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CENTRAL MAINE MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CENTRAL MAINE MEDICAL CENTER (EIN 01-0211494)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-08
IRS object ID
201741289349301434
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-08T14:22:32-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010211494EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DAVID THOMPSONInCareOfNm
Business Name ControlCENTBusinessNameControlTxt
Phone2077952813PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4500AddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP042434500ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID THOMPSONPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2017-01-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF BRICKMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MAINE STREETAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$405,547,675GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CMMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1888FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionCMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THE PROVIDE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2612TotalEmployeeCnt
Total Volunteers1579TotalVolunteersCnt
Total Gross UBI$23,438TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$13,064NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,833,350PYContributionsGrantsAmt
CY Contributions Grants$2,506,212CYContributionsGrantsAmt
PY Program Service Revenue$375,606,175PYProgramServiceRevenueAmt
CY Program Service Revenue$401,001,958CYProgramServiceRevenueAmt
PY Investment Income$833,208PYInvestmentIncomeAmt
CY Investment Income$760,636CYInvestmentIncomeAmt
PY Other Revenue-$4,540,278PYOtherRevenueAmt
CY Other Revenue-$324,935CYOtherRevenueAmt
PY Total Revenue$375,732,455PYTotalRevenueAmt
CY Total Revenue$403,943,871CYTotalRevenueAmt
PY Grants And Similar Paid$144,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$72,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$176,178,942PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$186,768,833CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,582CYTotalFundraisingExpenseAmt
PY Other Expenses$191,292,211PYOtherExpensesAmt
CY Other Expenses$223,589,550CYOtherExpensesAmt
PY Total Expenses$367,615,453PYTotalExpensesAmt
CY Total Expenses$410,430,883CYTotalExpensesAmt
PY Revenues Less Expenses$8,117,002PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,487,012CYRevenuesLessExpensesAmt
Total Assets BOY$285,929,574TotalAssetsBOYAmt
Total Assets EOY$292,216,020TotalAssetsEOYAmt
Total Liabilities BOY$204,747,867TotalLiabilitiesBOYAmt
Total Liabilities EOY$216,589,132TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$81,181,707NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$75,626,888NetAssetsOrFundBalancesEOYAmt
MissionTO 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$333,683,535ExpenseAmt
Grant$72,500GrantAmt
Revenue$401,001,958RevenueAmt
DescCENTRAL 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$333,683,535TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document156IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2612EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDAVID THOMPSONPersonNm
Phone2077952813PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129 LOWELL STREETAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD L ROY
TRUSTEE1.01.0Yes (X)$0$0$0
MARK A ADAMS
CHAIRMAN1.03.0Yes (X)$0$0$0Yes (X)
SHARON BUCKLEY
TRUSTEE1.00.0Yes (X)$0$0$0
PETER E CHALKE
SYSTEM EXECUTIVE1.060.0Yes (X)$0$796,319$29,344Yes (X)
MICHAEL TOMPKINS
VICE CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
LAWRENCE OLIVER
TRUSTEE/PHYSICIAN55.00.0Yes (X)$167,501$0$36,134
PHILIPPE NADEAU
TRUSTEE ENDING 10/151.00.0Yes (X)$0$0$0
RONALD PEYSER
TRUSTEE1.00.0Yes (X)$0$0$0
MARK CARRIER
TRUSTEE1.00.0Yes (X)$0$0$0
CANDACE SANBORN
TRUSTEE1.00.0Yes (X)$0$0$0
SHARON POULIN
TRUSTEE1.00.0Yes (X)$0$0$0
AUSTIN ALBERT
TRUSTEE1.00.0Yes (X)$0$0$0
CHRISTINE BOSSE
TRUSTEE1.00.0Yes (X)$0$0$0
ADAM DUNBAR
TRUSTEE1.00.0Yes (X)$0$0$0
STEVE WALLACE
TRUSTEE1.00.0Yes (X)$0$0$0
MICHAEL GENDREAU
TRUSTEE BEGINNING 2/161.00.0Yes (X)$0$0$0
JEFFREY GOSSELIN
TRUSTEE BEGINNING 2/161.01.0Yes (X)$0$0$0
SAMANTHA GRANT
SECRETARY1.057.0$0$68,418$25,728Yes (X)
TINA-MARIE LEGERE
PRESIDENT - CMMC55.01.0$0$486,588$84,932Yes (X)
PHILIPPE MORISSETTE
TREASURER1.058.0$0$322,734$82,993Yes (X)
RICHARD GOLDSTEIN
PHYSICIAN PRACTICE EXECUTIVE55.05.0$0$572,165$89,342Yes (X)
JAMES LOGGINS MD
PHYSICIAN DIVISION CHIEF55.00.0$658,541$0$43,927Yes (X)
WILLIAM LEE MD
PHYSICIAN DIVISION CHIEF55.01.0$329,214$0$51,423Yes (X)
DAVID LAUVER MD
PHYSICIAN DIVISION CHIEF55.02.0$368,022$0$42,299Yes (X)
ALAN HARMATZ MD
PHYSICIAN DIVISION CHIEF55.00.0$483,072$0$23,977Yes (X)
JENAE LIMOGES
PHYSICIAN DIVISION CHIEF55.00.0$220,981$0$16,388Yes (X)
PAUL WELDNER MD
PHYSICIAN55.00.0$854,632$0$46,587Yes (X)
OSWALDO BISBAL MD
PHYSICIAN55.00.0$781,424$0$43,681Yes (X)
DANIEL LACERTE MD
PHYSICIAN55.00.0$1,024,697$0$24,469Yes (X)
CARMINE FRUMIENTO MD
PHYSICIAN55.00.0$799,707$0$23,977Yes (X)
MICHAEL BROWN MD
PHYSICIAN55.00.0$765,444$0$27,087Yes (X)
LAIRD COVEY
FORMER PRESIDENT OF CMMC0.00.0$0$316,649$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,453,235TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,562,873TotReportableCompRltdOrgAmt
Total Other Compensation$692,288TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K279IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WEATHERBY
LOCUMS INCCARYNC27513MEDICAL STAFFING$5,440,287
UNITED
AMBULANCE SERVICESLEWISTONME04240MEDICAL TRANSIT$3,568,002
SODEXO
INCPITTSBURGHPA15251FOOD SERVICES$3,196,758
CHG
COMPANIES INCCARYNC27513MEDICAL STAFFING$3,042,444
ANESTHESIA
ASSOCIATESLEWISTONME04240MEDICAL SERVICES$2,582,904
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K45CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$1,890,852FundraisingAmt
Government Grants$198,745GovernmentGrantsAmt
All Other Contributions$416,615AllOtherContributionsAmt
Noncash Contributions$92,397NoncashContributionsAmt
Total Contributions$2,506,212TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$370,861,291$370,861,291
PHARMACY REVENUE446110$20,055,716$20,055,716
CAFETERIA REVENUE722514$786,696$786,696
OTHER REVENUE900099$9,298,255$9,298,255
FieldValueIRS element (for citing)
Total Program Service Revenue$401,001,958TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$809,184TotalRevenueColumnAmt
Exclusion$809,184ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,259RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,259RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,259TotalRevenueColumnAmt
Exclusion$4,259ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$665,396SecuritiesAmt
Other$45,498OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$733,518SecuritiesAmt
Other$25,924OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$68,122SecuritiesAmt
Other$19,574OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$48,548TotalRevenueColumnAmt
Exclusion-$48,548ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$235,955FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,890,852ContriRptFundraisingEventAmt
Fundraising Direct Expenses$756,633FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$520,678TotalRevenueColumnAmt
Exclusion-$520,678ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$111,167GrossSalesOfInventoryAmt
Cost Of Goods Sold$87,729CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,438TotalRevenueColumnAmt
Unrelated Business Revenue$23,438UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescEQUITY INVESTMENTDesc
Business900099BusinessCd
Total Revenue Column$168,046TotalRevenueColumnAmt
Exclusion$168,046ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$168,046OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$403,943,871TotalRevenueColumnAmt
Related Or Exempt Func Income$401,001,958RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$23,438UnrelatedBusinessRevenueAmt
Exclusion$412,263ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$72,500TotalAmt
Program Services$72,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,441,429TotalAmt
Program Services$2,441,429ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$316,524TotalAmt
Program Services$316,524ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$152,372,436TotalAmt
Program Services$114,636,389ProgramServicesAmt
Management And General$37,736,047ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,049,587TotalAmt
Program Services$1,522,771ProgramServicesAmt
Management And General$526,816ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,099,185TotalAmt
Program Services$15,178,617ProgramServicesAmt
Management And General$4,920,568ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,489,672TotalAmt
Program Services$7,178,083ProgramServicesAmt
Management And General$2,311,589ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$189,351TotalAmt
Management And General$189,351ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,117TotalAmt
