Other
    $34,665
    Deferred
    $9,150
    Nontaxable benefits
    $33,130
    Filer's total
    $454,228

  • Joseph Williams

    Med Dir - Emergency Svcs

    Total calculated
    $447,618
    From this org
    $401,118
    From related orgs
    $0
    Other
    $46,500
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $362,005
    Bonus
    $20,000
    Other
    $19,113
    Deferred
    $9,150
    Nontaxable benefits
    $37,350
    Filer's total
    $447,618

  • Diana McLaughlin

    Chief Financial Officer

    Total calculated
    $330,754
    From this org
    $0
    From related orgs
    $274,403
    Other
    $56,351
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,309 related
    Bonus
    $0 + $37,160 related
    Other
    $0 + $21,934 related
    Deferred
    $0 + $22,788 related
    Nontaxable benefits
    $0 + $33,563 related
    Filer's total
    $0 + $330,754 related

  • David Hoeft

    Physician/Trustee

    Total calculated
    $307,724
    From this org
    $262,634
    From related orgs
    $0
    Other
    $45,090
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $232,084
    Bonus
    $0
    Other
    $30,550
    Deferred
    $8,295
    Nontaxable benefits
    $36,795
    Filer's total
    $307,724

  • Kristine Dascoulias

    Chief Nursing Officer

    Total calculated
    $242,921
    From this org
    $202,080
    From related orgs
    $0
    Other
    $40,841
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $163,085
    Bonus
    $31,401
    Other
    $7,594
    Deferred
    $6,412
    Nontaxable benefits
    $34,429
    Filer's total
    $242,921

  • Mary Vigeant

    Nurse Practitioner/Trustee

    Total calculated
    $242,523
    From this org
    $217,344
    From related orgs
    $0
    Other
    $25,179
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $178,096
    Bonus
    $4,125
    Other
    $35,123
    Deferred
    $6,620
    Nontaxable benefits
    $18,559
    Filer's total
    $242,523

  • John Cox

    Former Regional CFO

    Total calculated
    $151,341
    From this org
    $0
    From related orgs
    $134,314
    Other
    $17,027
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $103,504 related
    Bonus
    $0 + $16,400 related
    Other
    $0 + $14,410 related
    Deferred
    $0 + $10,849 related
    Nontaxable benefits
    $0 + $6,178 related
    Filer's total
    $0 + $151,341 related

  • Steve Boyle

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Mary DeVeau

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Greg Frizzell

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Tim Scott

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Alec Tarberry

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Jill Berry Bowen

    Interim President/Trustee

    Total calculated
    $0
    Hours/week
    50

  • Michelle O'Donnell

    Board Chair

    Total calculated
    $0
    Hours/week
    1

  • Chris Perley

    Board Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Linda Terry

    Board Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Corinne Ray

    Board Secretary

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Discretionary spending account
  • 2 · Substantiation required before reimbursing expenses
  • 7 · Other non-fixed payments

Answered no

  • 1b · Written policy on the line-1a expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
THE FORMER PRESIDENT RECEIVED AN AUTO ALLOWANCE OF $12,000 THAT WAS TREATED AS TAXABLE COMPENSATION.
Part I, Line 1b
THE 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 7
MAINEHEALTH 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
31 July 2024
IRS schema version
2022v5.0
Source object
202442279349302424

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