2021-08-16T09:21:16-05:00 2020-09-30 990 2019-10-01 010238552 MaineHealth MAIN 2076622576 22 Bramhall Street Portland ME 04102 Albert G Swallow III CFO 2076622576 2021-08-13 2019 2022-09-23 18:48:47Z Andrew Mueller MD 22 Bramhall Street Portland ME 04102 3285602498 0 X www.mainehealth.org X 1951 ME MaineHealth is a voluntary, not-for-profit community and referral system of hospitals, dedicated to providing high quality health care services to all persons who seek care regardless of their sex, race, religion, age, color, sexual orientation, national origin, physical or emotional disability or social or economic status. MaineHealth is also committed to education at the undergraduate, graduate, post-graduate and continuing education levels for physicians, nurses and allied health personnel, and in-service training for support staff all of which are essential to the delivery of quality patient care. Outreach education to other institutions and agencies is also vital to the fulfillment of the MaineHealth's mission. MaineHealth also supports basic and clinical research as essential to the advancement of health care. 25 13 22661 1381 2154874 0 68086239 167681351 1933139975 2074717361 25876176 19584777 253067698 254599897 2280170088 2516583386 7330255 6266445 0 0 1145536150 1362046839 0 144427 5185639 927114240 1027794495 2079980645 2396252206 200189443 120331180 2923881397 3676866927 1360470171 1996166494 1563411226 1680700433 X See Schedule O 0 0 1934645316 2521875 2298123271 Patient CareMaineHealth operates eight licensed hospital facilities in the State of Maine and is part of a not-for-profit health system dedicated to improving the health of patients and communities by providing high-quality affordable care, educating tomorrow's caregivers, and researching better ways to provide care. MaineHealth System includes a tertiary care hospital, critical access hospitals, primary and specialty practice locations, a stand-alone behavioral health hospital, an accountable care organization, an integrated lab company, and a home healthcare organization. (Continued on Schedule O)(Continued from page 2 of 990, Line 4a) These health system resources offer expertise in multiple disciplines including emergency medicine, surgery, radiology, oncology, behavioral health, and a level one trauma center. Summary operating metrics from FY20 for the MaineHealth System are included below: Category CountHospital I/P Discharges 50,858 Hospital I/P Days 283,920Swing Bed Days 3,429 Total Surgeries (IP/OP, exc. Cath Lab & Endo) 50,904 ED Visits (excludes urgent care) 211,311Long-Term Care Patient Days 150,578Home Care Visits 151,690Laboratory Tests 4,260,800MaineHealth organizations focused on four strategic priorities in FY20: Enhance the Patient Experience, Improve Care Team Well-Being, Improve Population Health, and Make Care More Affordable.Enhance the Patient ExperienceMaineHealth focuses on continuous improvement in timely access to safe, efficient, effective, and equitable care. Improved communication and coordination of services among health care providers, patients and their caregivers, and community-based resources play a pivotal role in achieving these outcomes. As MaineHealth continues to focus on providing quality, standard care across all Local Health Systems, the creation of a single, multispecialty medical group for all of MaineHealth's employed providers is underway. Forming this group will enable MaineHealth to better meet the challenges of a fast-changing health care environment, ensuring patient needs are met efficiently and seamlessly. In order to best monitor and benchmark hospital quality and safety measures, MaineHealth implemented Midas DataVision in all MaineHealth hospitals. Implementation of this platform allows care team members to actively monitor all patient quality and safety measures, produce reports, and address concerns in-real-time. Additionally, MaineHealth is working to establish an effective, comprehensive Patient Experience Program to improve overall performance in the care experience. This program includes improved data gathering, analysis, and standardized reporting for ambulatory, ED, inpatient, and telehealth surveys, prompt response and service recovery for patient complaints with appropriate support from the system-level team when needed, a training and coaching program with remote (virtual) trainings during the COVID-19 pandemic; and standardizing existing Patient and Family Advisory Council charters and planning to launch Advisory Councils in hospitals that do not have one.Finally, in FY20, MaineHealth successfully increased childhood trauma screenings to 87.7%, outperforming target percentages, and reduced the number of heart failure admissions by 15.5% and ED Visits by 10.1%. Improve Care Team Well-BeingOur employees are our greatest strength, and care team wellbeing is a priority. We focus on team member engagement, protection from burnout, and work-life balance. In order to increase retention, MaineHealth developed and invested in a set of career paths for gateway positions to retain and recruit care team members. Eight new leadership courses have been added to the curriculum and each have an identified audience for which course completion is expected. In addition, five current courses are being revised to more clearly connect their content and learning to support care team engagement. Through FY20, 667 leaders completed one or more training programs.Additionally, MaineHealth has developed a system-wide physician and advanced practice professional (APP) recruitment infrastructure and retention strategy with a local health system focus. Multiple infrastructure elements were developed and implemented, resulting in 46% and 48% reductions in openings for physicians and APPs respectively.In an effort to address recruitment, the expansion of training programs for certified nursing and phlebotomists have been completed, and an Advanced Medical Assistant training program has been developed with the Maine Community College system. In secondary schools, a program to help students learn how to enter the health care field has been developed, in addition to an advanced training program for those to whom English is a second language. Finally, a partnership with Jobs for Maine Graduates has been established to develop career awareness events for middle school to high school graduates.Improve Population Health To improve the health of our communities, we focused on developing population health programs to decrease health disparities. Our programs addressed the physical, mental, and behavioral, and socioeconomic determinant aspects of health and wellbeing. Our program philosophy promoted involvement, engagement, and autonomy so each individual can achieve the highest quality of life. In 2020, MaineHealth:1. Implemented changes to our hub, intermediate and spoke substance use treatment model to align with evolving clinical care models and updated state funding formulas.2. Implemented CDC's National Diabetes Prevention Program, enrolling 664 participants.3. Addressed at least two strategies in all Local Health System Community Health Needs Assessment Implementation Plans. 4. Conducted a pilot food insecurity screening for adult patients resulting in nearly 5,000 adult patients being screened; and of those, 3% were positive for food insecurity. Approximately 255 emergency food bags were distributed to patients, which is equivalent to more than 1,900 healthy meals. In order to ensure suitable access to care, MaineHealth welcomed Mid Coast-Parkview Health into the health system. Mid Coast-Parkview Health is built around a 93-bed hospital in Brunswick, ME. It has an active medical staff, a multispecialty medical group including primary care and specialty practices, and provides a range of senior care services through Mid Coast Senior Health and home health and hospice care through CHANS Home Health & Hospice. Teams from MaineHealth and Mid Coast-Parkview Health have been working together throughout 2020 to fully integrate, including transitioning Mid Coast-Parkview Health to the Epic medical records platform in 2021. Affordable CareGrowth in the cost of providing care and reductions in payment lead MaineHealth to intensely focus on providing the highest quality care at the lowest possible cost. Through the first five months of the fiscal year, financial results were favorable with income from operations of $31.5 million which exceeded the FY20 budget by $6.7 million. The COVID-19 pandemic resulted in a disruption in MaineHealth's revenue and unfavorably impacted expense structure. To aid in COVID-19 recovery, our care teams established an operating and financial metrics dashboard to monitor recovery efforts. 