CENTRAL MAINE MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL MAINE MEDICAL CENTER (EIN 01-0211494)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-05
- IRS object ID
- 202311259349301741
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-05T13:12:27-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S HIGH ST SUITE 100 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211494 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL MAINE MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 2077952813 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4500 | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04243 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID PAULOSKY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2077952813 | PhoneNum |
| Signature | 2023-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | PAULOSKY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY CIMINELLO | PreparerPersonNm |
| PTIN | P00796388 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Preparation | 2023-05-03 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVE LITTLESON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 MAIN STREET | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $480,915,140 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CMHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1888 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | CMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2431 | TotalEmployeeCnt |
| Total Volunteers | 1400 | TotalVolunteersCnt |
| Total Gross UBI | $25,593 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,459,320 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,515,245 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $403,791,420 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $458,506,808 | CYProgramServiceRevenueAmt |
| PY Investment Income | $490,067 | PYInvestmentIncomeAmt |
| CY Investment Income | $291,079 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,150 | PYOtherRevenueAmt |
| CY Other Revenue | $27,390 | CYOtherRevenueAmt |
| PY Total Revenue | $415,757,957 | PYTotalRevenueAmt |
| CY Total Revenue | $480,340,522 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,206 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,113 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $123,201,313 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $254,871,130 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $311,613,925 | PYOtherExpensesAmt |
| CY Other Expenses | $250,780,163 | CYOtherExpensesAmt |
| PY Total Expenses | $434,860,444 | PYTotalExpensesAmt |
| CY Total Expenses | $505,655,406 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$19,102,487 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$25,314,884 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $261,602,490 | TotalAssetsBOYAmt |
| Total Assets EOY | $283,418,187 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $182,637,707 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $204,113,496 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $78,964,783 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $79,304,691 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFULENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OURFAMILY OF CAREGIVERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $460,108,401 | ExpenseAmt |
| Grant | $4,113 | GrantAmt |
| Revenue | $458,508,605 | RevenueAmt |
| Desc | CENTRAL MAINE MEDICAL CENTER IS A 250-BED, NOT-FOR-PROFIT HOSPITAL LOCATED IN LEWISTON, MAINE OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CENTRAL AND WESTERN MAINE REGION WITH AN ACTIVE MEDICAL STAFF OF MORE THAN 300 PHYSICIANS REPRESENTING SOME 30 SPECIALTIES. WITH OVER 2,000 HIGHLY SKILLED EMPLOYEES AND THE SUPPORT OF THE LATEST TECHNOLOGIES, CMMC IS WELL POSITIONED TO MEET THE REGION'S HEALTHCARE NEEDS WITH THE UTMOST COMPASSION, KINDNESS, AND UNDERSTANDING. | Desc |
| Total Program Service Expenses | $460,108,401 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 102 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2431 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRISTEN ST PETER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2077957124 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 LOWELL ST BOX A | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY BRICKMAN | ||||||||||
| PRESIDENT/DIRECTOR (END 07/2021) | 3.00 | 60.00 | Yes (X) | Yes (X) | $0 | $1,410,525 | $189,495 | |||
| STEVE LITTLESON | ||||||||||
| PRESIDENT/DIRECTOR (BEGIN 07/2021) | 3.00 | 60.00 | Yes (X) | Yes (X) | $0 | $729,062 | $30,591 | |||
| DAVID SALKO | ||||||||||
| PHYSICIAN/DIRECTOR | 3.00 | 55.00 | Yes (X) | $0 | $360,886 | $25,322 | ||||
| HECTOR TARRAZA | ||||||||||
| PHYSICIAN/DIRECTOR | 3.00 | 55.00 | Yes (X) | $0 | $367,681 | $0 | ||||
| AUSTIN ALBERT | ||||||||||
| VICE CHAIR | 3.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DEVORE CULVER | ||||||||||
| CHAIR PERSON/ DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARNEY CHALMERS | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM CLIFFORD | ||||||||||
| DIRECTOR (END 12/2021) | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANN CONNELLY | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHANNON GAUVIN | ||||||||||
| DIRECTOR (BEG 01/2022) | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOLAN IPPOLITO | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANET HALL KOSKI | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN MCANUFF | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHERWOOD MOODY | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LOUIS SILVERMAN | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEOFFREY SWIFT | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CORY BAGBY | ||||||||||
| SECRETARY (END 03/2022) | 3.00 | 55.00 | Yes (X) | $0 | $371,046 | $7,015 | ||||
| ELIZABETH SHEW | ||||||||||
| SECRETARY (BEGIN 03/2022) | 3.00 | 55.00 | Yes (X) | $0 | $134,438 | $12,560 | ||||
| DAVID PAULOSKY | ||||||||||
| TREASURER (BEG 06/2022) | 3.00 | 60.00 | Yes (X) | $0 | $0 | $0 | ||||
| ERWEY TANG | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $654,679 | $0 | $28,349 | Yes (X) | ||||
| KANISHKA BHATTACHARYA | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $507,272 | $0 | $18,485 | Yes (X) | ||||
