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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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-05T13:12:27-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010211494EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone2077952813PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4500AddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04243ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID PAULOSKYPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2077952813PhoneNum
Signature2023-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastPAULOSKYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2023-05-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE LITTLESONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$480,915,140GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CMHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1888FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionCMMC 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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2431TotalEmployeeCnt
Total Volunteers1400TotalVolunteersCnt
Total Gross UBI$25,593TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,459,320PYContributionsGrantsAmt
CY Contributions Grants$21,515,245CYContributionsGrantsAmt
PY Program Service Revenue$403,791,420PYProgramServiceRevenueAmt
CY Program Service Revenue$458,506,808CYProgramServiceRevenueAmt
PY Investment Income$490,067PYInvestmentIncomeAmt
CY Investment Income$291,079CYInvestmentIncomeAmt
PY Other Revenue$17,150PYOtherRevenueAmt
CY Other Revenue$27,390CYOtherRevenueAmt
PY Total Revenue$415,757,957PYTotalRevenueAmt
CY Total Revenue$480,340,522CYTotalRevenueAmt
PY Grants And Similar Paid$45,206PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,113CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$123,201,313PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$254,871,130CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$311,613,925PYOtherExpensesAmt
CY Other Expenses$250,780,163CYOtherExpensesAmt
PY Total Expenses$434,860,444PYTotalExpensesAmt
CY Total Expenses$505,655,406CYTotalExpensesAmt
PY Revenues Less Expenses-$19,102,487PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$25,314,884CYRevenuesLessExpensesAmt
Total Assets BOY$261,602,490TotalAssetsBOYAmt
Total Assets EOY$283,418,187TotalAssetsEOYAmt
Total Liabilities BOY$182,637,707TotalLiabilitiesBOYAmt
Total Liabilities EOY$204,113,496TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$78,964,783NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$79,304,691NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFULENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OURFAMILY OF CAREGIVERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$460,108,401ExpenseAmt
Grant$4,113GrantAmt
Revenue$458,508,605RevenueAmt
DescCENTRAL 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$460,108,401TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2431EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTEN ST PETERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2077957124PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129 LOWELL ST BOX AAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JEFFREY BRICKMAN
PRESIDENT/DIRECTOR (END 07/2021)3.0060.00Yes (X)Yes (X)$0$1,410,525$189,495
STEVE LITTLESON
PRESIDENT/DIRECTOR (BEGIN 07/2021)3.0060.00Yes (X)Yes (X)$0$729,062$30,591
DAVID SALKO
PHYSICIAN/DIRECTOR3.0055.00Yes (X)$0$360,886$25,322
HECTOR TARRAZA
PHYSICIAN/DIRECTOR3.0055.00Yes (X)$0$367,681$0
AUSTIN ALBERT
VICE CHAIR3.001.00Yes (X)Yes (X)$0$0$0
DEVORE CULVER
CHAIR PERSON/ DIRECTOR3.001.00Yes (X)$0$0$0
MARNEY CHALMERS
DIRECTOR3.001.00Yes (X)$0$0$0
WILLIAM CLIFFORD
DIRECTOR (END 12/2021)3.001.00Yes (X)$0$0$0
ANN CONNELLY
DIRECTOR3.001.00Yes (X)$0$0$0
SHANNON GAUVIN
DIRECTOR (BEG 01/2022)3.001.00Yes (X)$0$0$0
JOLAN IPPOLITO
DIRECTOR3.001.00Yes (X)$0$0$0
JANET HALL KOSKI
DIRECTOR3.001.00Yes (X)$0$0$0
JOHN MCANUFF
DIRECTOR3.001.00Yes (X)$0$0$0
SHERWOOD MOODY
DIRECTOR3.001.00Yes (X)$0$0$0
LOUIS SILVERMAN
DIRECTOR3.001.00Yes (X)$0$0$0
GEOFFREY SWIFT
DIRECTOR3.001.00Yes (X)$0$0$0
CORY BAGBY
SECRETARY (END 03/2022)3.0055.00Yes (X)$0$371,046$7,015
ELIZABETH SHEW
SECRETARY (BEGIN 03/2022)3.0055.00Yes (X)$0$134,438$12,560
DAVID PAULOSKY
TREASURER (BEG 06/2022)3.0060.00Yes (X)$0$0$0
ERWEY TANG
DIVISION CHIEF55.001.00$654,679$0$28,349Yes (X)
KANISHKA BHATTACHARYA
DIVISION CHIEF55.001.00$507,272$0$18,485Yes (X)
SHELDON STEVENSON
DIVISION CHIEF55.001.00$464,108$0$28,631Yes (X)
MICHAEL STADNICKI
DIVISION CHIEF55.001.00$366,004$0$28,002Yes (X)
CLAUDIA GEYER
DIVISION CHIEF55.001.00$350,044$0$25,952Yes (X)
JENNIFER WEINER-SMITH
DIVISION CHIEF55.001.00$337,629$0$27,688Yes (X)
BETHANY PICKER
DIVISION CHIEF55.001.00$250,648$0$24,580Yes (X)
MICHAEL BERLOWITZ
DIVISION CHIEF55.001.00$153,347$0$3,023Yes (X)
TAREK RADWAN
PHYSICIAN55.000.00$1,400,871$0$20,634Yes (X)
PAUL WELDNER
PHYSICIAN55.000.00$921,524$0$0Yes (X)
LISA RUTSTEIN
PHYSICIAN55.000.00$851,825$0$15,846Yes (X)
CARMINE FRUMIENTO