105186636 12578252 Teaching (Medical Education Program)MaineHealth's flagship hospital, Maine Medical Center, has a long history of educating medical students, residents, and faculty. The Department of Medical Education, with a staff of 80, manages 11 residencies and 10 fellowships, all approved by the Accreditation Council for Graduate Medical Education. Currently there are approximately 300 residents and fellows. Historically, about one-third of MMC's residency graduates have stayed in Maine to practice. Our graduates also go on to outstanding fellowship programs. (Continued on Schedule O)(Continued from page 2 of 990, Line 4b) Established in 2008, the Tufts University School of Medicine - Maine Medical Center Program, known as the "Maine Track," offers a unique and innovative curriculum, exposing students to rural practices and training in a major tertiary medical center. There are 40 matriculants in each TUSM class dedicated to Maine Track. Much of the curriculum is based in Maine, particularly in the 2nd through 4th years of medical school. MMC developed a unique 9-month Longitudinal Integrated Clerkship offered at MMC and in 10 community hospital sites. Additionally clerkship students from the UNE College of Osteopathic Medicine rotate through MMC annually. The Hannaford Center for Safety, Innovation and Simulation is a state-of-the-art 15,000 square-foot training center that utilizes the latest in human medical simulator technology to take medical education to the highest level possible. The center provides learners and faculty with extremely realistic scenarios, allowing them to gain significant skills while greatly reducing patient risk. MMC is the flagship provider for Continuing Interprofessional Development (CIPD) in Maine, and is now Jointly Accredited through the major national accrediting bodies including medicine, nursing, pharmacy, and others. The goal of the CIPD program is to provide continuing education of the highest quality for all professions within the state. Launched in 2015, the MMC Institute for Teaching Excellence (MITE) provides faculty development opportunities (e.g., Scholars program) for educators. In addition to offering certificate programs, support for medical education research and a wide variety of high-quality educational opportunities, the Institute hosts a varied menu of high-quality faculty development. By promoting academic medicine excellence at all levels of interprofessional education, the Institute and the recently formed MITE Academy seeks to support, nurture and promote all clinician educators in the State of Maine. Significant FY20 accomplishments include: Teaching the 2nd curriculum of the Maine Track years in Maine The first graduate of the Rural Internal Medicine Maine (RIMM) residency track at Stephens Memorial Hospital Second year of the Interprofessional Partnership to Advance Patient Care and Education (iPACE) grant from the American Medical Association Achieving 6-year Joint Accreditation to promote interprofessional and team-based education HRSA grant to explore a rural Psychiatry track at PenBay Medical Center 34961495 3744570 22581356 ResearchMaine Medical Center Research Institute is the research arm of MaineHealth which supports and encourages a broad spectrum of research ranging from basic laboratory-based research to translational and clinical research, to patient-centered outcomes research. The institute is divided into the following divisions: Center for Molecular Medicine, The Center for Clinical and Translational Research, the Center for Psychiatric Research, and the Center for Outcomes Research and Evaluation. (Continued on Schedule O)(Continued from page 2 of 990, Line 4c) In 2020, MMCRI had roughly $21.8M in annual grant income and received 47 new grants, allowing the institute's clinical and biomedical researchers to contribute to the worldwide body of scientific research. In addition, over 230 Clinical Trial studies took place with the top areas of focus in Oncology, Neurology, and COVID-19. Notably in 2020, while MaineHealth care teams were on the frontlines taking care of patients, researchers and physician scientists were participating in COVID-19 research to support new treatments for patients. Because of MaineHealth's investment in research, MMCRI was ready to respond immediately. During this time, there were over 40 studies in a range of research areas such as clinical trials, basic and translational research, epidemiological research, and patient data registries. Additionally in 2020, the MaineHealth Cancer Care Network (MHCCN) was able to expand cancer trial sites across the state and was selected to participate in the NIH-NCI Moonshot BioBank program due to the support from the National Cancer Institute Community Oncology Research Program. Other 2020 highlights included: 309 scientific articles published and over 2,450 biospecimens were distributed by our BioBank Tissue Repository. 2074793447 1 1 0 1 0 0 1 1 1 1 1 1 0 1 1 1 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 0 0 1 X 1687 0 1 22661 1 1 1 0 0 0 0 1 1 0 0 0 0 X 25 13 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X Lugene Inzana 2076622576 22 Bramhall Street Portland ME 04102 Ann Hooper Trustee 1.00 0.00 X 0 0 0 Brian H Noyes Trustee 1.00 0.00 X 0 0 0 William A Burke Chairman 1.00 0.00 X X 0 0 0 Brett Loffredo MD Trustee 50.00 0.00 X 262035 0 52961 Bruce P Garren Trustee 1.00 0.00 X 0 0 0 Christopher W Emmons Trustee 1.00 0.00 X 0 0 0 Clint Boothby Esq Trustee 1.00 0.00 X 0 0 0 Daniel Loiselle MD Trustee 1.00 0.00 X 0 0 0 David Kumaki MD FACP Trustee 50.00 0.00 X 289553 0 33098 Gregory Dufour Vice Chairman 1.00 0.00 X X 0 0 0 George Isaacson Esq Trustee 1.00 0.00 X 0 0 0 Jere G Michelson Trustee 1.00 0.00 X 0 0 0 Kate Herlihy MD MHP Trustee 50.00 0.00 X 257583 0 32561 Katherine B Coster Trustee 1.00 0.00 X 0 0 0 Lisa Beaule MD Trustee 50.00 0.00 X 548750 0 73772 Melissa Smith Trustee 1.00 0.00 X 0 0 0 Morris Fisher Trustee 1.00 0.00 X 0 0 0 Marie J McCarthy Trustee 1.00 0.00 X 0 0 0 Nancy Hasenfus MD Trustee 1.00 0.00 X 0 0 0 Peter Manning MD Trustee 50.00 0.00 X 399307 0 13779 Susannah Swihart Trustee 1.00 0.00 X 0 0 0 George Ted Hissong Trustee 1.00 0.00 X 0 0 0 Thomas J Ryan Jr MD FACC Trustee 50.00 0.00 X 532579 0 66491 Sandy Morrell Rooney Trustee 1.00 0.00 X 0 0 0 Stuart H Watson Trustee 1.00 0.00 X 0 0 0 William L Caron Jr CEO 50.00 0.00 X 1862132 0 129912 Albert G Swallow III Treasurer 50.00 0.00 X 826469 0 110434 Robert Frank Secretary 50.00 0.00 X 623622 0 78206 Beth Kelsch Asst Secretary 50.00 0.00 X 291793 0 81054 Richard W Petersen President 50.00 0.00 X 1810862 0 113239 Matthew R Sanborn MD Surgeon 50.00 0.00 X 1486152 0 50283 Robert Ecker MD Surgeon 50.00 0.00 X 1465260 0 77417 Joseph T Alexander MD Surgeon 50.00 0.00 X 1311723 0 93488 Konrad Barth MD Surgeon 50.00 0.00 X 1294335 0 100181 Rajiv D Desai MD Surgeon 50.00 0.00 X 1288028 0 90964 Jeffrey Sanders (Frmr Officer) EVP & COO 50.00 0.00 X 827683 0 76424 Lugene Inzana (Frmr Officer) Sr VP of Finance/CFO 50.00 0.00 X 586254 0 48063 Joel Botler MD (Frmr Officer) CMO 50.00 0.00 X 735013 0 133276 Marjorie Wiggins (Frmr Officer) SVP of Nursing & CNO 50.00 0.00 X 569682 0 100328 17268815 0 1555931 1933 1 1 0 Consigli Construction Company 72 Summer Street Milford MA 01757 Construction 44643265 Spectrum Medical Group 324 Gannett Drive 200 South Portland ME 04106 Medical Service 10301624 Chest Medicine Assoc 100 Foden Rd W Bldg Ste 103 S Portland ME 041062351 Medical Service 4840894 Healthcare Excellence Inst 21045 N 9th Place 205 Phoenix AZ 850245635 Consulting 3141125 USI Insurance Services 4605 Columbus St Virginia Beach VA 234622490 Consulting 2838418 148 2221770 1027685 128926890 35505006 2176034 167681351 Net Patient Service Revenue 622110 2074717361 2074717361 2074717361 13404294 13404294 273051 338683 -65632 -65632 -65632 774261772 461997 767542629 1000657 6719143 -538660 6180483 6180483 197131 1027685 137143 59988 59988 Other Revenue 900099 161503914 160613198 890716 HR and IS Shared Services Rev 900099 91771837 91771837 Dietary Services 561000 1075814 1075814 253976 253976 254605541 2516583386 2333282879 2154874 13464282 3875563 3875563 2343375 2343375 47507 47507 7953605 2254717 5698888 3071474 3071474 1053404067 905717379 144148322 3538366 69073013 59399660 9441028 232325 162958152 139248551 23158686 550915 65586528 55071973 10271260 243295 2318322 2318322 2488391 2488391 51000 51000 144427 144427 1963496 1963496 123830330 123768805 61525 2801117 742613 2058474 30 12211746 11951974 116093 143679 33885570 13391512 20494058 65006321 55643804 9343011 19506 2282862 1623410 631310 28142 4241806 2496637 1735717 9452 12137441 10033903 2103538 118678946 101586244 17086501 6201 10745347 6618896 4126451 Medical supplies 389466277 389466235 42 Other 123583951 64286643 59089574 207734 Outside medical service 79354317 79354317 Hospital tax 42747255 42747255 2396252206 2074793447 316273120 5185639 2728094 23876149 293272373 639073538 32275916 32875422 236101704 228348351 1159103 973386 37300764 42360554 15316127 15210801 2478026555 1414053892 973282546 1063972663 791089992 782839000 209818633 250463579 24248642 0 307287503 596873484 2923881397 3676866927 202204857 285073143 31855058 56433102 402347947 595110137 232223 328557 11636339 57050307 712193747 1002171248 1360470171 1996166494 X 1349968723 1446195090 213442503 234505343 1563411226 1680700433 2923881397 3676866927 X 120331180 62119405 -65161378 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 61215 0 1 183295 244510 0 Part II-B, Line 1: Part II-B, Line 1g Lobbied state legislators and executive branch officials on matters of concern to MaineHealth, our local health systems, and our patients. Part II-B, Line 1i Amount represents portion of dues paid to various organizations that relate to lobbying expense: Maine Hospital Association - $89,339 American Hospital Association - $65,960 National Association of Children's Hospitals - $18,295 Maine State Chamber of Commerce - $300 MHCA - $7,070 Strategic Health Care - $1,000 Alliance for Addiction and Mental Health Services - $1,230 National Rural Health Association - $101 X 1 54.00 1 0 5.00 0 52228 X X 0 0 1 X 107879495 465125 13521978 7240679 114625919 102712122 12325688 -1591717 5566598 107879495 100061713 2437017 6156967 5943575 102712122 93775123 254233 11533363 5501006 100061713 95914866 209664 3650641 6000048 93775123 0.00000 0.38440 0.61560 1 0 55966322 55966322 1242498082 640461892 602036190 36233586 13533610 22699976 1017462960 760058390 257404570 125865605 125865605 1063972663 Hedge Funds 116676579 F Limited Partnerships 87356000 F Real Estate 2021000 C Beneficial and Charitable Remainder Trusts 44410000 F 250463579 AR under reimbursement regulations 83321689 Other assets 37931983 Investments held for members 66564408 Due from affiliates 89913484 Prepaid capital costs 127112500 Escrow of debt service 7761616 Right of use assets 176596868 Deposits - Cardinal Health 7670936 596873484 Accrued retirement benefits 297786230 Investments held for members 66564408 A/P under reimbursement regs 119062380 Notes payable to affiliates 101776880 Due to affiliates 38725729 Asset retirement obligation 17065852 Swap agreements 12900736 Leases payable 187986994 Loan - Medicare 159503133 Other liabilities 798906 1002171248 X Part II, Line 9: In 2002 Spring Harbor Hospital acquired a 54-acre parcel of land designated as a conservation easement which was conveyed as part of a land purchase upon which the hospital was built. Part III, Line 4: MaineHealth's artwork creates a healing and comfortable environment for our patients and visitors. Part IV, Line 2b: The organization maintains cash accounts for clients who are incapable of managing their Social Security or SSI payments. The payments are deposited into the account and a Social Secutity Representive Payee manages the account for them. Part V, Line 4: The endowed funds support the following types of activities: Tufts scholarship program, training and education of nurses, MMC research and education programs, supporting the salary of endowed Chair of Pediatrics and free bed funding. Part X, Line 2: The Internal Revenue Service has previously determined that the MaineHealth System and its subsidiaries (except Maine Medical Partners (MMP) (a subsidiary of MaineHealth) are organizations as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the IRC. MMP had significant net operating loss carryovers as of September 30, 2020 and 2019. A valuation allowance has been provided for the entire deferred tax benefit for the net operating losses, due to uncertainty of realization. MMP did not have material taxable income in 2020 and 2019. Accordingly, a provision for income taxes has not been made in accompanying consolidated financial statements. The MaineHealth System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The MaineHealth System did not recognize the effect of any income tax positions in either 2020 or 2019. 0 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments 112996052 0 0 0 0 0 0 112996052 0 112996052 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 11126 Wire Transfer Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 29711 Wire Transfer Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 6670 Wire Transfer 3 0 0 0 0 0 0 Part III Accounting Method: Part I, Line 1 All subrecipient grants listed on Part II, Line 1 were recognized on the System for Award Managment website (sam.gov) as non-profit organizations. X X X X X X 1 The Giving Collaborative 53 Morgan Ave East Haven CT 06512 Feasibility Study 0 0 49289 -49289 Accordant Philanthropy 105 Teal Nest Court Point Vedra Beach FL 320821944 Philanthropy Capital Campaign 0 0 95138 -95138 144427 -144427 ME NH FL Radiothon 343072 343072 1203 704 7200 BBCH Golf Open 307300 263788 43512 6896 31400 12239 1100 11 574444 420825 153619 250 8542 5699 61910 1224816 1027685 197131 8349 39942 18642 70210 137143 59988 1 1 X 1 X 0 1 1 1 0 1 1 36141308 36141308 0.01510 344868342 275389989 69478353 0.02900 381009650 275389989 105619661 0.04410 2279933 164957 2114976 0.00090 105186636 12578252 92608384 0.03860 233918867 141130461 92788406 0.03870 34961495 22581356 12380139 0.00520 3523394 3523394 0.00150 379870325 176455026 203415299 0.08490 760879975 451845015 309034960 0.12900 1800985 1800985 0.00080 2811 2811 0.00000 20735 20735 0.00000 2691400 2691400 0.00110 4515931 4515931 0.00190 0 42567362 661046198 798883093 -137836895 X 1 1 8 1 Maine Medical Center 22 Bramhall Street Portland ME 04102 See Part V, Section C 39252 X X X X X X A 2 Southern Maine Health Care - Biddeford One Medical Center Drive Biddeford ME 04005 See Part V, Section C 39032 X X X A 3 Penobscot Bay Medical Center 6 Glen Cove Drive Rockport ME 04856 See Part V, Section C 39272 X X X A 4 Waldo County General Hospital 118 Northport Ave Belfast ME 04915 See Part V, Section C 39054 X X X X A 5 LincolnHealth 35 Miles Street Damariscotta ME 04543 See Part V, Section C 39184 X X X A 6 Franklin Memorial Hospital 111 Franklin Health Commons Farmington ME 04938 See Part V, Section C 39266 X X X A 7 Spring Harbor Hospital 123 Andover Road Westbrook ME 04092 See Part V, Section C 39254 X A 8 Stephens Memorial Hospital Association 181 Main Street Norway ME 04268 See Part V, Section C 39215 X X X A Facility Reporting Group - A 0 0 1 X X X X X X X X X 19 1 1 0 1 X See Part V, Section C 1 19 1 See Part V, Section C 0 1 X 200.000000000000 X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section A: Facility Information, Website AddressMaine Medical Center: mainehealth.org/maine-medical-centerSouthern Maine Health Care - Biddeford: mainehealth.org/southern-maine-health-careSouthern Maine Health Care - Sanford: mainehealth.org/southern-maine-health-carePenobscot Bay Medical Center: mainehealth.org/pen-bay-medical-centerWaldo County General Hospital: mainehealth.org/waldo-county-general-hospitalLincolnHealth: mainehealth.org/lincolnhealthFranklin Memorial Hospital: mainehealth.org/franklin-community-health-networkSpring Harbor Hospital: mainehealth.org/maine-behavioral-healthcareStephens Memorial Hospital Association: mainehealth.org/western-maine-health Part V, Section B, Line 5: MaineHealth was part of a dynamic public-private partnership that worked collaboratively to develop The Maine Shared CHNA. The Maine Shared CHNA was conducted through a collaborative effort between Central Maine Healthcare, MaineGeneral Health, MaineHealth, Northern Light Health and the Maine Center for Disease Control and Prevention. This unique public-private partnership is intended to assess the health needs of all who call Maine home. The Maine Shared CHNA was published for each Maine county to highlight current community needs for over 200 health indicators. Large community forums were then hosted across the state to obtain community input in identifying and prioritizing leading health issues. Additionally, key informant inverviews and small group discussions were conducted to gather qualitive information about how health issues are impacting vulnerable and underserved populations. MaineHealth used these forums and discussions to create each hospital's CHNA and Implementation Plans for 2019-2021. Part V, Section B, Line 6a: Central Maine Healthcare, MaineGeneral Health and Northern Light Health Part V, Section B, Line 11: The organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2019-2021 CHNA Implementation Plan and the FY20 Implementation Plan Update describing the organization's progress in addressing its identified needs at www.MaineHealth.org/chna for details. Part V, Section B, Line 7a & 10a: The CHNA and Implementation Plans are posted on the following website: www.MaineHealth.org/chna Part V, Section B, Line 16a, 16b, 16c: The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy), free care application and plain language summary are available on the following website: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care. 130 1 - MMC Scarborough Campus 100 Campus Drive Scarborough ME 04074 General Medical and Surgical 2 - MMC Scarborough Surgical Center 84 Campus Drive Scarborough ME 04074 General Medical and Surgical 3 - Neurosurgery & Spine and Neurology 49 Spring Street Scarborough ME 04074 Neurosurgery, Spine and Neurology Care 4 - MMC Brighton Campus 335 Brighton Avenue Portland ME 04102 Emergency Care 5 - Cardiology 99 Campus Drive Lewiston ME 04240 Cardiology 6 - Pediatric Surgery & Specialty Care 887 Congress Street Portland ME 04102 Pediatrics 7 - MMC Falmouth Campus 5 Bucknam Road Falmouth ME 04105 General Medicine 8 - Cardiology 96 Campus Drive Scarborough ME 04074 Cardiology 9 - Mental Health Services 66 Bramhall Street Portland ME 04102 Mental Health Services 10 - MMC Sanford IV Therapy 27 Industrial Avenue Sanford ME 04073 IV Therapy 11 - Orthopedics 119 Gannett Drive South Portland ME 04106 Orthopedic Care 12 - Women's Health 489 State Street Bangor ME 04401 Women's Healthcare 13 - Cardiothoracic Surgery 818 Congress Street Portland ME 04102 Cardiothoracic Surgery 14 - Coastal Cancer Treatment Center 175 Congress Avenue Bath ME 04350 Cancer Treatment Center 15 - Otolaryngology 1250 Forest Avenue Portland ME 04103 Otolaryngology 16 - Urology 199 Main Street Norway ME 04268 Urology 17 - McGeachy Hall 216 Vaughan Street Portland ME 04102 Mental Health Services 18 - Cape Elizabeth Internal Medicine 155 Spurwink Avenue Cape Elizabeth ME 04107 General Medicine 19 - MMC Family Medicine 272 Congress Street Portland ME 04101 General Medicine 20 - MMC Biddeford IV Therapy 26 West Cole Road Suite 101 Biddeford ME 04005 IV Therapy 21 - Urology 110 Brickhill Ave Suite 100 South Portland ME 04106 Urology 22 - Westbrook Primary Care 1 Harnois Avenue Suite 2A Westbrook ME 04092 General Medicine 23 - MMP Surgical Care Casco Bay 10 Andover Road Portland ME 04102 General Medical and Surgical 24 - Otolaryngology 43 Baxter Boulevard Portland ME 04101 Otolaryngology 25 - Endocrinology 175 US Route One Scarborough ME 04074 Endocrinology and Diabetes 26 - Maine Transplant Program 19 West Street Portland ME 04102 Kidney and Pancreas Transplant 27 - Scarborough Internal Family Medicine 300 Professional Drive Scarborough ME 04074 General Medicine 28 - Lakes Region Primary Care 584 Roosevelt Trail Windham ME 04062 General Medicine 29 - Cardiology 35 Medical Center Parkway Suite 101 Augusta ME 04330 Cardiology 30 - South Portland Primary Care 75B John Roberts Road South Portland ME 04106 General Medicine 31 - Women's Health 102 Campus Drive Unit 116 Scarborough ME 04074 Women's Healthcare 32 - ME Inst for Sleep & Breathing Disorders 930 Congress Street Portland ME 04102 Sleep and Breathing Disorders 33 - Pediatric Care 1577 Congress Street Portland ME 04102 Pediatrics 34 - Cardiology 4 Glen Cove Drive Suite 108 Rockport ME 04856 Cardiology 35 - Otolaryngology 30 West Cole Road Biddeford ME 04005 Otolaryngology 36 - Pediatric Surgery 46 First Park Drive Oakland ME 04963 Pediatrics 37 - Cardiology 149 North Street Waterville ME 04901 Cardiology 38 - Saco Pediatrics 4 Scamman Street Suite 51 Saco ME 04072 Pediatrics 39 - Yarmouth Pediatrics 45 Forest Falls Drive Suite 1A Yarmouth ME 04096 Pediatrics 40 - Endocrinology and Diabetes Center 963 Sabattus Street Lewiston ME 04240 Endocrinology and Diabetes 41 - Ambulatory Clinic Services 48-52 Gilman Street Portland ME 04102 General Medicine 42 - Center for Tobacco Independence 315 Park Avenue Second Floor Portland ME 04101 Tobacco Treatment Center 43 - Women's Health 84 Marginal Way Suite 900 Portland ME 04103 Women's Healthcare 44 - Otolaryngology 55 Main Street Bridgton ME 04009 Otolaryngology 45 - MMC Preble St Learning Collaborative 20 Portland Street Portland ME 04101 General Medicine 46 - Otolaryngology 193 Main Street Norway ME 04268 Otolaryngology 47 - Oncology 265 Western Avenue South Portland ME 04106 Oncology 48 - SMHC Billing Dept 4 Shape Drive Kennebunk ME 04043 Physician Services Billing 49 - SMHC Dermatology 26A West Cole Rd Biddeford ME 04005 Physician Services - Dermatology 50 - SMHC Newton Center 35 July Street Sanford ME 04073 Nursing Home 51 - SMHC Oncology 26 West Cole Rd Biddeford ME 04005 Physician Services - Oncology 52 - SMHC Oncology 27 Industrial Park Rd Sanford ME 04073 Physician Services - Oncology 53 - SMHC Phys Svcs 13 Industrial Park Road Saco ME 04072 Family Medicine Physician Services 54 - SMHC Phys Svcs - Anc Facility 2 Livewell Drive Kennebunk ME 04043 Phys Offices, Anc Svcs, Minor Procedures 55 - SMHC Phys Svcs - Infectious Disease 2 Medical Center Drive Biddeford ME 04005 Infectious Disease Physician Services 56 - SMHC Phys Svcs - Internal Medicine 72 Main Street Kennebunk ME 04043 Internal Medicine Physician Services 57 - SMHC Phys Svcs - Partial Hospital Pro 235 Main Street Biddeford ME 04005 Substance Abuse, Psychiatry 58 - SMHC Phys Svcs - Pediatrics 3 Shape Drive Kennebunk ME 04043 Pediatric Physician Services 59 - SMHC Phys Svcs - Sports Performance 1 Emile Levasseur Drive Sanford ME 04073 Physician Services - Sports Performance 60 - SMHC Phys Svcs & Anc Facility 9 Healthcare Drive Biddeford ME 04005 Physician Offices and Diagnostic Service 61 - SMHC Phys Svcs & Rehab Therapy 45 Barra Road Biddeford ME 04005 Int Med, Orth Surg, Neurology, & Rehab 62 - SMHC Phys Svcs & Walk in Care Fac 655 Main Street Saco ME 04072 Pediatrics & Osteopathic Manipulation 63 - SMHC Phys Svcs Goodall Med Off Bld 25 A June Street Sanford ME 04073 Phys. Svcs, Anc. Svcs & Minor Procedures 64 - SMHC Phys Svcs Anc Svcs Walk-in 10 Goodall Drive East Waterboro ME 04030 Family Med Phys Svcs, Anc Svcs, Walk-in 65 - SMHC Sports Medicine 12 Thornton Avenue Saco ME 04072 Sports Medicine Clinic 66 - SMHC Wellness Center 13 July Street Sanford ME 04073 Rehab Therapy & Occupational Medicine 67 - Pen Bay Occupational Therapy 4 Glen Cove Drive Rockport ME 04856 Occupational Therapy 68 - Pen Bay Physical Therapy 4 Glen Cove Drive Rockport ME 04856 Physical Therapy 69 - Pen Bay Physical Therapy 116 Union Street Rockport ME 04856 Physical Therapy 70 - Pen Bay Physical Therapy 40 Washington Road Waldoboro ME 04572 Physical Therapy 71 - Pen Bay Physicians & Associates 4 Glen Cove Drive Rockport ME 04856 Physician Practices 72 - The Knox Center for Long Term Care 6 White Street Rockland ME 04841 Long-Term Care Facility 73 - Arthur Jewell Community Health Ctr 55 Reynolds Rd Brooks ME 04921 General medical 74 - Donald S Walker Health Center 43 West Main Street Liberty ME 04949 General medical 75 - Lincolnville Health Center 2399 Atlantic Highway Lincolnville ME 04849 General medical 76 - Stockton Springs Reg Health Center 11 Cape Jellison Rd Stockton Springs ME 04981 General medical 77 - Lincoln Medical Partners 42 Belvedere Road Newcastle ME 04553 Administration 78 - LMP Family Medicine 230 Kalers Corner Waldoboro ME 04572 Outpatient Clinic 79 - LMP Family Medicine 49 Hooper Street Wiscasset ME 04578 Outpatient Clinic 80 - LMP General Surgery 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 81 - LMP Ophthalmology 71 Main Street Newcastle ME 04553 Outpatient Clinic 82 - LMP Orthopedics 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 83 - LMP Primary Care 24 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 84 - St Andrews Village 145 Emery Lane Boothbay Harbor ME 04538 Long-Term Care Facility 85 - The Family Care Center 14 St Andrews Lane Boothbay Harbor ME 04538 Outpatient Clinic 86 - The Women's Center 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 87 - Franklin Health Behavioral Services 131 Franklin Health Commons Farmington ME 04938 Behavioral Health Practice 88 - Franklin Health Farmington Fam Practi 111 Franklin Health Commons Farmington ME 04938 Family Practice 89 - Franklin Health Internal Medicine 111 Franklin Health Commons Farmington ME 04938 Internal Medicine Practice 90 - Franklin Health Livermore Falls Fam P 21 Main Street Livermore Falls ME 04254 Family Practice 91 - Franklin Health Orthopaedics 111 Franklin Health Commons Farmington ME 04938 Orthopaedic Practice 92 - Franklin Health Pediatrics 111 Franklin Health Commons Farmington ME 04938 Pediatrician Practice 93 - Franklin Health Primary Care Practice 131 Franklin Health Commons Farmington ME 04938 Primary Care Practice 94 - Franklin Health Surgery 111 Franklin Health Commons Farmington ME 04938 General Surgery Practice 95 - Franklin Health Urology 126 Middle Street Farmington ME 04938 Urology Practice 96 - Franklin Health Women's Care 111 Franklin Health Commons Farmington ME 04938 OB/GYN 97 - NorthStar 1001 Carriage Road Carrabasset Valley ME 04947 Ambulance Base 98 - NorthStar 111 Franklin Health Commons Farmington ME 04938 Ambulance Base 99 - NorthStar 119 Federal Road Livermore ME 04254 Ambulance Base 100 - NorthStar 138C Park Street Phillips ME 04966 Ambulance Base 101 - NorthStar 15 School Street Rangeley ME 04970 Ambulance Base 102 - Outpatient Services at Livermore Fall 21 Main Street Livermore Falls ME 04254 Outpatient Clinic 105 - Administration 77-79 Atlantic Place South Portland ME 04106 Administration offices 106 - Alfred St Apartments 20 Alfred Street Biddeford ME 04005 Apartments with supported housing services 107 - Bacon Street Apartments 72 Bacon Street Biddeford ME 04005 Sing. room supp. housing 108 - Bangor Office 268 State Street Bangor ME 04474 Outpatient counseling offices 109 - Beach Street Offices & CSU 31 Beach Street Saco ME 04072 Res. Crisis Stabilization Unit & Admin 110 - Belfast Apartments 31 Midcoast Drive Belfast ME 04915 Apartments, 1 office and common area 111 - Belfast Office 15 Midcoast Drive Belfast ME 04915 Outpatient office 112 - Biddeford Recovery Center 15 York Street Biddeford ME 04005 Peer recovery center 113 - Brunswick Office 11 Medical Center Drive Brunswick ME 04011 Outpatient counseling offices 114 - CADD 236 Gannett Drive South Portland ME 04106 Center of Autism & Developmental Disorders 115 - Cedar Street 125 Cedar Street Rockland ME 04841 3 bed single room occupancy 116 - Core 66 Baribeau Drive Brunswick ME 04086 Assertive Community Treatment team offices 117 - Core 18 Beluedere Road Damariscotta ME 04543 Assertive Community Treatment team 118 - Crescent Place 15 Crescent Street Biddeford ME 04005 6 bed group home 119 - Damariscotta Miles Campus LincolnHea 35 Miles Street Damariscotta ME 04543 Outpatient counseling offices 120 - Grace Street 47 Grace Street Rockland ME 04841 3 bed single room occupancy 121 - High Street Residence 5 High Street Sanford ME 04073 Sing. room supp. housing & file storage 123 - Norway Office 193 Main Street Norway ME 04268 Outpatient counseling offices 124 - Owls Head 38 West Keag Road Owls Head ME 04854 7 bed single room occupancy 125 - Pleasant Street 407 Pleasant Street Rockland ME 04841 3 bed single room occupancy 126 - Portland Office 165 Lancaster St Portland ME 04101 Outpatient counseling offices 127 - Rockland Office 12 Union Street Rockland ME 04841 Outpatient office & peer recovery center 128 - Sanford Recovery Center 19 Washington Street Sanford ME 04073 Peer recovery center 129 - Sherry Sabo Center 2 Springbrook Drive Biddeford ME 04005 Outpatient counseling offices 130 - Springvale Office 474 Main Street Springvale ME 04083 Outpatient counseling offices 131 - The Elms 1-8 Sherry Lane North Berwick ME 03906 Apartments with supported housing services 132 - Warren Street Apartments 28 Warren Street Rockland ME 04841 Apartments, office & Common area for staff 133 - Woodbridge 19 Woodbridge Road York ME 03909 7 bed group home Part I, Line 3c: Charity Care levels are determined by a three prong test for eligibility. Residency, income level, and household size are examined to determine level of eligibility. Part I, Line 6a: MaineHealth's community benefit data is contained in a report prepared by MaineHealth Services (EIN 01-0431680), the organization's sole member. The report can be found at the link below:https://annualreport.mainehealth.org/#community Part I, Line 7: The costing methodology for the amounts reported in Part I, Line 7 of the Schedule H is based on a ratio of patient care cost to charges. This cost to charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges provided in the instructions for Schedule H. Part II, Community Building Activities: Community Support- MaineHealth is deeply involved in disaster planning at the local and state levels and works closely with healthcare coalitions and emergency management partnerships. MMC has a Director of Safety/Emergency Management and two Emergency Management Project Managers to facilitate this cooperation.- MaineHealth Physician Informatics participated in the development of Epic tools and workflow to support the roll out of Covid testing facilities available to the public.- IT support of Covid Testing and Vaccine Center deployments/projects, of which there were 11- BBCH - Hannaford Gift Cards for Patients and their Families - Champlain to BBCH and Family Birth Center- Clinical Pastoral Education- MaineHealth is a dues paying member of Greater Portland Chamber of Commerce and Maine State Chamber of Commerce- NEHA Hemophilia Family Camp- Portland Family Medicine - Ask the DocLeadership Development and Training for Community Members- Healthcare Professional Pipeline Program- Inside Medicine (6 week virtual series)Community Health Improvement Advocacy- Public Service AnnouncementsWorkforce Development- APP Student Practicum- CNA Program- Genetic Counseling Clinical Rotation- Medical Assistant Externship- Medical Ethics Education- Nutrition & Food Students from Maine Colleges- Outpatient Psychiatry Training- Rehab Medicine Educational Program- Social Work Student Internship Supervision- Student Nursing Precepting- Transplant Community and Provider Education- Transplant MSW Student Placement (UNE) Part III, Line 2: The provision for bad debts is based upon a combination of the payor source, the aging of receivables and management's assessment of historical and expected net collections, trends in health insurance coverage, and other collection indicators.Bad debt expense represents healthcare services MaineHealth has provided without compensation. As a tax-exempt organization, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services. MaineHealth cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would qualify for financial assistance under the Hospital's free care policy. In addition, bad debt expense also includes amounts for services provided to individuals experiencing difficult personal or economic circumstances related to a portion of our community based patient population. Their medical bills often place these individuals in untenable positions where they are not able to handle their personal debt and then their new medical debt. However, because of their income level, they do not qualify for free care. By providing necessary healthcare services to those individuals either who fail to apply for financial assistance or who are experiencing difficult personal or economic circumstances, MaineHealth believes that bad debt expense should be included as a community benefit. Part III, Line 4: MaineHealth does not have a specific footnote in the financial statements that describes bad debt expense. See Part III, Line 2 for bad debt expense methodology. Part III, Line 8: Medicare allowable costs were calculated using a cost to charge ratio. MaineHealth believes that the Medicare shortfall should be included as a community benefit because MaineHealth has a clear mission commitment to serving elderly patients and adults with disabilities through the provision of specific subsidized programs developed to help improve the health status of these patients. If these critical subsidized programs were not provided by MaineHealth, they would become the obligation of the Federal Government. Part III, Line 9b: Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services. Part VI, Line 2: The organization prepares a Community Health Needs Assessment (CHNA) every three years. See www.MaineHealth.org/chna for the completed CHNA. Part VI, Line 3: Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, under insured or can't afford to pay theirhospital bill, they may receive a Financial Counseling Packet and/orreferred to financial counseling from the registration staff or ChangeHealthcare, an outside vendor who helps manage the self- pay accounts. Thepacket includes:- Information on MaineHealth's financial policies- Financial assistance information including Free Care Program, MonthlyPayment Plan Program, and Care Partners, MedAccess and other communityresource needs.- Program applications and instructions for MaineHealth's Free CareProgram, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financialconcernsSelf-pay or underinsured patients registering in person or via a phoneinterview receive financial counseling including information on ourfinancial assistance programs. Registration staff or Change Healthcareprovide forms and assist with completing financial assistance applicationsand providing follow up contact information.MaineHealth's Web site includes on line Registration and Patient Billinginformation:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed.If a patient does not respond at pre-registration, registration, or whilereceiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs. Part VI, Line 4: The Community Health Needs Assessment describes the geographic area anddemographic constituents it services. See www.MaineHealth.org/chna for the completed CHNA. Part VI, Line 5: MaineHealth's day-to-day operations as a tax-exempt organization include many system-wide initiatives in the state of Maine and the Northern New England region. Clinical services range fromoutpatient clinics for a diverse population to full inpatient and surgicalservices to a regional trauma center and a neuroscience institute. Many ofour services and specialties are not available elsewhere in the state or in our region. We have programs in undergraduate, graduate, post-graduate, and continuing education, engage in clinical research, and support organizations and efforts whose missions augment or complement ours. We strive to be a good "institutional citizen" of our region and state. With these programs, MaineHealth hopes to fill existing local gaps while making a positive impact in the communities we serve. These programs include: Subsidized Health Services, Community-Based Clinical Services, Community Education Services, Health Care Support Services, Community Building Activities, Medical Education and Research.MaineHealth made a net asset transfer to its wholly owned subsidiary, Maine Medical Partners, in the amount of $108,800,000 to cover the losses related to mission-critical physician practices to ensure access for the community to such specialties as trauma surgery, neurosurgery, urology, various pediatric specialties, and high-risk obstetrics. Part VI, Line 6: MaineHealth is a not-for-profit family of leading high-quality providersand other healthcare organizations working together so their communitiesare the healthiest in America. Ranked among the nation's top 100 integrated healthcare delivery networks, MaineHealth is governed by a board of trustees consisting of community and business leaders from its southern, central and western Maine regional service areas. The collaboration of MaineHealth members makes it possible to offer an extensive range of clinical integration and community health programs, many aimed at improving access to preventive and primary care services. MaineHealth includes the following member organizations: The Memorial Hospital at North Conway, N.H., Mid Coast Hospital, MaineHealth Care at Home, NorDx and MaineHealth Accountable Care Organization. The strategic affiliates of MaineHealth are MaineGeneral Medical Center and St. Marys Regional Medical Center. Part VI, Line 7, Reports Filed With States ME 1 Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston MA 022155491 042103881 501(c)(3) 99286 0 Research DiMagi Inc 585 Massachusetts Ave Suite 4 Cambridge MA 02139 830343298 42435 0 Research Harvard Pilgrim Health Care Inc 93 Worcester Street Wellesley MA 024819181 042452600 501(c)(3) 48592 0 Research Maine Dartmouth Family Medicine Residency 15 East Chestnut Street Augusta ME 04330 010369195 501(c)(3) 13323 0 Research MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 043369653 501(c)(3) 78141 0 Research Massachusetts General Hospital 55 Fruit Street Boston MA 02114 042697983 501(c)(3) 427287 0 Research Regents of the University of Michigan 500 S State Street Ann Arbor MI 48109 386006309 501(c)(3) 347010 0 Research Research Corporation of the University of Hawaii 2800 Woodlawn Dr Honolulu HI 96822 990115254 501(c)(3) 75592 0 Research University of Maine System acting through the University of Maine 5717 Corbett Hall Orono ME 044695717 016000769 501(c)(3) 40997 0 Research University of New England 11 Hills Beach Road Biddeford ME 04005 010211810 501(c)(3) 45929 0 Research University of Southern Maine 5703 Alumni Hall Ste 101 Orono ME 04469 016000769 501(c)(3) 260863 0 Research University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas TX 75390 752556007 501(c)(3) 19980 0 Research University of Vermont 85 S Prospect St Rm 333 Burlington VT 05405 030179440 501(c)(3) 1887953 0 Research Yale University PO Box 208239 New Haven CT 065208239 060646973 501(c)(3) 309675 0 Research Center for Grieving Children PO Box 1438 Portland ME 04104 010431501 501(C)(3) 16000 0 Fundraising Sponsor American Heart Association Inc 7272 Greenville Ave Dallas TX 752314596 135613797 501(C)(3) 12500 0 Program Support Children's Museum of Maine 142 Free St Portland ME 04101 010352258 501(C)(3) 30000 0 Museum & Theatre Capital Campaign Points North Institute PO Box 836 Camden ME 04843 451622247 501(C)(3) 6000 0 Program Support Rippleffect Inc PO Box 441 Portland ME 04112 010521260 501(C)(3) 5000 0 Fundraising Sponsor Foundation for a Strong Maine Economy 125 Community Dr Ste 101 Augusta ME 04330 300036992 501(C)(3) 25000 0 Program Support Maine 200 323 State St Augusta ME 04330 831535865 501(C)(3) 15000 0 Program Support Sanford Springvale Chamber of Commerce 917 Main Street No B Sanford ME 04073 010226245 501(C)(6) 6000 0 Annual Sponsorship Biddeford Saco Chamber of Commerce 28 Water St 1 Biddeford ME 04005 010029480 501(C)(6) 5000 0 Annual Sponsorship Thornton Academy 6 Boothby Ln Saco ME 04072 813897366 501(C)(3) 10000 0 Athletic Complex Campaign Hospice of Southern Maine 180 US Route 1 Scarborough ME 04074 010540180 501(C)(3) 5000 0 Fundraising Sponsor Sugarloaf 5092 Access Rd Carrabassett Valley ME 04947 010232195 9000 0 Cancer Charity Summit Sponsor Regional School District #20 6 Mortland Rd Searsport ME 04974 263807266 5000 0 Grant To Address Tobacco Use Portland Maine Baseball Inc PO Box 636 Portland ME 04102 010478171 5000 0 Maine Children's Cancer Program Benefit Sponsor First Universalist Church 479 Main St Norway ME 04268 042103733 501(C)(3) 5000 0 Program Support The Progress Center 35 Cottage St Norway ME 04268 010368153 501(C)(3) 7500 0 Feel Better Food Program Western Foothills Land Trust PO Box 107 Norway ME 04268 016083123 501(C)(3) 5000 0 Fundraising Sponsor Susan L Curtis Foundation 1321 Washington Ave Suite 104 Portland ME 04103 010324705 501(C)(3) 6500 0 Fundraising Sponsor 26 6 Scholarship 269 2343375 Part I, Line 2: For the Research Grants to Organizations, these represent subrecipient grants. A subrecipient agreement is signed by both MMC and the subrecipient stating the amount of the award, the award name, the name of the Federal Agency, requirements imposed by laws, regulations and the provisions of the grant agreement. The monthly subrecipient invoices are reviewed and approved by the Principal Investigator prior to payment to verify the Federal funds are used for authorized purposes and are included in the award budget. Other contributions are reviewed by Senior Management and are granted to organizations within our community that promote our shared values. For the Nursing and Healthcare Scholarships, as an application requirement, each scholarship applicant must provide confirmation of enrollment in a Nursing or healthcare related program. For the Medical Education Scholarships for students in the Maine Track of the MMC. TUSM Medical School Program, MMC transfers the scholarship funds to the Tufts School of Medicine (Tufts) financial aid department for distribution to the students. Tufts handles any oversignt to ensure that the funds are used as intended. MMC's role is limited to matching eligible students with scholarship selection criteria and determining who receives each scholarship award. 0 0 0 0 0 0 0 0 0 Brett Loffredo MD Trustee 251230 0 0 0 10805 0 29900 0 23061 0 314996 0 0 0 David Kumaki MD FACP Trustee 247281 0 9608 0 32664 0 5600 0 27498 0 322651 0 0 0 Kate Herlihy MD MHP Trustee 225369 0 9180 0 23034 0 5267 0 27294 0 290144 0 0 0 Lisa Beaule MD Trustee 526971 0 10859 0 10920 0 39471 0 34301 0 622522 0 0 0 Peter Manning MD Trustee 387593 0 0 0 11714 0 9800 0 3979 0 413086 0 0 0 Thomas J Ryan Jr MD FACC Trustee 526238 0 0 0 6341 0 42387 0 24104 0 599070 0 0 0 William L Caron Jr CEO 1159241 0 332000 0 370891 0 90291 0 39621 0 1992044 0 0 0 Albert G Swallow III Treasurer 613535 0 116000 0 96934 0 80100 0 30334 0 936903 0 0 0 Robert Frank Secretary 467772 0 125668 0 30182 0 60134 0 18072 0 701828 0 0 0 Beth Kelsch Asst Secretary 220011 0 70440 0 1342 0 51340 0 29714 0 372847 0 0 0 Richard W Petersen President 927273 0 270000 0 613589 0 81636 0 31603 0 1924101 0 0 0 Matthew R Sanborn MD Surgeon 1301774 0 159588 0 24790 0 11200 0 39083 0 1536435 0 0 0 Robert Ecker MD Surgeon 1302085 0 159588 0 3587 0 38646 0 38771 0 1542677 0 0 0 Joseph T Alexander MD Surgeon 1091316 0 139531 0 80876 0 60792 0 32696 0 1405211 0 0 0 Konrad Barth MD Surgeon 1085393 0 139531 0 69411 0 61313 0 38868 0 1394516 0 0 0 Rajiv D Desai MD Surgeon 1085393 0 139531 0 63104 0 52096 0 38868 0 1378992 0 0 0 Jeffrey Sanders (Frmr Officer) EVP & COO 620353 0 179000 0 28330 0 39386 0 37038 0 904107 0 0 0 Lugene Inzana (Frmr Officer) Sr VP of Finance/CFO 485228 0 78000 0 23026 0 12991 0 35072 0 634317 0 0 0 Joel Botler MD (Frmr Officer) CMO 509448 0 76404 0 149161 0 98049 0 35227 0 868289 0 0 0 Marjorie Wiggins (Frmr Officer) SVP of Nursing & CNO 365367 0 59433 0 144882 0 78726 0 21602 0 670010 0 0 0 Part III - Other Additional Information Top management officials that are compensated by related organizations used one or more of the methods at Part I, Line 3 to establish the compensation of top management. A Finance Authority of Maine 010392006 000000000 2013-07-25 15742390 To finance buildings and equipment 0 0 0 B Maine Health & Higher Ed Facilities Authority 010314384 000000000 2014-03-31 4800000 Buildings and structures 0 0 0 C Maine Health & Higher Ed Facilities Authority 010314384 560427W77 2014-07-24 14201632 See Part VI 0 0 1 D Maine Health & Higher Ed Facilities Authority 010314384 000000000 2014-09-25 3125535 Acquisition of equipment 0 0 0 A 3946795 15742390 136633 15605757 2014 0 0 1 1 B 3001581 4800000 53225 4746775 2014 0 0 1 1 C 6300000 14201632 1995428 161557 14040075 1 0 1 1 D 2271438 3138285 47000 3091285 2015 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Additional Information (Bonds 1-4) "Entity 1" - 7/24/2014 issue - This issue is a pooled financing, and the portion allocable to MaineHealth entities constituted less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of the issue. - Part I, column (e), 7/25/2013 issue - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. - Part I, column (f), 7/24/2014 issue - Refund bonds issued 12/10/1998, 10/16/2003, and 6/3/2004. - 9/25/2014 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. - Part II, line 4, 7/24/2014 issue - The amount shown here consists of $1,661,647 in a debt service reserve fund, plus $333,781 of debt service fund deposits. - Part IV, line 2c, 7/24/2014 issue - This issue was a pooled financing, and the arbitrage calculations are managed by the Authority, not MaineHealth; MaineHealth does not know the date of the pertinent calculation. Additional Information (Bonds 5-8) "Entity 2" - 6/28/2016 and 12/28/2017 issues - These issues are pooled financings, and the portions allocable to MaineHealth entities constitute less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of each issue. - Part I, column (f), 1/7/2015 issue - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility and medical office building. - Part I, column (f), 12/28/2017 issue - Refund bonds issued 11/1/2007 and 6/19/2008. - Part I, column (f), 7/18/2018 issue - Build, renovate, and equip hospital facility. - 1/7/2015 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). - 7/18/2018 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 6/28/2016 issue - The amount shown here consists of $3,165,600 in a debt service reserve fund, plus $776,017 of debt service fund deposits. - Part II, line 4, 12/28/2017 issue - The amount shown here consists of $782,100 in a debt service reserve fund, plus $190,667 of debt service fund deposits. - Part II, line 4, 1/7/2015 and 7/18/2018 issues - The amounts shown here consist of debt service fund deposits. - Part IV, line 2c, 1/7/2015 issue - The date of the calculation was 2/6/2020. - Part IV, line 6, 6/28/2016 issue - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the MaineHealth entities' portions plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount. Additional Information (Bonds 9-10) "Entity 3" - 7/29/2020 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 8/1/2018 and 7/29/2020 issues - The amounts shown here consist of debt service fund deposits. - Part IV, lines 4b and 4c, 8/1/2018 issue - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC. A Maine Health & Higher Ed Facilities Authority 010314384 560427Y75 2015-01-07 92042726 See Part VI 0 0 0 B Maine Health & Higher Ed Facilities Authority 010314384 56042REW8 2016-06-28 29639759 Refund bonds issued 9/7/2006 0 0 1 C Maine Health & Higher Ed Facilities Authority 010314384 56042RQL9 2017-12-28 8909963 See Part VI 0 0 1 D Maine Health & Higher Ed Facilities Authority 010314384 56042RQW5 2018-07-18 183854035 See Part VI 0 0 0 A 1695000 92047763 1075509 1349923 47930551 42754483 2016 1 0 1 1 B 8425000 29639759 3941617 267546 29372213 1 0 1 1 C 1075000 8909963 972767 96231 8813732 1 0 1 1 D 188387437 1995954 15556812 2002269 158416925 12411431 0 0 0 1 A 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 1 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A Maine Health & Higher Ed Facilities Authority 010314384 000000000 2018-08-01 36735000 Refund bonds issued 5/22/2008 0 0 0 B Maine Health & Higher Ed Facilities Authority 010314384 56042RYJ5 2020-07-29 252172695 Construct hospital facility 0 0 0 A 36735000 2657 537368 36197632 1 0 1 1 B 252192286 960550 2131406 18148722 231912158 0 0 0 1 A 0 1 0 0 0.00100 0.00000 0.00100 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 1 See Part VI 17.900000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 Abigail Abbott See Part V 112055 See Part V 0 Alexander Abbott See Part V 240672 See Part V 0 Gwendolyn Anderson See Part V 38496 See Part V 0 Christina Manning See Part V 280173 See Part V 0 Jessika Morin See Part V 276727 See Part V 0 Mary Hourihan See Part V 95264 See Part V 0 Jennifer Caron See Part V 99038 See Part V 0 Judith Fisher See Part V 87765 See Part V 0 Sophia Emmons See Part V 18262 See Part V 0 Meredith Watson See Part V 52014 See Part V 0 Anthony Inzana See Part V 57973 See Part V 0 Substantial Contributor Sub. 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Contributor 100856 Vendor 0 Substantial Contributor Sub. Contributor 3208852 Vendor 0 Substantial Contributor Sub. Contributor 325455 Vendor 0 Substantial Contributor Sub. Contributor 4859986 Vendor 0 Substantial Contributor Sub. Contributor 115708 Vendor 0 Substantial Contributor Sub. Contributor 1219558 Vendor 0 Substantial Contributor Sub. Contributor 781339 Vendor 0 Substantial Contributor Sub. Contributor 1534113 Vendor 0 Substantial Contributor Sub. Contributor 757497 Vendor 0 Substantial Contributor Sub. Contributor 1130886 Vendor 0 Substantial Contributor Sub. Contributor 13103204 Vendor 0 Substantial Contributor Sub. Contributor 5454978 Vendor 0 Substantial Contributor Sub. Contributor 429303 Vendor 0 Substantial Contributor Sub. Contributor 17877312 Vendor 0 Substantial Contributor Sub. Contributor 2476511 Vendor 0 Substantial Contributor Sub. Contributor 401803 Vendor 0 Substantial Contributor Sub. Contributor 136022 Vendor 0 Substantial Contributor Sub. Contributor 14202414 Vendor 0 Substantial Contributor Sub. Contributor 1076573 Vendor 0 Substantial Contributor Sub. Contributor 2443073 Vendor 0 Substantial Contributor Sub. Contributor 185650 Vendor 0 Substantial Contributor Sub. Contributor 5778430 Vendor 0 Substantial Contributor Sub. Contributor 10906920 Vendor 0 Substantial Contributor Sub. Contributor 103737 Vendor 0 Substantial Contributor Sub. Contributor 312145 Vendor 0 Substantial Contributor Sub. Contributor 358573 Vendor 0 Substantial Contributor Sub. Contributor 154781 Vendor 0 Substantial Contributor Sub. Contributor 1918491 Vendor 0 Substantial Contributor Sub. Contributor 3397547 Vendor 0 Substantial Contributor Sub. Contributor 138713 Vendor 0 Substantial Contributor Sub. Contributor 825817 Vendor 0 Schedule L, Part IV, Column (b) and (d) George Isaacson is a member of the Board of Trustees. His daughter, Abigail Abbott, is employed by the organization as a Senior Director. His son in law, Alexander Abbott, is also employed by the organization as a Vice President.Nancy Hasenfus, MD is a member of the Board of Trustees. Her daughter, Gwendolyn Anderson, is employed by the organization as a Psych Technician.Peter Manning, MD is a member of the Board of Trustees. His wife, Christina Manning, MD is a physician employed by the organization.Susannah Swihart is a member of the Board of Trustees. Her stepdaughter, Jessika Morin is a physician employed by the organization.Thomas J. Ryan, MD is a member of the Board of Trustees. His wife, Mary Hourihan, MD is a physician employed by the organization.William Caron is an officer of the Corporation. His daughter in law, Jennifer Caron, is a Research Associate employed by the organization.Morris Fisher is a member of the Board of Trustees. His wife, Judith Fisher, is employed by the organization.Christopher W. Emmons is a member of the Board of Trustees. His daughter, Sophia Emmons is employed by the organization.Stuart Watson is a member of the Board of Trustees. His daughter, Meredith Watson is a manager employed by the organization.Lugene Inzana is a former officer of the Corporation. His son, Anthony Inzana is a Surgical Tech employed by the organization. X 10 2176034 Fair Market Value 0 1 0 Form 990, Part V, Line 1a MaineHealth (EIN: 01-0238552), acting on behalf of the MaineHealth System filed 1,687 Form 1099s for the calendar year 2019. Form 990, Part V, Line 2a MaineHealth (EIN: 01-0238552), acting on behalf of the MaineHealth System filed Form W-3, reporting 22,661 employees for the calendar year 2019. Form 990, Part VI, Section A, line 2 Katherine Coster and Jere Michelson were board members of MaineHealth and Gorham Savings Bank. Form 990, Part VI, Section A, line 4 On March 1, 2020, the MaineHealth Articles of Incorporation were amended to allow for a director to be appointed by a new nonprofit member of the MaineHealth system, Mid Coast-Parkview Health, and corresponding changes were made to the MaineHealth Bylaws. Form 990, Part VI, Section A, line 6 MaineHealth Services (EIN: 01-0431680) is the sole Member of the organization. Form 990, Part VI, Section A, line 7a The sole Member of the organization has the responsibility for the election of the members of the governing body. Form 990, Part VI, Section A, line 7b There are decisions by the governing body that require the approval of its sole member. They include: 1. The amendment of the Articles of Incorporation 2. The merger or consolidation with an unrelated entity 3. The sale or other disposition of all or substantially all the assets of the Corporation 4. The dissolution of the Corporation Form 990, Part VI, Section B, line 11b The MaineHealth CFO and Associate CFO reviewed the 990 in detail. The 990 was also made available to the full Board of Trustees prior to filing. Form 990, Part VI, Section B, line 12c Conflicts of Interest statements are obtained annually. MaineHealth Services' Audit & Compliance Services Department collects and reviews the responses to these documents and addresses any issues immediately. The results are shared with Board leadership. Form 990, Part VI, Section B, line 15 Compensation for Top Official & Officers MaineHealth uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO and other key administrative employees. The firm meets with the Executive Committee of the Board of Directors to review each executive's benchmark report. The Executive Committee then deliberates on MaineHealth Services' written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Form 990, Part VI, Section C, line 19 Documents that are required to be open for public inspection are made available upon request. Form 990, Part XI, line 9: Equity Transfers to Affiliates -82,253,513. Retirement Benefit Plan Adjustments 17,092,135. MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 Maine Medical Center Realty Corp 22 Bramhall Street Portland ME 04102 010434215 Property management ME 501(c)(3) Line 12a, I MaineHealth 1 MaineHealth Care at Home 15 Industrial Park Saco ME 04072 222571902 Home health ME 501(c)(3) Line 10 MaineHealth Services 0 NorDx 301A US Route One Scarborough ME 04074 010511356 Lab ME 501(c)(3) Line 10 MaineHealth Services 0 The Memorial Hospital 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital NH 501(c)(3) Line 3 MaineHealth Services 0 St Joseph's Rehab & Residence 1133 Washington Avenue Portland ME 04103 010339489 Nursing home ME 501(c)(3) Line 10 MaineHealth 0 LincolnHealth Cove's Edge 35 Miles Street Damariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 MaineHealth 1 Quarry Hill PO Box 287 Belfast ME 04915 010213976 Long term care ME 501(c)(3) Line 10 MaineHealth 1 Penobscot Bay Physicians & Associates PO Box 287 Belfast ME 04915 010530517 Physician services ME 501(c)(3) Line 12b, II MaineHealth 1 LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta ME 04543 263878235 Physician practices ME 501(c)(3) Line 7 MaineHealth 1 Western Maine Multi-Medical Specialists 181 Main Street Norway ME 04268 010489824 Physician practices ME 501(c)(3) Line 10 MaineHealth 1 Evergreen Behavioral Services 131 Franklin Health Commons Farmington ME 04938 010492747 Mental Health ME 501(c)(3) Line 10 MaineHealth 1 Healthy Community Coalition 105 Mt Blue Circle Farmington ME 04938 223305743 Community services ME 501(c)(3) Line 7 MaineHealth 1 Mid Coast Parkview Health 123 Medical Center Drive Brunswick ME 04011 010430069 Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services 0 Maine Medical Partners 22 Bramhall Street Portland ME 04102 010442142 Healthcare ME MaineHealth C 213658926 17047644 1.00000 1 Waldo County Healthcare Mgmt Co PO Box 287 Belfast ME 04915 010485133 Management Services ME MaineHealth C 1418455 2267980 1.00000 1 PBH Management Company PO Box 287 Belfast ME 04915 010537278 Management Services ME MaineHealth C 131971 437297 1.00000 1 1 1 1 1 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 Maine Medical Partners J 65175168 Fair Market Value Maine Medical Partners O 206816791 Fair Market Value Maine Medical Partners P 756003 Fair Market Value Maine Medical Partners Q 49135395 Fair Market Value Maine Medical Partners R 206668624 Fair Market Value Maine Medical Center Realty Corp K 2642201 Fair Market Value Maine Medical Center Realty Corp Q 1486842 Fair Market Value Maine Medical Center Realty Corp O 185019 Fair Market Value Maine Medical Center Realty Corp P 3162337 Fair Market Value Saint Joseph's Rehabilitation and Residence S 108855 Fair Market Value Saint Joseph's Rehabilitation and Residence R 1150000 Fair Market Value