2019-11-12T11:54:50-06:00 2019-01-01 990 2018-10-01 010153960 LINCOLNHEALTH LINC 2076338402 35 Miles Street Damariscotta ME 04543 Wayne Printy CFO - LHG 2076338402 2019-11-08 63.247.60.254 2019-11-12 12:52:07 ES P B45CD6F9D1811B9916B2A423673B63195B36551F 071534DF782BAFFC7F19FAE443616795F01F9B48 2018 2020-04-17 16:48:07Z X James Donovan 6 St Andrews Ln Boothbay Harbor ME 04538 22693463 0 X mainehealth.org/lincolnhealth X 1955 ME LincolnHealth is dedicated to maintaining and improving the health of our communities by assuring: the very best, highest quality, and compassionate health care services from highly trained professionals; our services are cost-effective and accessible to all regardless of their ability to pay; as a not-for-profit, charitable organizations, we will be trustworthy stewards of our resources; our active participation and support of the Maine Healthcare family. X 20 14 0 145 36866 -25409 1992037 428687 85267767 21405281 -102579 94955 1957894 473120 89115119 22402043 0 0 0 0 32769850 8393231 0 0 70503 51802831 13580749 84572681 21973980 4542438 428063 86542226 0 31453380 0 55088846 0 See Schedule O 0 0 11066782 15996241 LincolnHealth is a 25 bed Critical Access Hospital. The hospital operations provide acute, rehabilitative, obstetrics and intensive care in its inpatient setting. Outpatient services include Emergency Care, Urgent Care, General and Orthopaedic Surgery, Wound Care, Ophthalmology, Physical Therapy, Occupational Therapy, Speech Therapy, Cardiopulmonary Services, Diagnostic Imaging, Laboratory, and Pharmacy services. 7225934 3553124 LincolnHealth, dba Lincoln Medical Partners (LMP), is a multi-specialty physician practice with offices in Boothbay Harbor, Damariscotta, Waldoboro and Wiscasset. LMP specialties include Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, General Surgery, Ophthalmology, Orthopaedics, Obstetrics and Gynecology, and Pediatrics. 2194247 1855915 LincolnHealth offers long term care services at St. Andrews Village Community. It includes 12 assisted living units, 29 independent living apartments, 11 dementia care beds, adult day services, and 42 long-term nursing care beds. Statistics for the year: assisted living 3,206 days, independent living 2,399 days, and dementia care 666 days. 20486963 1 1 0 1 0 0 0 0 0 1 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 0 0 0 0 1 0 0 1 0 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 20 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X Wayne Printy 2076338402 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 Aquilino Alamo MD Trustee 0.40 50.00 X 0 212497 37919 Samira Hasan DO Trustee 0.40 50.00 X 0 383109 34929 James Cosgrove Trustee 0.40 0.00 X 0 0 0 Leslie Fossel Trustee 0.40 0.00 X 0 0 0 Meagan G Hamblett Trustee 0.40 0.00 X 0 0 0 Timothy Fox MD Trustee 0.40 50.00 X 0 280160 36794 Jack T Fulmer MD Secretary 0.40 0.00 X X 0 0 0 Bruce P Garren Treasurer 0.40 0.00 X X 0 0 0 David Lawrence Vice Chairman 0.40 0.00 X X 0 0 0 William Logan Chairman 0.40 0.00 X X 0 0 0 Bruce Lutsk Trustee 0.40 0.00 X 0 0 0 Russell Mack MD Trustee 0.40 0.00 X 0 0 0 Sean O'Donnell MD Trustee 0.40 50.00 X 0 246850 38606 Wayne Moore Trustee 0.40 0.00 X 0 0 0 Susan Porter Trustee 0.40 0.00 X 0 0 0 Andrew Russ MD Trustee 0.40 50.00 X 0 267804 41605 Denise Soucy MD Trustee 0.40 0.00 X 0 0 0 Holly B Stover Trustee 0.40 0.00 X 0 0 0 Peter W Wood Trustee 0.40 0.00 X 0 0 0 Louis Sell Trustee 0.40 0.00 X 0 0 0 James Donovan CEO - LHG 3.00 50.00 X 0 382926 47197 Wayne Printy CFO - LHG 3.00 50.00 X 0 249708 27674 Stacey Miller VP Phys. Services 50.00 0.00 X 164630 0 36009 Christine Anderson VP Patient Svc & CNO 50.00 0.00 X 174084 0 35712 Karen Philbrick Director of Pharmacy 50.00 0.00 X 144048 0 34705 Brent Peters Staff Pharmacist 50.00 0.00 X 131038 0 27993 Deborah Monck RN IV 50.00 0.00 X 125537 0 20231 739337 2023054 419374 9 0 1 0 AHSA 10126 E CHERRY BEND ROAD TRAVERSE CITY MI 49684 Healthcare Workforce solutions/staff pro 1099292 SPECTRUM MEDICAL GROUP 324 GANNETT DR 200324 GANNETT DR SOUTH PORTLAND ME 04106 Hospital Association 542307 PREFERRED THERAPY SOLUTIONS 850 SILAS DEANE HWY WETHERSFIELD CT 06109 rehabilitation program management 169867 LEAF PO BOX 742647 CINCINNATI OH 452742647 Leasing agent 146408 4 428687 428687 Net Patient Revenue 623000 21394222 21394222 Rental Income 531390 11059 11059 21405281 55624 55624 4577 0 4577 4577 4577 330751 291420 39331 39331 39331 Miscellaneous Income 900099 436254 436254 0 Cottage Services 531310 22633 22633 Management Fees 531310 6828 6828 2828 2828 468543 22402043 21880866 36866 55624 6373169 6176529 196640 196585 189041 7544 1362112 1321714 40398 461365 443660 17705 8947 8947 1474144 1419665 54479 10210 10210 446564 392141 54201 222 552994 545826 7168 486670 486670 35624 34843 781 131126 131126 1256260 1255063 1197 49098 12010 37088 Integrated Services 7002771 5952191 986352 64228 Medical Supplies 1490275 1490275 Hospital & Provider Tax 481710 481710 Dues & Subscriptions 35038 33200 1838 119318 111089 2176 6053 21973980 20486963 1416514 70503 1655796 0 556225 0 1549717 0 10000769 0 0 0 180532 0 2215663 0 200362 0 0 0 47027240 0 13368857 0 0 0 0 9787065 0 86542226 0 6044490 0 3099163 0 7483797 0 3615166 0 11210764 0 31453380 0 X 47083298 0 2653890 0 5351658 0 55088846 0 86542226 0 X 428063 -750780 -54766129 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10944 10944 0 Schedule C, Part II-B, Line 1 Portion of membership dues attributable to lobbying activities: Lobbying portion of Maine Hospital Association Dues: $8,664 Lobbying portion of Maine Health Care Association: $1,541 Lobbying portion of American Health Care Association: $489 Lobbying portion of Strategic Health Care: $250 11967142 14896 -481762 -11482010 -18266 13408357 3453848 293854 -5152979 -35938 11967142 12371648 451344 1143726 -526053 -32308 13408357 13266695 163951 760811 -1780280 -39529 12371648 14325848 178090 -144251 -1045069 -47923 13266695 0.00000 0.00000 1 0 0 Part V, Line 4: Beneficial interest in perpetual trusts held by other unrelated organizations have periodic distributions that are made as unrestricted contributions to Hospital operations. - Income (interest and dividends net of fees plus realized gains) generated from the Permanently Restricted Funds is available and is transferred to operations, either for general operations or specific uses which fall under normal operations. There are three Permanently Restricted Funds that have exceptions: - Income transfers are made to the Van Winkle Temporarily Restricted Funds from which an annual Excellence in Healthcare Award is presented to an employee of LHG or one of its subsidiaries. The net transfer from the permanently restricted fund to the temporarily restricted fund is equal to 3% of the average market value of the Van Winkle Fund over the past 12 quarters. - Income generated from the Thompson Fund is transferred to Temporarily Restricted funds to be utilized as Charity Care for indigent South Bristol residents. - The Vinal Fund has accumulated to $10,000 and is to remain at that balance. All income generated from this fund will be transferred out on an annual basis and used to assist in managing the non-covered costs of a long-term illness. Utilization of the annual income will be recommended by the medical staff and approved by the Vinal family. Schedule D, Part V, Line 1e As Lincoln Health merged into MaineHealth(EIN: 01-0238552) on 1/1/19, the endowment balance was transferred to MaineHealth at the close of the period covered by this return. 1 1 1 X 175.000000000000 0 1 1 1 0 0 426724 426724 0.01940 2526877 2314118 212759 0.00970 2953601 2314118 639483 0.02910 25382 24614 768 0.00000 47392 47392 0.00220 6499148 3292269 3206879 0.14590 6571922 3316883 3255039 0.14810 9525523 5631001 3894522 0.17720 36 36 0.00000 36 36 0.00000 0 1069066 5289494 5156730 132764 X 1 1 1 1 LincolnHealth (LH) 35 Miles Street Damariscotta ME 04543 mainehealth.org/lincolnhealth 38979 X X X LincolnHealth (LH) 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X https://mainehealth.org/healthy-communities/community-health-needs-assessme 1 16 1 https://mainehealth.org/healthy-communities/community-health-needs-assessme 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 LincolnHealth (LH) Part V, Section B, Line 5: Community input was taken into account when conducting the CHNA, including those with special knowledge of or expertise in public health. This included individuals from the following facilities: LincolnHealth, MaineHealth, Healthy Lincoln County, Maine CDC, and Medical Care Development. LincolnHealth (LH) Part V, Section B, Line 6a: The CHNA was conducted through a partnership with Maine Healthcare, Central Maine Healthcare, Northern Light Health, MaineGeneral Health, and the Maine Department of Health and Human Services. LincolnHealth (LH) 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. Part V, Section B, Lines 7a and 10a: The CHNA and implementation strategy are posted on the following website:https://mainehealth.org/healthy-communities/community-health-needs-assessment LincolnHealth (LH):Part V, Section B, Lines 16a, 16b, and 16c: The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy); free care application and and plain language summary areavailable on the following website:https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care. 10 1 - LH dba St Andrews Village 145 Emery Lane Boothbay Harbor ME 04538 Long-Term Care Facility 2 - LH dba LMP Primary Care 24 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 3 - LH dba LMP General Surgery 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 4 - LH dba The Family Care Center 14 St Andrews Lane Boothbay Harbor ME 04538 Outpatient Clinic 5 - LH dba LMP Orthopedics 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 6 - LH dba LMP Family Medicine 230 Kalers Corner Waldoboro ME 04572 Outpatient Clinic 7 - LH dba LMP Family Medicine 49 Hooper Street Wiscasset ME 04578 Outpatient Clinic 8 - LH dba LMP Ophthalmology 71 Main Street Newcastle ME 04553 Outpatient Clinic 9 - LH dba The Women's Center 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 10 - LH dba Lincoln Medical Partners 42 Belvedere Road Newcastle ME 04553 Administration Part I, Line 7g - Subsidized Health Services Explanation Subsidized health services include School Based Health Centers where LincolnHealth Group (LHG) and its subsidiary LincolnHealth (LH) provide physicians or nurse practitioners to consult and provide services within the school. Clinics are also offered throughout the year to provide subsidized services such as mammography, blood pressure screenings, etc. to encourage its residents to obtain these health services. Physician practices offering services such as Family Medicine, Internal Medicine and Pediatrics operate at a loss in order to ensure healthcare for its community members regardless of their ability to pay. $3,206,879 of expenses related to outpatient clinics are included in the subsidized health services total in Part I, Line 7g. Part I, Line 7, Column (f) - Exclusions from Percent of Total Expense Bad Debt is a deduction from revenue and is not included in total expenses. Part I, Line 7 - Costing Methodology Explanation Charity Care and Means-Tested Government Programs utilize a cost to charge ratio in determining the cost of the actual Charity Care Write-Off. The cost to charge ratio is calculated using Worksheet 2: Ratio of Patient Care Cost to Charges, located in the Schedule H instructions. Part II - Community Building Activities LincolnHealth Group and its subsidiary hospital organization, LincolnHealth, partner with various community groups such as Healthy Lincoln County and Healthy Maine Partnership to improve and protect the health of its community members. Meals are prepared by its staff as part of the local Meals on Wheels programs which delivers meals to the elderly population to assist with their nutritional needs. LHG participates in the community disaster training held on a regular basis throughout the county. Part III, Line 2 - Bad Debt Expense Methodology See Part III, Line 4 - Bad Debt Expense Footnote to Financial Statements Part III, Line 4 - Bad Debt Expense Footnote to Financial Statements From the LHG Audited Financial Statements: Charity Care: LH (the Hospital) accepts all patients regardless of their ability to pay. A patient is classified as a charity patient by reference to certain established policies. Essentially, these policies define charity care as those services for which limited or no payment is anticipated. In assessing a patient's ability to pay, the Hospital utilizes generally recognized poverty income levels. Charity Care is measured based on the Hospital's established rates. The Hospital utilizes annual federal guidelines and adjusts accounts for those whose income is 175% of the poverty level, taking family size into consideration. The costs and expenses incurred in providing these services are included in operating expenses. Revenue for services rendered to individuals from whom payment is expected and ultimately not received is written off and included as part of the allowance for bad debts. The costing methodology used in determining the amounts reported on Part III, Line 2 and 3 follow the Worksheets provided in the Schedule H Instructions and utilizes costs to charge information derived directly off the annual cost reports.LincolnHealth does not have a specific footnote in the financial statements that describes "Bad Debt Expense". LH reports Accounts Receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of patient accounts receivable, LHG analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, LHG analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, LHG records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. LH believes that bad debt expense should be included as a community benefit. Part III, Line 8 - Medicare Explanation Medicare allowable costs were calculated using a cost to charge ratio. LH believes that the Medicare shortfall should be included as a community benefit because LH has a clear mission commitment to serving elderly patients and adults with disabilities through the provision of specific subsidized programs developed to help improve the health status of these patients. If these critical subsidized programs were not provided by LH, they would become the obligation of the Federal Government. Part III, Line 9b - Collection Practices Explanation Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, LH provides necessary patient care regardless of the patient's ability to pay for the services. Part VI, Line 2 - Needs Assessment 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. The health needs of the community are assessed by: utilizing the Maine State Health Plan and Assessment, community forums, involvement in community based health status improvement programs and in conjunction with Maine Healthcare (our healthcare system.)Maine Healthcare also participates in various initiatives to help support and provide updates to community needs assessment planning. Some of these initiatives include: Clinical Strategic Planning, Financial Strategic Planning, Facility Planning, Manpower Planning, Physician Recruitment Strategic Planning, Emergency Preparedness Planning. Along with the internal assessments, member organizations also review and act on recommendations provided by local and state partners, such as the Maine Center for Disease Control and Prevention (MCDC). All hospitals within the Maine Healthcare system have conducted Community Health Needs Assessments (CHNA) to meet federal regulations that were created as part of the Affordable Care Act. In late 2013, CHNA and Implementation Plan Reports were produced by each Maine Healthcare member hospital, in collaboration with Maine Healthcare. These detailed reports covered the time period of 2013-2015 and were formally adopted by each member organization Board for submission with their respective FY13 990 filings. In 2015, a collaborative called the Maine Shared Health Needs Assessment was launched to create a framework and approach for a Shared CHNA that can: i) address community benefit reporting needs of hospitals, ii) support state and local public health accreditation efforts, and iii)provide valuable population health assessment data for various organizations concerned with the health of Maine's communities and citizens. Maine Healthcare, Eastern Maine Healthcare System, Central Maine Healthcare and the Maine Center for Disease Control and Prevention are contributing financials support to the study and reports. In 2016, Maine Shared CHNA produced county-level CHNA reports and helped coordinate community engagement processes that ultimately resulted in the prioritization of the health issues by hospitals,state/local governments and other partners. In collaboration with Maine Healthcare, each member hospital produced a detailed CHNA report and implementation plan covering the time period of 2016-2018. These reports were formally adopted by each member organization Board for submission with their respective FY16 990 filings. Part VI, Line 3 - Patient Education of Eligibility for Assistance Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, under insured or can't afford to pay 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 Maine Healthcare's financial policies- Information on Maine Healthcare's Free Care Program, Monthly Payment Plan Program, Care Partners, MedAccess and other community resource needs.- Program applications and instructions for Maine Healthcare'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. Maine Healthcare's Web site includes on line 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 - Community Information The Community Health Needs Assessment describes the geographic area and demographic constituents it services. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. Part VI, Line 5 - Promotion of Community Health The tax exempt purpose of the organization to improve the health of the community 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 hospitals, long-term care, home health, Hospice 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 are distributed to our parent, Maine Healthcare, for the specific purpose of health status improvement programs throughout the Maine Healthcare service area. Part VI, Line 6 - Affiliated Health Care System Maine Healthcare 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 - State Filing of Community Benefit Report Maine 0 0 0 0 0 0 0 0 0 Aquilino Alamo MD Trustee 0 158204 0 53893 0 400 0 8862 0 29057 0 250416 0 0 Samira Hasan DO Trustee 0 281729 0 0 0 101380 0 8250 0 26678 0 418037 0 0 Timothy Fox MD Trustee 0 275160 0 0 0 5000 0 10146 0 26649 0 316955 0 0 Sean O'Donnell MD Trustee 0 198650 0 0 0 48200 0 10227 0 28379 0 285456 0 0 Andrew Russ MD Trustee 0 184848 0 60381 0 22575 0 9517 0 32088 0 309409 0 0 James Donovan CEO - LHG 0 288283 0 52000 0 42643 0 10021 0 37177 0 430124 0 0 Wayne Printy CFO - LHG 0 222465 0 0 0 27243 0 9791 0 17883 0 277382 0 0 Stacey Miller VP Phys. Services 158045 0 0 0 6585 0 6972 0 29037 0 200639 0 0 0 Christine Anderson VP Patient Svc & CNO 166653 0 0 0 7431 0 7132 0 28580 0 209796 0 0 0 Karen Philbrick Director of Pharmacy 143923 0 75 0 50 0 5934 0 28772 0 178754 0 0 0 Brent Peters Staff Pharmacist 130980 0 58 0 0 0 5500 0 22493 0 159031 0 0 0 Part I, Line 3 Related Org Methods Used for Compesation Explanation. Top management officials are compensated by this or other related organizations. These organizations used one or more of the methods shown at Part I, Line 3 to establish the compensation of top management. See descrition of process in Schedule O - Form 990, Part VI, Line 15a - Compensation of Top Official. Cash & Cash Equivalents 2019-01-01 4425475 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Patient AR, Net 2019-01-01 6985850 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Prepaids & Other Current Assets 2019-01-01 1080225 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Inventory 2019-01-01 2214171 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Estimated Third-Party 2019-01-01 4511628 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Investments 2019-01-01 13225117 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) PPE, net 2019-01-01 46762120 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Other Assets 2019-01-01 3335454 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Accounts Payable & Other Current Liabilities 2019-01-01 -1617780 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Accrued Payroll, Payroll Taxes, & Amounts Withheld 2019-01-01 -2630412 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Accrued Interest Payable 2019-01-01 -202714 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Deferred Revenue 2019-01-01 -17032 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Due to MH & Other Members,Net 2019-01-01 -7338516 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Debt 2019-01-01 -10920237 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Other LT Liabilities 2019-01-01 -3303566 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Net Assets Unrestricted 2019-01-01 -48565695 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Net Assets Temporarily Restricted 2019-01-01 -2575306 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 501(c)(3) Net Assets Permanently Restricted 2019-01-01 -5368782 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: Bruce P. Garren; Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO; Sean O'Donnell, MD; Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO Part I, Line 2e: Explanation of Involvement: Bruce P. Garren trustee, became a member of MaineHealth's (EIN: 01-0238552) board of trustees upon LH's merger with MaineHealth on 1/1/2019.Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO; Sean O'Donnell, MD; Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO are employees of MaineHealth. Part I, Line 6c: Effective January 1, 2019, all tax exempt bond liabilities were transferred to MaineHealth (EIN 01-0238552) as part of LH's merger with MaineHealth. Form 990, Part V, Line 1a 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: Maine Healthcare, MaineHealth, Southern Maine Health Care, Coastal Healthcare Alliance, 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 V, Line 2a MaineHealth (EIN 01-0238552) filed Form W-3, reporting 18,322 employees, for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, MMC Realty, Maine Medical Partners, NorDx, MaineHealth Care at Home, MaineHealth Cardiology, Southern Maine Health Care, Maine Behavioral Healthcare, Waldo County General Hospital and LincolnHealth Group. Form 990, Part VI, Section A, line 6 LincolnHealth Group (LHG),(EIN# 26-1475629), is the sole corporate member of LincolnHealth(LH). Maine Healthcare (EIN #01-0431680), as the sole member of LHG, has the right to approve significant decisions of the governing board of LHG and its subsidiaries. Form 990, Part VI, Section A, line 7a The member elects the Board of Trustees. All officers of the Board of Trustees are elected by the board, and each must be a Trustee. Officers of the corporation are elected annually by the board. Form 990, Part VI, Section A, line 7b Decisions of the governing body such as budgets, business strategies, significant financial commitments, amendments to the articles of incorporation, and election of the President/CEO among other decisions, are subject to the approval of the sole member. Form 990, Part VI, Section B, line 11b The Chief Financial Officer and Controller perform a detailed review of the entire Form 990 before signing. It is then made available to the full board prior to filing. Form 990, Part VI, Section B, line 12c Any duality of interest or possible conflict of interest on the part of a trustee, physician, officer or manager (e.g., a member of LincolnHealth Group Leadership Team, Director, Manager or person responsible for purchasing) must be disclosed to the applicable Board, Board Committee or,in the case of an administrative decision that is not subject to Board or committee approval, to the manager's immediate supervisor. Such disclosures shall be made a matter of record. Disclosure will be made at the time of initial affiliation with LincolnHealth Group annually and when the interest becomes a matter for Board or committee action or administrative decision. Disclosure Forms shall be completed annually by trustees and officers at the time of the Annual Meeting, and annually by vice presidents, directors, and managers in conjunction with their annual performance review. Form 990, Part VI, Section B, line 15 Line 15a - Compensation Process for Top Official The process followed for determining compensation of the CEO compensated by this or other related organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of LincolnHealth,along with other executives in the Maine Healthcare system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on Maine Healthcare's written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Line 15b - Compensation Process for Officers See process above under "Compensation Process for Top Official". Form 990, Part VI, Section C, line 19 Documents that are required to be open for public inspection are made available upon request. Form 990, Part XI, line 9: Equity Transfer to affiliates 1,743,753. Change in value of perpetual trust -100. Merger of assets into MaineHealth (EIN: 01-0238552) -56,509,782. LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta ME 04543 263878235 Physician practices ME 501(c)(3) Line 7 LincolnHealth Group 0 LincolnHealth Group 6 St Andrews Lane Boothbay Harbor ME 04538 261475629 Healthcare ME 501(c)(3) Line 12b, II Maine Healthcare 0 LincolnHealth Cove's Edge 35 Miles Street Damariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 LincolnHealth Group 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 0 1 1 1 1 1 1 1