| SHELDON STEVENSON | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $464,108 | $0 | $28,631 | Yes (X) | ||||
| MICHAEL STADNICKI | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $366,004 | $0 | $28,002 | Yes (X) | ||||
| CLAUDIA GEYER | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $350,044 | $0 | $25,952 | Yes (X) | ||||
| JENNIFER WEINER-SMITH | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $337,629 | $0 | $27,688 | Yes (X) | ||||
| BETHANY PICKER | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $250,648 | $0 | $24,580 | Yes (X) | ||||
| MICHAEL BERLOWITZ | ||||||||||
| DIVISION CHIEF | 55.00 | 1.00 | $153,347 | $0 | $3,023 | Yes (X) | ||||
| TAREK RADWAN | ||||||||||
| PHYSICIAN | 55.00 | 0.00 | $1,400,871 | $0 | $20,634 | Yes (X) | ||||
| PAUL WELDNER | ||||||||||
| PHYSICIAN | 55.00 | 0.00 | $921,524 | $0 | $0 | Yes (X) | ||||
| LISA RUTSTEIN | ||||||||||
| PHYSICIAN | 55.00 | 0.00 | $851,825 | $0 | $15,846 | Yes (X) | ||||
| CARMINE FRUMIENTO | ||||||||||
| PHYSICIAN | 55.00 | 0.00 | $839,979 | $0 | $19,604 | Yes (X) | ||||
| THERESE WHITE | ||||||||||
| PHYSICIAN | 55.00 | 0.00 | $765,290 | $0 | $30,828 | Yes (X) | ||||
| DAVID TUPPONCE | ||||||||||
| FORMER CMMC PRESIDENT | 0.00 | 0.00 | $0 | $113,594 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,863,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,487,232 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $536,605 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 338 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE COURT WEST SUITE 3 | SAN DIEGO | CA | 92121 | MEDICAL SERVICES | $26,667,605 |
| SODEXO INC | |||||
| 9801 WASHINGTONIAN BOULEVARD | GAITHERSBURG | MD | 20878 | FOOD & OP. PLNT SVCS | $17,715,061 |
| QUEST DIAGNOSTICS | |||||
| 500 PLAZA DRIVE | SECAUCUS | NJ | 07094 | MEDICAL SERVICES | $8,445,345 |
| CPS SOLUTIONS LLC | |||||
| 655 METRO PL S SUITE 450 | DUBLIN | OH | 43017 | MEDICAL SERVICES | $6,940,992 |
| ANESTHESIA ASSOCIATES | |||||
| 1990 UNION LAKE RD | COMMERCE TOWNSHIP | MI | 48382 | MEDICAL SERVICES | $3,959,004 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 63 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $20,379,698 | GovernmentGrantsAmt |
| All Other Contributions | $1,135,547 | AllOtherContributionsAmt |
| Total Contributions | $21,515,245 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $458,506,808 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $458,506,808 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $458,506,808 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $197,783 | TotalRevenueColumnAmt |
| Exclusion | $197,783 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,797 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,797 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,797 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,797 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $667,914 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $511,919 | SecuritiesAmt |
| Other | $62,699 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $155,995 | SecuritiesAmt |
| Other | -$62,699 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,296 | TotalRevenueColumnAmt |
| Exclusion | $93,296 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DIAGNOSTIC LABRATORY | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $25,593 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $25,593 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,593 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $480,340,522 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $458,508,605 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $25,593 | UnrelatedBusinessRevenueAmt |
| Exclusion | $291,079 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,113 | TotalAmt |
| Program Services | $4,113 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,845,217 | TotalAmt |
| Program Services | $3,845,217 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,408,389 | TotalAmt |
| Program Services | $195,892,884 | ProgramServicesAmt |
| Management And General | $32,515,505 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$1,122,080 | TotalAmt |
| Program Services | -$964,989 | ProgramServicesAmt |
| Management And General | -$157,091 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,368,206 | TotalAmt |
| Program Services | $18,376,657 | ProgramServicesAmt |
| Management And General | $2,991,549 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,371,398 | TotalAmt |
| Program Services | $2,039,402 | ProgramServicesAmt |
| Management And General | $331,996 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,435 | TotalAmt |
| Management And General | $295,435 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,380 | TotalAmt |
| Management And General | $75,380 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,185,783 | TotalAmt |
| Program Services | $55,185,783 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,824 | TotalAmt |
| Program Services | $10,368 | ProgramServicesAmt |
| Management And General | $3,456 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,969,881 | TotalAmt |
| Program Services | $7,477,411 | ProgramServicesAmt |
| Management And General | $2,492,470 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,055,755 | TotalAmt |
| Program Services | $1,541,818 | ProgramServicesAmt |
| Management And General | $513,937 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,276,075 | TotalAmt |
| Program Services | $3,207,056 | ProgramServicesAmt |
| Management And General | $1,069,019 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,380 | TotalAmt |
| Program Services | $496,035 | ProgramServicesAmt |
| Management And General | $165,345 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,365,719 | TotalAmt |
| Program Services | $4,774,289 | ProgramServicesAmt |
| Management And General | $1,591,430 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,418,346 | TotalAmt |
| Program Services | $15,104,878 | ProgramServicesAmt |
| Management And General | $1,313,468 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,999,427 | TotalAmt |
| Program Services | $5,999,570 | ProgramServicesAmt |
| Management And General | $1,999,857 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $108,272,503 | $108,272,503 |
| BAD DEBT EXPENSE | $29,313,775 | $29,313,775 |
| MEDICAID TAX EXPENSE | $8,393,901 | $8,393,901 |