PHYSICIAN55.000.00$839,979$0$19,604Yes (X)
THERESE WHITE
PHYSICIAN55.000.00$765,290$0$30,828Yes (X)
DAVID TUPPONCE
FORMER CMMC PRESIDENT0.000.00$0$113,594$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,863,220TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,487,232TotReportableCompRltdOrgAmt
Total Other Compensation$536,605TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K338IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AYA HEALTHCARE INC
5930 CORNERSTONE COURT WEST SUITE 3SAN DIEGOCA92121MEDICAL SERVICES$26,667,605
SODEXO INC
9801 WASHINGTONIAN BOULEVARDGAITHERSBURGMD20878FOOD & OP. PLNT SVCS$17,715,061
QUEST DIAGNOSTICS
500 PLAZA DRIVESECAUCUSNJ07094MEDICAL SERVICES$8,445,345
CPS SOLUTIONS LLC
655 METRO PL S SUITE 450DUBLINOH43017MEDICAL SERVICES$6,940,992
ANESTHESIA ASSOCIATES
1990 UNION LAKE RDCOMMERCE TOWNSHIPMI48382MEDICAL SERVICES$3,959,004
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K63CntrctRcvdGreaterThan100KCnt
Government Grants$20,379,698GovernmentGrantsAmt
All Other Contributions$1,135,547AllOtherContributionsAmt
Total Contributions$21,515,245TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621990BusinessCd
Total Revenue Column$458,506,808TotalRevenueColumnAmt
Related Or Exempt Func Income$458,506,808RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$458,506,808TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,783TotalRevenueColumnAmt
Exclusion$197,783ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,797RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,797RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,797TotalRevenueColumnAmt
Related Or Exempt Func Income$1,797RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$667,914SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$511,919SecuritiesAmt
Other$62,699OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$155,995SecuritiesAmt
Other-$62,699OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,296TotalRevenueColumnAmt
Exclusion$93,296ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDIAGNOSTIC LABRATORYDesc
Business621500BusinessCd
Total Revenue Column$25,593TotalRevenueColumnAmt
Unrelated Business Revenue$25,593UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$25,593OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$480,340,522TotalRevenueColumnAmt
Related Or Exempt Func Income$458,508,605RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$25,593UnrelatedBusinessRevenueAmt
Exclusion$291,079ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,113TotalAmt
Program Services$4,113ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,845,217TotalAmt
Program Services$3,845,217ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$228,408,389TotalAmt
Program Services$195,892,884ProgramServicesAmt
Management And General$32,515,505ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$1,122,080TotalAmt
Program Services-$964,989ProgramServicesAmt
Management And General-$157,091ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,368,206TotalAmt
Program Services$18,376,657ProgramServicesAmt
Management And General$2,991,549ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,371,398TotalAmt
Program Services$2,039,402ProgramServicesAmt
Management And General$331,996ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$295,435TotalAmt
Management And General$295,435ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,380TotalAmt
Management And General$75,380ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$55,185,783TotalAmt
Program Services$55,185,783ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,824TotalAmt
Program Services$10,368ProgramServicesAmt
Management And General$3,456ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,969,881TotalAmt
Program Services$7,477,411ProgramServicesAmt
Management And General$2,492,470ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,055,755TotalAmt
Program Services$1,541,818ProgramServicesAmt
Management And General$513,937ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,276,075TotalAmt
Program Services$3,207,056ProgramServicesAmt
Management And General$1,069,019ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$661,380TotalAmt
Program Services$496,035ProgramServicesAmt
Management And General$165,345ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,365,719TotalAmt
Program Services$4,774,289ProgramServicesAmt
Management And General$1,591,430ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,418,346TotalAmt
Program Services$15,104,878ProgramServicesAmt
Management And General$1,313,468ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,999,427TotalAmt
Program Services$5,999,570ProgramServicesAmt
Management And General$1,999,857ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram 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

FieldValueIRS element (for citing)
Total$1,380,995TotalAmt
Program Services$1,035,746ProgramServicesAmt
Management And General$345,249ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$505,655,406TotalAmt
Program Services$460,108,401ProgramServicesAmt
