2019-06-21T12:29:09-05:00 2018-06-01 990 2017-10-01 201600381 CANCER CARE CNTR OF YORK COUNTY CANC 2076617001 22 BRAMHALL STREET PORTLAND ME 04102 Daniel Forgues Treasurer 2076617001 2019-06-21 63.247.60.254 2019-06-21 13:17:09 ED P B45CD6F9D1811B9916B2A423673B63195B36551F 05B59A79989D8D80B3E3D119B5D3766651DA35E3 2017 2019-02-21 02:37:17Z X Daniel Forgues 110 Free St Portland ME 04101 3005405 0 X N/A X 2004 ME PROVIDED RADIATION THERAPY TREATMENTS TO CANCER PATIENTS. X 8 2 0 5 0 0 2189 1899 4156075 3003444 178 62 0 0 4158442 3005405 0 2550000 0 0 121102 39079 0 0 0 3041318 2194516 3162420 4783595 996022 -1778190 7122173 0 3372808 0 3749365 0 X PROVIDED RADIATION THERAPY TREATMENTS TO CANCER PATIENTS. 0 1 4597178 2550000 3003444 CANCER CARE CENTER OF YORK COUNTY (CCCYC) WAS ESTABLISHED TO PROVIDE SERVICES TO ONCOLOGY PATIENTS IN SOUTHERN MAINE, INCLUDING EDUCATION, TREATMENT AND SUPPORT. CCCYC WAS A COLLABORATION OF TWO TAX-EXEMPT HOSPITALS: SOUTHERN MAINE HEALTH CARE AND MAINE MEDICAL CENTER. AT THE SOUTH SANFORD LOCATION, SOUTHERN MAINE HEALTHCARE PROVIDED MEDICAL ONCOLOGY; MAINE MEDICAL CENTER PROVIDED IV THERAPY/CHEMOTHERAPY. CCCYC WAS THE ONLY RADIATION THERAPY CENTER IN SOUTHERN MAINE AND HAD THE NEWEST TECHNOLOGY IN THE STATE OF MAINE AND SEACOAST NEW HAMPSHIRE. CCCYC ALSO PROVIDED EDUCATION AND OUTREACH PROGRAMS REGARDING CANCER CARE AND OTHER IMPORTANT HEALTH ISSUES. RADIATION THERAPY HAD APPROXIMATELY 13,000 VISITS EACH YEAR. CCCYC ACCEPTED ALL PATIENTS INCLUDING THOSE WITH GOVERNMENT PAYOR COVERAGE, SUCH AS MEDICARE AND MEDICAID, COMMERCIAL INSURANCES AND SELF-PAYING PATIENTS. A CHARITY (OR FREE) CARE AND SLIDING SCALE POLICY HAD BEEN ADOPTED TO MEET THE NEEDS OF PATIENTS WITH LOWER INCOMES. 4597178 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 2 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 0 0 X DANIEL FORGUES 2076617001 110 FREE STREET PORTLAND ME 04101 Robert Hardison Chairman 1.00 0.00 X X 0 0 0 Sue Hadiaris Secretary 1.00 50.00 X X 0 264561 21231 Edward J McGeachey Vice Chair 1.00 50.00 X X 0 612918 33770 Arline Fortier Director 1.00 0.00 X 0 0 0 Barbara Grillo Director 1.00 50.00 X 0 200500 70172 William Perron Director 1.00 50.00 X 0 125132 31882 Philip Villiotte MD Director 1.00 0.00 X 0 0 0 Daniel Forgues Treasurer 1.00 50.00 X X 0 226465 32318 Louise Baca Executive Director 50.00 0.00 X 0 149050 20130 Karen Pierce-Stewart Frmr Exec Director 50.00 0.00 X 0 108056 4512 Albert G Swallow Frmr Treasurer 0.00 50.00 X 0 680580 99407 0 2367262 313422 0 1 1 0 SPECTRUM MEDICAL GROUP 324 GANNETT DRIVE SOUTH PORTLAND ME 04106 CLINICAL/ADMIN 683331 MAINE MEDICAL CENTER 22 BRAMHALL STREET PORTLAND ME 04102 PURCHASED STAFF 648012 2 1899 1899 OUTPATIENT SERVICE REV 621400 2995994 2995994 OTHER REVENUE 621400 7450 7450 3003444 62 62 3005405 3003444 0 62 X 2550000 2550000 39079 39079 120 120 11876 11876 1605375 1474879 130496 20211 20211 44640 44640 68293 68293 37 37 40367 40367 302722 302722 25874 21028 4846 Radiology Equipment Mai 58370 58370 Patient Supplies 10890 10890 Miscellaneous 5741 5741 4783595 4597178 186417 0 1845532 0 283737 0 0 177129 0 0 0 0 0 36094 0 0 0 4776420 0 0 0 0 0 3261 0 7122173 0 236969 2394176 741663 0 3372808 0 X 3748357 0 1008 0 3749365 0 7122173 0 X -1778190 -1971175 X 0 1 X 1 0 X 1 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 501(c)(3) 2550000 N/A N/A SMHC MAY ELECT, BUT IS NOT REQUIRED, TO USE THE GRANT TO SUPPORT THE PROVISION OF ONCOLOGY AND OTHER HEALTH CARE SERVICES IN YORK COUNTY, MAINE. 1 0 0 0 0 0 0 0 0 0 Sue Hadiaris Secretary 0 224435 0 19693 0 20433 0 9154 0 12077 0 285792 0 0 Edward J McGeachey Vice Chair 0 445055 0 83500 0 84363 0 9450 0 24320 0 646688 0 0 Barbara Grillo Director 0 180479 0 16894 0 3127 0 46296 0 23876 0 270672 0 0 William Perron Director 0 100301 0 23000 0 1831 0 4750 0 27132 0 157014 0 0 Daniel Forgues Treasurer 0 195321 0 19600 0 11544 0 16433 0 15885 0 258783 0 0 Louise Baca Executive Director 0 147793 0 0 0 1257 0 6956 0 13174 0 169180 0 0 Karen Pierce-Stewart Frmr Exec Director 0 63227 0 25000 0 19829 0 0 0 4512 0 112568 0 0 Albert G Swallow Frmr Treasurer 0 522697 0 93000 0 64883 0 70675 0 28732 0 779987 0 0 Part I, Line 3 - Related Org Methods Used for Compensation Explanation 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 15a - COMPENSATION FOR TOP OFFICIAL. Cash 2018-06-01 303233 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Net Accounts Receivable 2018-06-01 301470 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Prepaid Insurance 2018-06-01 122500 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Fixed Assets 2018-06-01 4237759 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Land 2018-06-01 161114 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Accounts Payable 2018-06-01 -279498 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Due to Affiliates 2018-06-01 -597165 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Other Long-Term Debt 2018-06-01 -2233119 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 Unrestricted Net Assets 2018-06-01 -2016294 010238552 Maine Medical Center 22 Bramhall Street Portland ME 04102 501c3 0 0 0 0 Form 990, Part III, line 3 ON JUNE 1, 2018, CANCER CARE CENTER OF YORK COUNTY (CCCYC) MERGED WITH MAINE MEDICAL CENTER (MMC) TO BEGIN OPERATING AS A UNIFIED SYSTEM UNDER THE LEGAL NAME OF MAINE MEDICAL CENTER, EIN 01-0238552. Form 990, Part VI LINES 13 AND 14 - WHISTLEBLOWER & DOC. RETENTION & DESTRUCTION POLICY CCCYC FOLLOWED THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION & DESTRUCTION POLICY OF MMC. Form 990, Part VI, Section A, line 4 LINE 4 - SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS ON JUNE 1, 2018, CCCYC MERGED WITH MMC TO BEGIN OPERATING AS A UNIFIED SYSTEM UNDER THE LEGAL NAME OF MAINE MEDICAL CENTER, EIN 01-0238552. Form 990, Part VI, Section A, line 6 LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS CCCYC WAS A COLLABORATION OF MAINE MEDICAL CENTER (MMC) EIN #01-238552 AND SOUTHERN MAINE HEALTH CARE (SMHC) EIN #01-0179500. Form 990, Part VI, Section A, line 7a LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS THE TWO MEMBERS EACH ELECTED A REPRESENTATIVE NUMBER OF THE DIRECTORS DURING THE ANNUAL MEMBER MEETING. REMOVAL AND REPLACEMENT OF A DIRECTOR COULD ONLY BE BY THE MEMBER THAT ELECTED THE DIRECTOR BEING REMOVED, SO THAT AT ALL TIMES EACH MEMBER HAD EQUAL REPRESENTATION ON THE BOARD OF DIRECTORS. MAINEHEALTH (EIN #01-0431680), AS SOLE MEMBER OF MAINE MEDICAL CENTER AND SOUTHERN MAINE HEALTH CARE, HAD THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF THE ORGANIZATION. Form 990, Part VI, Section A, line 7b LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS THE MEMBERS ELECTED THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAD SOLE AUTHORITY TO APPROVE OF ANY SALE OR DISPOSITION OF CORPORATE ASSETS GREATER THAN $50,000, TO APPROVE OF ANY CORPORATE MERGER, ACQUISITION, DISSOLUTION OR LIQUIDATION, OR ANY OTHER ACTIONS REQUIRED OF MEMBERS BY LAW. NEW MEMBERS COULD ONLY BE AUTHORIZED BY EXISTING MEMBERS. THE BOARD OF DIRECTORS WERE RESPONSIBLE FOR THE GOVERNANCE AND MANAGEMENT OF THE CORPORATION. Form 990, Part VI, Section B, line 11b LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FINAL FORM 990 WAS PROVIDED TO THE TREASURER, WHO REVIEWED AND SIGNED THE RETURN. THE 990 WAS MADE AVAILABLE TO THE BOARD PRIOR TO ITS FILING. Form 990, Part VI, Section B, line 12c ALL BOARD OF DIRECTORS AND OFFICERS COMPLETED A CONFLICT OF INTEREST FORM AND THE RESPONSES WERE REVIEWED BY THE BOARD CHAIR. Form 990, Part VI, Section B, line 15a 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 CANCER CARE CENTER OF YORK COUNTY, ALONG WITH OTHER EXECUTIVES IN THE MAINEHEALTH SYSTEM. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE TO REVIEW EACH EXECUTIVE'S BENCHMARK REPORT. THE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'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. Form 990, Part VI, Section B, Line 15b: SEE EXPLANATION ABOVE UNDER FORM 990, PART VI, LINE 15A - COMPENSATION 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 IX, line 11g Physician Services: Program service expenses 757,742. Management and general expenses 0. Fundraising expenses 0. Total expenses 757,742. Purchased Staffing: Program service expenses 608,243. Management and general expenses 0. Fundraising expenses 0. Total expenses 608,243. Other: Program service expenses 108,894. Management and general expenses 0. Fundraising expenses 0. Total expenses 108,894. Collection Services: Program service expenses 0. Management and general expenses 130,496. Fundraising expenses 0. Total expenses 130,496. Form 990, Part XI, line 9: TRANSFER TO MMC -1,971,175. Form 990, Part XI, Line 9 ON JUNE 1, 2018, ALL OF THE ASSETS, LIABILITIES, AND NET ASSETS OF CCCYC WERE TRANSFERRED TO MAINE MEDICAL CENTER (MMC), EIN 01-0238552. SEE SCHEDULE N FOR MORE DETAILS. Maine Medical Center 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 MaineHealth 0 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 Hospital ME 501(c)(3) Line 3 MaineHealth 0 MaineHealth 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 GSM Realty LLC 22 Bramhall Street Portland ME 04102 204582952 Real Estate ME N/A SMHC Physician Services PA PO Box 626 Biddeford ME 04005 263345134 Medical Services ME N/A C 0 June Street Pharmacy 25 June Street Sanford ME 04073 010765952 Pharmacy ME N/A C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0