| HOSPITALITY ITEMS | $101,984 | $101,984 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,380,995 | TotalAmt |
| Program Services | $1,035,746 | ProgramServicesAmt |
| Management And General | $345,249 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,655,406 | TotalAmt |
| Program Services | $460,108,401 | ProgramServicesAmt |
| Management And General | $45,547,005 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,380,518 | BOYAmt |
| EOY | $1,130,131 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,798,035 | BOYAmt |
| EOY | $2,925,474 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,346,613 | BOYAmt |
| EOY | $56,906,522 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,872,847 | BOYAmt |
| EOY | $9,470,380 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,416,178 | BOYAmt |
| EOY | $9,541,688 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,222,643 | BOYAmt |
| EOY | $4,341,625 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $435,157,663 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $338,837,608 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,421,896 | BOYAmt |
| EOY | $96,320,055 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,788,637 | BOYAmt |
| EOY | $20,223,772 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,355,123 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $82,558,540 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,602,490 | BOYAmt |
| EOY | $283,418,187 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,158,674 | BOYAmt |
| EOY | $67,069,094 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $212,410 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,860,104 | BOYAmt |
| EOY | $93,144,454 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,618,929 | BOYAmt |
| EOY | $43,687,538 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,637,707 | BOYAmt |
| EOY | $204,113,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,086,986 | BOYAmt |
| EOY | $59,795,737 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,877,797 | BOYAmt |
| EOY | $19,508,954 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,964,783 | BOYAmt |
| EOY | $79,304,691 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,602,490 | BOYAmt |
| EOY | $283,418,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$25,314,884 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$200,159 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$152,671 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $26,007,622 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,827 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,827 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,877,187 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$938,222 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $15,938,965 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,678,635 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,198,552 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $16,877,187 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,315,925 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,633,565 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,725 | OtherExpendituresAmt |
| End Year Balance | $15,678,635 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,055,708 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $260,217 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $17,315,925 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,450,606 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,394,898 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $17,055,708 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.75700 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.24300 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,318,022 | OtherCostOrOtherBasisAmt |
| Book Value | $2,318,022 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,737,204 | OtherCostOrOtherBasisAmt |
| Depreciation | $103,554,853 | DepreciationAmt |
| Book Value | $66,182,351 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,112,660 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,862,433 | DepreciationAmt |
| Book Value | $250,227 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,624,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $230,420,322 | DepreciationAmt |
| Book Value | $25,203,903 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,365,552 | OtherCostOrOtherBasisAmt |
| Book Value | $2,365,552 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $96,320,055 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (10 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED PENSION | $18,316,598 |
| DEPOSITS | $5,900 |
| UNREALIZED GAIN | $207,172 |
| ENDOWMENT FUND | $701,766 |
| RIGHT OF USE ASSET-FINANCE | $27,175,537 |
| DEBT SERVICE RESERVE | $1,009,182 |
| CERNER INTANGIBLES | $360,688 |
| RIGHT OF USE ASSET- OPERATING | $12,117,016 |
| WORKCOMP | $4,138,194 |
| BONDS | $18,526,487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $82,558,540 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| WORKCOMP SELF INSURANCE | $2,557,507 |
| ASSET RETIREMENT OBLIGATION | $2,881,948 |
| LONG TERM CHOICE TIME RESERVE | $719,710 |
| LEASE LIABILITY - LT | $37,528,373 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,687,538 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | INTENDED USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION IN A VARIETY OF WAYS, DEPENDING UPON THE STATED PURPOSE OF EACH FUND. MANY OF THESE FUNDS HELP TO COVER COSTS OF CAPITAL EQUIPMENT PURCHASES, CONTINUING MEDICAL EDUCATION, OR FREE CARE. OTHERS ARE DESIGNATED TO SUPPORT SPECIFIC DEPARTMENTS OF THE HOSPITAL. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,752,309 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,514,862 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,237,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,166,359 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,081,705 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,084,654 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $101,918,668 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,596,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,322,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10350 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,057,848 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $126,662 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $931,186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,535,459 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,578,019 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,957,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,593,307 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,704,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,888,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,511,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,301,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,210,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10960 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense | $29,313,775 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,186,062 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $54,654,140 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $82,298,241 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,644,101 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL MAINE MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 MAIN STREET | AddressLine1Txt |
| City | LEWISTON | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CMHC.ORG | WebsiteAddressTxt |
| State License | 38819 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL MAINE MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, PAGE 8 | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, PAGE 8 | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, PAGE 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CENTRAL MAINE MEDICAL CENTER | PART V, SECTION B, LINE 5: THE MAINE SHARED CHNA STEERING COMMITTEE, COMMUNITY ENGAGEMENT COMMITTEE, AND LOCAL PLANNING GROUPS CO-ORGANIZED COMMUNITY FORUMS INCLUDING RECRUITING VOLUNTEER SCRIBES AND FACILITATORS, MARKETING THE FORUMS, AND IDENTIFYING HEALTH INDICATOR DATA TO BE PRESENTED TO FORUM PARTICIPANTS.DUE TO THE ONGOING COVID-19 PANDEMIC, MOST OF THE LOCAL FORUMS WERE HELD VIRTUALLY ON ZOOM. IN ADDITION TO ZOOM, THERE WERE SEVERAL OTHER ONLINE PLATFORMS UTILIZED FOR DATA COLLECTION INCLUDING IDEABOARDZ, MENTIMETER, AND SURVEY MONKEY. JOHN SNOW, INC., A CONTRACTED ORGANIZATION FOR THE CHNA PROCESS, PROVIDED TECHNICAL SUPPORT AND DATA COLLECTION THAT WAS UTILIZED AND INCLUDED IN THE COUNTY FORUMS, LOCALLY-SPONSORED EVENTS, AND THE COMMUNITY-SPONSORED FORUMS. THERE WERE FOUR DIFFERENT TYPES OF EVENTS FOR DATA COLLECTION THAT TOOK PLACE DURING THE 2021 CHNA:-COUNTY FORUMS: EACH COUNTY ACROSS THE STATE HELD A COUNTY-WIDE COMMUNITY FORUM HOWEVER, WITH THE VAST DIFFERENCES BETWEEN URBAN AND RURAL CUMBERLAND COUNTY, THERE WERE TWO SEPARATE REGIONAL FORUMS TO ADDRESS THE DIFFERENT NEEDS, SERVICE AREAS AND POPULATIONS WITHIN THE GEOGRAPHICALLY DIVERSE CUMBERLAND COUNTY. THESE FORUMS WERE FOR GREATER PORTLAND, AN URBAN COMMUNITY SERVED BY MAINEHEALTH, AND LAKES REGION, A MORE RURAL POPULATION MAINLY SERVED BY CMHC'S BRIDGTON HOSPITAL -LOCALLY-SPONSORED EVENTS: IN ADDITION TO THE COUNTY FORUMS, COUNTY/REGION PLANNING GROUPS WERE ABLE TO HOLD LOCALLY-SPONSORED FORUMS WITH EXISTING COMMUNITY GROUPS -COMMUNITY-SPONSORED EVENTS: WERE HOSTED BY AND FOR THOSE WHOSE VOICES MAY NOT HAVE BEEN PRESENT AT COUNTY FORUMS. THESE EVENTS FOCUSED ON UNDER-REPRESENTED GROUPS AND WERE HOSTED BY ORGANIZATIONS THAT WORKED WITH THESE COMMUNITIES -ORAL SURVEYS: WERE UTILIZED TO INCLUDE IMMIGRANT, REFUGEE, AND NEW MAINER VOICES |
| CENTRAL MAINE MEDICAL CENTER | PART V, SECTION B, LINE 6A: THE CHNA IS CONDUCTED THROUGH A MAINE SHARED CHNA COLLABORATION INCLUDING REPRESENTATION FROM MAINEGENERAL HEALTH, MAINEHEALTH, AND NORTHERN LIGHT HEALTH. |
| CENTRAL MAINE MEDICAL CENTER | PART V, SECTION B, LINE 6B: ADDITIONAL NON-HOSPITAL FACILITIES INVOLVED IN THE MAINE SHARED CHNA ARE THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES; THE UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL OF PUBLIC SERVICE AND JOHN SNOW, INC WHO BOTH PROVIDED DATA ORGANIZATION, ANALYSIS, METHODOLOGY, AND DESIGN SUPPORT; AND NUMEROUS COMMUNITY PARTNERS AND STAKEHOLDER GROUPS INCLUDING THE STEERING COMMITTEE, METRICS COMMITTEE, DATA ANALYSIS WORKGROUP, COMMUNITY ENGAGEMENT COMMITTEE, AND LOCAL PLANNING COMMITTEE. |
| CENTRAL MAINE MEDICAL CENTER | PART V, SECTION B, LINE 11: HEALTH PRIORITIES FOR EACH COUNTY WERE IDENTIFIED THROUGH COMMUNITY PARTICIPATION AND VOTING AT THE FORUMS DURING THE FALL OF 2021. THE FORUMS WERE AN OPPORTUNITY FOR COMMUNITY MEMBERS TO REVIEW THE COUNTY HEALTH PROFILES, DISCUSS COMMUNITY NEEDS, AND PRIORITIZE PERCEIVED COMMUNITY NEEDS IN SMALL BREAK-OUT SESSIONS FOLLOWED WITH A VOTE BY PARTICIPANTS.THE RESPECTIVE COMMUNITY HEALTH COMMITTEE THEN VOTED TO IDENTIFY TWO PRIORITIES TO FOCUS ON, AND THE HEALTH PROMOTION COORDINATOR WORKED WITH HOSPITAL LEADERSHIP, STAFF, AND COMMUNITY PARTNERS TO CREATE TANGIBLE AND REALISTIC GOALS, STRATEGIES, AND ACTIVITIES TO ADDRESS EACH PRIORITY. DURING THE 2019-2022 CYCLE, A THIRD PRIORITY WAS ADDED AROUND CAPACITY BUILDING FOR CREATING SUSTAINABILITY FOR THE WORK WITHIN THE HOSPITAL. FOR THE 2022-2025 PLANS, SUSTAINABILITY IS WEAVED INTO EACH PRIORITY AND DIVERSITY, EQUITY, INCLUSION AND BELONGING WAS IDENTIFIED AS A SYSTEM-WIDE PRIORITY.THE HEALTH PRIORITIES CHOSEN BY THE HOSPITAL COMMUNITY HEALTH COMMITTEES ARE AS FOLLOWS:-CENTRAL MAINE MEDICAL CENTER - MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE-BRIDGTON HOSPITAL - MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE-RUMFORD HOSPITAL - SOCIAL DETERMINANTS OF HEALTH (FOOD INSECURITY AND ADVERSE CHILDHOOD EXPERIENCES) AND SUBSTANCE/ALCOHOL USEFOR MORE INFORMATION ON THE ACTIVITIES IDENTIFIED AND PRIORITIES NOT SELECTED BY THE COMMUNITY HEALTH COMMITTEE FOR CENTRAL MAINE MEDICAL CENTER, PLEASE GO TO CENTRAL MAINE COMMUNITY BENEFITS (CMHC.ORG) |
| CENTRAL MAINE MEDICAL CENTER | PART V, SECTION B, LINE 13H: FAP ELIGIBILITY CRITERIA:PATIENTS MUST APPLY FOR MAINE FREE CARE IN ORDER TO BE CONSIDERED FOR THEHOSPITAL'S FREE CARE PROGRAM. AS PART OF THE APPLICATION, PATIENTS MUSTSUBMIT A COPY OF CURRENT MAINECARE DECISION LETTERS. PATIENTS WILL BEASKED IF THEY HAVE INSURANCE OF ANY KIND TO HELP PAY FOR CARE AND AREALSO ASKED TO SHOW THAT INSURANCE OR A GOVERNMENT PROGRAM WILL NOT PAYFOR YOUR CARE. IF PATIENTS DO NOT QUALIFY FOR FREE HOSPITAL CARE, THEYARE ALLOWED TO ASK FOR A FAIR HEARING OR APPEAL. |
