CENTRAL MAINE MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CENTRAL MAINE MEDICAL CENTER (EIN 01-0211494)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-15
IRS object ID: 202031979349301903
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-15T08:41:42-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010211494	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL MAINE MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JOHN WHITLOCK	InCareOfNm
Business Name Control	CENT	BusinessNameControlTxt
Phone	2077952813	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 4500	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	042434500	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN WHITLOCK	PersonNm
Person Title	TREASURER	PersonTitleTxt
Signature	2020-03-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43032920201975000014	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	74C51B083D6172D3D43AC87F1A33B4712A418457	AtSubmissionCreationDeviceId
At Submission Filing Device Id	39CBA67CBDC84C24964593991C1F330368A3BFFE	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID TUPPONCE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 MAIN STREET	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04240	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$394,363,319	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CMMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1888	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	CMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	2439	TotalEmployeeCnt
Total Volunteers	1400	TotalVolunteersCnt
Total Gross UBI	$43,595	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$13,865	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,930,789	PYContributionsGrantsAmt
CY Contributions Grants	$1,217,546	CYContributionsGrantsAmt
PY Program Service Revenue	$395,738,250	PYProgramServiceRevenueAmt
CY Program Service Revenue	$391,026,862	CYProgramServiceRevenueAmt
PY Investment Income	$1,389,274	PYInvestmentIncomeAmt
CY Investment Income	$1,020,265	CYInvestmentIncomeAmt
PY Other Revenue	-$155,967	PYOtherRevenueAmt
CY Other Revenue	-$100,761	CYOtherRevenueAmt
PY Total Revenue	$399,902,346	PYTotalRevenueAmt
CY Total Revenue	$393,163,912	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$177,775,276	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$219,487,890	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$27,523	CYTotalFundraisingExpenseAmt
PY Other Expenses	$232,152,287	PYOtherExpensesAmt
CY Other Expenses	$192,983,964	CYOtherExpensesAmt
PY Total Expenses	$409,927,563	PYTotalExpensesAmt
CY Total Expenses	$412,471,854	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,025,217	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$19,307,942	CYRevenuesLessExpensesAmt
Total Assets BOY	$268,852,897	TotalAssetsBOYAmt
Total Assets EOY	$262,579,641	TotalAssetsEOYAmt
Total Liabilities BOY	$216,707,609	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$229,338,373	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$52,145,288	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$33,241,268	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$324,855,862	ExpenseAmt
Revenue	$391,026,862	RevenueAmt
Desc	CENTRAL MAINE MEDICAL CENTER IS A 250-BED, NOT-FOR-PROFIT HOSPITAL LOCATED IN LEWISTON, MAINE OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CENTRAL AND WESTERN MAINE REGION WITH AN ACTIVE MEDICAL STAFF OF MORE THAN 300 PHYSICIANS REPRESENTING SOME 30 SPECIALTIES OVER 2,000 HIGHLY SKILLED EMPLOYEES AND WITH THE SUPPORT OF THE LATEST TECHNOLOGIES, CMMC IS WELL POSITIONED TO MEET THE REGION'S HEALTHCARE NEEDS WITH THE UTMOST COMPASSION, KINDNESS, AND UNDERSTANDING.	Desc
Total Program Service Expenses	$324,855,862	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	117	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2439	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOHN WHITLOCK	PersonNm
Phone	2077952813	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 MAIN STREET	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04240	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK A ADAMS
VICE CHAIR; DIRECTOR END 07/18	1.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
AUSTIN ALBERT
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
JEFF BRICKMAN
PRESIDENT/DIRECTOR	1.0	61.0	Yes (X)	Yes (X)	$0	$717,577	$99,794
DEBORAH DUNLAP AVASTHI
CHAIRPERSON/DIRECTOR	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
DOUGLAS M BOYD
DIRECTOR END 12/18	1.0	3.0	Yes (X)		$0	$0	$0
JANET HALL KOSKI
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
JOLAN IPPOLITO
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
WILLIAM LEE MD
PHYSICIAN; DIRECTOR	55.0	3.0	Yes (X)		$299,925	$0	$24,938
PHIL LIBBY
DIRECTOR END 04/19	1.0	3.0	Yes (X)		$0	$0	$0
CRAIG TRIBUNO
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
WILLIAM CLIFFORD
DIRECTOR BEG 08/18	1.0	3.0	Yes (X)		$0	$0	$0
DEVORE CULVER
DIRECTOR BEG 08/18	1.0	3.0	Yes (X)		$0	$0	$0
MICHAEL RICCI MD
PHYSICIAN; DIRECTOR BEG 10/18	55.0	3.0	Yes (X)		$456,513	$0	$7,375
GEOFFREY SWIFT
DIRECTOR BEG 07/18	1.0	3.0	Yes (X)		$0	$0	$0
JENNIFER WEINER-SMITH MD
PHYSICIAN; DIRECTOR BEG 10/18	55.0	3.0	Yes (X)		$432,983	$0	$36,509
DAVID THOMPSON
TREASURER END 06/19	1.0	61.0		Yes (X)	$0	$485,419	$46,547
HOLLI BOCCELLI
SECRETARY	1.0	57.0		Yes (X)	$0	$196,682	$615
DAVID TUPPONCE
PRESIDENT OF CMMC	55.0	1.0		Yes (X)	$0	$566,043	$60,817
JOHN WHITLOCK
TREASURER BEG 06/19	1.0	60.0		Yes (X)	$0	$157,528	$11,649
MICHAEL STADNICKI
PHYSICIAN DIVISION CHIEF	55.0	0.0			$355,182	$0	$30,909	Yes (X)
BETHANY PICKER
PHYSICIAN DIVISION CHIEF	55.0	0.0			$224,948	$0	$24,927	Yes (X)
ANDREW EISENHAUER
PHYSICIAN DIVISION CHIEF	55.0	0.0			$746,062	$0	$24,524	Yes (X)
SCOTT JOHNSON
PHYSICIAN DIVISION CHIEF	55.0	0.0			$483,223	$0	$28,038	Yes (X)
MICHAEL BLAKE
PHYSICIAN DIVISION CHIEF	55.0	0.0			$415,122	$0	$12,019	Yes (X)
CLAUDIA GEYER
PHYSICIAN DIVISION CHIEF	55.0	0.0			$351,753	$0	$31,873	Yes (X)
PAUL WELDNER MD
PHYSICIAN	55.0	0.0			$945,407	$0	$6,875		Yes (X)
CARMINE FRUMIENTO MD
PHYSICIAN	55.0	0.0			$802,825	$0	$24,230		Yes (X)
TAREK RADWAN MD
PHYSICIAN	55.0	0.0			$1,077,487	$0	$23,660		Yes (X)
PETER HIGGINS
PHYSICIAN	55.0	0.0			$784,158	$0	$31,349		Yes (X)
ARUN THUKKANI
PHYSICIAN	55.0	0.0			$763,558	$0	$17,753		Yes (X)
RICHARD GOLDSTEIN
FORMER PHYS PRACT EXEC	55.0	1.0			$0	$508,304	$11,762			Yes (X)
PHILIPPE MORISSETTE
FORMER TREASURER/VICE. PRES	55.0	1.0			$0	$126,647	$1,684			Yes (X)
JAMES LOGGINS MD
FORMER PHYS DIVISION CHIEF	0.0	0.0			$304,631	$0	$18,309			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,443,777	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,758,200	TotReportableCompRltdOrgAmt
Total Other Compensation	$576,156	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	273	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC
525 WILLIAM PENN PL	PITTSBURGH	PA	15251	FOOD & OP. PLNT SVCS	$14,729,987
QUEST DIAGNOSTICS
PO BOX 844226	BOSTON	MA	022844226	MEDICAL SERVICES	$4,586,634
WEATHERBY LOCUMS INC
200 1020 SOUTHHILL DR	CARY	NC	27513	MEDICAL STAFFING	$4,386,811
COMPREHENSIVE PHARMACY SERVICES
PO BOX 638316	CINCINNATI	OH	452638316	MEDICAL SERVICES	$4,027,598
AUTUMN ENTERPRISE
2851 S PARKER RD SUITE 1100	AURORA	CO	80014	MEDICAL STAFFING	$3,624,487

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Fundraising	$91,450	FundraisingAmt
Related Organizations	$415,226	RelatedOrganizationsAmt
All Other Contributions	$710,870	AllOtherContributionsAmt
Total Contributions	$1,217,546	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	900099	$360,156,100	$360,156,100
PHARMACY REVENUE	446110	$22,234,621	$22,234,621
OTHER REVENUE	900099	$7,574,336	$7,574,336
CAFETERIA REVENUE	722514	$1,061,805	$1,061,805

Field	Value	IRS element (for citing)
Total Program Service Revenue	$391,026,862	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$912,071	TotalRevenueColumnAmt
Exclusion	$912,071	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,071,278	SecuritiesAmt
Other	$146,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,096,118	SecuritiesAmt
Other	$12,966	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$24,840	SecuritiesAmt
Other	$133,034	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$108,194	TotalRevenueColumnAmt
Exclusion	$108,194	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$6,940	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$91,450	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$19,423	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,483	TotalRevenueColumnAmt
Exclusion	-$12,483	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$114,495	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$70,900	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,595	TotalRevenueColumnAmt
Unrelated Business Revenue	$43,595	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EQUITY INVESTMENT	900099	$210,957	$210,957
LOSS ON RESTRUCTURING	900099	-$342,830	-$342,830

Field	Value	IRS element (for citing)
Other Revenue Total	-$131,873	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$393,163,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$391,026,862	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$43,595	UnrelatedBusinessRevenueAmt
Exclusion	$875,909	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,986,823	TotalAmt
Program Services	$3,986,823	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$357,526	TotalAmt
Program Services	$357,526	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$188,819,941	TotalAmt
Program Services	$166,012,659	ProgramServicesAmt
Management And General	$22,807,282	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,886,177	TotalAmt
Program Services	$2,769,891	ProgramServicesAmt
Management And General	$116,286	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,641,833	TotalAmt
Program Services	$10,318,868	ProgramServicesAmt
Management And General	$4,322,965	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,795,590	TotalAmt
Program Services	$8,403,555	ProgramServicesAmt
Management And General	$392,035	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$302,689	TotalAmt
Management And General	$302,689	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$108,896	TotalAmt
Management And General	$108,896	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,569,695	TotalAmt
Program Services	$25,392,709	ProgramServicesAmt
Management And General	$33,176,986	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$103,464	TotalAmt
Program Services	$1,207	ProgramServicesAmt
Management And General	$102,257	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,151,223	TotalAmt
Program Services	$7,804,660	ProgramServicesAmt
Management And General	$1,319,040	ManagementAndGeneralAmt
Fundraising	$27,523	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,269,815	TotalAmt
Program Services	$2,186,494	ProgramServicesAmt
Management And General	$2,083,321	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,885,716	TotalAmt
Program Services	$1,785,382	ProgramServicesAmt
Management And General	$4,100,334	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$603,743	TotalAmt
Program Services	$541,658	ProgramServicesAmt
Management And General	$62,085	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$509,650	TotalAmt
Program Services	$509,650	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,233,108	TotalAmt
Program Services	$74,826	ProgramServicesAmt
Management And General	$5,158,282	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,701,363	TotalAmt
Program Services	$14,484,811	ProgramServicesAmt
Management And General	$6,216,552	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,222,636	TotalAmt
Program Services	$2,535,318	ProgramServicesAmt
Management And General	$6,687,318	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$69,645,060	$69,531,622	$113,438
PROVIDER TAX	$7,630,374	$7,630,374
LICENSES, DUES, SUBSCRIPTIONS	$835,847	$423,608	$412,239
MISCELLANEOUS	$210,685	$104,221	$106,464

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$412,471,854	TotalAmt
Program Services	$324,855,862	ProgramServicesAmt
Management And General	$87,588,469	ManagementAndGeneralAmt
Fundraising	$27,523	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$132,342	BOYAmt
EOY	$1,847,010	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,440,765	BOYAmt
EOY	$15,768,183	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,080	BOYAmt
EOY	$4,080	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,324,208	BOYAmt
EOY	$47,422,342	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$10,028	BOYAmt
EOY	$15,834	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,210,504	BOYAmt
EOY	$3,278,106	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,374,629	BOYAmt
EOY	$6,746,482	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$983,915	BOYAmt
EOY	$763,417	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$426,379,773	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$294,175,174	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$132,402,495	BOYAmt
EOY	$132,204,599	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$19,756,370	BOYAmt
EOY	$7,223,218	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,960,359	BOYAmt
EOY	$4,171,316	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,044,101	BOYAmt
EOY	$2,922,013	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$38,209,101	BOYAmt
EOY	$40,213,041	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$268,852,897	BOYAmt
EOY	$262,579,641	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$104,076,840	BOYAmt
EOY	$116,965,400	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$710,818	BOYAmt
EOY	$688,905	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,955,317	BOYAmt
EOY	$98,731,680	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,964,634	BOYAmt
EOY	$12,952,388	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$216,707,609	BOYAmt
EOY	$229,338,373	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,844,468	BOYAmt
EOY	$16,715,946	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,647,554	BOYAmt
EOY	$3,416,706	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,653,266	BOYAmt
EOY	$13,108,616	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$52,145,288	BOYAmt
EOY	$33,241,268	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$268,852,897	BOYAmt
EOY	$262,579,641	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$19,307,942	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$268,243	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$135,679	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$30,506	OtherActivitiesAmt
Total Lobbying Expenditures	$30,506	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $30,506.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,450,606	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$3,394,898	InvestmentEarningsOrLossesAmt
End Year Balance	$17,055,708	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,239,234	BeginningYearBalanceAmt
Investment Earnings Or Losses	$211,372	InvestmentEarningsOrLossesAmt
End Year Balance	$20,450,606	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,465,393	BeginningYearBalanceAmt
Investment Earnings Or Losses	$773,841	InvestmentEarningsOrLossesAmt
End Year Balance	$20,239,234	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,253,603	BeginningYearBalanceAmt
Contributions	$578,486	ContributionsAmt
Investment Earnings Or Losses	-$37,780	InvestmentEarningsOrLossesAmt
Other Expenditures	$328,916	OtherExpendituresAmt
End Year Balance	$19,465,393	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.75700	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24300	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$160,751,206	OtherCostOrOtherBasisAmt
Depreciation	$83,992,652	DepreciationAmt
Book Value	$76,758,554	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,945,143	OtherCostOrOtherBasisAmt
Depreciation	$4,603,963	DepreciationAmt
Book Value	$341,180	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$247,245,117	OtherCostOrOtherBasisAmt
Depreciation	$198,409,155	DepreciationAmt
Book Value	$48,835,962	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,120,285	OtherCostOrOtherBasisAmt
Depreciation	$7,169,404	DepreciationAmt
Book Value	$3,950,881	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,204,599	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$8,392,311
DEPOSITS	$5,900
EST AMT DUE FROM 3RD PARTY	$15,289,508
INTEREST IN RELATED PARTY	$16,525,322

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$40,213,041	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION IN A VARIETY OF WAYS, DEPENDING UPON THE STATED PURPOSE OF EACH FUND. MANY OF THESE FUNDS HELP TO COVER COSTS OF CAPITAL EQUIPMENT PURCHASES, CONTINUING MEDICAL EDUCATION, OR FREE CARE. OTHERS ARE DESIGNATED TO SUPPORT SPECIFIC DEPARTMENTS OF THE HOSPITAL.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FALL GOLF CLASS	Event1Nm
Gross Receipts Event1	$98,390	GrossReceiptsEvent1Amt
Charitable Contri Event1	$91,450	CharitableContriEvent1Amt
Gross Revenue Event1	$6,940	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$1,200	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$5,592	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$5,119	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$7,512	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$98,390	GrossReceiptsTotalAmt
Charitable Contributions Tot	$91,450	CharitableContributionsTotAmt
Gross Revenue Total Events	$6,940	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$1,200	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$5,592	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$5,119	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$7,512	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$19,423	DirectExpenseSummaryEventsAmt
Net Income Summary	-$12,483	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,845,106	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,845,106	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,823,864	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,959,990	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,863,874	NetCommunityBenefitExpnsAmt
Total Expense	0.06510	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,668,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,959,990	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,708,980	NetCommunityBenefitExpnsAmt
Total Expense	0.07440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$774,498	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$774,498	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,441,543	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,298,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,143,017	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,216,041	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,298,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,917,515	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,885,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,258,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,626,495	NetCommunityBenefitExpnsAmt
Total Expense	0.07910	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$31,205,659	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,120,619	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$79,224,155	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$89,281,063	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,056,908	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL MAINE MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 MAIN STREET	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04240	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CMMC.ORG	WebsiteAddressTxt
State License	38819	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL MAINE MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: Community outreach and engagement for the Maine Shared CHNA included coordination at both the statewide, public health district, and county level. The statewide Community Engagement Committee met monthly from March 2018 through January 2019 to review and provide input on every aspect of engagement process. In addition to the state-level Community Engagement Committee, a Local Community Engagement Planning Committee in each of Maines 16 counties planned and implemented the logistics of community forums and events within each district. These committees were comprised of hospitals, public health district liaisons, and a variety of additional partners. The 2018 Community Engagement Toolkit was designed to assist the Local Community Engagement Planning Committees in this effort. Criteria for visualizing data included areas identified as a health priority in the last CHNA, significant changes in the data over time, or where a countys data was notably better or worse than the state or the nation. Forum agenda items included remarks from health leaders; a review of previous health improvement efforts; a review of county-level data, discussion, and prioritization in small groups; and an overall forumwide voting process. The Community Engagement and Steering Committees created and approved a rubric to guide the selection criteria for the subset of data to be presented in each forums PowerPoint presentations. Small groups had 35-45 minutes to discuss the data in the presentation and the full county profile, and to share their own experiences in order to identify their top county health priorities. Table facilitatiors guided these discussions using key questions and worksheets during these small groups were collated and presented to the larger plenary session, where each attendee voted for their top four priorities. Votes were tallied and a hierarchy emerged. The summary votes for each forum were used to develop the county level priorities. If multiple forums were held in a county, the forum results for forums held with the general community were included in the total votes for the county. In cases where a forum was held with a specific population, for example, LGBTQ youth or older adults, then the results of their voting and discussion were included in the section describing the needs of that particular population. To arrive at the top countywide community health issues, votes from the broad community forums were combined for each of the priority areas to identify priority areas which fell within 70% of the combined voting total. The community forum participants also shared knowledge on gaps and assets available in their communities to address each of the top four priorities identified. The information gathered in this report is a start for further asset and gap mapping for each priority selected by the county. Three community engagement activities were held in Androscoggin County. The County Health Rankings Health Action Forum was held on June 27, 2018. The purpose of this event was to solicit community information from immigrants, refugees and asylum seekers on health issues specific to this population. A further goal was to build and strengthen connections between small immigrant-led organizations working in public health in Maine and the district and state-level public health organizations. Finally, this event hoped to generate takeaway action steps and suggestions for interventions aimed at improving health equity in Maine. There were only two County Health Rankings Health Action Forums held in Maine. The other was held in Portland on June 25, 2018. The key informant interview guide was developed with input from the Community Engagement and Steering Committee members and consisted of Five questions. Thirty-one interviews were conducted by JSI and 11 by members of Local Community Engagement Planning Committees. Information gathered from the key informant interviews is included in discussions where applicable in the county level report within each of the county priorities. For example, when discussing substance use, a discussion of the needs of vulnerable populations within this priority was also included. The state level report provides a summary of key findings from these interviews for each of the ten vulnerable populations. All outcomes from these efforts were collected via the Community Outreach Reporting Tool or the Key Informant Reporting tool. Both of these collection tools were online surveys within Survey Monkey. Other data collection tools included Table Facilitators notes, forum registrations, and sign-ins.
SCHEDULE H, PART V, SECTION B, LINE 6A	HOSPITAL FACILITIES: Other hospital facilities providing funding for the Maine Shared CHNA are Central Maine Healthcare (INCLUDING CENTRAL MAINE MEDICAL CENTER, BRIDGTON HOSPITAL, AND RUMFORD HOSPITAL), MaineGeneral Health, MaineHealth, and Northern Light Health.
SCHEDULE H, PART V, SECTION B, LINE 6B	NON-HOSPITAL FACILITIES: Other non-hospital facilities involved in the Maine Shared CHNA are the Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Services and countless community partners and stakeholder groups. These stakeholder groups include the Metrics Committee, Data Analysis Workgroup, Community Engagement Committee, Local Planning Committees, and the Steering Committee, Maine Health Data Organization for working with us to access their data. Significant analysis was conducted by epidemiologists at the Maine CDC and the University of Southern Maines Muskie School of Public Service. John Snow, Inc. provided analysis, methodology, and design support.
SCHEDULE H, PART V, SECTION B, LINE 7A	HOSPITAL FACILITY'S WEBSITE: https://www.cmhc.org/about-us/community-benefits
SCHEDULE H, PART V, SECTION B, LINE 7B	OTHER WEBSITE: https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY WEBSITE: https://www.cmhc.org/about-us/community-benefits
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: THE COMMITMENT FROM CENTRAL MAINE MEDICAL CENTER AND ITS COMMUNITY PARTNERS WAS TO PRODUCE A DOCUMENT THAT REFLECTS THE VOICE OF OUR COMMUNITY. THE PRIORITIES THAT HAVE EMERGED INCLUDE: - SOCIAL DETERMINANTS OF HEALTH - MENTAL HEALTH - SUBSTANCE USE - ACCESS TO CARE - TOBACCO USE THE NEXT STEP IN THIS PROCESS WAS TO DEVELOP AN IMPLEMENTATION STRATEGY THAT INCLUDED LONG-RANGE PLANS FOR THE PRIORITIZED NEEDS AND TIED THE SPECIFIC IMPLEMENTATION PLANS TO THE STRATEGIC PLAN FOR CENTRAL MAINE MEDICAL CENTER. THIS PROCESS WAS FACILITATED BY THE CMMC LEADERSHIP TEAM, THE COMMUNITY PILLAR STEERING COMMITTEE, AND INCLUDED PARTICIPATION FROM THE COMMUNITY STAKEHOLDER GROUP AND OTHER COMMUNITY MEMBERS. THE STRATEGIES, ACTIVITIES, ACTIONS TAKEN, PROGRAMS AND RESOURCES COMMITTED, COLLABORATION WITH OTHER ORGANIZATIONS, AND OUTCOMES CAN BE VIEWED AT WWW.CMMC.ORG/ABOUT-COMMUNITY-BENEFITS.
SCHEDULE H, PART V, SECTION B, LINE 13H	FAP ELIGIBILITY CRITERIA: PATIENTS MUST APPLY FOR MAINE FREE CARE IN ORDER TO BE CONSIDERED FOR THE HOSPITAL'S FREE CARE PROGRAM. AS PART OF THE APPLICATION, PATIENTS MUST SUBMIT A COPY OF CURRENT MAINECARE DECISION LETTERS. PATIENTS WILL BE ASKED IF THEY HAVE INSURANCE OF ANY KIND TO HELP PAY FOR CARE AND ARE ALSO ASKED TO SHOW THAT INSURANCE OR A GOVERNMENT PROGRAM WILL NOT PAY FOR YOUR CARE. IF PATIENTS DO NOT QUALIFY FOR FREE HOSPITAL CARE, THEY ARE ALLOWED TO ASK FOR A FAIR HEARING OR APPEAL.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	MEASURES TO PUBLICIZE THE POLICY: HTTPS://WWW.CMHC.ORG/BILLING-AND-FINANCIAL-INFORMATION/
SCHEDULE H, PART V, LINE 16I	LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER THE IRC SECTION 501(R).

Field	Value	IRS element (for citing)
Facility	33	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (33 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE
77 BATES STREET SUITE 202	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SURGICAL ASSOCIATES
12 HIGH STREET SUITE 401	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE BARIATRIC SURGERY
10 HIGH STREET SUITE 105	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE ENDOCRINOLOGY AND DIABETES
287 MAIN STREET SUITE 301	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY HEALTH CARE ASSOC
190 STETSON ROAD	AUBURN	ME	04210	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY HEALTH RESIDENCY
76 HIGH STREET SUITE 100	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY PRACTICE
12 HIGH STREET SUITE 302	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE GYNECOLOGY & UROGYNECOLOGY
287 MAIN STREET SUITE 201	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE CARDIOLOGY
2 GREAT FALLS PLAZA	AUBURN	ME	04210	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEMATOLOGY ONCOLOGY
12 HIGH STREET SUITE 205	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE INTERNAL MEDICINE
10 HIGH STREET SUITE 400	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE NEUROLOGY
10 MINOT AVENUE	AUBURN	ME	04210	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE OBGYN
12 HIGH STREET SUITE 200	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PAIN AND HEADACHE CENTER
77 BATES STREET	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PEDIATRICS
12 HIGH STREET SUITE 301	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PLASTIC SURGERY
287 MAIN STREET SUITE 302	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SPORTS MEDICINE
77 BATES STREET SUITE 101	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE THERAPY SERVICES
77 BATES STREET SUITE 201	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE UROLOGY
287 MAIN STREET SUITE 404	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
GRAY FAMILY CLINIC
126 SHAKER ROAD	GRAY	ME	04039	OUTPATIENT PHYSICIAN CLINIC
INFECTIOUS DISEASE ASSOCIATES
76 HIGH STREET SUITE 200	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
LISBON FAMILY PRACTICE
2 BISBEE ROAD	LISBON	ME	04250	OUTPATIENT PHYSICIAN CLINIC
MINOT AVENUE FAMILY MEDICINE
789 MINOT AVENUE	AUBURN	ME	04210	OUTPATIENT PHYSICIAN CLINIC
POLAND COMMUNITY HEALTH CENTER
364 MAIN STREET	POLAND	ME	04274	OUTPATIENT PHYSICIAN CLINIC
PULMONARY AND SLEEP MEDICINE
76 HIGH STREET SUITE 300	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
TOPSHAM FAMILY MEDICINE
4 HORTON PLACE	TOPSHAM	ME	04086	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEARING CENTER
12 HIGH STREET SUITE 102	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE MEDICATION MANAGEMENT
10 HIGH STREET SUITE 103	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE EAR NOSE AND THROAT
12 HIGH STREET SUITE 102	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PODIATRY
287 MAIN STREET	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE MENTAL HEALTH
10 HIGH STREET SUITE 301	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC
TOPSHAM CARE CENTER
105 TOPSHAM FAIR MALL ROAD	TOPSHAM	ME	04086	OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE RHEUMATOLOGY
77 BATES STREET SUITE 201	LEWISTON	ME	04240	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	FAP ELIGIBILITY CRITERIA: PATIENTS MUST APPLY FOR MAINE FREE CARE IN ORDER TO BEING CONSIDERED FOR THE HOSPITAL'S FREE CARE PROGRAM. AS PART OF THE APPLICATION, PATIENTS MUST SUBMIT A COPY OF CURRENT MAINECARE DECISION LETTERS. PATIENTS WILL BE ASKED IF THEY HAVE INSURANCE OF ANY KIND TO HELP PAY FOR CARE AND ARE ALSO ASKED TO SHOW THAT INSURANCE OR A GOVERNMENT PROGRAM WILL NOT PAY FOR YOUR CARE. IF PATIENTS DO NOT QUALIFY FOR FREE HOSPITAL CARE, THEY ARE ALLOWED TO ASK FOR A FAIR HEARING OR APPEAL.
SCHEDULE H, PART I, LINE 7	COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED TO CALCULATE AMOUNTS ON IRS WORKSHEETS 1 AND 3. ALL OTHER WORKSHEETS USED THE ORGANIZATION'S COST ACCOUNTING SYSTEM.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITILED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2019. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSES ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 WAS DETERMINED USING A COMPARISON OF EXPERIENCED CHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEAR AVAILABLE WHEN CHARITY CARE CONVERGE EXCEEDS THE CENSUS DATA, A MINIMAL AMOUNT OF BAD DEBT IS ASSUMED TO BE ELIGIBLE FOR CHARITY CARE TO ACCOUNT FOR THOSE PATIENTS WHO REFUSE TO PROVIDE INFORMATION DOCUMENTING ELIGIBILITY FOR THE PROGRAM. THESE ESTIMATES ARE BASED ON STATE-WIDE DATA AND DO NOT ACCOUNT FOR DIFFERENCES IN GEOGRAPHIC LOCATIONS WITHIN THE STATE. AS THIS AMOUNT IS RELATED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, IT IS INCLUDED AS A COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT OCNTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENTS ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: THE COSTING METHODOLOGY USED FOR LINE 6 IS INFORMATION PULLED FROM THE MEDICARE COST REPORT FILING. THE SHORTFALL REPORTED ON LINE 7 COULD BE CONSIDERED COMMUNITY BENEFIT TO A LEVEL PROPORTIONAL TO THE POVERTY LEVELS INDICATED BY CENSUS BUREAU DATA. IF MAINE RESIDENTS, AGE 65 OR OLDER, BELOW THE 200% FPG LEVEL WERE NOT COVERED BY MEDICARE, THEY WOULD QUALIFY UNDER CMMC'S FREE CARE POLICY. UNDER THAT CIRCUMSTANCE, THESE PATIENTS WOULD THEN APPEAR AS PART OF THE STATISTICS ON PART I, LINE 7A.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: COLLECTION PRACTICES FOR PATIENTS KNOWN TO BE ELIGIBLE FOR CHARITY CARE ARE LIMITED TO COLLECTING FROM ANY AVAILABLE PAYMENT SOURCES SUCH AS MEDICARE OR MEDICAID. IF A PATIENT IS ELIGIBLE, BUT HAS NOT APPLIED FOR MEDICAID COVERAGE, THE PATIENT IS REQUESTED TO APPLY. ASSISTANCE IS AVAILABLE TO HELP THE PATIENT WITH THE MEDICAID APPLICATION PROCESS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: CENTRAL MAINE MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES TO ITS PRIMARY SERVICES AREA, AS WELL AS THE EXTENDED AREA OF THE ENTIRE CENTRAL MAINE HEALTHCARE SYSTEM. IT ASSESSES THE NEEDS OF ITS VARIOUS COMMUNITIES FROM VARIOUS THIRD-PARTY SURVEYS AND REPORTS, OBSERVATIONS IN ITS PATIENT POPULATION AND THE POPULATIONS OF ITS AFFILIATED SYSTEM HOSPITALS, AS WELL AS ASSISTING WITH STATE-WIDE INITIATES IN PREVENTATIVE MEDICINE AND EDUCATION.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRAL MAINE MEDICAL CENTER PROVIDES NOTICES ABOUT ITS FREE CARE POLICY IN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENTS AREAS. AN INPATIENT FINANCIAL COUNSELOR VISITS WITH ALL UNINSURED PATIENTS TO DISCUSS OPTIONS, INCLUDING GOVERNMENTAL PROGRAM ELIGIBILITY AND FREE CARE ASSISTANCE IS AVAILABLE TO HELP PATIENTS WITH COMPLETION OF MEDICAID APPLICATIONS. ALL PATIENTS FINANCIAL SERVICES STAFF ARE TRAINED TO OFFER FREE CARE AS AN OPTION TO PATIENTS WHO INDICATE AN INABILITY OR DIFFICULTY IN PAYING FOR SERVICES. INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY IS INCLUDED ON THE BACK OF EVERY PATIENT STATEMENT. ADDITIONALLY, UNINSURED PATIENTS RECEIVED A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLE OPTIONS.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: CENTRAL MAINE MEDICAL CENTER, LOCATED IN LEWISTON, MAINE SERVES A PRIMARY AREA OF ANDROSCOGGIN COUNTY IN CENTRAL MAINE. ADDITIONALLY, IT SERVES PORTIONS OF CUMBERLAND, FRANKLIN, KENNEBEC, OXFORD, AND SAGADAHOC COUNTIES. THE LEWISTON-AUBURN AREA IS URBAN, FOR MAINE STANDARDS, BUT QUICKLY BECOMES SUBURBAN TO ALMOST-RURAL QUICKLY OUTSIDE THE CITY LIMITS. ANDROSCOGGIN COUNTY HAS A POPULATION OF JUST UNDER 108,000 PERSONS, WHICH MAKES UP APPROXIMATELY 8% OF THE OVERALL MAINE POPULATION. WHILE ALMOST 93% OF THE POPULATION IS MADE UP OF CAUCASIAN PERSONS, MORE THAN 16% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THIRTEEN PERCENT OF THE POPULATION IS BELOW THE POVERTY LEVEL, SPECIFICALLY IN LEWISTON, THE SECOND LARGEST CITY IN MAINE, WITH A POPULATION OF APPROXIMATELY 36,600 PERSONS, SIMILAR RACIAL DISTRIBUTIONS ARE OBSERVED, BUT MORE THAN 28% CLAIM A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY. FIFTEEN PERCENT ARE BELOW THE POVERTY LEVEL.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: CENTRAL MAINE MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, ALLOWING ANY NON-EMPLOYED OR AFFILIATED PHYSICIANS TO HAVE ADMITTING PRIVILEGES TO THE HOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF A MAJORITY OF LOCAL COMMUNITY MEMBERS ALONG WITH SOME REPRESENTATION BY DIRECTORS FROM CENTRAL MAINE HEALTHCARE, THE PARENT OF THE HEALTHCARE SYSTEM WHICH CENTRAL MAINE MEDICAL CENTER BELONGS TO, HELPING TO BRING TOGETHER THE VISIONS OF THE LOCAL COMMUNITY WITH THE CAPABILITIES AND VISION OF THE SYSTEM AS A WHOLE FOR THE BENEFIT OF LEWISTON AND SURROUNDING COMMUNITIES.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: CENTRAL MAINE MEDICAL CENTER (CMMC) IS A TERTIARY CARE HOSPITAL IN THE CENTRAL MAINE HEALTHCARE SYSTEM. TWO RURAL, CRITICAL ACCESS HOSPITALS ARE ALSO MEMBERS OF THIS SYSTEM. CMMC PROVIDES A WIDE RANGE OF SPECIALIST PHYSICIANS AND SERVICES TO ITS COMMUNITY, AS WELL AS THE SYSTEM. CMMC PROVIDES PHYSICIANS TO STAFF SPECIALTY CLINICS IN THE RURAL COMMUNITIES SERVED BY THE CRITICAL ACCESS HOSPITALS ON A LIMITED, BUT REGULAR, BASIS. THESE SERVICES WOULD NOT NORMALLY BE SUPPORTED BY THE LIMITED POPULATIONS AND PATIENTS WOULD INSTEAD NEED TO TRAVEL MUCH LONGER DISTANCES TO CONSULT OR VISIT WITH A SPECIALIST. CMMC ALSO PROVIDES ACCESS TO TRAUMA CARE, NEONATAL INTENSIVE CARE, AND SPECIALIZED CARDIAC CARE. THE SYSTEM PARENT, CENTRAL MAINE HEALTHCARE, PROVIDES STREAMLINED ADMINISTRATIVE FUNCTIONS AND BACKROOM SERVICES FOR THE ENTIRE SYSTEM, PROVIDING COST EFFICIENCY AND OTHER BENEFITS TO ALL MEMBERS. THIS ALSO ALLOWS FOR EASY ADMINISTRATIVE HANDLING OF TRANSFERS OF PATIENTS BETWEEN HOSPITALS, AS WELL AS A SINGLE POINT OF CONTACT FOR PATIENTS TO ADDRESS BILLS AND INSURANCE ISSUES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD GOLDSTEIN
FORMER PHYS PRACT EXEC	$0	$0	$0	$0	$0	$508,304	$0	$0	$0	$11,762	$0	$520,066	$0	$0
JEFF BRICKMAN
PRESIDENT/DIRECTOR	$0	$686,633	$0	$0	$0	$30,944	$0	$75,125	$0	$24,669	$0	$817,371	$0	$0
DAVID THOMPSON
TREASURER END 06/19	$0	$429,738	$0	$0	$0	$55,681	$0	$31,383	$0	$15,164	$0	$531,966	$0	$0
WILLIAM LEE MD
PHYSICIAN; DIRECTOR	$253,540	$0	$18,135	$0	$28,250	$0	$6,875	$0	$18,063	$0	$324,863	$0	$0	$0
HOLLI BOCCELLI
SECRETARY	$0	$195,952	$0	$0	$0	$730	$0	$615	$0	$0	$0	$197,297	$0	$0
DAVID TUPPONCE
PRESIDENT OF CMMC	$0	$502,222	$0	$0	$0	$63,821	$0	$50,875	$0	$9,942	$0	$626,860	$0	$0
MICHAEL RICCI MD
PHYSICIAN; DIRECTOR BEG 10/18	$449,508	$0	$786	$0	$6,219	$0	$6,875	$0	$500	$0	$463,888	$0	$0	$0
JENNIFER WEINER-SMITH MD
PHYSICIAN; DIRECTOR BEG 10/18	$284,487	$0	$126,507	$0	$21,989	$0	$6,875	$0	$29,634	$0	$469,492	$0	$0	$0
JOHN WHITLOCK
TREASURER BEG 06/19	$0	$105,073	$0	$19,000	$0	$33,455	$0	$3,368	$0	$8,281	$0	$169,177	$0	$0
PAUL WELDNER MD
PHYSICIAN	$900,427	$0	$10,500	$0	$34,480	$0	$6,875	$0	$0	$0	$952,282	$0	$0	$0
CARMINE FRUMIENTO MD
PHYSICIAN	$760,118	$0	$38,000	$0	$4,707	$0	$6,875	$0	$17,355	$0	$827,055	$0	$0	$0
TAREK RADWAN MD
PHYSICIAN	$809,551	$0	$221,750	$0	$46,186	$0	$6,875	$0	$16,785	$0	$1,101,147	$0	$0	$0
PETER HIGGINS
PHYSICIAN	$574,088	$0	$182,747	$0	$27,323	$0	$6,875	$0	$24,474	$0	$815,507	$0	$0	$0
ARUN THUKKANI
PHYSICIAN	$584,468	$0	$132,114	$0	$46,976	$0	$6,875	$0	$10,878	$0	$781,311	$0	$0	$0
MICHAEL STADNICKI
PHYSICIAN DIVISION CHIEF	$351,687	$0	$0	$0	$3,495	$0	$6,875	$0	$24,034	$0	$386,091	$0	$0	$0
BETHANY PICKER
PHYSICIAN DIVISION CHIEF	$207,143	$0	$15,574	$0	$2,231	$0	$5,672	$0	$19,255	$0	$249,875	$0	$0	$0
ANDREW EISENHAUER
PHYSICIAN DIVISION CHIEF	$467,329	$0	$250,705	$0	$28,028	$0	$6,875	$0	$17,649	$0	$770,586	$0	$0	$0
SCOTT JOHNSON
PHYSICIAN DIVISION CHIEF	$440,892	$0	$13,594	$0	$28,737	$0	$6,875	$0	$21,163	$0	$511,261	$0	$0	$0
MICHAEL BLAKE
PHYSICIAN DIVISION CHIEF	$219,506	$0	$153,342	$0	$42,274	$0	$6,875	$0	$5,144	$0	$427,141	$0	$0	$0
CLAUDIA GEYER
PHYSICIAN DIVISION CHIEF	$275,382	$0	$55,507	$0	$20,864	$0	$5,367	$0	$26,506	$0	$383,626	$0	$0	$0
PHILIPPE MORISSETTE
FORMER TREASURER/VICE. PRES	$0	$11,693	$0	$0	$0	$114,954	$0	$728	$0	$956	$0	$128,331	$0	$0
JAMES LOGGINS MD
FORMER PHYS DIVISION CHIEF	$232,810	$0	$35,384	$0	$36,437	$0	$6,796	$0	$11,513	$0	$322,940	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	CEO COMPENSATION: THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PARENT CORPORATION'S BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE FOLLOWING: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CENTRAL MAINE HEALTHCARE CORPORATION: RICHARD GOLDSTEIN: $510,000 PHILIPPE MORISSETTE: $ 97,920
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL VEST ON THE PARTICIPANT'S VESTING DATE PROVIDED THE PARTICIPANT HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THIS PLAN. A PARTICIPANT WILL HAVE ONLY ONE VESTING DATE FOR ALL ELECTIVE DEFERRALS AND OTHER PLAN CONTRIBUTIONS MADE ON THE PARTICIPANT'S BEHALF. DURING ALL PLAN YEARS, A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL ALSO VEST (A) IF THE PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, (B) IF THE PARTICIPANT'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY; OR (C) IF THE EMPLOYER TERMINATES THE PARTICIPANT'S EMPLOYMENT FOR ANY REASON OTHER THAN FOR "CAUSE." ANY PORTION OF THE PARTICIPANTS ENTITLEMENT TO BENEFITS THAT IS NOT VESTED WHEN THE PARTICIPANT'S EMPLOYMENT WITH THE EMPLOYER TERMINATES, INCLUDING ELECTIVE DEFERRALS, WILL BE FORFEITED. THE EMPLOYER WILL DISTRIBUTE A PARTICIPANT'S BENEFITS UNDER THE PLAN AS SOON AS PRACTICABLE AFTER THE PARTICIPANT'S ENTITLEMENT BECOMES VESTED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCARE CORPORATION, A RELATED ENTITY. $68,250 JEFF BRICKMAN (DEFERRAL) 44,000 DAVID TUPPONCE (DEFERRAL) 24,508 DAVID THOMPSON (DEFERRAL)
SCHEDULE J, PART II, COLUMN F	COMPENSATION REPORTED IN PRIOR FORM 990: COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
A	010314384	56042RTR3	2009-12-10	$56,033,554	FACILITY EXPANSION/CONSTRUCTION	false	false	Yes (true)
MAINE HEALTH & HIGHER EUDCATIONAL FACILITIES AUTH
B	010314384	560427WV4	2013-05-23	$41,071,242	REFUND SERIES 2003A BOND	false	false	Yes (true)
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
C	010314384	56042RLG5	2017-06-27	$12,279,914	REFUND SERIES 2005B BOND	false	false	Yes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$2,585,000	$0	$56,033,554	$6,631,632	$1,923,331	$0	$639,410	$0	$1,675,000	$45,161,181	$0	$0	2011	false	false	Yes (true)	Yes (true)
B	$7,075,000	$0	$41,071,242	$2,957,944	$0	$0	$302,888	$0	$0	$0	$42,862,476	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
C	$1,715,000	$0	$12,279,914	$0	$0	$0	$138,533	$0	$0	$0	$12,141,381	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	false
0
B	false	false	false	Yes (true)	false	false	false	0	false	false
0
C	false	Yes (true)	false	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART IV, LINE 2C, COLUMN A	DATE OF REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 12/10/2014.
SCHEDULE K, PART IV, LINE 2C, COLUMN B	DATE OF REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 06/25/2018.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ARUN THUKKANI	PersonNm
Relationship With Org	EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	SALARY ADV	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$40,000	OriginalPrincipalAmt
Balance Due	$15,834	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	false	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$15,834	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	TIFFANY EISENHAUER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	REALTIVE OF A. EISENHAUER	RelationshipDescriptionTxt
Transaction	$34,586	TransactionAmt
Transaction	SALARY AND WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A & 2A	COMMON PAYMASTER: CENTRAL MAINE MEDICAL CENTER IS A TAX-EXEMPT ORGANIZATION WHICH FILES ITS PAYROLL FORMS AND REPORTS WITH THE IRS AND DOL ON A CONSOLIDATED BASIS UNDER ITS PARENT, CENTRAL MAINE HEALTHCARE CORPORATION, USING THE PARENT'S EIN. THIS INCLUDES FORM 941'S, W-2'S AND OTHER RELATED FILINGS.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP: JEFF BRICKMAN, RICHARD GOLDSTEIN, DAVID THOMPSON, HOLLI BOCCELLI, PHILIPPE MORISSETTE, AND DAVID TUPPONCE HAVE A BUSINESS RELATIONSHIP THROUGH THEIR EMPLOYMENT WITH A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6, 7A, AND 7B	MEMBERS OF THE ORGANIZATION: THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION (CMHC). THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE BOARD OF DIRECTORS OF CMHC. THE MEMBER MAY MAKE, AMEND OR REPEAL THE BYLAWS IN WHOLE OR IN PART.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: ALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY A PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE VICE PRESIDENT OF FINANCE, THEN THE CFO. FOLLOWING THAT REVIEW THEY ARE PRESENTED TO THE FINANCE COMMITTEE OF THE CENTRAL MAINE HEALTHCARE BOARD OF DIRECTORS, WHICH HAS REPRESENTATIVES FROM ALL AFFILIATED BOARDS. ONCE THIS REVIEW IS COMPLETED, ANY NECESSARY CHANGES ARE MADE AND THE FINAL RETURN IS PRESENTED TO ITS RESPECTIVE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: OFFICERS AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND CONFORMS TO THE CONDITIONS CONTAINED WITHIN THE CORPORATION'S BYLAWS, WHICH MEET OR EXCEED THE CURRENT IRS REPORTING THRESHOLDS. IN AREAS OF CONFLICT BY THE CHAIRMAN, THE VICE-CHAIRMAN REVIEWS. ADDITIONALLY, AS PART OF THE ANNUAL FORM 990 PREPARATION PROCESS, A SEPARATE QUESTIONNAIRE IS PROVIDED, WHICH INCLUDES DISTRIBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE FINANCE DEPARTMENT FOR REPORTABLE ITEMS FOR THE FORM 990. IN THE CASE OF A POSSIBLE CONFLICT, THE BOARD WOULD REVIEW THE SITUATION AND TAKE ACTIONS DEEMED APPROPRIATE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS. IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	EXECUTIVE COMPENSATION REVIEW: A STANDING EXECUTIVE COMPENSATION COMMITTEE (ECC), COMPRISED OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, PRESIDENT OF CENTRAL MAINE MEDICAL CENTER, PHYSICIAN PRACTICE EXECUTIVE, AND PRESIDENT OF RUMFORD AND BRIDGTON HOSPITALS. THE PROCESS GUIDELINES AND AUTHORITY OF THE ECC ARE SET OUR IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH APPROVED BY THE CMHC BOARD. THE ENTIRE CMHC BOARD PARTICIPATES IN THE ANNUAL PERFORMANCE EVALUATION OF EACH EXECUTIVE, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN. THE ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE COMPARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHO SPECIALIZES IN NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS, AND OUR ATTORNEYS. FACTORS USED IN DETERMINING COMPARABILITY TO THE ORGANIZATION INCLUDING SIZE, GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE, ITS CONSULTANTS, OR ITS ATTORNEYS. USING THIS INFORMATION, THE ECC ANNUALLY REVIEWS THE EXECUTIVES' COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE EXECUTIVES' ACCOMPLISHMENTS TO DETERMINE IF ANY VARIABLE PAY IS TO BE AWARDED. THE ENTIRE PROCESS IS THEN DOCUMENTED CONTEMPORANEOUSLY WITH THE DECISION-MAKING PROCESS AND APPROVED THEREAFTER IN ACCORDANCE WITH THE REQUIREMENTS OF THE IRS.
FORM 990, PART VI, SECTION C, LINE 19	PUBLIC DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE MOST RECENTLY FILED FORM 990 AND PROVIDED, UPON REQUEST, IN THAT FORMAT UNLESS THE SPECIFIC REQUEST DEEMS A DIFFERENT FORMAT MORE APPROPRIATE.
FORM 990, PART VII, SECTION A	BOARD MEMBER COMPENSATION: NO MEMBERS OF THE BOARD OF DIRECTORS RECEIVED COMPENSATION FOR THEIR DUTIES AS DIRECTORS. JEFF BRICKMAN IS EMPLOYED AS PRESIDENT OF CENTRAL MAINE HEALTHCARE CORPORATION AND HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY. WILLIAM LEE, M.D. IS A PHYSICIAN AND HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY. MICHAEL RICCI, M.D. IS A PHYSICIAN AND HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY. JENNIFER WEINER-SMITH, M.D. IS A PHYSICIAN AND HER COMPENSATED TIME IS SPENT IN THAT CAPACITY.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $ 135,679 CHANGE IN INTEREST IN RELATED PARTY
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:52942054
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3445701
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:1586814
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL DIRECTOR FEES TOTAL FEES:576530
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED LABOR - PHYSICIANS TOTAL FEES:16814
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERPRETING SERVICES TOTAL FEES:1782

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MAINE COLLEGE OF HEALTH PROFESSIONS
PO BOX 4500	LEWISTON	ME	04243	010356077	EDUCATION	ME	501(C)(3)	2	CMMC	Yes (true)
CENTRAL MAINE REAL ESTATE MANAGEMENT COR
PO BOX 4500	LEWISTON	ME	04243	010387674	REAL ESTATE	ME	501(C)(2)		CMHC	false
RUMFORD COMMUNITY HOME CORPORATION
11 JOHN F KENNEDY DRIVE	RUMFORD	ME	04276	222844951	NURSING HOME	ME	501(C)(3)	10	CMHC	false
RUMFORD COMMUNITY FAMILY HEALTH CENTER
430 FRANKLIN STREET	RUMFORD	ME	04276	010481000	HEALTHCARE	ME	501(C)(3)	3	CMHC	false
BRIDGTON HOSPITAL
10 HOSPITAL DRIVE	BRIDGTON	ME	04009	010130427	HEALTHCARE	ME	501(C)(3)	3	CMHC	false
CENTRAL MAINE COMMUNITY HEALTH CORP
PO BOX 4500	LEWISTON	ME	04243	010386912	PUBLIC ED	ME	501(C)(3)	7	CMHC	false
CENTRAL MAINE HEALTHCARE CORPORATION
PO BOX 4500	LEWISTON	ME	04243	010386913	HEALTHCARE	ME	501(C)(3)	7	NA	false
RUMFORD HOSPITAL
420 FRANKLIN STREET	RUMFORD	ME	04276	010215227	HEALTHCARE	ME	501(C)(3)	3	CMHC	false
BRIDGTON HOSPITAL PHYSICIANS GROUP
SOUTH HIGH STREET	BRIDGTON	ME	04009	010493083	HEALTHCARE	ME	501(C)(3)	PF	CMHC	false
ELIAS E TUCKER TRUST FUND
C/O CMMC 300 MAIN STREET	LEWISTON	ME	04240	016042343	NURSING ED	ME	501(C)(3)	12 A I	CMMC	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
CWM INSURANCE LTD
GENESIS BUILDING PO BOX 1363	GRAND CAYMAN	B.W.I.	CJ	980220891	INSURANCE	CJ	CMHC	C CORP	false
CENTRAL MAINE HEALTH VENTURES INC
				010430016	HEALTHCARE		CMHC	C CORP	false	300 MAIN STREET	LEWISTON	ME	04240	ME
CENTRAL MAINE ACO
				274604314	ACCOUNTABLE C		CMHC	C CORP	false	300 MAIN STREET	LEWISTON	ME	04240	ME

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MAINE COLLEGE OF HEALTH PROFESSIONS
A	$36,972	COST
MAINE COLLEGE OF HEALTH PROFESSIONS
L	$176,883	COST
MAINE COLLEGE OF HEALTH PROFESSIONS
O	$894,650	COST
MAINE COLLEGE OF HEALTH PROFESSIONS
Q	$50,550	COST