2019-08-14T13:35:25-05:00 2018-09-30 990 2017-10-01 261475629 LincolnHealth Group LINC 2076338402 6 St Andrews Ln Boothbay Harbor ME 04538 Wayne Printy CFO 2076338402 2019-08-13 63.247.60.254 2019-08-14 14:35:06 ED P B45CD6F9D1811B9916B2A423673B63195B36551F B45CD6F9D1811B9916B2A423673B63195B36551F 2017 2019-02-21 02:37:17Z James Donovan 6 St Andrews Ln Boothbay Harbor ME 04538 10287920 0 X www.lchcare.org X 2008 ME LincolnHealth Group (LHG) was established to promote and support integrated & cost-effective health care services for the residents and visitors of Lincoln County, Maine. 19 13 55 0 0 0 96083 77902 8983592 9748878 6739 19928 -60385 30562 9026029 9877270 13085 5908 0 0 3819510 4004788 0 0 517794 5385713 5978297 9218308 9988993 -192279 -111723 14713674 12809771 12112237 7276429 2601437 5533342 See Schedule O 0 0 8207075 5908 9748878 Management Services - LincolnHealth Group (LHG) is the parent company of LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners, Inc. LHG provides management services to these three tax exempt entities which include a critical access hospital, two long term care facilities that offer skilled and long term nursing care as well as dementia and adult day care, assisted living, and independent living facilities, a home health agency which includes professional and private duty home services, hospice services, and home monitoring, as well as multi-specialty physician group practices. 218194 Nursing School - The Education Center is a collaborative effort of Central Maine Community College and LincolnHealth Group, and is the first college degree program in Lincoln County. The program collaboratively works with colleges, clinical departments of the hospital and long term care facilities. Students receive classroom training at Central Maine Community College and in classrooms at the LincolnHealth Group Education Center located in Damariscotta. Clinical training is at LincolnHealth - Miles Campus and LincolnHealth Cove's Edge. LincolnHealth Group provides administration services, clinical training, equipment, supplies, technical support, telecommunications, and full scholarships in support of the nursing school program. 8425269 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 67 0 1 55 1 0 0 0 0 0 0 0 0 0 0 X 19 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Wayne Printy 2076338402 6 St Andrews Ln Boothbay Harbor ME 04538 Aquilino Alamo MD Trustee 0.40 50.00 X 0 187481 32386 Samira Hasan DO Trustee 0.40 50.00 X 0 367524 34782 James Cosgrove Trustee 0.40 0.00 X 0 0 0 Leslie Fossel Trustee 0.40 0.00 X 0 0 0 Timothy Fox MD Trustee 0.40 50.00 X 0 301595 32843 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 Meagan G Hamblett Trustee 0.40 0.00 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 242900 34832 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 233575 35905 Denise Soucy MD Trustee 0.40 0.00 X 0 0 0 Holly B Stover Trustee 0.40 0.00 X 0 0 0 David Sturdevant Trustee 0.40 0.00 X 0 0 0 Peter W Wood Trustee 0.40 0.00 X 0 0 0 James Donovan CEO 50.00 3.00 X 366155 0 41296 Wayne Printy CFO 50.00 3.00 X 238632 0 23262 Cynthia Wade Executive VP & COO 50.00 0.00 X 233579 0 25259 Scott Shott VP, Develop/Market 50.00 0.00 X 115356 0 28477 Katharine Rose Dir Reimbursement 50.00 0.00 X 105238 0 16624 Patrick Parson Director Operations 50.00 0.00 X 104110 0 4540 Catherine Cole Dir Educ & Comm Out 50.00 0.00 X 105006 0 17802 1268076 1333075 328008 8 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Professional Services 3491874 NorDx 301A US Route 1 Scarborough ME 04074 Lab Services 1487220 Select Rehabilitation Inc PO Box 809056 Chicago IL 60680 Rehabilitation 335002 InSight Health Corp PO Box 847689 Dallas TX 75284 Diagnostic Serv 306805 American Healthcare Services Associ PO Box 945 Traverse City MI 49685 Professional Services 303681 14 77902 77902 Fees for Services 900099 9748878 9748878 9748878 14680 14680 415898 410650 5248 5248 5248 Other Revenue 900099 30562 30562 30562 9877270 9784688 0 14680 5908 5908 700529 700529 2593097 2352148 240949 67762 49486 18276 442701 339149 103552 200699 158552 42147 84503 84503 61162 61162 339177 293317 25031 20829 32372 31467 905 314588 282605 31983 2345671 2084666 261005 188180 160817 27363 38942 38156 786 104650 104650 402697 397511 5186 37388 37388 Integrated Services 1371599 1356599 15000 Dues and Subscriptions 636727 12057 614229 10441 Medical Supplies 10545 10545 Other Expenses 10096 9719 377 9988993 8425269 1045930 517794 413355 36681 2498 79725 81711 971244 855801 162854 115443 439088 462097 13616154 12113839 14713674 12809771 561087 457311 134035 51527 11417115 6767591 12112237 7276429 X 2179685 5088620 121752 144722 300000 300000 2601437 5533342 14713674 12809771 X -111723 18783 3024845 X 0 1 X 1 0 X X 3 LincolnHealth Medical Partners Inc 263878235 7 1 0 0 LincolnHealth 010153960 3 1 0 0 LincolnHealth Coves Edge 010382340 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Supplemental Information: LincolnHealth Group (LHG) is the parent company of LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners, Inc. LHG provides management services to these three tax exempt entities. These services include leadership, human resources, accounting, development and information technology services. 300000 19713 -19713 300000 300000 6434 -6434 300000 300000 31207 -31207 300000 300000 11899 -11899 300000 300000 19723 -19723 300000 0.00000 1.00000 0.00000 0 0 30852 18592 12260 940392 837209 103183 115443 Due from Related Parties 2286161 Prepaid Capital Costs 8834522 Investment in MHACO 145483 IS Shared Capital 719419 Escrow for Debt Service 128254 12113839 Due to Related Parties 3080597 Long-term Obligations due to MH 3686994 6767591 X Part V, Line 4: LHG Nursing School Endowment Part X, Line 2: LincolnHealth Group, LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners are not-for-profit corporations recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. 1 Scholarships for students attending the LincolnHealth Group/Central Maine Community College Nursing Program 4 5908 Part I, Line 2 - Procedures for Monitoring the Use of Grant Funds The students receiving the scholarships must be enrolled in LincolnHealth Group's Nursing School program to be eligible to receive a scholarship. 0 0 0 0 0 0 0 0 0 Aquilino Alamo MD Trustee 0 134839 0 52592 0 50 0 6372 0 26014 0 219867 0 0 Samira Hasan DO Trustee 0 343574 0 0 0 23950 0 8775 0 26007 0 402306 0 0 Timothy Fox MD Trustee 0 274698 0 12000 0 14897 0 8775 0 24068 0 334438 0 0 Sean O'Donnell MD Trustee 0 232100 0 0 0 10800 0 8153 0 26679 0 277732 0 0 Andrew Russ MD Trustee 0 189331 0 44094 0 150 0 7696 0 28209 0 269480 0 0 James Donovan CEO 271819 0 53000 0 41336 0 8775 0 32521 0 407451 0 0 0 Wayne Printy CFO 205302 0 0 0 33330 0 6818 0 16444 0 261894 0 0 0 Cynthia Wade Executive VP & COO 216451 0 0 0 17128 0 7195 0 18064 0 258838 0 0 0 Part I, Line 3 - Related Org Methods Used for Compensation Explanation See description of process in Schedule O - Form 990, Part VI, Line 15a - Compensation for Top Official. Form 990, Part VI, Section A, line 6 The sole corporate member (Corporator) is MaineHealth - EIN 01-0431680. Form 990, Part VI, Section A, line 7a The member elects the Board of Trustees. All officers of the Board ofTrustees 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 performs a detailed review of the entire Form 990. The Form 990 is also 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's 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 In consultation with Sullivan Cotter, the MaineHealth Board Compensation Committee establishes appropriate compensation parameters for each member organizations CEO and certain members of their Senior Management team. Working within those parameters, the LincolnHealth Group (LHG) 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. This 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 (such as housing allowances, social club memberships, signing bonuses,etc.). The Board takes necessary action to prevent the CEO from voting or directly participating in the final Committee determination of (her/his)own compensation. The organizations executive compensation procedure relies upon appropriate data for comparability (e.g. compensation levels paid by both taxable and tax-exempt similarly situated organizations and independent compensation surveys by nationally recognized independent firms). Finally, the organization refrains from allowing executive compensation to ever be based solely on LHGs revenues or other similar profit-sharing strategies. 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 Transfers -250,180. Intercompany Equity Transfers 3,275,025. Coastal Healthcare Alliance PO Box 287 Belfast ME 04915 222494475 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Franklin Community Health Network 111 Franklin Health Commons Farmington ME 04938 223209406 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Geriatric Resource Network 110 Free Street Portland ME 04101 010542842 Healthcare ME 501(c)(3) Line 7 MaineHealth 0 LincolnHealth 35 Miles Street Damariscotta ME 04543 010153960 Hospital ME 501(c)(3) Line 3 LincolnHealth Group 1 LincolnHealth Cove's Edge 35 Miles Street Damariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 LincolnHealth Group 1 LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta ME 04543 263878235 Physician practices ME 501(c)(3) Line 7 LincolnHealth Group 1 Maine Behavioral Healthcare 78 Atlantic Place South Portland ME 04106 010524834 Hospital ME 501(c)(3) Line 3 MaineHealth 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 MaineHealth 0 MaineHealth Cardiology 110 Free Street Portland ME 04101 452525629 Healthcare ME 501(c)(3) Line 10 MaineHealth 0 MaineHealth Care at Home 15 Industrial Park Saco ME 04072 222571902 Home health ME 501(c)(3) Line 10 MaineHealth 0 NorDx 301A US Route One Scarborough ME 04074 010511356 Lab ME 501(c)(3) Line 10 MaineHealth 0 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 Hospital ME 501(c)(3) Line 3 MaineHealth 0 The Memorial Hospital 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital NH 501(c)(3) Line 3 MaineHealth 0 Western Maine Health Care Corp 181 Main Street Norway ME 04268 010411788 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 MaineHealth 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 MaineHealth ACO 110 Free Street Portland ME 04101 452929273 ACO ME Maine Medical Center Related 35503 316167 0 1 0.03330 Synernet Inc 110 Free Street Portland ME 04101 010539789 Administrative services ME N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 LincolnHealth K 118882 LincolnHealth Cove's Edge L 62387 LincolnHealth L 313087 LincolnHealth Cove's Edge O 536719 LincolnHealth O 2615212 LincolnHealth Cove's Edge Q 1052439 LincolnHealth Q 3222614 LincolnHealth Cove's Edge S 1470956 LincolnHealth S 7736024