Management And General$86,117ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,502TotalAmt
Management And General$5,502ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$59,290,582TotalAmt
Program Services$44,847,989ProgramServicesAmt
Management And General$14,442,593ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,212,211TotalAmt
Program Services$916,928ProgramServicesAmt
Management And General$295,283ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,530,818TotalAmt
Program Services$14,030,761ProgramServicesAmt
Management And General$4,495,475ManagementAndGeneralAmt
Fundraising$4,582FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,863,068TotalAmt
Program Services$4,434,883ProgramServicesAmt
Management And General$1,428,185ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,223,272TotalAmt
Program Services$4,707,345ProgramServicesAmt
Management And General$1,515,927ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$989,078TotalAmt
Program Services$748,148ProgramServicesAmt
Management And General$240,930ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$424,321TotalAmt
Program Services$320,961ProgramServicesAmt
Management And General$103,360ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,245,299TotalAmt
Program Services$3,967,597ProgramServicesAmt
Management And General$1,277,702ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,832,193TotalAmt
Program Services$13,488,449ProgramServicesAmt
Management And General$4,343,744ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,219,453TotalAmt
Program Services$4,704,456ProgramServicesAmt
Management And General$1,514,997ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$68,854,458$68,854,458
BAD DEBT$27,266,873$27,266,873
REPAIRS & MAINTENANCE$4,284,710$3,240,997$1,043,713
LICENSES, DUES, SUBSCRIPTIONS$795,005$601,350$193,655

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$277,239TotalAmt
Program Services$206,027ProgramServicesAmt
Management And General$71,212ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$410,430,883TotalAmt
Program Services$333,683,535ProgramServicesAmt
Management And General$76,742,766ManagementAndGeneralAmt
Fundraising$4,582FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$331,332BOYAmt
EOY$282,595EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,427,566BOYAmt
EOY$16,612,097EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,941BOYAmt
EOY$79,908EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,147,400BOYAmt
EOY$48,448,554EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$34,629BOYAmt
EOY$27,543EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,871,208BOYAmt
EOY$3,005,422EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,063,877BOYAmt
EOY$4,889,356EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,329,753BOYAmt
EOY$8,487,691EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$397,132,487LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$248,730,426LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$136,067,296BOYAmt
EOY$148,402,061EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$23,996,923BOYAmt
EOY$16,213,715EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,330,866BOYAmt
EOY$3,498,912EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$39,318,783BOYAmt
EOY$42,268,166EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$285,929,574BOYAmt
EOY$292,216,020EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,143,111BOYAmt
EOY$95,682,546EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$195,176BOYAmt
EOY$454,788EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,347,425BOYAmt
EOY$110,935,010EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,062,155BOYAmt
EOY$6,522,819EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,993,969EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$204,747,867BOYAmt
EOY$216,589,132EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,328,183BOYAmt
EOY$56,011,537EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,579,437BOYAmt
EOY$7,625,992EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,274,087BOYAmt
EOY$11,989,359EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,181,707BOYAmt
EOY$75,626,888EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$285,929,574BOYAmt
EOY$292,216,020EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,487,012ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$182,379NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$749,814OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$30,495OtherActivitiesAmt
Total Lobbying Expenditures$30,495TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationOTHER LOBBYING ACTIVITIES: PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $30,495.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,922,085BeginningYearBalanceAmt
Contributions$47,094ContributionsAmt
Investment Earnings Or Losses$2,342,008InvestmentEarningsOrLossesAmt
Other Expenditures$57,584OtherExpendituresAmt
End Year Balance$19,253,603EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,439,401BeginningYearBalanceAmt
Contributions$1,317,335ContributionsAmt
Investment Earnings Or Losses$490,909InvestmentEarningsOrLossesAmt
Other Expenditures$1,325,560OtherExpendituresAmt
End Year Balance$16,922,085EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,497,906BeginningYearBalanceAmt
Contributions$2,327,217ContributionsAmt
Investment Earnings Or Losses-$115,277InvestmentEarningsOrLossesAmt
Other Expenditures$1,270,445OtherExpendituresAmt
End Year Balance$16,439,401EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.61120PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.38880TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,368,022OtherCostOrOtherBasisAmt
Book Value$2,368,022BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,420,808OtherCostOrOtherBasisAmt
Depreciation$70,466,688DepreciationAmt
Book Value$88,954,120BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,945,143OtherCostOrOtherBasisAmt
Depreciation$4,258,522DepreciationAmt
Book Value$686,621BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,188,028OtherCostOrOtherBasisAmt
Depreciation$167,601,120DepreciationAmt
Book Value$35,586,908BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,210,486OtherCostOrOtherBasisAmt
Depreciation$6,404,096DepreciationAmt
Book Value$20,806,390BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$148,402,061TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$16,483
OTHER RECEIVABLES$4,174,067
DEPOSITS$5,900
EST AMT DUE FROM 3RD PARTY$18,456,365
INTEREST IN RELATED PARTY$19,615,351
FieldValueIRS element (for citing)
Total Book Value Other Assets$42,268,166TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEST AMOUNT DUE TO THIRD PARTYDesc
Amt$2,993,969Amt
FieldValueIRS element (for citing)
Total Liability$2,993,969TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$377,691,862TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$182,379NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$5,638DonatedServicesAndUseFcltsAmt
Other Revenue-$27,272,375OtherRevenueAmt
Revenue Not Reported-$27,084,358RevenueNotReportedAmt
Revenue Subtotal$404,776,220RevenueSubtotalAmt
Other Revenues Not Included-$832,349OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$832,349RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$403,943,871TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$384,008,508TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$5,638DonatedServicesUseFcltsAmt
Other Expenses Included$844,362OtherExpensesIncludedAmt
Expenses Not Reported$850,000ExpensesNotReportedAmt
Expenses Subtotal$383,158,508ExpensesSubtotalAmt
Investment Expenses Not Incld2$5,502InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$27,266,873OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$27,272,375ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$410,430,883TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED 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 2UNCERTAIN 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 D, PART XI, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (27,266,873) BAD DEBT EXPENSE ( 5,502) INVESTMENT MANAGEMENT FEES ------------- $ (27,272,375)
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (756,633) SPECIAL EVENTS EXPENSE 12,047 TEMPORARILY RESTRICTED INVESTMENT RETURN ( 34) PERMANENTLY RESTRICTED CONTRIBUTIONS ( 87,729) COGS -------------- $ (832,349)
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 756,633 SPECIAL EVENTS EXPENSE 87,729 COGS ------------- $ 844,362
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 27,266,873 BAD DEBT EXPENSE

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DEMPSEY CHALLENEvent1Nm
Gross Receipts Event1$1,918,073GrossReceiptsEvent1Amt
Charitable Contri Event1$1,748,065CharitableContriEvent1Amt
Gross Revenue Event1$170,008GrossRevenueEvent1Amt
Non Cash Prizes Event1$27,882NonCashPrizesEvent1Amt
Rent Facility Costs Event1$85,847RentFacilityCostsEvent1Amt
Food And Beverage Event1$29,964FoodAndBeverageEvent1Amt
Entertainment Event1$13,470EntertainmentEvent1Amt
Other Direct Expenses Event1$528,876OtherDirectExpensesEvent1Amt
Event2SPRING GALAEvent2Nm
Gross Receipts Event2$110,234GrossReceiptsEvent2Amt
Charitable Contri Event2$81,934CharitableContriEvent2Amt
Gross Revenue Event2$28,300GrossRevenueEvent2Amt
Rent Facility Costs Event2$200RentFacilityCostsEvent2Amt
Food And Beverage Event2$10,282FoodAndBeverageEvent2Amt
Entertainment Event2$3,500EntertainmentEvent2Amt
Other Direct Expenses Event2$12,249OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$98,500GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$60,853CharitableContriOtherEventsAmt
Gross Revenue Other Events$37,647GrossRevenueOtherEventsAmt
Cash Prizes Other Events$5,000CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$3,764NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$10,300RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$5,633FoodAndBeverageOtherEventsAmt
Entertainment Other Events$500EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$19,166OthDirectExpnssOtherEventsAmt
Gross Receipts Total$2,126,807GrossReceiptsTotalAmt
Charitable Contributions Tot$1,890,852CharitableContributionsTotAmt
Gross Revenue Total Events$235,955GrossRevenueTotalEventsAmt
Cash Prizes Total Events$5,000CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$31,646NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$96,347RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$45,879FoodAndBeverageTotalEventsAmt
Entertainment Total Events$17,470EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$560,291OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$756,633DirectExpenseSummaryEventsAmt
Net Income Summary-$520,678NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART II, COLUMN AFormAndLineReferenceDesc
ExplanationFUNDRAISING ACTIVITIES: DEMPSEY CHALLENGE - THIS EVENT OCCURS ANNUALLY IN OCTOBER AND OCCUPIES A YEAR-LONG PLANNING AND EXPENSE CYCLE. DUE TO THE OVERLAPPING YEAR CYCLE OF THIS EVENT, EACH REPORTED TAX YEAR WILL HAVE A PORTION OF REVENUE AND EXPENSES ATTRIBUTABLE TO THE EVENT OCCURRING WITHIN THE REPORTABLE TAX YEAR, AS WELL AS SOME EXPENSES, SPONSORSHIPS, REGISTRATIONS AND DONATIONS ASSOCIATED WITH THE FOLLOWING YEAR'S EVENT. AS SUCH, THE AMOUNT REPORTED WITH THIS RETURN IS NOT REPRESENTATIVE OF A SINGLE EVENT'S PROCEEDS; RATHER IT IS A REPORT OF ACTIVITY ENCOMPASSING OVERLAPPING PERIODS FOR AN EVENT THAT CROSSES A REPORTABLE TAX PERIOD.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,948,506TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,958,506NetCommunityBenefitExpnsAmt
Total Expense0.02080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,744,199TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,858,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,885,643NetCommunityBenefitExpnsAmt
Total Expense0.05990TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,692,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,858,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,844,149NetCommunityBenefitExpnsAmt
Total Expense0.08070TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,531,101TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,531,101NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,897,170TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$924DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,896,246NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$72,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,500,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$924DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,499,847NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,193,476TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,859,480DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,343,996NetCommunityBenefitExpnsAmt
Total Expense0.08990TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$27,266,873BadDebtExpenseAmt
Bad Debt Expense Attributable$3,181,875BadDebtExpenseAttributableAmt
Reimbursed By Medicare$82,913,748ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$95,255,396CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,341,648MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.cmmc.orgWebsiteAddressTxt
State License38361StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CMMC.ORG/ABOUT-COMMUNITY-BENEFITSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.CMMC.ORG/ABOUT-COMMUNITY-BENEFITSStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY INPUT: COMMUNITY ENGAGEMENT USING SHARED CHNA REPORTS FOR LOCAL AND REGIONAL PLANNING IS A CRITICAL PART OF THE NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLANNING PROCESS. THE PROCESS, CO-LED BY MAINE CDC DISTRICT LIAISONS AND REPRESENTATIVES FROM MAINE SHNAPP NOT-FOR-PROFIT HOSPITALS, ACHIEVED THE FOLLOWING: -ENSURED BROAD INTERESTS OF THE LOCAL COMMUNITY WERE REPRESENTED; -OBTAINED STAKEHOLDER INPUT ON IDENTIFYING SIGNIFICANT HEALTH NEEDS BASED ON REVIEW OF DATA; -SOLICITED STAKEHOLDER FEEDBACK ON PRIORITIZING SIGNIFICANT HEALTH NEEDS; AND -IDENTIFIED LOCAL ASSETS AND RESOURCES THAT COULD ADDRESS LOCAL HEALTH PRIORITIES. PREPARING FOR COMMUNITY ENGAGEMENT SEPTEMBER 2014-SEPTEMBER 2015 THE SHNAPP COMMUNITY ENGAGEMENT PLANNING PROCESS INCLUDED THE DISTRICT LIAISON FROM THE MAINE CDC AND REPRESENTATIVES FROM PARTICIPATING MAINE SHNAPP HOSPITALS IN THE REGION (ST. MARYS REGIONAL MEDICAL CENTER AND CENTRAL MAINE MEDICAL CENTER IN LEWISTON.) IT WAS DECIDED THAT THE EXISTING COMMUNITY HEALTH STAKEHOLDER COALITION WOULD BE THE LOCAL GROUP TO COORDINATE COMMUNITY ENGAGEMENT SESSIONS IN ANDROSCOGGIN COUNTY. IN 2012, REPRESENTATIVES FROM THE TWO LOCAL HOSPITAL SYSTEMS CAME TOGETHER TO ESTABLISH THE COMMUNITY HEALTH STAKEHOLDER COALITION, A GROUP OF COMMUNITY HEALTH AGENCIES, THE PUBLIC HEALTH SECTOR AND HOSPITALS. THEY DEVELOPED THIS PURPOSE STATEMENT: IMPROVE THE HEALTH OF ANDROSCOGGIN COUNTY BY CONVENING COMMUNITY HEALTH STAKEHOLDERS TO COLLABORATE ON: -CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS -EDUCATING MEMBERS AND CONSTITUENTS ON FINDINGS OF COMMUNITY HEALTH NEEDS ASSESSMENTS -DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED NEEDS -SHARING RELEVANT RESOURCES THROUGH NETWORKING ADDITIONALLY THE STAKEHOLDER GROUP CONTINUES TO ASSESS METHODS TO INCREASE THE COMMUNITIES KNOWLEDGE OF, AND ACCESS TO, RESOURCES IN OUR AREA SUCH AS 2-1-1 MAINE AND TO EXPLORE OPTIONS FOR DIRECT REFERRAL TO RESOURCES FROM WITHIN THE HEALTHCARE SYSTEMS. FOR THE MOST RECENT CHNA, COALITION MEMBERS INCLUDED: JAMIE PAUL, WESTERN MAINE DISTRICT COORDINATING COUNCIL OF THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, CYNTHIA RICE, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER, ELIZABETH KEENE, VP OF MISSION INTEGRATION, ST. MARYS HEALTH SYSTEM, ERIN GUAY, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES, GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, STEVE JOHNDRO, EXECUTIVE DIRECTOR, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, REBECCA AUSTIN, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, SAM BOSS, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, EXECUTIVE DIRECTOR, COMMUNITY CLINICAL SERVICES, SHAWN YARDLEY, EXECUTIVE DIRECTOR, COMMUNITY CONCEPTS, LARRY MARCOUX, UNITED WAY AND QUINN GORMLEY, HEALTH EQUITY ALLIANCE. THESE MEMBERS REPRESENTED COMMUNITY HEALTH, PUBLIC HEALTH, HOSPITALS, MINORITY POPULATIONS, LOCAL COLLEGES, COMMUNITY ACTION AGENCIES AND THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC.) OBTAINING LOCAL COMMUNITY ENGAGEMENT INPUT OCTOBER 2015-MARCH 2016 IN ORDER TO OBTAIN LOCAL COMMUNITY INPUT, THE COMMUNITY HEALTH STAKEHOLDER COALITION REVIEWED THE DATA IN THE ANDROSCOGGIN COUNTY SHNAPP CHNA REPORT AND THEN DEVELOPED AN APPROACH TO COMMUNITY ENGAGEMENT TO MAXIMIZE PARTICIPATION OF A CROSS SECTION OF THE COMMUNITY. THE COMMUNITY HEALTH STAKEHOLDER COALITION COORDINATED TWO COMMUNITY FORUMS HELD IN MARCH 2016 AND 13 OTHER GROUP PRESENTATION/KEY INFORMANT INTERVIEWS WITH EXISTING COMMUNITY GROUPS. THE OBJECTIVES OF THE FORUM INCLUDED: -PROVIDE AWARENESS AMONG COMMUNITY STAKEHOLDERS OF THE DATA/RESULTS FROM THE MAINE SHNAPP OR SUBSEQUENT RESEARCH BUILT ON THAT RESOURCE; -INVITE LOCAL INPUT ON WHAT THE DATA MEANS TO EACH LOCAL COMMUNITY/REGION; -SOLICIT LOCAL INPUT ON WHAT ISSUES SHOULD BE PRIORITIZED LOCALLY; -SOLICIT LOCAL IDEAS ON EXISTING RESOURCES, ASSETS, OR NEW INITIATIVES THAT SHOULD BE ALIGNED/DEVELOPED TO ADDRESS THE PRIORITIZED ISSUES; AND -CAPTURE AND SHARE INPUT FROM THE FORUM USING THE MODEL LOCAL SHNAPP COMMITTEE REPORTING FORM. THE COALITION ALSO DECIDED TO APPROACH EXISTING COMMUNITY GROUPS SUCH AS THE CHAMBER OF COMMERCE AND SENIORS PLUS AND INDIVIDUAL COMMUNITY MEMBERS TO OFFER GROUP PRESENTATIONS, KEY INFORMANT INTERVIEWS AND EVEN WRITTEN SURVEYS OFFERING THE ABOVE ELEMENTS. IN ALL, 520 PEOPLE PARTICIPATED IN EITHER THE COMMUNITY FORUMS, GROUP PRESENTATIONS, INTERVIEWS AND WRITTEN SURVEYS IN ANDROSCOGGIN COUNTY. THE SECTORS REPRESENTED INCLUDED: PUBLIC HEALTH, MEDICALLY UNDERSERVED, COMMUNITY HEALTH COALITION, NON-PROFIT AGENCIES, LOW INCOME, RACIAL/ETHNIC MINORITIES, BUSINESS AND EDUCATION. THE CONVERSATIONS LARGELY INFORMED BOTH THE IMPLEMENTATION STRATEGIES AND STRATEGIC PLANS FOR THE HOSPITALS.
SCHEDULE H, PART V, SECTION B, LINE 6AHOSPITAL FACILITIES: THE CHNA WAS CONDUCTED WITH ST. MARY'S REGIONAL MEDICAL CENTER. IN ADDITION, CMMC USED DATA FROM THE MAINE SHARED CHNA FOR ANDROSCOGGIN COUNTY, WHICH WAS PREPARED IN CONJUNCTION WITH EASTERN MAINE HEALTHCARE SYSTEM AND MAINEGENERAL HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 6BNON-HOSPITAL FACILITIES: THE CHNA WAS ALSO CONDUCTED WITH HEALTHY ANDROSCOGGIN AND OTHER COMMUNITY HEALTH AGENCIES. IN ADDITION, CMMC USED DATA FROM THE MAINE SHARED CHNA FOR ANDROSCOGGIN COUNTY, WHICH WAS PREPARED IN CONJUNCTION WITH MAINEHEALTH AND MAINE CENTER FOR DISEASE CONTROL AND PREVENTION.
SCHEDULE H, PART V, SECTION B, LINE 11ADDRESSING 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: -MENTAL HEALTH -HEALTH CARE ACCESS -CHRONIC DISEASE (CARDIOVASCULAR DISEASE/HTN, DIABETES, RESPIRATORY DISEASE, DIABETES, CANCER) -PHYSICAL ACTIVITY, NUTRITION, OBESITY AND RELATED ISSUES -ENVIRONMENTAL HEALTH LEAD POISONING -SUBSTANCE AND ALCOHOL USE -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. IT WAS COMPLETED IN QUARTER ONE OF FISCAL YEAR 17 USING EVIDENCE FROM USPTF AND HEALTH PEOPLE 2020 EVIDENCE-BASED RESOURCES. THE STRATEGIES, ACTIVITIES, ACTIONS TAKEN, PROGRAMS AND RESOURCES COMMITTED, COLLABORATION WITH OTHER ORGANIZATIONS, AND OUTCOMES CAN BE VIEWED AT https://www.cmmc.org/about-community-benefits.
SCHEDULE H, PART V, SECTION B, LINE 13HFAP 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 V, SECTION B, LINES 16A, 16B, & 16CMEASURES TO PUBLICIZE THE POLICY: https://www.cmmc.org/billing-financial-services
SCHEDULE H, PART V, SECTION B, LINE 22DMAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: CENTRAL MAINE MEDICAL CENTER DETERMINES AGB BY MULTIPLYING THE GROSS CHARGES FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IT PROVIDES TO A FAP-ELIGIBLE INDIVIDUAL BY AN AGB PERCENTAGE OF 29%. CENTRAL MAINE MEDICAL CENTER CALCULATED THE AGB PERCENTAGE OF 29% BASED ON ALL CLAIMS ALLOWED BY MEDICARE OVER THE PERIOD FROM MAY 1, 2015 TO APRIL 30, 2016, DIVIDED BY THE ASSOCIATED GROSS CHARGES FOR THOSE CLAIMS.