| PART V, SECTION B, LINE 7A | HTTPS://WWW.CMHC.ORG/CMMC/ABOUT-CMMC/CENTRAL-MAINE-COMMUNITY-BENEFITS/ |
| PART V, SECTION B, LINE 7B | HTTPS://WWW.CMHC.ORG/CMMC/ABOUT-CMMC/CENTRAL-MAINE-COMMUNITY-BENEFITS/ |
| PART V, SECTION B, LINE 10A | HTTPS://WWW.CMHC.ORG/CMMC/ABOUT-CMMC/CENTRAL-MAINE-COMMUNITY-BENEFITS/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 30 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE | ||||
| 77 BATES STREET SUITE 202 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 2 - CENTRAL MAINE SURGICAL ASSOCIATES | ||||
| 12 HIGH STREET SUITE 401 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - CENTRAL MAINE ENDOCRINOLOGY AND DIABETES | ||||
| 76 HIGH STREET | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - CENTRAL MAINE FAMILY HEALTH CARE ASSOC | ||||
| 190 STETSON ROAD | AUBURN | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - CENTRAL MAINE FAMILY HEALTH RESIDENCY | ||||
| 76 HIGH STREET SUITE 100 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 7 - CENTRAL MAINE FAMILY PRACTICE | ||||
| 12 HIGH STREET SUITE 302 | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 8 - CENTRAL MAINE GYNECOLOGY & UROGYNECOLOGY | ||||
| 12 HIGH STREET SUITE 200 | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 9 - CENTRAL MAINE HEMATOLOGY ONCOLOGY | ||||
| 17 HIGH STREET | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 10 - CENTRAL MAINE INTERNAL MEDICINE | ||||
| 12 HIGH STREET | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 12 - CENTRAL MAINE OBGYN | ||||
| 12 HIGH STREET SUITE 200 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 14 - CENTRAL MAINE PEDIATRICS | ||||
| 12 HIGH STREET SUITE 301 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 16 - CENTRAL MAINE THERAPY SERVICES | ||||
| 77 BATES STREET SUITE 201 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 17 - CENTRAL MAINE UROLOGY | ||||
| 12 HIGH STREET | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 18 - GRAY FAMILY CLINIC | ||||
| 126 SHAKER ROAD | GRAY | ME | 04039 | OUTPATIENT PHYSICIAN CLINIC |
| 19 - INFECTIOUS DISEASE ASSOCIATES | ||||
| 10 HIGH STREET | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 20 - LISBON FAMILY PRACTICE | ||||
| 2 BISBEE ROAD | LISBON | ME | 04250 | OUTPATIENT PHYSICIAN CLINIC |
| 21 - MINOT AVENUE FAMILY MEDICINE | ||||
| 789 MINOT AVENUE | AUBURN | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 22 - POLAND COMMUNITY HEALTH CENTER | ||||
| 364 MAIN STREET | POLAND | ME | 04274 | OUTPATIENT PHYSICIAN CLINIC |
| 23 - PULMONARY AND SLEEP MEDICINE | ||||
| 76 HIGH STREET SUITE 300 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 24 - TOPSHAM FAMILY MEDICINE | ||||
| 4 HORTON PLACE | TOPSHAM | ME | 04086 | OUTPATIENT PHYSICIAN CLINIC |
| 25 - CENTRAL MAINE HEARING CENTER | ||||
| 12 HIGH STREET SUITE 102 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 26 - CENTRAL MAINE MEDICATION MANAGEMENT | ||||
| 10 HIGH STREET SUITE 103 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 27 - CENTRAL MAINE EAR NOSE AND THROAT | ||||
| 12 HIGH STREET SUITE 102 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 30 - TOPSHAM CARE CENTER | ||||
| 105 TOPSHAM FAIR MALL ROAD | TOPSHAM | ME | 04086 | OUTPATIENT PHYSICIAN CLINIC |
| 31 - CENTRAL MAINE RHEUMATOLOGY | ||||
| 77 BATES STREET SUITE 201 | LEWISTON | ME | 04240 | OUTPATIENT PHYSICIAN CLINIC |
| 33 - CENTRAL MAINE HEATHCARE ORTHOPEDICS | ||||
| 690 MINOT AVENUE | AUBURN | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 34 - CENTRAL MAINE BREAST HEALTH | ||||
| 17 HIGH STREET SUITE 2 | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 35 - CENTRAL MAINE INFUSION CENTER | ||||
| 17 HIGH STREET SUITE 7 | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 36 - CENTRAL MAINE RADIATION ONCOLOGY | ||||
| 17 HIGH STREET SUITE 4 | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
| 37 - CENTRAL MAINE SURGICAL ONCOLOGY | ||||
| 17 HIGH STREET SUITE 1A | LEWISTON | ME | 04210 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | PATIENTS MUST APPLY FOR MAINE FREE CARE IN ORDER TO BE CONSIDERED FOR THEHOSPITAL'S FREE CARE PROGRAM. AS PART OF THE APPLICATION, PATIENTS MUSTSUBMIT A COPY OF CURRENT MAINECARE DECISION LETTERS. PATIENTS WILL BEASKED IF THEY HAVE INSURANCE OF ANY KIND TO HELP PAY FOR CARE AND AREALSO ASKED TO SHOW THAT INSURANCE OR A GOVERNMENT PROGRAM WILL NOT PAYFOR YOUR CARE. IF PATIENTS DO NOT QUALIFY FOR FREE HOSPITAL CARE, THEYARE ALLOWED TO ASK FOR A FAIR HEARING OR APPEAL.ELIGIBILITY FOR 100% FINANCIAL ASSISTANCE AS STATED IN THE FINANCIAL ASSISTANCE POLICY: A. FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE IS AVAILABLE TO MAINE RESIDENTS WHO: HAVE NO HEALTH INSURANCE COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; AND MEET THE INCOME CRITERIA SET FORTH BELOW. B. FINANCIAL ASSISTANCE FOR EMERGENCY CARE IS AVAILABLE TO MAINE RESIDENTS AND NON-MAINE RESIDENTS WHO: HAVE NO HEALTH INSURANCE COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; AND MEET THE INCOME CRITERIA SET FORTH BELOW. C. CMH HOSPITALS PROVIDE 100% FINANCIAL ASSISTANCE BASED ON CRITERIA AS DEFINED BELOW: GROSS INCOME IS BELOW 200% OF THE FPL, SUBJECT TO APPROVAL PATIENT IS A RESIDENT OF MAINE NON-MAINE RESIDENT SEEKING EMERGENCY CARE FOR SERVICES OR SUPPLIES THAT ARE A MEDICAL NECESSITY ALL THIRD-PARTY PAYER SOURCES HAVE BEEN EXHAUSTED D. NO INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED MORE FOR EMERGENCY OR OTHERWISE MEDICALLY NECESSARY CARE THAN THE CALCULATED AGB. |
| PART I, LINE 7: | COSTING METHODOLOGY:THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED TOCALCULATE AMOUNTS ON IRS WORKSHEETS 1 AND 3. ALL OTHER WORKSHEETS USEDTHE ORGANIZATION'S COST ACCOUNTING SYSTEM. |
| PART III, LINE 2: | THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FORWHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROMTHE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROMTHE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUERECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIALSTATEMENTS FOR THE YEAR ENDED JUNE 30, 2022. HOWEVER, THE HOSPITALINTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICESAND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A,LINE 2. |
| PART III, LINE 3: | BAD DEBT EXPENSES ATTRIBUTABLE TO CHARITY CARE:BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CAREPOLICY FOR LINE 3 WAS DETERMINED USING A COMPARISON OF EXPERIENCEDCHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEARAVAILABLE WHEN CHARITY CARE CONVERGE EXCEEDS THE CENSUS DATA, A MINIMAL AMOUNT OF BAD DEBT IS ASSUMED TO BE ELIGIBLE FOR CHARITY CARE TO ACCOUNTFOR THOSE PATIENTS WHO REFUSE TO PROVIDE INFORMATION DOCUMENTINGELIGIBILITY FOR THE PROGRAM. THESE ESTIMATES ARE BASED ON STATE-WIDE DATAAND DO NOT ACCOUNT FOR DIFFERENCES IN GEOGRAPHIC LOCATIONS WITHIN THESTATE. AS THIS AMOUNT IS RELATED TO PATIENTS ELIGIBLE UNDER THE FINANCIALASSISTANCE POLICY, IT IS INCLUDED AS A COMMUNITY BENEFIT. |
| PART III, LINE 4: | BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBESBAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBESPATIENTS ACCOUNTS RECEIVABLE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. |
| PART III, LINE 8: | COMMUNITY BENEFIT:THE COSTING METHODOLOGY USED FOR LINE 6 IS INFORMATION PULLED FROM THEMEDICARE COST REPORT FILING. THE SHORTFALL REPORTED ON LINE 7 COULD BE CONSIDERED COMMUNITY BENEFIT TO A LEVEL PROPORTIONAL TO THE POVERTYLEVELS INDICATED BY CENSUS BUREAU DATA. IF MAINE RESIDENTS, AGE 65 OROLDER, BELOW THE 200% FPG LEVEL WERE NOT COVERED BY MEDICARE, THEY WOULDQUALIFY UNDER CMMC'S FREE CARE POLICY. UNDER THAT CIRCUMSTANCE, THESEPATIENTS WOULD THEN APPEAR AS PART OF THE STATISTICS ON PART I, LINE 7A. |
| PART III, LINE 9B: | COLLECTION POLICY:COLLECTION PRACTICES FOR PATIENTS KNOWN TO BE ELIGIBLE FOR CHARITY CAREARE LIMITED TO COLLECTING FROM ANY AVAILABLE PAYMENT SOURCES SUCH ASMEDICARE OR MEDICAID. IF A PATIENT IS ELIGIBLE, BUT HAS NOT APPLIED FORMEDICAID COVERAGE, THE PATIENT IS REQUESTED TO APPLY. ASSISTANCE ISAVAILABLE TO HELP THE PATIENT WITH THE MEDICAID APPLICATION PROCESS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT:CENTRAL MAINE MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES TO ITSPRIMARY SERVICES AREA, AS WELL AS THE EXTENDED AREA OF THE ENTIRE CENTRAL MAINE HEALTHCARE SYSTEM. IT ASSESSES THE NEEDS OF ITS VARIOUS COMMUNITIESFROM VARIOUS THIRD-PARTY SURVEYS AND REPORTS, OBSERVATIONS IN ITS PATIENTPOPULATION AND THE POPULATIONS OF ITS AFFILIATED SYSTEM HOSPITALS, ASWELL AS ASSISTING WITH STATE-WIDE INITIATES IN PREVENTATIVE MEDICINE ANDEDUCATION. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:CENTRAL MAINE MEDICAL CENTER PROVIDES NOTICES ABOUT ITS FREE CARE POLICYIN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENT AREAS. AN INPATIENTFINANCIAL COUNSELOR VISITS WITH ALL UNINSURED PATIENTS TO DISCUSSOPTIONS, INCLUDING GOVERNMENTAL PROGRAM ELIGIBILITY AND FREE CAREASSISTANCE IS AVAILABLE TO HELP PATIENTS WITH COMPLETION OF MEDICAIDAPPLICATIONS. ALL PATIENTS FINANCIAL SERVICES STAFF ARE TRAINED TO OFFERFREE CARE AS AN OPTION TO PATIENTS WHO INDICATE AN INABILITY ORDIFFICULTY IN PAYING FOR SERVICES. INFORMATION ABOUT FINANCIAL ASSISTANCEAVAILABILITY IS INCLUDED ON THE BACK OF EVERY PATIENT STATEMENT.ADDITIONALLY, UNINSURED PATIENTS RECEIVED A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLEOPTIONS. |
| PART VI, LINE 4: | COMMUNITY INFORMATION:CENTRAL MAINE MEDICAL CENTER, LOCATED IN LEWISTON, MAINE SERVES A PRIMARYAREA OF ANDROSCOGGIN COUNTY IN CENTRAL MAINE. ADDITIONALLY, IT SERVESPORTIONS OF CUMBERLAND, FRANKLIN, KENNEBEC, OXFORD, AND SAGADAHOCCOUNTIES. THE LEWISTON-AUBURN AREA IS URBAN, FOR MAINE STANDARDS, BUTQUICKLY BECOMES SUBURBAN TO ALMOST-RURAL QUICKLY OUTSIDE THE CITY LIMITS.ANDROSCOGGIN COUNTY HAS A POPULATION OF JUST UNDER 108,000 PERSONS, WHICHMAKES UP APPROXIMATELY 8% OF THE OVERALL MAINE POPULATION. WHILE ALMOST93% OF THE POPULATION IS MADE UP OF CAUCASIAN PERSONS, MORE THAN 16%SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THIRTEEN PERCENT OF THEPOPULATION IS BELOW THE POVERTY LEVEL, SPECIFICALLY IN LEWISTON, THESECOND LARGEST CITY IN MAINE, WITH A POPULATION OF APPROXIMATELY 36,600PERSONS, SIMILAR RACIAL DISTRIBUTIONS ARE OBSERVED, BUT MORE THAN 28%CLAIM A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY. FIFTEEN PERCENT ARE BELOW THE POVERTY LEVEL. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH:CENTRAL MAINE MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, ALLOWING ANYNON-EMPLOYED OR AFFILIATED PHYSICIANS TO HAVE ADMITTING PRIVILEGES TO THEHOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF A MAJORITY OF LOCALCOMMUNITY MEMBERS ALONG WITH SOME REPRESENTATION BY DIRECTORS FROMCENTRAL MAINE HEALTHCARE, THE PARENT OF THE HEALTHCARE SYSTEM WHICHCENTRAL MAINE MEDICAL CENTER BELONGS TO, HELPING TO BRING TOGETHER THEVISIONS OF THE LOCAL COMMUNITY WITH THE CAPABILITIES AND VISION OF THESYSTEM AS A WHOLE FOR THE BENEFIT OF LEWISTON AND SURROUNDINGCOMMUNITIES.DURING THE COVID-19 PANDEMIC, THE ORGANIZATION RESPONDED TO THE NEEDS OF THE COMMUNITY BY OPENING TESTING SITES AND A MASS VACCINE CLINIC. THE ORGANIZATION ALSO EXPANDED TELEHEALTH ACCESS. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM:CENTRAL MAINE MEDICAL CENTER (CMMC) IS A TERTIARY CARE HOSPITAL IN THECENTRAL MAINE HEALTHCARE SYSTEM. TWO RURAL, CRITICAL ACCESS HOSPITALS ARE ALSO MEMBERS OF THIS SYSTEM. CMMC PROVIDES A WIDE RANGE OF SPECIALISTPHYSICIANS AND SERVICES TO ITS COMMUNITY, AS WELL AS THE SYSTEM. CMMCPROVIDES PHYSICIANS TO STAFF SPECIALTY CLINICS IN THE RURAL COMMUNITIESSERVED BY THE CRITICAL ACCESS HOSPITALS ON A LIMITED, BUT REGULAR, BASIS.THESE SERVICES WOULD NOT NORMALLY BE SUPPORTED BY THE LIMITED POPULATIONSAND PATIENTS WOULD INSTEAD NEED TO TRAVEL MUCH LONGER DISTANCES TOCONSULT OR VISIT WITH A SPECIALIST. CMMC ALSO PROVIDES ACCESS TO TRAUMACARE, NEONATAL INTENSIVE CARE, AND SPECIALIZED CARDIAC CARE. THE SYSTEMPARENT, CENTRAL MAINE HEALTHCARE, PROVIDES STREAMLINED ADMINISTRATIVEFUNCTIONS AND BACK OFFICE SERVICES FOR THE ENTIRE SYSTEM, PROVIDING COSTEFFICIENCY AND OTHER BENEFITS TO ALL MEMBERS. THIS ALSO ALLOWS FOR EASYADMINISTRATIVE HANDLING OF TRANSFERS OF PATIENTS BETWEEN HOSPITALS, ASWELL AS A SINGLE POINT OF CONTACT FOR PATIENTS TO ADDRESS BILLS ANDINSURANCE ISSUES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY BRICKMAN | ||||||||||||||
| PRESIDENT/DIRECTOR (END 07/2021) | $0 | $489,351 | $0 | $347,838 | $0 | $573,336 | $0 | $165,360 | $0 | $24,135 | $0 | $1,600,020 | $0 | $562,418 |
| TAREK RADWAN | ||||||||||||||
| PHYSICIAN | $1,394,197 | $0 | $0 | $0 | $6,674 | $0 | $0 | $0 | $20,634 | $0 | $1,421,505 | $0 | $0 | $0 |
| PAUL WELDNER | ||||||||||||||
| PHYSICIAN | $913,849 | $0 | $0 | $0 | $7,675 | $0 | $0 | $0 | $0 | $0 | $921,524 | $0 | $0 | $0 |
| LISA RUTSTEIN | ||||||||||||||
| PHYSICIAN | $645,886 | $0 | $201,306 | $0 | $4,633 | $0 | $0 | $0 | $15,846 | $0 | $867,671 | $0 | $0 | $0 |
| CARMINE FRUMIENTO | ||||||||||||||
| PHYSICIAN | $835,272 | $0 | $0 | $0 | $4,707 | $0 | $0 | $0 | $19,604 | $0 | $859,583 | $0 | $0 | $0 |
| THERESE WHITE | ||||||||||||||
| PHYSICIAN | $726,823 | $0 | $0 | $0 | $38,467 | $0 | $0 | $0 | $30,828 | $0 | $796,118 | $0 | $0 | $0 |
| STEVE LITTLESON | ||||||||||||||
| PRESIDENT/DIRECTOR (BEGIN 07/2021) | $0 | $592,242 | $0 | $71,875 | $0 | $64,945 | $0 | $0 | $0 | $30,591 | $0 | $759,653 | $0 | $0 |
| ERWEY TANG | ||||||||||||||
| DIVISION CHIEF | $650,639 | $0 | $0 | $0 | $4,040 | $0 | $0 | $0 | $28,349 | $0 | $683,028 | $0 | $0 | $0 |
| KANISHKA BHATTACHARYA | ||||||||||||||
| DIVISION CHIEF | $491,332 | $0 | $2,000 | $0 | $13,940 | $0 | $0 | $0 | $18,485 | $0 | $525,757 | $0 | $0 | $0 |
| SHELDON STEVENSON | ||||||||||||||
| DIVISION CHIEF | $404,325 | $0 | $36,593 | $0 | $23,190 | $0 | $0 | $0 | $28,631 | $0 | $492,739 | $0 | $0 | $0 |
| MICHAEL STADNICKI | ||||||||||||||
| DIVISION CHIEF | $361,490 | $0 | $0 | $0 | $4,514 | $0 | $0 | $0 | $28,002 | $0 | $394,006 | $0 | $0 | $0 |
| DAVID SALKO | ||||||||||||||
| PHYSICIAN/DIRECTOR | $0 | $273,491 | $0 | $84,570 | $0 | $2,825 | $0 | $0 | $0 | $25,322 | $0 | $386,208 | $0 | $0 |
| CORY BAGBY | ||||||||||||||
| SECRETARY (END 03/2022) | $0 | $321,452 | $0 | $15,825 | $0 | $33,769 | $0 | $0 | $0 | $7,015 | $0 | $378,061 | $0 | $0 |
| CLAUDIA GEYER | ||||||||||||||
| DIVISION CHIEF | $346,775 | $0 | $0 | $0 | $3,269 | $0 | $0 | $0 | $25,952 | $0 | $375,996 | $0 | $0 | $0 |
| HECTOR TARRAZA | ||||||||||||||
| PHYSICIAN/DIRECTOR | $0 | $359,651 | $0 | $0 | $0 | $8,030 | $0 | $0 | $0 | $0 | $0 | $367,681 | $0 | $0 |
| JENNIFER WEINER-SMITH | ||||||||||||||
| DIVISION CHIEF | $307,351 | $0 | $26,214 | $0 | $4,064 | $0 | $0 | $0 | $27,688 | $0 | $365,317 | $0 | $0 | $0 |
| BETHANY PICKER | ||||||||||||||
| DIVISION CHIEF | $247,688 | $0 | $0 | $0 | $2,960 | $0 | $0 | $0 | $24,580 | $0 | $275,228 | $0 | $0 | $0 |
| MICHAEL BERLOWITZ | ||||||||||||||
| DIVISION CHIEF | $101,947 | $0 | $50,000 | $0 | $1,400 | $0 | $0 | $0 | $3,023 | $0 | $156,370 | $0 | $0 | $0 |
| DAVID TUPPONCE | ||||||||||||||
| FORMER CMMC PRESIDENT | $0 | $1,258 | $0 | $52,312 | $0 | $60,024 | $0 | $0 | $0 | $0 | $0 | $113,594 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CEO COMPENSATION: THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PARENT CORPORATION'S BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE FOLLOWING: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 7 | BONUSES ARE BASED ON PERFORMANCE MEASURES FOR WHICH THERE IS BOARD DISCRETION. |
| PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL VEST ON THE PARTICIPANT'S VESTING DATE PROVIDED THE PARTICIPANT HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THIS PLAN. A PARTICIPANT WILL HAVE ONLY ONE VESTING DATE FOR ALL ELECTIVE DEFERRALS AND OTHER PLAN CONTRIBUTIONS MADE ON THE PARTICIPANT'S BEHALF DURING ALL PLAN YEARS. A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL ALSO VEST ( A) IF THE PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, ( B) IF THE PARTICIPANT'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY, OR ( C) IF THE EMPLOYER TERMINATES THE PARTICIPANTS EMPLOYMENT FOR ANY REASON OTHER THAN FOR CAUSE ANY PORTION OF THE PARTICIPANT'S ENTITLEMENT BENEFITS THAT IS NOT VESTED WHEN THE PARTICIPANT'S EMPLOYMENT WITH THE EMPLOYER TERMINATES, INCLUDING ELECTIVE DEFERRALS, WILL BE FORFEITED. THE EMPLOYER WILL DISTRIBUTE A PARTICIPANT'S BENEFITS UNDER THE PLAN AS SOON AS PRACTICABLE AFTER THE PARTICIPANT'S ENTITLEMENT BECOMES VESTED. |
| PART I, LINE 4A | THE FOLLOWING INDIVIDUALS RECEIVED NET TAXABLE SEVERANCE PAYMENTS FROM CENTRAL MAINE MEDICAL CENTER: DAVID TUPPONCE: $60,024 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH | ||||||||
| A | 010314384 | 56042RTR3 | 2019-07-31 | $52,604,797 | REFUND SERIES 2009A BOND | 0 | 0 | Yes (1) |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH | ||||||||
| B | 010314384 | 560427WV4 | 2013-05-23 | $41,071,242 | REFUND SERIES 2003A BOND | 0 | 0 | Yes (1) |
| MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH | ||||||||
| C | 010314384 | 56042RLG5 | 2017-06-27 | $12,279,914 | REFUND SERIES 2005B BOND | 0 | 0 | Yes (1) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Total ProceedsTotalProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,100,000 | $52,604,797 | $392,011 | $48,710,108 | 2019 | Yes (1) | 0 | 0 | Yes (1) | |
| B | $12,065,000 | $2,957,944 | $302,888 | $42,862,476 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | $41,071,242 |
| C | $4,600,000 | $138,533 | $12,141,381 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | $12,279,914 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. (CMHC) THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE MEMBER'S BOARD OF DIRECTORS OF CMHC. THE MEMBERS MAY MAKE, AMEND OR REPEAL THE BYLAWS IN A WHOLE OR IN PART. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. (CMHC) THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE MEMBER'S BOARD OF DIRECTORS OF CMHC. THE MEMBERS MAY MAKE, AMEND OR REPEAL THE BYLAWS IN A WHOLE OR IN PART. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. (CMHC) THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE MEMBER'S BOARD OF DIRECTORS OF CMHC. THE MEMBERS MAY MAKE, AMEND OR REPEAL THE BYLAWS IN A WHOLE OR IN PART. |
| FORM 990, PART VI, SECTION B, LINE 11B | ALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY A PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE VICE PRESIDENT OF FINANCE THEN WITH THE CFO. FOLLOWING THAT REVIEW THEY ARE PRESENTED TO THE FINANCE COMMITTE OF THE CENTRAL MAINE HEALTHCARE BOARD OF DIRECTORS. ONCE THIS REVIEW IS COMPLETED, ANY NECESSARY CHANGES ARE MADE AND THE FINAL RETURN IS PRESENTED TO ITS RESPECTIVE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND CONFORMS TO THE CONDITIONS CONTAINED WITHIN THE CORPORATION'S BYLAWS, WHICH MEET OR EXCEED THE CURRENT IRS REPORTING THRESHOLDS. IN AREAS OF CONFLICT BY THE CHAIRMAN, THE VICE-CHAIRMAN REVIEWS. ADDITIONALLY, AS PART OF THE ANNUAL FORM 990 PREPARATION PROCESS, A SEPARATE QUESTIONNAIRE IS PROVIDED, WHICH INCLUDES DISTRUBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS. THESE QUESTIONNAIRS ARE REVIEWED BY THE FINANCE DEPARTMENT FOR REPORTABLE ITEMS FOR THE FORM 990. IN THE CASE OF A POSSIBLE CONFLICT, THE BOARD WOULD REVIEW THE SITUATION AND TAKE ACTIONS DEEMED APPROPRAITE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS. IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR. |
| FORM 990, PART VI, SECTION B, LINE 15B | CENTRAL MAINE HEALTHCARE (CMHC) HAS ESTABLISHED AND FOLLOWS A DELIBERATIVE TRANSPARENT PROCESS WHICH MEETS IRS REGULATIONS FOR "REBUTTABLE" PRESUMPTION OF REASONABLENESS. A STANDING EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE (EPCC) , COMPRISED OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, PRESIDENT OF CENTRAL MAINE MEDICAL CENTER, PHYSICIAN PRACTICE EXECUTIVE, PRESIDENT OF RUMFORD HOSPITAL, AND PRESIDENT OF BRIDGTON HOSPITAL. THE PROCESS GUIDELINES AND AUTHORITY OF THE EPCC ARE SET OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS APPROVED BY THE CMHC BOARD. THE ENTIRE CHMC BOARD PARTICIPATES IN THE ANNUAL PERFORMANCE EVALUATION OF EACH EXECUTIVE, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN. THE ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE COMPARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHO SPECIALIZES IN NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS, AND OUR ATTORNEY'S FACTORS USED IN DETERMINING COMPARABILITY TO THE ORGANIZATION INCLUDING GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE'S CONSULTANTS, OR ITS ATTORNEYS. USING THIS INFORMATION, THE EPCC ANNUALLY REVIEWS THE EXECUTIVES' COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE EXECUTIVES' ACCOMPLISHMENTS TO DETERMINE IF ANY VARIABLE PAY IS TO BE AWARDED. THE ENTIRE PROCESS IS THEN DOCUMENTED CONTEMPORANEOUSLY WITH THE DECISION MAKING PROCESS AND APPROVED THEREAFTER IN ACCORDANCE WITH THE IRS GUIDANCE. THE COMPENSATION PAID TO KEY EMPLOYEES IS REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT. DURING THE REVIEW PROCESS, THE CENTRAL MAINE HEALTHCARE COMPENSATION MANAGER PROVIDERS MARKET DATA ON COMPARABLE POSITIONS FROM COMPARATIVE GROUPS OF HEALTHCARE ORGANIZATIONS THAT ARE APPROPRIATELY SIMILAR IN TERMS OF THEIR REVENUE, GEOGRAPHIC LOCATION, NUMBER OF EMPLOYEES, NUMBER OF STAFFED HOSPITAL BEDS, ETC. HUMAN RESOURCES PROVIDES AT A MINIMUM FOUR SETS OF COMPARABILITY DATA FROM THE MOST RECENT NATIONAL HEALTHCARE SPECIFIC COMPENSATION SURVEYS ( E. G. WATSON & WYATT, SULLIVAN & COTTER, THE HAY GROUP, MERCER, ETC) FOR REFERENCE. THESE SURVEYS REPORT PAY RATE DATA THAT IS TYPICALLY AGED LESS THAN 6 MONTHS. CENTRAL MAINE HEALTHCARE AND AFFILIATES STRIVE TO PAY AT THE MARKET AVERAGE OR SLIGHTLY ABOVE IT FOR KEY EMPLOYEES. ONCE THE COMPENSATION MANAGER AND THE VICE PRESIDENT OF HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT HAVE FINALIZED RECOMMENDATIONS BASED ON THIS EMPIRICAL DATA, THEY ARE PRESENTED TO THE PRESIDENTS OF EACH HOSPITAL THAT SUPERVISE THE KEY EMPLOYEES, AND THE CEO OF CENTRAL MAINE HEALTHCARE, FOR REVIEW, EDITS, AND APPROVAL. THIS PROCESS TYPICALLY OCCURS DURING THE LAST MONTH OF THE FISCAL YEAR IN PREPARATION FOR THE NEXT FISCAL YEAR. CENTRAL MAINE HEALTHCARE DOCUMENTS THE BASIS FOR ITS DETERMINATION FOR KEY EMPLOYEES' COMPENSATION AND MAINTAINS THIS CONTEMPORANEOUSLY SUBSTANTIATED MATERIAL IN THE HUMAN RESOURCES DEPARTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE RECENTLY FILED FORM 990 AND PROVIDED, UPON REQUEST, IN THAT FORMAT UNLESS THE SPECIFIC REQUEST DEEMS A DIFFERENT FORMAT MORE APPROPRIATE. |
| FORM 990, PART VII, SECTION A | BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. JEFF BRICKMAN WAS EMPLOYED AS PRESIDENT OF CENTRAL MAINE HEALTHCARE CORPORATION AND NOW STEVEN LITTLESON IS IN THAT POSITION. BOTH JEFF BRICKMAN AND STEVEN LITTLESON WERE COMPENSATED BASED ON THEIR ROLE AS PRESIDENT. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 55,185,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,185,783. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM AFFLIATE 21,432,487. DEFERRED PENSION 5,561,580. RESTRICTED INVESTMENT INCOME 10,324. TRANSFER TO PARENT -926,478. TRANSFER TO AFFILIATE -76,568. NET ASSETS RELEASED FROM RESTRICTION 6,277. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL MAINE HEALTHCARE CORPORATION | |||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010386913 | HEALTHCARE | ME | 501(C)(3) | LINE 7 | N/A | 0 | |
| MAINE COLLEGE OF HEALTH PROFESSIONS | |||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010356077 | EDUCATION | ME | 501(C)(3) | LINE 2 | Yes (1) | CMMC | |
| RUMFORD COMMUNITY FAMILY HEALTH CENTER | |||||||||||
| 430 FRANKLIN STREET | RUMFORD | ME | 04276 | 010481000 | HEALTHCARE | ME | 501(C)(3) | LINE 3 | 0 | CMHC | |
| RUMFORD HOSPITAL | |||||||||||
| 420 FRANKLIN STREET | RUMFORD | ME | 04276 | 010215227 | HEALTHCARE | ME | 501(C)(3) | LINE 3 | 0 | CMHC | |
| CENTRAL MAINE REAL ESTATE MANAGEMENT CO01-0387674 | |||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010387674 | REAL ESTATE | ME | 501(C)(2) | 0 | CMHC | ||
| RUMFORD COMMUNITY HOME CORPORATION | |||||||||||
| 11 JOHN F KENNEDY LANE | RUMFORD | ME | 04276 | 222844951 | NURSING HOME | ME | 501(C)(3) | LINE 10 | 0 | CMHC | |
| CENTRAL MAINE COMMUNITY HEALTH CORP | |||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010386912 | PUBLIC ED | ME | 501(C)(3) | LINE 7 | 0 | CMHC | |
| BRIDGTON HOSPITAL | |||||||||||
| 10 HOSPITAL DRIVE | BRIDGTON | ME | 04009 | 010130427 | HEALTHCARE | ME | 501(C)(3) | LINE 3 | 0 | CMHC | |
| ELIAS E TUCKER TRUST FUND CO CMMC | |||||||||||
| 300 MAIN STREET | LEWISTON | ME | 04240 | 016042343 | FUNDING | ME | 501(C)(3) | LINE 12A, I | Yes (1) | CMMC | |
| BRIDGTON HOSPITAL PHYSICIANS GROUP | |||||||||||
| SOUTH HIGH STREET | BRIDGTON | ME | 04009 | 010493083 | FUNDING | ME | 501(C)(3) | PF | 0 | CMHC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CWM INSURANCE LTD | |||||||||||||
| GENESIS BUILDING | PO BOX | CJ | 980220891 | INSURANCE | CJ | N/A | C | 0 | |||||
| CENTRAL MAINE HEALTH VENTURES INC | |||||||||||||
| 010430016 | HEALTHCARE | N/A | C | 0 | 300 MAIN STREET | LEWISTON | ME | 04240 | ME | ||||
| CENTRAL MAINE ACO | |||||||||||||
| 274604314 | ACCOUNTABLE CARE | N/A | C | 0 | 300 MAIN STREET | LEWISTON | ME | 04240 | ME | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINE COLLEGE OF HEALTH PROFESSIONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionTypeTxt |
| Involved | $2,116,119 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |