CENTRAL MAINE HEALTHCARE CORPORATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL MAINE HEALTHCARE CORPORATION (EIN 01-0386913)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202201369349302740
- Schema version
- 2020v4.2
- 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 D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T09:20:14-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | 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 | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010386913 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL MAINE HEALTHCARE CORPORATION | 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 | STEVEN LITTLESON | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 2077952813 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEVEN | PersonFirstNm |
| Person Last | LITTLESON | 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 | 2022-05-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | LEWISTO | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $108,556,971 | 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 | 1982 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | CENTRAL MAINE HEALTHCARE CORPORATION SUPPORTS ITS AFFILIATED HEALTHCARE INSTITUTIONS IN ORDER FOR THESE ENTITIES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 576 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,636,273 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,144,202 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,179,044 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,705,118 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,212,529 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,588,526 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,069,909 | PYOtherRevenueAmt |
| CY Other Revenue | $46,456 | CYOtherRevenueAmt |
| PY Total Revenue | $85,957,937 | PYTotalRevenueAmt |
| CY Total Revenue | $47,484,302 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,536,850 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,530 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,613,273 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,944,165 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,541,512 | PYOtherExpensesAmt |
| CY Other Expenses | $28,781,597 | CYOtherExpensesAmt |
| PY Total Expenses | $70,691,635 | PYTotalExpensesAmt |
| CY Total Expenses | $35,742,292 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,266,302 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,742,010 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $194,409,479 | TotalAssetsBOYAmt |
| Total Assets EOY | $160,072,160 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $85,103,551 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $100,561,609 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $109,305,928 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $59,510,551 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITTMENT, AND COMPASSION OF OUR FAMILY OF CAREGIVERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,300,459 | ExpenseAmt |
| Grant | $16,530 | GrantAmt |
| Revenue | $35,751,574 | RevenueAmt |
| Desc | TO SUPPORT AFFILIATED HEALTHCARE INSTITUTIONS BY PROVIDING MANAGERIAL, ADMINISTRATIVE, AND FUND-RAISING SERVICES IN A CONTINUOUS, ORGANIZED, AND EFFICIENT MANNER. | Desc |
| Total Program Service Expenses | $30,300,459 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | 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 | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 576 | 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 | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 11 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 | 2077952813 | PhoneNum |
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) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| JEFF BRICKMAN | ||||||||||
| PRESIDENT/DIRECTOR | 60.00 | 3.00 | Yes (X) | Yes (X) | $945,603 | $0 | $219,303 | |||
| DAVID SALKO | ||||||||||
| DIRECTOR BEG 1/21 | 3.00 | 55.00 | Yes (X) | $0 | $333,577 | $26,982 | ||||
| JENNIFER WEINER-SMITH MD | ||||||||||
| PHYSICIAN/DIRECTOR | 3.00 | 55.00 | Yes (X) | $0 | $315,310 | $26,723 | ||||
| HECTOR TARRAZA | ||||||||||
| DIRECTOR BEG 1/21 | 3.00 | 55.00 | Yes (X) | $0 | $233,969 | $0 | ||||
| DEBORAH DUNLAP AVASTHI | ||||||||||
| CHAIR PERSON/ DIRECTOR END 1/21 | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| AUSTIN ALBERT | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM CLIFFORD | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEVORE CULVER | ||||||||||
| CHAIR PERSON/ DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANET HALL KOSKI | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEOFFREY SWIFT | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN MCANUFF | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN MORNEAULT | ||||||||||
| DIRECTOR END 7/20 | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHERWOOD MOODY | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOLAN IPPOLITO | ||||||||||
| DIRECTOR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LOUIS SILVERMAN | ||||||||||
| DIRECTOR BEG 1/21 | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARNEY CHALMERS | ||||||||||
| DIRECTOR BEG 1/21 | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANN CONNELLY | ||||||||||
| DIRECTOR BEG 1/21 | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN WHITLOCK | ||||||||||
| TREASURER END 6/21 | 60.00 | 3.00 | Yes (X) | $478,758 | $0 | $2,850 | ||||
| CORY BAGBY | ||||||||||
| SECRETARY | 60.00 | 3.00 | Yes (X) | $415,621 | $0 | $9,842 | ||||
| JASON KRUPP | ||||||||||
| PHYSICIAN PRACTICE EXEC | 55.00 | 3.00 | $563,795 | $0 | $3,257 | Yes (X) | ||||
| JOHN ALEXANDER | ||||||||||
| CHIEF MEDICAL OFFICER | 55.00 | 3.00 | $496,166 | $0 | $31,685 | Yes (X) | ||||
| STEVEN LITTLESON | ||||||||||
| PRESIDENT CMMC/CMHCC | 60.00 | 3.00 | $429,920 | $0 | $19,602 | Yes (X) | ||||
| PETER WRIGHT | ||||||||||
| PRESIDENT BRIDGTON HOSPITAL | 55.00 | 3.00 | $436,017 | $0 | $13,176 | Yes (X) | ||||
| AMY LEE | ||||||||||
| VICE PRESIDENT | 55.00 | 3.00 | $418,577 | $0 | $27,206 | Yes (X) | ||||
| MICHELE TALKA | ||||||||||
| CHIEF HUMAN RESOURCES OFFICER | 60.00 | 3.00 | $341,978 | $0 | $26,126 | Yes (X) | ||||
| REBECCA SPERREY | ||||||||||
| VICE PRESIDENT | 55.00 | 0.00 | $295,351 | $0 | $10,301 | Yes (X) | ||||
| DENIS TANGUAY | ||||||||||
| CIO | 60.00 | 3.00 | $262,093 | $0 | $14,640 | Yes (X) | ||||
| KRISTINE CHAISSON | ||||||||||
| CHIEF NURSING OFFICER BEGIN 8/20 | 55.00 | 0.00 | $214,935 | $0 | $26,514 | Yes (X) | ||||
| STEPHANIE JACKMAN-HAVEY | ||||||||||
| VICE PRESIDENT | 55.00 | 0.00 | $232,478 | $0 | $2,914 | Yes (X) | ||||
| MICHAEL ANDEREGG | ||||||||||
| VICE PRESIDENT | 55.00 | 0.00 | $232,979 | $0 | $1,640 | Yes (X) | ||||
| JACQUELINE WEDER | ||||||||||
| DIRECTOR MARKETING | 55.00 | 0.00 | $218,611 | $0 | $8,963 | Yes (X) | ||||
| MARY-ANNE PONTI | ||||||||||
| CHIEF NURSING OFFICER END 8/20 | 55.00 | 0.00 | $188,967 | $0 | $19,025 | Yes (X) | ||||
| CINDY RUSSO | ||||||||||
| VICE PRESIDENT | 55.00 | 3.00 | $419,701 | $0 | $13,715 | Yes (X) | ||||
| STEVEN MARTEL | ||||||||||
| CHIEF MEDICAL INFO OFFICER | 55.00 | 0.00 | $329,661 | $0 | $29,987 | Yes (X) | ||||
| NANCY BAN | ||||||||||
| VICE PRESIDENT | 55.00 | 0.00 | $250,864 | $0 | $23,283 | Yes (X) | ||||
| JEFFREY BUCK | ||||||||||
| DIRECTOR MANAGED CARE | 55.00 | 3.00 | $213,725 | $0 | $9,339 | Yes (X) | ||||
| CHARLYN FEENEY | ||||||||||
| DIRECTOR RISK MANAGEMENT | 55.00 | 3.00 | $201,691 | $0 | $20,019 | Yes (X) | ||||
| DAVID TUPPONCE | ||||||||||
| FORMER PRESIDENT CMMC | 0.00 | 1.00 | $557,207 | $0 | $4,127 | Yes (X) | ||||
| RYAN MCKEOWN | ||||||||||
| FORMER VICE PRESIDENT | 0.50 | 0.00 | $119,944 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,264,642 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $882,856 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $591,219 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | 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 |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| 2800 ROCK CREEK PKWY | KANSAS CITY | MO | 64117 | IT SUPPORT | $6,154,691 |
| KAUFMAN HALL AND ASSOCIATES IN | |||||
| 10 S WACKER SUITE 3375 | CHICAGO | IL | 60606 | CONSULTING SERVICES | $3,694,907 |
| MEDMATICA CONSULTING | |||||
| 2555 MERIDIAN BLVD | FRANKLIN | TN | 37067 | COLLECTIONS SERVICES | $810,394 |
| UMR | |||||
| PO BOX 88822 | MILWAUKEE | WI | 532880822 | BENEFITS ADMINISTRATION | $730,054 |
| PARALLON REVENUE CYCLE SER | |||||
| 552 METROPLEX DR | NASHVILLE | TN | 37211 | COLLECTIONS SERVICES | $717,167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,144,202 | AllOtherContributionsAmt |
| Total Contributions | $1,144,202 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEES/AFFILIATES ALLOCA | 900099 | $35,599,400 | $35,599,400 |
| RELATED ENTITY RENTAL | 532000 | $105,718 | $105,718 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,705,118 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,145,734 | TotalRevenueColumnAmt |
| Exclusion | $1,145,734 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,456 | 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 | $46,456 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,456 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,332,967 | SecuritiesAmt |
| Other | $4,182,494 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $57,780,919 | SecuritiesAmt |
| Other | $3,291,750 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,552,048 | SecuritiesAmt |
| Other | $890,744 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,442,792 | TotalRevenueColumnAmt |
| Exclusion | $9,442,792 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,484,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,751,574 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,588,526 | 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 | $16,530 | TotalAmt |
| Program Services | $16,530 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,222,311 | TotalAmt |
| Program Services | $1,038,964 | ProgramServicesAmt |
| Management And General | $183,347 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$116,240 | TotalAmt |
| Program Services | -$98,804 | ProgramServicesAmt |
| Management And General | -$17,436 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,815,524 | TotalAmt |
| Program Services | $3,243,195 | ProgramServicesAmt |
| Management And General | $572,329 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,022,570 | TotalAmt |
| Program Services | $1,719,185 | ProgramServicesAmt |
| Management And General | $303,385 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $505,996 | TotalAmt |
| Management And General | $505,996 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,341 | TotalAmt |
| Management And General | $292,341 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,005,995 | TotalAmt |
| Program Services | $14,005,995 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,974 | TotalAmt |
| Program Services | $265,641 | ProgramServicesAmt |
| Management And General | $93,333 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,222,454 | TotalAmt |
| Program Services | $3,864,616 | ProgramServicesAmt |
| Management And General | $1,357,838 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,778,894 | TotalAmt |
| Program Services | $5,016,382 | ProgramServicesAmt |
| Management And General | $1,762,512 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,289 | TotalAmt |
| Program Services | $153,394 | ProgramServicesAmt |
| Management And General | $53,895 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,145 | TotalAmt |
| Program Services | $64,487 | ProgramServicesAmt |
| Management And General | $22,658 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,536 | TotalAmt |
| Program Services | $13,707 | ProgramServicesAmt |
| Management And General | $27,829 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,216 | TotalAmt |
| Program Services | $121,667 | ProgramServicesAmt |
| Management And General | $84,549 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$494,936 | TotalAmt |
| Program Services | -$366,253 | ProgramServicesAmt |
| Management And General | -$128,683 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| IC ALLOCATIONS- MEDICAL | $1,241,753 | $1,241,753 | |
| TAXES- PP/ REAL ESTATE | $327,940 | $327,940 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,742,292 | TotalAmt |
| Program Services | $30,300,459 | ProgramServicesAmt |
| Management And General | $5,441,833 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,761 | BOYAmt |
| EOY | -$121,007 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,076,286 | BOYAmt |
| EOY | $15,385,962 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,320 | BOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417,746 | BOYAmt |
| EOY | $1,445,344 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,581,294 | BOYAmt |
| EOY | $8,746,551 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,766,234 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $838,867 | BOYAmt |
| EOY | $5,277,320 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $59,171,853 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,859,576 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,274,141 | BOYAmt |
| EOY | $12,312,277 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,413,464 | BOYAmt |
| EOY | $10,001 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,250,176 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,697,190 | BOYAmt |
| EOY | $117,015,712 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,409,479 | BOYAmt |
| EOY | $160,072,160 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,934,897 | BOYAmt |
| EOY | $24,046,636 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,654 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $76,514,973 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,103,551 | BOYAmt |
| EOY | $100,561,609 | 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 | $86,872,640 | BOYAmt |
| EOY | $41,842,225 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,433,288 | BOYAmt |
| EOY | $17,668,326 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,305,928 | BOYAmt |
| EOY | $59,510,551 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,409,479 | BOYAmt |
| EOY | $160,072,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,742,010 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $879,367 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $50,400 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$62,467,154 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,842,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,380,733 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,041,430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,636,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,144,202 | CurrentTaxYearAmt |
| Total | $10,045,145 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,842,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,380,733 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,041,430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,636,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,144,202 | CurrentTaxYearAmt |
| Total | $10,045,145 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10,045,145 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,184,310 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,448,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,718,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,576,767 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,192,190 | CurrentTaxYearAmt |
| Total | $20,120,216 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,261 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,306 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,894 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,051 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $54,512 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $30,219,873 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $35,705,118 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.33240 | PublicSupportCY170Pct |
| Public Support PY170 | 0.36010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests PY170 | Yes (X) | ThirtyThrPctSuprtTestsPY170Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,433,287 | BeginningYearBalanceAmt |
| Contributions | $212,705 | ContributionsAmt |
| Investment Earnings Or Losses | $2,706,314 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,405,668 | OtherExpendituresAmt |
| End Year Balance | $23,946,638 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,029,838 | BeginningYearBalanceAmt |
| Contributions | $116,510 | ContributionsAmt |
| Investment Earnings Or Losses | $291,953 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $18,589 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,986,425 | OtherExpendituresAmt |
| End Year Balance | $22,433,287 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,601,499 | BeginningYearBalanceAmt |
| Contributions | $330,346 | ContributionsAmt |
| Investment Earnings Or Losses | $849,082 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $450,204 | GrantsOrScholarshipsAmt |
| Other Expenditures | $300,885 | OtherExpendituresAmt |
| End Year Balance | $24,029,838 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,709,074 | BeginningYearBalanceAmt |
| Contributions | $2,110,904 | ContributionsAmt |
| Investment Earnings Or Losses | $939,878 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,770,517 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,387,840 | OtherExpendituresAmt |
| End Year Balance | $23,601,499 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,278,259 | BeginningYearBalanceAmt |
| Contributions | $2,059,161 | ContributionsAmt |
| Investment Earnings Or Losses | $1,516,162 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,144,508 | OtherExpendituresAmt |
| End Year Balance | $26,709,074 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.96207 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03794 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,778,786 | OtherCostOrOtherBasisAmt |
| Book Value | $1,778,786 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,456,234 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,546,750 | DepreciationAmt |
| Book Value | $5,909,484 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $172,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $168,977 | DepreciationAmt |
| Book Value | $3,908 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,633,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,825,120 | DepreciationAmt |
| Book Value | $1,808,261 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,130,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $318,729 | DepreciationAmt |
| Book Value | $2,811,838 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,312,277 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERNALLY DESIGNATED | $34,727,471 |
| EXTERNALLY RESTRICTED BY DONORS | $20,544,814 |
| HELD BY TRUSTEE | $7,832,284 |
| DEFERRED COMPENSATION PLAN | $38,184,562 |
| RIGHT OF USE ASSETS- OPERATING LEASE | $5,157,753 |
| FINANCE LEASE ASSETS | $6,316,294 |
| OTHER | $4,252,534 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $117,015,712 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $5,183,266 |
| FINANCE LEASE LIABILITY | $6,501,687 |
| DEFERRED PENSION LIABILITY | $42,397,742 |
| 457 PLAN LIABILITY | $20,845,800 |
| ACCRUED LONG TERM BENEFITS | $95,505 |
| LT CHOICE TIME RESERVE | $356,048 |
| RESERVE FLEX BENEFITS | $135,677 |
| DEFERRED SOCIAL SECURITY EMPLOYER | $1,048,799 |
| UNSECURED NOTES PAYABLE | -$49,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $76,514,973 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | CENTRAL MAINE HEALTHCARES ENDOWMENTS ARE USED TOWARD THE VARIOUS ASPECTS OF MANAGING A HEALTHCARE NETWORK. SOME ENDOWMENTS ARE DEDICATED TO SPECIFIC HOSPITALS WITHIN THE SYSTEM WHILE OTHER ENDOWMENTS ARE MORE GENERIC IN NATURE. SOME ARE DEDICATED TO CAPITAL ACQUISITIONS WHILE OTHERS ARE OPERATIONAL PURPOSES. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | PROGRAM SERVICES | TypeOfActivitiesConductedTxt |
| Specific Services Provided | CAPTIVE INSURANCE INV. | SpecificServicesProvidedTxt |
| Region Total Expenditures | $5,829,050 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $5,829,050 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $5,829,050 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|
| CENTRAL MAINE MEDICAL CENTER | |||
| 010211494 | 501 (C) (3) | $16,530 | RELATED ENTITY SUPPORT |
| BRIDGTON HOSPITAL | |||
| 010130427 | 501 (C) (3) | RELATED ENTITY SUPPORT | |
| MAINE COLLEGE OF HEALTH PROFESSIONS | |||
| 010356077 | 501 (C) (3) | RELATED ENTITY SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ASSISTANCE WAS PROVIDED TO EMPLOYEES IN DIRE FINANCIAL STRAITS DUE TO ECONOMIC HARDSHIP. THE AMOUNTS DID NOT HAVE A SPECIFIC PURPOSE ATTACHED AND NO TRACKING IS REQUIRED. CONTRIBUTIONS ARE BOOKED TO CENTRAL MAINE HEALTHCARE CORPORATION AND RELEASED TO CENTERAL MAINE MEDICAL CENTER, A RELATED ORGANIZATION, FOR SUPPORT. AS THE ORGANIZATIONS ARE RELATED AND SHARE COMMON MANAGEMENT AND DIRECTORS, CMHC CAN MONITOR THE USE OF THE FUNDS | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFF BRICKMAN | ||||||||||||||
| PRESIDENT/DIRECTOR | $780,191 | $0 | $146,241 | $0 | $19,171 | $0 | $190,423 | $0 | $28,880 | $0 | $1,164,906 | $0 | $0 | $0 |
| JASON KRUPP | ||||||||||||||
| PHYSICIAN PRACTICE EXEC | $451,668 | $0 | $39,529 | $0 | $72,598 | $0 | $3,257 | $0 | $0 | $0 | $567,052 | $0 | $0 | $0 |
| DAVID TUPPONCE | ||||||||||||||
| FORMER PRESIDENT CMMC | $91,479 | $0 | $0 | $0 | $465,728 | $0 | $2,116 | $0 | $2,011 | $0 | $561,334 | $0 | $0 | $0 |
| JOHN ALEXANDER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $411,811 | $0 | $40,160 | $0 | $44,195 | $0 | $3,109 | $0 | $28,576 | $0 | $527,851 | $0 | $0 | $0 |
| JOHN WHITLOCK | ||||||||||||||
| TREASURER END 6/21 | $401,238 | $0 | $36,560 | $0 | $40,960 | $0 | $2,850 | $0 | $0 | $0 | $481,608 | $0 | $0 | $0 |
| STEVEN LITTLESON | ||||||||||||||
| PRESIDENT CMMC/CMHCC | $328,265 | $0 | $35,000 | $0 | $66,655 | $0 | $0 | $0 | $19,602 | $0 | $449,522 | $0 | $0 | $0 |
| PETER WRIGHT | ||||||||||||||
| PRESIDENT BRIDGTON HOSPITAL | $362,649 | $0 | $34,996 | $0 | $38,372 | $0 | $2,709 | $0 | $10,467 | $0 | $449,193 | $0 | $0 | $0 |
| AMY LEE | ||||||||||||||
| VICE PRESIDENT | $233,754 | $0 | $103,846 | $0 | $80,977 | $0 | $4,002 | $0 | $23,204 | $0 | $445,783 | $0 | $0 | $0 |
| CINDY RUSSO | ||||||||||||||
| VICE PRESIDENT | $217,899 | $0 | $0 | $0 | $201,802 | $0 | $2,916 | $0 | $10,799 | $0 | $433,416 | $0 | $0 | $0 |
| CORY BAGBY | ||||||||||||||
| SECRETARY | $279,318 | $0 | $50,000 | $0 | $86,303 | $0 | $2,980 | $0 | $6,862 | $0 | $425,463 | $0 | $0 | $0 |
| MICHELE TALKA | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $282,208 | $0 | $27,242 | $0 | $32,528 | $0 | $2,124 | $0 | $24,002 | $0 | $368,104 | $0 | $0 | $0 |
| DAVID SALKO | ||||||||||||||
| DIRECTOR BEG 1/21 | $0 | $259,379 | $0 | $65,637 | $0 | $8,561 | $0 | $2,406 | $0 | $24,576 | $0 | $360,559 | $0 | $0 |
| STEVEN MARTEL | ||||||||||||||
| CHIEF MEDICAL INFO OFFICER | $323,434 | $0 | $5,000 | $0 | $1,227 | $0 | $2,107 | $0 | $27,880 | $0 | $359,648 | $0 | $0 | $0 |
| JENNIFER WEINER-SMITH MD | ||||||||||||||
| PHYSICIAN/DIRECTOR | $0 | $295,035 | $0 | $16,618 | $0 | $3,657 | $0 | $2,422 | $0 | $24,301 | $0 | $342,033 | $0 | $0 |
| REBECCA SPERREY | ||||||||||||||
| VICE PRESIDENT | $225,669 | $0 | $45,263 | $0 | $24,419 | $0 | $1,673 | $0 | $8,628 | $0 | $305,652 | $0 | $0 | $0 |
| DENIS TANGUAY | ||||||||||||||
| CIO | $143,791 | $0 | $0 | $0 | $118,302 | $0 | $1,780 | $0 | $12,860 | $0 | $276,733 | $0 | $0 | $0 |
| NANCY BAN | ||||||||||||||
| VICE PRESIDENT | $191,891 | $0 | $40,208 | $0 | $18,765 | $0 | $1,352 | $0 | $21,931 | $0 | $274,147 | $0 | $0 | $0 |
| KRISTINE CHAISSON | ||||||||||||||
| CHIEF NURSING OFFICER BEGIN 8/20 | $201,850 | $0 | $0 | $0 | $13,085 | $0 | $1,334 | $0 | $25,180 | $0 | $241,449 | $0 | $0 | $0 |
| STEPHANIE JACKMAN-HAVEY | ||||||||||||||
| VICE PRESIDENT | $186,883 | $0 | $17,093 | $0 | $28,502 | $0 | $1,443 | $0 | $1,471 | $0 | $235,392 | $0 | $0 | $0 |
| MICHAEL ANDEREGG | ||||||||||||||
| VICE PRESIDENT | $106,163 | $0 | $0 | $0 | $126,816 | $0 | $1,640 | $0 | $0 | $0 | $234,619 | $0 | $0 | $0 |
| HECTOR TARRAZA | ||||||||||||||
| DIRECTOR BEG 1/21 | $0 | $229,239 | $0 | $0 | $0 | $4,730 | $0 | $0 | $0 | $0 | $0 | $233,969 | $0 | $0 |
| JACQUELINE WEDER | ||||||||||||||
| DIRECTOR MARKETING | $152,451 | $0 | $20,000 | $0 | $46,160 | $0 | $0 | $0 | $8,963 | $0 | $227,574 | $0 | $0 | $0 |
| JEFFREY BUCK | ||||||||||||||
| DIRECTOR MANAGED CARE | $185,474 | $0 | $24,510 | $0 | $3,741 | $0 | $1,261 | $0 | $8,078 | $0 | $223,064 | $0 | $0 | $0 |
| CHARLYN FEENEY | ||||||||||||||
| DIRECTOR RISK MANAGEMENT | $192,624 | $0 | $3,994 | $0 | $5,073 | $0 | $1,446 | $0 | $18,573 | $0 | $221,710 | $0 | $0 | $0 |
| MARY-ANNE PONTI | ||||||||||||||
| CHIEF NURSING OFFICER END 8/20 | $169,055 | $0 | $0 | $0 | $19,912 | $0 | $1,989 | $0 | $17,036 | $0 | $207,992 | $0 | $0 | $0 |
| RYAN MCKEOWN | ||||||||||||||
| FORMER VICE PRESIDENT | $0 | $0 | $0 | $0 | $119,944 | $0 | $0 | $0 | $0 | $0 | $119,944 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | BONUSES ARE BASED ON PERFORMANCE MEASURES AND THERE IS BOARD DISCRETION. |
| PART I, LINE 4A | THE FOLLOWING INDIVIDUALS RECEIVED NET TAXABLE SEVERANCE PAYMENTS FROM CENTRAL MAINE HEALTHCARE CORPORATION: MICHAEL ANDEREGG $112,206 STEPHANIE JACKMAN-HAVEY $8,109 RYAN MCKEOWN $119,944 CINDY RUSSO $176,544 DENIS TANGUARY $103,039 DAVID TUPPONCE $460,184 |
| 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. JEFF BRICKMAN PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCARE CORPORATION. THE AMOUNT WAS $185,248. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| WILLIAM W CHALMERS | |||||||
| BOARD MEMBER- DEPARTED IN 2018 | LIFE INSURANCE | Yes (X) | $0 | $207,835 | Yes (1) | Yes (1) | Yes (1) |
| WILLIAM LEE | |||||||
| BOARD MEMBER- DEPARTED IN 2019 | LIFE INSURANCE | Yes (X) | $0 | $1,237,509 | Yes (1) | Yes (1) | Yes (1) |
| PETER CHALKE | |||||||
| BOARD MEMBER- DEPARTED IN 2016 | LIFE INSURANCE | Yes (X) | $0 | $8,746,551 | Yes (1) | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $10,191,895 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, WHICH HAS REPRESENTATIVES FROM ALL AFFILIATED BOARDS. 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 COMPLIANCE WITH CONFLICT OF INTEREST POLICY OFFICERS 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 DISTRIBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS THESE QUESTIONNAIRES 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 APPROPRIATE 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 15 | EXECUTIVE COMPENSATION POLICY CENTRAL MAINE HEALTHCARE (CMHC) HAS ESTABLISHED AND FOLLOWS A DELIBERATE, TRANSPARENT PROCESS WHICH MEETS IRS REGULATIONS FOR REBUTTABLE PRESUMPTION OF REASONABLENESS A STANDING PHYSICIAN & EXECUTIVE COMPENSATION COMMITTEE (P&ECC), COMPRI SEO OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, REVIEWS AND APPROVES THE CEOS RECOMMENDATIONS FOR THE OTHER KEY EXECUTIVES INCLUDING, BUT NOT LIMITED TO THE CHIEF FINANCIAL OFFI CER, PRESIDENT OF CENTRAL MAINE MEDICAL GROUP (CMMG), PRESIDENT OF CENTRAL MAINE MEDICAL C ENTER, AND THE PRESIDENT OF RUMFORD AND BRIDGTON HOSPITALS THE PROCESS GUIDELINES AND AUTHORITY OF THE P&ECC ARE SET OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS APPROVED BY THE CMHC BOARD THE ENTIRE CMHC BOARD PARTICIPATES IN THE ANNUAL PERFORMANCE EVALUATION OF THE CEO, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN THE P&ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE THIRD PARTY PUBLISHED COMPENSATION COMP ARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, THAT INCLUDES GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE'S INDEPENDENT CONSUL TANT USING THIS INFORMATION, THE P&ECC ANNUALLY REVIEWS THE CEO'S COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE CEO'S 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 REQUIREMENTS OF THE IRS THE COMPENSATION PAID TO KEY EMPLOYEES AND RECOMMENDATIONS BY THE CEO FOR ANY CHANGES TO THEIR COMPENSATION IS ALSO REVIEWED BY THE P&ECC THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT PROVIDES MARKET DATA ON COMPARABLE POSITIONS FROM COMPARATIVE GROUPS OR HEALTHCARE ORGANIZATIONS THAT ARE APPROPRIATELY SIMILAR IN TERMS OF THEIR REVENUE, GEOGRAPHIC LOCATION, NUMBER OF EMPLOYEES, NUMBERS OF STAFFED HOSPITAL BEDS, ETC THE CONSUL TANT PROVIDES AT A MINIMUM FOUR SETS OF COMPARABILITY DATA FROM THE MOST RECENT NATIONAL HEALTHCARE SPECIFIC COMPENSATION SURVEYS (E G WILLIS TOWERS WATSON, SULLIVAN AND CO TTER,INTEGRATED HEALTHCARE STRATEGIES, 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 THE CEO AND KEY EMPLOYEES ONCE THE COMPENSATION CONSULTANT AND THE VICE PRESIDENT, CHIEF HUMAN RESOURCE OFFICER 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 THE P&ECC IS ASKED TO REVIEW AND APPROVE THOSE RECOMMENDATIONS THIS TYPICALLY OCCURS AFTER THE CLOSE OF THE FISCAL YEAR WITH ANY ADJUSTMENTS MADE RETROACTIVE TO THE BEGI NNING OF THE FISCAL YEAR CENTRAL MAINE HEALTHCARE DOCUMENTS THE BASIS FOR THE DETERMINATION OF THE CEO AND & 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 PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 14,005,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,005,995. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER -64,723,008. CHANGE IN DEFINED BENEFIT 742,503. RESTRICTED CONTRIBUTIONS 212,705. RESTRICTED INVESTMENT INCOME 363,909. CHANGE IN UNREALIZED GAIN 172,802. CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION 2,004,749. CHANGE IN INTEREST OF RESTRICTED NET ASSETS 164,854. TRANSFER TO PARENT -54,075. NET ASSETS RELEASED FROM RESTRICTIN -1,351,593. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL MAINE MEDICAL CENTER | ||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010211494 | HEALTHCARE | ME | 501 (C) (3) | LINE 3 | CMHC | Yes (1) |
| MAINE COLLEGE OF HEALTH PROFESSIONS | ||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010356077 | EDUCATION | ME | 501 (C) (3) | LINE 2 | CMMC | Yes (1) |
| RUMFORD HOSPITAL | ||||||||||
| 420 FRANKLIN STREET | RUMFORD | ME | 04276 | 010215227 | HEALTHCARE | ME | 501 (C) (3) | LINE 3 | CMHC | Yes (1) |
| CENTRAL MAINE REAL ESTATE MGMT CORP | ||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010387674 | REAL ESTATE | ME | 501 (C) (2) | CMMC | Yes (1) | |
| RUMFORD COMMUNITY HOME CORPORATION | ||||||||||
| 11 JOHN F KENNEDY DRIVE | RUMFORD | ME | 04276 | 222844951 | NURSING HOME | ME | 501 (C) (3) | LINE 10 | CMHC | Yes (1) |
| CENTRAL MAINE COMMUNITY HEALTH CORP | ||||||||||
| PO BOX 4500 | LEWISTON | ME | 04243 | 010386912 | PUBLIC EDUCATION | ME | 501 (C) (3) | LINE 7 | CMHC | Yes (1) |
| BRIDGTON HOSPITAL | ||||||||||
| 10 HOSPITAL DRIVE | BRIDGTON | ME | 04009 | 010130427 | HEALTHCARE | ME | 501 (C) (3) | LINE 3 | CMHC | Yes (1) |
| BRIDGTON HOSPITAL PHYSICIANS GROUP | ||||||||||
| SOUTH HIGH STREET | BRIDGTON | ME | 04009 | 010493083 | FUNDING | ME | 501 (C) (3) | PF | CMHC | Yes (1) |
| ELIAS E TUCKER TRUST FUND | ||||||||||
| C/O CMMC 300 MAIN STREET | LEWISTON | ME | 04240 | 016042343 | NURSING EDUCATION | ME | 501 (C) (3) | LINE 12A, I | CMMC | 0 |
| RUMFORD COMMUNITY FAMILY HEALTH CENTER | ||||||||||
| 430 FRANKLIN STREET | RUMFORD | ME | 04276 | 010481000 | FUNDING | ME | 501 (C) (3) | LINE 3 | RUMFORD HOSPITAL | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CWM INSURANCE LTD | |||||||||||||||||
| GENESIS BUILDING | PO BOX | GRAND CAYMAN | CJ | 980220891 | INSURANCE | CJ | CMHC | C | $3,463,010 | $72,678,025 | 1.00000 | Yes (1) | |||||
| CENTRAL MAINE HEALTH VENTURES INC | |||||||||||||||||
| 010430016 | HEALTHCARE | CMHC | C | $14,043,104 | $29,852,993 | 1.00000 | Yes (1) | 300 MAIN STREET | LEWISTON | ME | 04240 | ME | |||||
| CENTRAL MAINE ACO | |||||||||||||||||
| 274604314 | ACCOUNTABLE CARE | CMHC | C | $5,487,493 | $12,357,426 | 1.00000 | Yes (1) | 300 MAIN STREET | LEWISTON | ME | 04240 | ME | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 (16 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTRAL MAINE MEDICAL CENTER | ||
| L | $29,938,903 | COST |
| CENTRAL MAINE MEDICAL CENTER | ||
| O | $27,337,719 | COST |
| BRIDGTON HOSPITAL | ||
| L | $3,447,404 | COST |
| BRIDGTON HOSPITAL | ||
| O | $3,345,769 | COST |
| RUMFORD HOSPITAL | ||
| L | $3,134,202 | COST |
| RUMFORD HOSPITAL | ||
| O | $3,084,010 | COST |
| CENTRAL MAINE ACO | ||
| O | $1,161,936 | COST |
| CENTRAL MAINE HEALTH VENTURES INC | ||
| L | $954,375 | COST |
| CENTRAL MAINE HEALTH VENTURES INC | ||
| O | $775,417 | COST |
| CENTRAL MAINE MEDICAL CENTER | ||
| P | $492,100 | COST |
| CENTRAL MAINE ACO | ||
| L | $131,255 | COST |
| CENTRAL MAINE COMMUNITY HEALTH ORGANIZATION | ||
| L | $69,116 | COST |
| BRIDGTON HOSPITAL | ||
| A | $60,298 | FMV |
| BRIDGTON HOSPITAL | ||
| P | $56,513 | COST |
| RUMFORD HOSPITAL | ||
| P | $51,778 | COST |
| RUMFORD HOSPITAL | ||
| A | $45,420 | FMV |