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MAINE COMMUNITY HEALTH OPTIONS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MAINE COMMUNITY HEALTH OPTIONS (EIN 45-3416923)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349327867
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T18:01:28-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 SOUTH STREET TWO FINANCIALAddressLine1Txt
Address Line2CENTERAddressLine2Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453416923EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAINE COMMUNITY HEALTH OPTIONSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAINBusinessNameControlTxt
Phone2074023330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 MILL STREET THIRD FLOORAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOANNE LAUTERBACHPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2073302390PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOANNEPersonFirstNm
Person LastLAUTERBACHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEPHANIE LONCZAKPreparerPersonNm
PTINP01880207PTIN
Phone6179881000PhoneNum
Preparation2021-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN LEWISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 MILL STREET THIRD FLOORAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$230,534,833GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.HEALTHOPTIONS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee190TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$17,054TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$13,380NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$314,606,284PYProgramServiceRevenueAmt
CY Program Service Revenue$228,677,518CYProgramServiceRevenueAmt
PY Investment Income$3,559,190PYInvestmentIncomeAmt
CY Investment Income$1,857,315CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$318,165,474PYTotalRevenueAmt
CY Total Revenue$230,534,833CYTotalRevenueAmt
PY Grants And Similar Paid$500,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$249,484,693PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$126,374,419CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,532,012PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,582,760CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$21,461,925PYOtherExpensesAmt
CY Other Expenses$28,070,189CYOtherExpensesAmt
PY Total Expenses$292,978,630PYTotalExpensesAmt
CY Total Expenses$174,032,368CYTotalExpensesAmt
PY Revenues Less Expenses$25,186,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$56,502,465CYRevenuesLessExpensesAmt
Total Assets BOY$182,400,877TotalAssetsBOYAmt
Total Assets EOY$218,975,407TotalAssetsEOYAmt
Total Liabilities BOY$98,211,956TotalLiabilitiesBOYAmt
Total Liabilities EOY$78,835,404TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$84,188,921NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$140,140,003NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionESTABLISHING AND OPERATING A CONSUMER OPERATED AND ORIENTED PLAN ("CO-OP") IN ACCORDANCE WITH THE PROVISIONS OF SECTION 1322 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. AS A CONSUMER - GOVERNED NONPROFIT HEALTH INSURANCE ISSUER THAT WILL PROMOTE INTEGRATED MODELS OF CARE AND ENHANCE COMPETITION BY OFFERING ONE OR MORE QUALIFIED HEALTH PLANS IN THE AFFORDABLE INSURANCE EXCHANGES. CREATING AND DEVELOPING INNOVATIVE FORMS OF HEALTHCARE DELIVERY FOR THE PURPOSE OF CREATING BETTER HEALTHCARE VALUE THROUGH IMPROVED HEALTH OUTCOMES AT LOWER COSTS. PROMOTING THE HEALTH OF THE PEOPLE OF MAINE AND NEW HAMPSHIRE AND EDUCATING THE PUBLIC ABOUT HEALTH, HEALTH CARE AND RELATED TOPICS.FORM 990, PART V, LINE 13MCHO IS LICENSED TO ISSUE QUALIFIED HEALTH PLANS IN THE FOLLOWING STATES:ME, NHMCHO MAINTAINS AND REPORTS THE FULL AMOUNT OF RESERVES REQUIRED BY MAINE AND NEW HAMPSHIRE STATE LAW OF $100,000 AND $0, RESPECTIVELY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescESTABLISHING AND OPERATING A CONSUMER OPERATED AND ORIENTED PLAN ("CO-OP") IN ACCORDANCE WITH THE PROVISIONS OF THE SECTION 1322 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. AS A CONSUMER-GOVERNED NONPROFIT HEALTH INSURANCE ISSUER THAT WILL PROMOTE INTEGRATED MODELS OF CARE AND ENHANCE COMPETITION BY OFFERING ONE OR MORE QUALIFIED HEALTH PLANS IN THE AFFORDABLE INSURANCE EXCHANGES. PROMOTING THE HEALTH OF THE PEOPLE OF MAINE AND EDUCATING THE PUBLIC ABOUT HEALTH, HEALTH CARE AND RELATED TOPICS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document1883IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee190EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Licensed More Than One StateYes (1)LicensedMoreThanOneStateInd
State Required Reserves$100,000StateRequiredReservesAmt
Reserves Maintained$100,000ReservesMaintainedAmt
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOANNE LAUTERBACHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2073302390PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 MILL STREET THIRD FLOORAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
REBECCA CONRAD
DIRECTOR (AS OF 1/1/2020)2.00Yes (X)$0$0$0
FREDERIC C GRAIGIE JR
DIRECTOR2.00Yes (X)$0$0$0
SARAH HINES
DIRECTOR2.00Yes (X)$0$0$0
HOLLY KORDA
DIRECTOR2.00Yes (X)$0$0$0
ASHER KRAMER
DIRECTOR (AS OF 1/1/2020)2.00Yes (X)$0$0$0
ROBERT LORENZO
DIRECTOR2.00Yes (X)$0$0$0
HEIDI LUKAS
DIRECTOR2.00Yes (X)$0$0$0
ROCELL MARCELLINO
DIRECTOR2.00Yes (X)$0$0$0
JEFF NORRIS
PRESIDENT2.00Yes (X)$0$0$0
MICHAEL POULIN
DIRECTOR (1/1/20 - 7/16/20)2.00Yes (X)$0$0$0
SHARON REISHUS
DIRECTOR2.00Yes (X)$0$0$0
DAVID SHIPMAN
DIRECTOR2.00Yes (X)$0$0$0
DAVID SHULTZ
DIRECTOR2.00Yes (X)$0$0$0
JUDIANN FERRETTI SMITH
DIRECTOR2.00Yes (X)$0$0$0
MITCHELL STEIN
DIRECTOR2.00Yes (X)$0$0$0
LISA TAPERT
DIRECTOR2.00Yes (X)$0$0$0
RHONDA WESTON
DIRECTOR2.00Yes (X)$0$0$0
DOUGLAS WILSON
DIRECTOR2.00Yes (X)$0$0$0
KEVIN LEWIS
CHIEF EXECUTIVE OFFICER40.00$470,170$0$25,626Yes (X)
WILLIAM KILBRETH
CHIEF INFORMATION OFFICER40.00$283,842$0$38,256Yes (X)
EDWARD VOZZO
CHIEF FINANCIAL OFFICER (THRU AUG 2020)40.00$229,472$0$6,717Yes (X)
ROBERT HILLMAN
CHIEF OPERATING OFFICER40.00$398,212$0$35,926Yes (X)
JOANNE LAUTERBACH
CHIEF FINANCIAL OFFICER40.00$170,953$0$6,343Yes (X)
MARGARET KELLEY
AVP OF MEDICAL SERVICES40.00$264,262$0$34,728Yes (X)
NANCY JOHNSON
AVP COMPLIANCE & REG. AFFAIRS40.00$164,062$0$31,817Yes (X)
GRAYSON STUNTZ
DIRECTOR OF INFO. TECHNOLOGY40.00$157,306$0$34,313Yes (X)
JANE CARIELLO
AVP SERVICE OPERATIONS40.00$155,073$0$29,893Yes (X)
KIRK MIKLAVIC
VP OF HUMAN RESOURCES40.00$166,269$0$32,239Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,459,621TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$275,858TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UST GLOBAL INC
PO BOX 31001-1967PASADENACA911101967CLAIMS PLATFORM VEND$3,118,751
EVICORE
400 BUCKWATER PLACE BLVDBLUFFTONSC29910UTILITZATION MGMT$2,381,662
FREEPORT METRICS INC
15 FRANKLIN STREET 2ND FLOORPORTLANDME04101SOFTWARE DEVELOPMENT$1,261,635
MILLIMAN
ATTN ANNA ORTIZ 80 LAMBERTON RDWINDSORCT06095PRINT/MAIL VENDOR$856,529
SUMMIT REINSURANCE SERVICES INC
7030 POINTE INVERNESS WAY STE 350FORT WAYNEIN46804REINSURANCE PREM.$781,092
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUM REVENUEDesc
Business900099BusinessCd
Total Revenue Column$228,677,518TotalRevenueColumnAmt
Related Or Exempt Func Income$228,677,518RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$228,677,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,857,315TotalRevenueColumnAmt
Unrelated Business Revenue$17,054UnrelatedBusinessRevenueAmt
Exclusion$1,840,261ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,534,833TotalRevenueColumnAmt
Related Or Exempt Func Income$228,677,518RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$17,054UnrelatedBusinessRevenueAmt
Exclusion$1,840,261ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$126,374,419TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,735,474TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,804,620TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$345,680TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,837,943TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$859,043TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,387,378TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$547,795TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$50,200TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$259,212TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,494,077TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$537,560TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$724,383TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,734,613TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$401,992TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,801TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,630TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$514,181TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$383,450TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
GOVERNMENT MANDATED FEE$7,792,652
DUES, ASSOC. AND MEMBER$186,265

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$174,032,368TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,109,643BOYAmt
EOY$61,990,275EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$103,777,257BOYAmt
EOY$77,646,032EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,626,942BOYAmt
EOY$3,892,800EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$51,384,627BOYAmt
EOY$68,950,865EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,502,408BOYAmt
EOY$6,495,435EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$182,400,877BOYAmt
EOY$218,975,407EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,295,297BOYAmt
EOY$54,115,719EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$450,565BOYAmt
EOY$324,702EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,466,094BOYAmt
EOY$24,394,983EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,211,956BOYAmt
EOY$78,835,404EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$84,188,921BOYAmt
EOY$140,140,003EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,188,921BOYAmt
EOY$140,140,003EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$182,400,877BOYAmt
EOY$218,975,407EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$56,502,465ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$551,383OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
UNPAID CLAIMS AND LOSS$20,459,204
UNEARNED PREMIUMS$3,935,779
FieldValueIRS element (for citing)
Total Liability$24,394,983TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$244,824,808TotalRevEtcAuditedFinclStmtAmt
Other Revenue$51,605,864OtherRevenueAmt
Revenue Not Reported$51,605,864RevenueNotReportedAmt
Revenue Subtotal$193,218,944RevenueSubtotalAmt
Investment Expenses Not Incld$259,212InvestmentExpensesNotIncldAmt
Other Revenues Not Included$37,056,677OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$37,315,889RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$230,534,833TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$188,322,343TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$37,056,677OtherExpensesIncludedAmt
Expenses Not Reported-$37,056,677ExpensesNotReportedAmt
Expenses Subtotal$225,379,020ExpensesSubtotalAmt
Investment Expenses Not Incld2$259,212InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$51,605,864OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$51,346,652ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$174,032,368TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:EXPLANATION: MAINE COMMUNITY HEALTH OPTIONS HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(29) AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AS PROVIDED FOR IN THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH CLARIFIES THE CRITERIA THAT AN INDIVIDUAL TAX POSITION MUST BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. IT ALSO PRESCRIBES A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT, AND A MEASUREMENT ATTRIBUTE FOR ALL TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN, IN ORDER FOR THOSE TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THERE WAS NO CUMULATIVE EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS RELATED TO FOLLOWING THESE PROVISIONS, AND NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS WERE ACCRUED. THE ORGANIZATION IS CURRENTLY OPEN TO AUDIT UNDER THE STATUTE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES FOR THE YEARS ENDED DECEMBER 31, 2017 THROUGH 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CONTRA-PREMIUMS AND REINSURANCE PREMIUMS
PART XI, LINE 4B - OTHER ADJUSTMENTS:OTHER REIMBURSEMENTS AND REBATES
PART XII, LINE 2D - OTHER ADJUSTMENTS:OTHER REIMBURSEMENTS AND REBATES
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRA-PREMIUMS AND REINSURANCE PREMIUMS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN LEWIS
CHIEF EXECUTIVE OFFICER$379,568$0$90,602$0$0$0$7,631$0$17,995$0$495,796$0$0$0
ROBERT HILLMAN
CHIEF OPERATING OFFICER$320,519$0$77,693$0$0$0$8,167$0$27,759$0$434,138$0$0$0
WILLIAM KILBRETH
CHIEF INFORMATION OFFICER$228,899$0$54,943$0$0$0$8,008$0$30,248$0$322,098$0$0$0
MARGARET KELLEY
AVP OF MEDICAL SERVICES$230,277$0$33,985$0$0$0$9,465$0$25,263$0$298,990$0$0$0
EDWARD VOZZO
CHIEF FINANCIAL OFFICER (THRU AUG 20$168,445$0$61,027$0$0$0$6,717$0$0$0$236,189$0$0$0
KIRK MIKLAVIC
VP OF HUMAN RESOURCES$166,269$0$0$0$0$0$6,690$0$25,549$0$198,508$0$0$0
NANCY JOHNSON
AVP COMPLIANCE & REG. AFFAIRS$164,062$0$0$0$0$0$6,651$0$25,166$0$195,879$0$0$0
GRAYSON STUNTZ
DIRECTOR OF INFO. TECHNOLOGY$157,306$0$0$0$0$0$5,921$0$28,392$0$191,619$0$0$0
JANE CARIELLO
AVP SERVICE OPERATIONS$155,073$0$0$0$0$0$6,292$0$23,601$0$184,966$0$0$0
JOANNE LAUTERBACH
CHIEF FINANCIAL OFFICER$170,953$0$0$0$0$0$3,367$0$2,976$0$177,296$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationCERTAIN INDIVIDUALS RECEIVED A NON-FIXED BONUS PAYMENT. THESE PAYMENTS WERE DISCRETIONARY AND REQUIRED BOARD APPROVAL.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DFD RUSSELL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionKEVIN LEWIS, CEO OF MCHORelationshipDescriptionTxt
Transaction$56,376TransactionAmt
TransactionCLAIMS PAIDTransactionDesc
Sharing Of RevenuesYes (1)SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationKEVIN LEWIS, CEO OF ORGANIZATION'S WIFE IS CEO OF DFD RUSSELL MEDICAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1:TO PARTNER WITH MAINE PEOPLE, BUSINESSES AND HEALTH PROFESSIONALS TO PROVIDE AFFORDABLE, HIGH QUALITY BENEFITS THAT PROMOTE HEALTH AND WELL BEING.
FORM 990, PART VI, SECTION A, LINE 6EXPLANATION: THIS CORPORATION HAS ONE CLASS OF MEMBERS CONSISTING OF ALL INDIVIDUALS COVERED UNDER HEALTH INSURANCE POLICIES ISSUED BY THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7AEXPLANATION: EACH MEMBER 18 YEARS AND OLDER SHALL HAVE A SINGLE VOTE. ALL DECISIONS OF THE MEMBERS SHALL BE BY A MAJORITY VOTE. THE MEMBERS SHALL BE LISTED ON A SCHEDULE THAT SHALL BE MAINTAINED WITH THIS CORPORATION'S OTHER BOOKS AND RECORDS. THE MEMBERS SHALL HAVE THE SOLE AND EXCLUSIVE POWER AND AUTHORITY: TO AMEND THIS CORPORATION'S ARTICLES OF INCORPORATION; TO ELECT OR REMOVE DIRECTORS OF THIS CORPORATION; AND TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION, OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THIS CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BEXPLANATION: EACH MEMBER 18 YEARS AND OLDER SHALL HAVE A SINGLE VOTE. ALL DECISIONS OF THE MEMBERS SHALL BE BY A MAJORITY VOTE. THE MEMBERS SHALL BE LISTED ON A SCHEDULE THAT SHALL BE MAINTAINED WITH THIS CORPORATION'S OTHER BOOKS AND RECORDS. THE MEMBERS SHALL HAVE THE SOLE AND EXCLUSIVE POWER AND AUTHORITY: TO AMEND THIS CORPORATION'S ARTICLES OF INCORPORATION; TO ELECT OR REMOVE DIRECTORS OF THIS CORPORATION; AND TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION, OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THIS CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BEXPLANATION: A COPY OF THE FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEXPLANATION: WHEN OFFICERS AND BOARD MEMBERS START, THEY ARE REQUIRED TO SIGN A STATEMENT INDICATING THAT THEY DO NOT HAVE ANY CONFLICTS OF INTEREST. THEY ARE THEN REQUIRED TO RECERTIFY ANNUALLY THAT THEY DO NOT HAVE ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15EXPLANATION: NUMEROUS LEVELS OF OVERSIGHT WERE INVOLVED IN SETTING BOTH CEO AND OFFICERS' COMPENSATION FOR MAINE COMMUNITY HEALTH OPTIONS. FIRST AND FOREMOST, THE FORMATION BOARD OF MCHO WAS CRITICALLY INVOLVED IN THE DECISION ABOUT THE COMPENSATION OF THE CEO. SALARIES OF CEOS OF OTHER NON-PROFIT INSURANCE ORGANIZATIONS WERE PROVIDED TO THE BOARD AND THE CEO SALARY WAS APPROVED. ONCE APPROVED BY THE BOARD, CMS REVIEWED THE SALARY FOR REASONABLENESS AND ADEQUATE COMPARABILITY PRIOR TO EXECUTION OF THE LETTER OF AGREEMENT. TO DETERMINE SALARIES FOR THE REMAINING OFFICERS OF MCHO, THE CEO AND THE CHRO UTILIZED THE 2011 ACAP SURVEY TO UNDERSTAND COMPARABLE SALARIES BASED ON WHAT WOULD BE PAID FOR SERVICES PERFORMED BY AN OFFICER FOR LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES. ONCE A SALARY WAS DETERMINED, THE CEO PROVIDED THE CONTRACT AND SALARY TO CMS TO ENSURE OVERSIGHT, COMPARABILITY AND REASONABLENESS. ONCE CMS APPROVED THE CONTRACT AND SALARY, THE CONTRACT WAS EXECUTED. ALL COMPENSATION DECISIONS ARE DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19EXPLANATION: MCHO WILL MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES AVAILABLE TO THE PUBLIC IN PRINT UPON REQUEST. MCHO'S FINANCIAL STATEMENTS ARE MADE PUBLIC WITH THE MAINE BUREAU OF INSURANCE AND THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AS WELL AS THROUGH FORM 990.
FORM 990, PART XI, LINE 9:CHANGE IN NONADMITTED ASSETS -551,383.
FORM 990, PART XII, LINE 1MAINE COMMUNITY HEALTH OPTIONS PREPARED ITS 2020 AUDITED FINANCIAL STATEMENTS USING THE STATUTORY BASIS, WHICH IS A COMPREHENSIVE METHOD OTHER THAN U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP).
FORM 990, PART XII, LINE 2C:EXPLANATION: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY OPTIONS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1121AddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04243ZIPCd
FieldValueIRS element (for citing)
EIN301244131EIN
Primary ActivitiesLICENSED RESIDENT PRODUCER AGENCYPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAINE COMMUNITY HEALTH OPTIONSBusinessNameLine1Txt