Management And General$45,547,005ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,380,518BOYAmt
EOY$1,130,131EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,798,035BOYAmt
EOY$2,925,474EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,346,613BOYAmt
EOY$56,906,522EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,872,847BOYAmt
EOY$9,470,380EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,416,178BOYAmt
EOY$9,541,688EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,222,643BOYAmt
EOY$4,341,625EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$435,157,663LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$338,837,608LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,421,896BOYAmt
EOY$96,320,055EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,788,637BOYAmt
EOY$20,223,772EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$33,355,123BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$82,558,540EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$261,602,490BOYAmt
EOY$283,418,187EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$73,158,674BOYAmt
EOY$67,069,094EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$212,410EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$92,860,104BOYAmt
EOY$93,144,454EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,618,929BOYAmt
EOY$43,687,538EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$182,637,707BOYAmt
EOY$204,113,496EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,086,986BOYAmt
EOY$59,795,737EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,877,797BOYAmt
EOY$19,508,954EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,964,783BOYAmt
EOY$79,304,691EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$261,602,490BOYAmt
EOY$283,418,187EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$25,314,884ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$200,159NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$152,671PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$26,007,622OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$14,827OtherActivitiesAmt
Total Lobbying Expenditures$14,827TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYINGExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,877,187BeginningYearBalanceAmt
Investment Earnings Or Losses-$938,222InvestmentEarningsOrLossesAmt
End Year Balance$15,938,965EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,678,635BeginningYearBalanceAmt
Investment Earnings Or Losses$1,198,552InvestmentEarningsOrLossesAmt
End Year Balance$16,877,187EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,315,925BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,633,565InvestmentEarningsOrLossesAmt
Other Expenditures$3,725OtherExpendituresAmt
End Year Balance$15,678,635EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,055,708BeginningYearBalanceAmt
Investment Earnings Or Losses$260,217InvestmentEarningsOrLossesAmt
End Year Balance$17,315,925EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,450,606BeginningYearBalanceAmt
Investment Earnings Or Losses-$3,394,898InvestmentEarningsOrLossesAmt
End Year Balance$17,055,708EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.75700PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24300TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,318,022OtherCostOrOtherBasisAmt
Book Value$2,318,022BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,737,204OtherCostOrOtherBasisAmt
Depreciation$103,554,853DepreciationAmt
Book Value$66,182,351BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,112,660OtherCostOrOtherBasisAmt
Depreciation$4,862,433DepreciationAmt
Book Value$250,227BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$255,624,225OtherCostOrOtherBasisAmt
Depreciation$230,420,322DepreciationAmt
Book Value$25,203,903BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,365,552OtherCostOrOtherBasisAmt
Book Value$2,365,552BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$96,320,055TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook 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
FieldValueIRS element (for citing)
Total Book Value Other Assets$82,558,540TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
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
FieldValueIRS element (for citing)
Total Liability$43,687,538TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationINTENDED 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,752,309TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,514,862DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,237,447NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,166,359TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,081,705DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,084,654NetCommunityBenefitExpnsAmt
Total Expense0.09880TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$101,918,668TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,596,567DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,322,101NetCommunityBenefitExpnsAmt
Total Expense0.10350TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,057,848TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$126,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$931,186NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,535,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,578,019DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,957,440NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,593,307TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,704,681DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,888,626NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,511,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,301,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,210,727NetCommunityBenefitExpnsAmt
Total Expense0.10960TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense$29,313,775BadDebtExpenseAmt
Bad Debt Expense Attributable$4,186,062BadDebtExpenseAttributableAmt
Reimbursed By Medicare$54,654,140ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$82,298,241CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,644,101MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CMHC.ORGWebsiteAddressTxt
State License38819StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, PAGE 8OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CENTRAL MAINE MEDICAL CENTERPART 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 CENTERPART 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 CENTERPART 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 CENTERPART 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 CENTERPART 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 7AHTTPS://WWW.CMHC.ORG/CMMC/ABOUT-CMMC/CENTRAL-MAINE-COMMUNITY-BENEFITS/
PART V, SECTION B, LINE 7BHTTPS://WWW.CMHC.ORG/CMMC/ABOUT-CMMC/CENTRAL-MAINE-COMMUNITY-BENEFITS/
PART V, SECTION B, LINE 10AHTTPS://WWW.CMHC.ORG/CMMC/ABOUT-CMMC/CENTRAL-MAINE-COMMUNITY-BENEFITS/
FieldValueIRS element (for citing)
Facility30FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE
77 BATES STREET SUITE 202LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
2 - CENTRAL MAINE SURGICAL ASSOCIATES
12 HIGH STREET SUITE 401LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
4 - CENTRAL MAINE ENDOCRINOLOGY AND DIABETES
76 HIGH STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
5 - CENTRAL MAINE FAMILY HEALTH CARE ASSOC
190 STETSON ROADAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
6 - CENTRAL MAINE FAMILY HEALTH RESIDENCY
76 HIGH STREET SUITE 100LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
7 - CENTRAL MAINE FAMILY PRACTICE
12 HIGH STREET SUITE 302LEWISTONME04210OUTPATIENT PHYSICIAN CLINIC
8 - CENTRAL MAINE GYNECOLOGY & UROGYNECOLOGY
12 HIGH STREET SUITE 200LEWISTONME04210OUTPATIENT PHYSICIAN CLINIC
9 - CENTRAL MAINE HEMATOLOGY ONCOLOGY
17 HIGH STREETLEWISTONME04210OUTPATIENT PHYSICIAN CLINIC
10 - CENTRAL MAINE INTERNAL MEDICINE
12 HIGH STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
12 - CENTRAL MAINE OBGYN
12 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
14 - CENTRAL MAINE PEDIATRICS
12 HIGH STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
16 - CENTRAL MAINE THERAPY SERVICES
77 BATES STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
17 - CENTRAL MAINE UROLOGY
12 HIGH STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
18 - GRAY FAMILY CLINIC
126 SHAKER ROADGRAYME04039OUTPATIENT PHYSICIAN CLINIC
19 - INFECTIOUS DISEASE ASSOCIATES
10 HIGH STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
20 - LISBON FAMILY PRACTICE
2 BISBEE ROADLISBONME04250OUTPATIENT PHYSICIAN CLINIC
21 - MINOT AVENUE FAMILY MEDICINE
789 MINOT AVENUEAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
22 - POLAND COMMUNITY HEALTH CENTER
364 MAIN STREETPOLANDME04274OUTPATIENT PHYSICIAN CLINIC
23 - PULMONARY AND SLEEP MEDICINE
76 HIGH STREET SUITE 300LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
24 - TOPSHAM FAMILY MEDICINE
4 HORTON PLACETOPSHAMME04086OUTPATIENT PHYSICIAN CLINIC
25 - CENTRAL MAINE HEARING CENTER
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
26 - CENTRAL MAINE MEDICATION MANAGEMENT
10 HIGH STREET SUITE 103LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
27 - CENTRAL MAINE EAR NOSE AND THROAT
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
30 - TOPSHAM CARE CENTER
105 TOPSHAM FAIR MALL ROADTOPSHAMME04086OUTPATIENT PHYSICIAN CLINIC
31 - CENTRAL MAINE RHEUMATOLOGY
77 BATES STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
33 - CENTRAL MAINE HEATHCARE ORTHOPEDICS
690 MINOT AVENUEAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
34 - CENTRAL MAINE BREAST HEALTH
17 HIGH STREET SUITE 2LEWISTONME04210OUTPATIENT PHYSICIAN CLINIC
35 - CENTRAL MAINE INFUSION CENTER
17 HIGH STREET SUITE 7LEWISTONME04210OUTPATIENT PHYSICIAN CLINIC
36 - CENTRAL MAINE RADIATION ONCOLOGY
17 HIGH STREET SUITE 4LEWISTONME04210OUTPATIENT PHYSICIAN CLINIC
37 - CENTRAL MAINE SURGICAL ONCOLOGY
17 HIGH STREET SUITE 1ALEWISTONME04210OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CEO 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 7BONUSES ARE BASED ON PERFORMANCE MEASURES FOR WHICH THERE IS BOARD DISCRETION.
PART I, LINE 4BSUPPLEMENTAL 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 4ATHE 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
A01031438456042RTR32019-07-31$52,604,797REFUND SERIES 2009A BOND00Yes (1)
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
B010314384560427WV42013-05-23$41,071,242REFUND SERIES 2003A BOND00Yes (1)
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
C01031438456042RLG52017-06-27$12,279,914REFUND SERIES 2005B BOND00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndTotal ProceedsTotalProceedsAmt
A$3,100,000$52,604,797$392,011$48,710,1082019Yes (1)00Yes (1)
B$12,065,000$2,957,944$302,888$42,862,4762013Yes (1)0Yes (1)Yes (1)$41,071,242
C$4,600,000$138,533$12,141,3812017Yes (1)0Yes (1)Yes (1)$12,279,914

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00000000
B00000000
C00000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 7BTHE 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 11BALL 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 12CMONITORING 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 15BCENTRAL 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 19THE 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 ABOARD 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 11GMEDICAL 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRAL MAINE HEALTHCARE CORPORATION
PO BOX 4500LEWISTONME04243010386913HEALTHCAREME501(C)(3)LINE 7N/A0
MAINE COLLEGE OF HEALTH PROFESSIONS
PO BOX 4500LEWISTONME04243010356077EDUCATIONME501(C)(3)LINE 2Yes (1)CMMC
RUMFORD COMMUNITY FAMILY HEALTH CENTER
430 FRANKLIN STREETRUMFORDME04276010481000HEALTHCAREME501(C)(3)LINE 30CMHC
RUMFORD HOSPITAL
420 FRANKLIN STREETRUMFORDME04276010215227HEALTHCAREME501(C)(3)LINE 30CMHC
CENTRAL MAINE REAL ESTATE MANAGEMENT CO01-0387674
PO BOX 4500LEWISTONME04243010387674REAL ESTATEME501(C)(2)0CMHC
RUMFORD COMMUNITY HOME CORPORATION
11 JOHN F KENNEDY LANERUMFORDME04276222844951NURSING HOMEME501(C)(3)LINE 100CMHC
CENTRAL MAINE COMMUNITY HEALTH CORP
PO BOX 4500LEWISTONME04243010386912PUBLIC EDME501(C)(3)LINE 70CMHC
BRIDGTON HOSPITAL
10 HOSPITAL DRIVEBRIDGTONME04009010130427HEALTHCAREME501(C)(3)LINE 30CMHC
ELIAS E TUCKER TRUST FUND CO CMMC
300 MAIN STREETLEWISTONME04240016042343FUNDINGME501(C)(3)LINE 12A, IYes (1)CMMC
BRIDGTON HOSPITAL PHYSICIANS GROUP
SOUTH HIGH STREETBRIDGTONME04009010493083FUNDINGME501(C)(3)PF0CMHC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
CWM INSURANCE LTD
GENESIS BUILDINGPO BOXCJ980220891INSURANCECJN/AC0
CENTRAL MAINE HEALTH VENTURES INC
010430016HEALTHCAREN/AC0300 MAIN STREETLEWISTONME04240ME
CENTRAL MAINE ACO
274604314ACCOUNTABLE CAREN/AC0300 MAIN STREETLEWISTONME04240ME
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MAINE COLLEGE OF HEALTH PROFESSIONSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeOTransactionTypeTxt
Involved$2,116,119InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt