2019-11-12T12:26:24-06:00 2019-01-01 990 2018-10-01 010219904 Stephens Memorial Hospital Assoc STEP 2077435933 181 Main Street Norway ME 04268 John Cox Regional CFO 2077435933 2019-11-06 63.247.60.254 2019-11-12 13:20:45 ES P 071534DF782BAFFC7F19FAE443616795F01F9B48 071534DF782BAFFC7F19FAE443616795F01F9B48 2018 2020-03-31 21:24:44Z X Timothy Churchill 181 Main Street Norway ME 04268 19416269 0 X mainehealth.org/western-maine-health X 1956 ME To ensure a high quality, accessible, affordable and appropriate integrated health care system to improve the health and well being of the community. X 17 11 726 43 0 13522 0 0 72846439 19311985 125676 37471 -374489 -87407 72597626 19262049 0 0 0 0 38939585 10223811 8726 0 29820 31883789 8371284 70832100 18595095 1765526 666954 70000976 0 22926296 0 47074680 0 To ensure a high quality, accessible, affordable and appropriate integrated health care system to improve the health and well being of the community. 0 0 14387761 14893481 Outpatient Services: Stephens Memorial Hospital Association provided care during the course of 23,416 outpatient visits for the 3 months ended December 31, 2018. Services provided included emergency services; diagnostic imaging and lab tests;ambulatory surgery; and physical rehabilitation. 3544755 3669351 Inpatient Services: For the three months ended December 31, 2018 the hospital provided inpatient nursing services to 384 Adults/Pediatrics, Special Care, and Nursery patients with a total of 1,129 patient days. 54 inpatients were uninsured, 207 were covered by Medicare and 42 were covered by Medicaid. 0 749153 Other Revenue consists primarily of Meaningful Use Payments, 340b Contract Pharmacy Revenue,Physician Incentive Payments, VHA-Purchase Rebates and Other Operating Revenue. 17932516 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 1 X 5 0 1 726 1 1 1 0 0 0 0 0 0 0 0 0 X 17 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X John Cox 2077435933 181 Main Street Norway ME 04268 Timothy Churchill President 1.00 50.00 X X 0 425804 65387 Tom Morton Chair 1.00 0.00 X X 0 0 0 Ted Moccia Trustee 1.00 0.00 X 0 0 0 Robin J Zinchuk Trustee 1.00 0.00 X 0 0 0 Pat Weigel Former Chair 1.00 0.00 X X 0 0 0 Kathleen A Herlihy MD Trustee 50.00 0.00 X 258642 0 51640 Kevin Carleton Secretary/Treasurer 1.00 0.00 X X 0 0 0 Todd Gauger DVM Trustee 1.00 0.00 X 0 0 0 Lisa W Miller MD Trustee 50.00 0.00 X 204694 0 29865 Brian M Nolan MD Trustee 50.00 0.00 X 254974 0 37394 Holly Bancroft Brown Trustee 1.00 0.00 X 0 0 0 Sawin Millett Former Secretary/Treasurer 1.00 0.00 X X 0 0 0 Lance Bean Trustee 1.00 0.00 X 0 0 0 Gene Benner Vice Chair 1.00 0.00 X X 0 0 0 Marc West Trustee 1.00 0.00 X 0 0 0 Ryan R Knapp MD Trustee 50.00 0.00 X 305986 0 27477 Jennifer Sunday Med Staff President 50.00 0.00 X 273474 0 30588 Jack Sours Trustee 1.00 0.00 X 0 0 0 John Cox Regional CFO 0.00 50.00 X 0 264618 46424 Margaret M Burns Sr VP-Clinical 0.00 50.00 X 0 173967 22227 Jeannette L Andrews DO Physician 50.00 0.00 X 320611 0 30490 Gregory J Hardy MD Physician 50.00 0.00 X 383395 0 44739 Eric K Osborne DO Physician 50.00 0.00 X 398743 0 43936 Noemi LeFranc MD Physician 50.00 0.00 X 323186 0 13415 Peter R Siviski MD Physician 50.00 0.00 X 319435 0 22200 3043140 864389 465782 50 0 1 0 NorDx 102 Campus Drive Scarborough ME 04074 Lab processing 2389850 Maine Medical Partners 301c US Route 1 Scarborough ME 04074 Med billing & mgt 1577449 Langford & Low PO Box 662 Portland ME 04104 Construction svcs 1468166 Spectrum Medical Group PA 300 Professional Drive Scarborough ME 04074 Anesthesia svcs 966896 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Physician svcs 541011 9 Net patient service revenue 623000 18562832 18562832 Other revenue 621990 749153 749153 19311985 37471 37471 66813 154220 -87407 -87407 -87407 19262049 19311985 0 -49936 316864 307643 9221 7673214 7450003 216749 6462 333229 323535 9694 1403480 1362653 39580 1247 497024 482566 13964 494 34923 34923 2635 2635 1695318 1693613 1705 333183 323382 9796 5 266401 258651 7750 36804 35537 1267 48055 46657 1170 228 58560 56856 1704 798276 775054 23222 213680 152847 60833 Affiliate charges 2109364 1895437 192543 21384 Medical Supplies 2081009 2081009 Hospital tax 339050 339050 Maintenance contracts 179660 179641 19 174366 168382 5984 18595095 17932516 632759 29820 1453827 0 20285223 0 0 5391345 0 0 0 0 1340189 0 531723 0 0 21916790 0 3921548 0 966964 0 0 0 14193367 0 70000976 0 5325626 4916081 12684589 0 22926296 0 X 45772785 0 743484 0 558411 0 47074680 0 70000976 0 X 666954 -436153 -47305481 X 0 0 0 X 0 0 0 0 0 0 0 0 1 2635 2635 0 Part II-B, Line 1: Dues paid to the American Hospital Association of $4,330 and to the Maine Hospital Association of $8,130. The American Hospital Association and Maine Hospital Association used 22.73% and 20.30% respectively of their dues revenue for lobbying activity. 1 1 1 X 175.000000000000 0 1 1 1 0 0 230603 230603 0.01240 2515318 2238502 276816 0.01490 2745921 2238502 507419 0.02730 1202 1253 0 0.00000 16669 16669 0.00090 4207967 4115605 92362 0.00500 4225838 4116858 109031 0.00590 6971759 6355360 616450 0.03320 2001 2001 0.00010 2001 2001 0.00010 0 1003912 7879688 7800891 78797 X 1 1 1 1 Stephens Memorial Hospital Association 181 Main Street Norway ME 04268 mainehealth.org/western-maine-health 39022 X X X Stephens Memorial Hospital Association 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X See Part V, Section C 1 16 1 See Part V, Section C 0 1 X 175.000000000000 X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X 1 X 0 X X X X 1 X 0 0 Stephens Memorial Hospital Association Part V, Section B, Line 5: Community input was taken into account when conducting the CHNA, including those with special knowledge or expertise in public health. This included individuals from the following organizations: Community Concepts, Stephens Memorial Hospital, Western Maine Healthcare, River Valley Healthy Communities Coalition, Rumford Hospital, MaineHealth, Maine CDC, United Way of Oxford Hills, Bridgton Hospital, Tufts University School of Medicine and Oxford County Wellness Collaborative. Stephens Memorial Hospital Association Part V, Section B, Line 6a: The CHNA was conducted through a partnership between MaineHealth, Central Maine Healthcare, Eastern Maine Healthcare Systems, MaineGeneral Health and the Maine Department of Health and Human Services. Stephens Memorial Hospital Association Part V, Section B, Line 11: For the 2016-2018 CHNA, the organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2016-2018 CHNA and Annual Implementation Report Update FY18 at https://mainehealth.org/healthy-communities/community-health-needs-assessment for details of the activities undertaken by the organization. Stephens Memorial Hospital Association - Part V, Section B, Line 7a and 10a The CHNA and implementation strategy are posted on the following website:https://mainehealth.org/healthy-communities/community-health-needs-assessment Stephens Memorial Hospital Assoc. - Part V, Section B, Lines 16a, 16b, 16c The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy), free care application and plain language summary are available on the following website: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care Part I, Line 7g: Subsidized health services include the net operating loss of PACEParamedic Service, a department of Stephens Memorial Hospital, and directsubsidies and support of local school-based health clinics and otherclinical programs that are not revenue-producing. If these services werenot provided or subsidized by the Hospital, they would not be available inthe community. Part II, Community Building Activities: In addition to the subsidized health services and community health services described above, Western Maine Health Care sponsors or participates in a variety of other community activities and programs. These community building activities include:-We are the lead agency for Healthy Oxford Hills, a community coalition to promote partnerships, policies and programs to protect and enhance the health of residents of Oxford Hills-Our Vial of Life Program allows individuals in the community to record and safely store their current health information at home, in case that information needs to be retrieved in an emergency situation-Safe Sitter courses, a medically-accurate instructional program designed for young adolescents 11 to 13 years of age-Community-wide emergency preparedness planning-Regional health planning and pandemic planning-We provide a clinical site for local Registered Nurses and Certified Nurses Aide programs-Annual Conference - Alcoholism and Drug Addiction: Disease, Treatment and Recovery-Free community blood pressure screenings and clinics-Blood drives-Sibling classes for children expecting new family members-Nutrition open houses for the general public-"Relay for Life" to support the American Cancer Society-"Bowl for Kids Sake" to benefit the local Big Brothers/Big Sisters program-We provide community outreach services to educate families about the Alfond Scholarship for babies, and assist families in preparing the grant application-We provide meeting space at no charge for local non-profit support groups including smoking cessation, Gear Parent Network Support Group, Take Off Pounds Sensibly (TOPS), the Shriners annual health screening day and support groups for those affected by depression/bipolar conditions, diabetes, grief, and Parkinson's Disease Part III, Line 2: See Part III, Line 4 - Bad Debt Expenses Footnote to Financial Statements Part III, Line 4: See Part III, Line 4 - Bad Debt Expenses Footnote to Financial Statements. Stephens Memorial Hospital Association (SMH) does not have a specificfootnote in the financial statements that describes "bad debt expense."However, reference is made within the footnotes to a bad debt policy in acouple of instances. Within the footnote describing "Net Patient ServiceRevenue", the following explains the Provision for Bad Debts:"For receivables associated with self-pay patients, the Hospital records aprovision for bad debts in the period of service based on its pastexperience, which indicates that many patients are unable or unwilling topay the portion of their bill for which they are financially responsible.The difference between the standard rates and the amounts actuallycollected after all reasonable collection efforts have been exhausted ischarged off against the reserve for uncollectible accounts."The amount of expense associated with the provision of services,ultimately written off as bad debt at SMH, has been calculated at$1,003,834 for the current short period ending 1/1/2019. This amount was calculated using a cost to charge ratio. Bad debt expense represents healthcare services SMH has provided without compensation. As a tax-exempt organization, SMH provides necessary patient care regardless of the patient's ability to pay for the services. SMH cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would quality for financial assistance under the SMH free care policy. In addition, bad debt expense also includes amounts for services provided to individuals experiencing difficult personal or economic circumstances related to a portion of our community based patient population. Their medical bills often place these individuals in untenable positions where they are not able to handle their personal debt and then their new medical debt. However, because of their income level, they do not qualify for free care. By providing necessary healthcare services to those individuals either who fail to apply for financial assistance or who are experiencing difficult personal or economic circumstances, SMH believes that bad debt expense should be included as a community benefit. Part III, Line 8: Medicare allowable costs were taken from SMH's as-filed 2018 Medicare cost reports. The cost report utilizes a sophisticated, detailed step-down cost allocation approach. The cost report excludes revenue, expenses and reimbursement for professional fees such as Emergency Department Physicians. If the cost to provide these services and payments for the services were included in the Part III Section B analysis, there would be a Medicare shortfall for these services. Part III, Line 9b: Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, SMH provides necessary patient care regardless of the patient's ability to pay for the services. Part VI, Line 2: The organization prepares a Community Health Needs Assessment (CHNA) every three years. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. Part VI, Line 3: Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, underinsured or can't afford to pay their hospital bill, they may receive a Financial Counseling Packet and/or referred to financial counseling from the registration staff or Change Healthcare, an outside vendor who helps manage the self-pay accounts. The packet includes:- Information on MaineHealth's financial policies- Information on MaineHealth's Free Care Program, Monthly Payment Plan Program, Care Partners, MedAccess and other community resource needs - Program applications and instructions for MaineHealth's Free Care Program, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financial concernsSelf-pay or underinsured patients registering in person or via a phone interview receive financial counseling including information on our financial assistance programs. Registration staff or Change Healthcare provide forms and assist with completing financial assistance applications and providing follow up contact information.MaineHealth's web site includes online Registration and Patient Billing information:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed.If a patient does not respond at pre-registration, registration, or while receiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs. Part VI, Line 4: The CHNA describes the geographic area and demographic constituents it services. Seehttps://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. Part VI, Line 5: The tax exempt purpose of the organization to improve the health of thecommunity is promoted and enhanced in the following ways:-The majority of the governing body is composed of persons living within the hospital service area that are neither employed by, nor have contractual relationships with, the hospital or its affiliates.-Medical staff privileges are available to all qualified physicians in the community.-Solicitation of community input in the strategic planning process.-Common governance of the hospital and physician services provided in the county to promote common health care and improvement planning and control costs.-Voluntary cap on Income from Operations to restrain prices and to fund health care and health improvement activities.-Surplus funds are reinvested in capital equipment and improvements to ensure high quality care.-Each year a portion of Retained Earnings is distributed to our parent, MaineHealth, for the specific purpose of health status improvement programs throughout the MaineHealth service area. Part VI, Line 6: Maine Healthcare (EIN 01-0431680) is a not-for-profit family of leading high-quality providers and other healthcare organizations working together so their communities are the healthiest in America. Ranked among the nation's top 100 integrated healthcare delivery networks, Maine Healthcare is governed by a board of trustees consisting of community and business leaders from its southern, central and western Maine regional service areas. The collaboration of Maine Healthcare members makes it possible to offer an extensive range of clinical integration and community health programs, many aimed at improving access to preventive and primary care services. Maine Healthcare includes the following member organizations: LincolnHealth Group, MaineHealth, Maine Behavioral Healthcare (Spring Harbor Hospital), Coastal Healthcare Alliance (Pen Bay Medical Center and Waldo County General Hospital), Southern Maine Health Care (Southern Maine Medical Center and Goodall campuses), Western Maine Health Care (Stephens Memorial Hospital), The Memorial Hospital at North Conway, N.H., MaineHealth Care at Home, NorDx, Synernet and MaineHealth Accountable Care Organization. The strategic affiliates of Maine Healthcare are MaineGeneral Medical Center, Mid Coast Hospital and St. Mary's Regional Medical Center. Part VI, Line 7, Reports Filed With States ME 0 0 0 0 0 0 0 0 0 Timothy Churchill President 0 349225 0 57000 0 19579 0 35023 0 30364 0 491191 0 0 Kathleen A Herlihy MD Trustee 215964 0 11250 0 31428 0 25251 0 26389 0 310282 0 0 0 Lisa W Miller MD Trustee 163259 0 8568 0 32867 0 4008 0 25857 0 234559 0 0 0 Brian M Nolan MD Trustee 237316 0 9358 0 8300 0 12690 0 24704 0 292368 0 0 0 Ryan R Knapp MD Trustee 287102 0 0 0 18884 0 2310 0 25167 0 333463 0 0 0 Jennifer Sunday Med Staff President 211664 0 11250 0 50560 0 4199 0 26389 0 304062 0 0 0 John Cox Regional CFO 0 237275 0 24720 0 2623 0 19787 0 26637 0 311042 0 0 Margaret M Burns Sr VP-Clinical 0 171304 0 0 0 2663 0 18528 0 3699 0 196194 0 0 Jeannette L Andrews DO Physician 298515 0 0 0 22096 0 3569 0 26921 0 351101 0 0 0 Gregory J Hardy MD Physician 293301 0 0 0 90094 0 19787 0 24952 0 428134 0 0 0 Eric K Osborne DO Physician 327191 0 0 0 71552 0 16809 0 27127 0 442679 0 0 0 Noemi LeFranc MD Physician 286894 0 0 0 36292 0 1134 0 12281 0 336601 0 0 0 Peter R Siviski MD Physician 142449 0 0 0 176986 0 20105 0 2095 0 341635 0 0 0 Part I, Line 3 Top management officials are compensated by related organizations. These organizations used one or more of the methods shown at Part 1, Line 3 to establish the compensation of top management. See description of process in Schedule O - Form 990, Part VI, Line 15 Jewel Nolan Family Member 56491 Employment 0 Schedule L, Part V - Additional Information Jewel Nolan is employed by Stephens Memorial Hospital Association. Her husband, Brian Nolan, is a Board Member. Cash & Cash Equivalents 2019-01-01 24585710 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Patient AR, Net 2019-01-01 5004222 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Inventory , Prepaids & Other Current Assets 2019-01-01 1701644 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Property, Plant, Equipment - Net 2019-01-01 22432171 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Investments 2019-01-01 10558423 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 AWUIL - Current Portion 2019-01-01 259636 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Other Assets 2019-01-01 6428093 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Accounts Payable & Other Current Liabilities 2019-01-01 -2800984 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Accrued Payroll, Payroll Taxes, & Amounts Withheld 2019-01-01 -3147046 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Other Current Liabilities 2019-01-01 -6334987 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Due to MH & Other Members,Net 2019-01-01 -6490994 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Long-term Debt less current portion 2019-01-01 -4539173 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Other Long-term Liabilities 2019-01-01 -822396 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Net Assets Unrestricted 2019-01-01 -45491967 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Net Assets Temporarily Restricted 2019-01-01 -783941 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 Net Assets Permanently Restricted 2019-01-01 -558411 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)3 1 1 0 0 1 1 1 1 1 0 Part I, Line 2e: Person(s) Involved: Kathleen A. Herlihy, MD; Timothy Churchill; Lisa W. Miller, MD; Brian MNolan MD; Ryan Knapp MD; Margaret M. Burns; Jennifer D. Sunday and John Cox. Part I, Line 2e: Explanation of Involvement: Kathleen A. Herlihy, MD, trustee became a member of MaineHealth's (EIN: 01-0238552) board of trustees upon Stephen Memorial Hospital's merger with MaineHealth on 1/1/2019.Timothy Churchill, Lisa W. Miller, MD, Brian M. Nolan, MD, Ryan Knapp, MD,John Cox, Margaret M. Burns, Jennifer D. Sunday and Kathleen A. Herlihy, MDbecame employees of MaineHealth upon the 1/1/2019 merger date. Part I, Line 6c: MaineHealth (EIN: 01-0238552) assumed the liability of Stephens Memorial Hospital's tax-exempt bond upon the merger date. Form 990, Part V - Additional Information Line 1a - Prior to consolidating accounts payable operations with MaineHealth (EIN 01-0238552), the entity filed 5 Form 1099s for the calendar year 2018. MaineHealth (EIN 01-0238552), acting on behalf of Maine Healthcare (EIN 01-0431680), filed 1,645 Form 1099s for the calendar year 2018 on behalf of the following organizations: MaineHealth, Maine Healthcare, Southern Maine Health Care, Pen Bay Medical Center, Waldo County General Hospital, Franklin Memorial Hospital, LincolnHealth Group, Memorial Hospital, Western Maine Healthcare, Maine Behavioral Healthcare, NorDx, MaineHealth Care at Home. Form 990, Part VI, Section A, line 6 Western Maine Health Care, Corp. (EIN# 01-0411788) is the sole member of the organization. Form 990, Part VI, Section A, line 7a The sole member has the responsibility for the election of the members of the governing body. Form 990, Part VI, Section A, line 7b All decisions by the Stephens Memorial Hospital Association's (SMH) governing body are approved by default by the member organization's governing body since these two organizations share a common governing body. Form 990, Part VI, Section B, line 11b A detailed review of the Form 990 was performed by the Regional Chief Financial Officer prior to signing the return. The Form 990 was then made available to the full board prior to filing. Form 990, Part VI, Section B, line 12c Conflict of Interest statements are obtained annually. The President's Office collects and reviews the responses. Where any real or perceived conflicts exist, officers and trustees are expected to recuse themselves (1) from meetings during times when the topics of potential conflict are discussed and (2) from voting on such matters. Key employees may not use their positions to profit personally or to assist others in profiting in any way at the expense of SMH. Form 990, Part VI, Section B, line 15 Compensation Process for Top Official: The parent company of SMH is Western Maine Health Care, Corp. (EIN# 01-0411788) who through its parent company Maine Healthcare (EIN# 01-0431680), has a formal written compensation policy in place. In consultation with Sullivan Cotter, the MaineHealth Board Compensation Committee establishes appropriate compensation parameters for each organization's CEO and certain members of their Senior Management Team. Working within these parameters, the Western Maine Health Care Board determines the level of compensation for its CEO. The findings of the Compensation Committee are made transparent to, and voted on by, the full Governing Board. The "total executive compensation" is filed publicly by the organization, and includes "total cash compensation and "total value of all benefits and perquisites" associated with the position. The Board takes necessary action to prevent the CEO from voting or directly participating in the final Committee determination of his own compensation. The organization's executive compensation procedures rely upon appropriate data for comparability (e.g. compensation levels paid by both taxable and tax-exempt similarly situated organizations and independent surveys by nationally recognized independent firms). Finally, the organization refrains from allowing executive compensation to ever be based solely on Western Maine Health Care, Corp.'s revenues or other similar profit-sharing strategies. Compensation Process for Officers: At the time of hire the compensation department utilizes market data toprovide an accurate, competitive and appropriate offer. Annual merit increases are determined by the CEO, subject to guidelines established on a system wide basis. Form 990, Part VI, Section C, line 19 Documents that are required to be open for public inspection are made available upon request. Form 990, Part XI, line 9: Merger of Assets in to MaineHealth (EIN:01-0238552) -46,834,319. Change in interest of SCHF -471,162. Stephens Community Healthcare Found 181 Main Street Norway ME 04268 311644144 Healthcare ME 501(c)(3) Line 12a, I Western Maine Health Care Corp 0 Western Maine Health Care Corp 181 Main Street Norway ME 04268 010411788 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Western Maine Multi-Medical Specialists 181 Main Street Norway ME 04268 010489824 Physician practices ME 501(c)(3) Line 10 Western Maine Health Care Corp 0 Western Maine Nursing Home Inc 181 Main Street Norway ME 04268 222842655 Nursing home ME 501(c)(3) Line 10 Western Maine Health Care Corp 0 Maine Healthcare 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1