FieldValueIRS element (for citing)
Facility38FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE
77 BATES STREET SUITE 202LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SURGICAL ASSOCIATES
12 HIGH STREET SUITE 401LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK FAMILY MEDICINE
33 BATH ROADBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK PRIMARY CARE
329 MAIN STREET SUITE HBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
COASTAL PLASTIC SURGERY
4 HORTON PLACETOPSHAMME04086OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE BARIATRIC SURGERY
10 HIGH STREET SUITE 105LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE ENDOCRINOLOGY & DIABETES
287 MAIN STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY HEALTH CARE ASSOC
190 STETSON ROADAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY HEALTH RESIDENCY
76 HIGH STREET SUITE 100LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY PRACTICE
12 HIGH STREET SUITE 302LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE GYNECOLOGY & UROGYNECOLOGY
287 MAIN STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE CARDIOLOGY
2 GREAT FALLS PLAZAAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEMATOLOGY ONCOLOGY
12 HIGH STREET SUITE 205LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE INTERNAL MEDICINE
10 HIGH STREET SUITE 400LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE NEUROLOGY
10 MINOT AVENUEAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE OBGYN
12 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PAIN & HEADACHE CENTER
77 BATES STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PEDIATRICS
12 HIGH STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PLASTIC SURGERY
287 MAIN STREET SUITE 302LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE RADIOLOGY - OP
77 BATES STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SPORTS MEDICINE
77 BATES STREET SUITE 101LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE THERAPY SERVICES
77 BATES STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE UROLOGY
287 MAIN STREET SUITE 404LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
GRAY FAMILY CLINIC
116 SHAKER ROADGRAYME04039OUTPATIENT PHYSICIAN CLINIC
INFECTIOUS DISEASE ASSOCIATES
76 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
LISBON FAMILY PRACTICE
2 BISBEE ROADLISBONME04250OUTPATIENT PHYSICIAN CLINIC
MECHANIC FALLS FAMILY PRACTICE
22 PLEASANT STREETMECHANIC FALLSME04256OUTPATIENT PHYSICIAN CLINIC
MINOT AVENUE FAMILY MEDICINE
789 MINOT AVENUEAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
POLAND COMMUNITY HEALTH CENTER
364 MAIN STREETPOLANDME04274OUTPATIENT PHYSICIAN CLINIC
PULMONARY AND SLEEP MEDICINE
76 HIGH STREET SUITE 300LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
TOPSHAM FAMILY MEDICINE
4 HORTON PLACETOPSHAMME04086OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEARING CENTER
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE MEDICATION MANAGEMENT
10 HIGH STREET SUITE 103LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE EAR NOSE & THROAT
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
SPRUCE MOUNTAIN HEALTH CENTER
38 UNION STREETLIVERMORE FALLSME04254OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PODIATRY
287 MAIN STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK CARDIOLOGY
329 MAINE STREET SUITE CBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
HIGH STREET FAMILY MEDICINE
10 HIGH STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 1CFAP 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, COLUMN FPERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $27,266,873.
SCHEDULE H, PART I, LINE 7COSTING 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 2BAD DEBT EXPENSE: LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT EXPENSE 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 4BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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 (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8COMMUNITY 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 150% 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 9BCOLLECTION 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 2NEEDS ASSESSMENT: CENTRAL MAINE MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES TO ITS PRIMARY SERVICE 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 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRAL MAINE MEDICAL CENTER PROVIDES NOTICES ABOUT ITS FREE CARE POLICY IN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENT 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 PATIENT 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 RECEIVE A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLE OPTIONS.
SCHEDULE H, PART VI, LINE 4COMMUNITY 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 5PROMOTION 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 6AFFILIATED 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
PO BOX 4002012DES MOINESIA503402012135613797501(C)(3)$25,000HEARTWALK SPONSORSHIP
MUSEUM L-A
35 CANAL STREET BOX A7LEWISTONME04240010504257501(C)(3)$10,000GENERAL
DFD RUSSELL MEDICAL CENTERS
180 CHURCH HILL ROADLEEDSME04263237423047501(C)(3)$30,000GENERAL
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANT MONITORING: THE GRANTS ARE AWARDED TO CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, FOR USE IN THEIR EXEMPT PURPOSE. THE MISSION OF THESE ORGANIZATIONS ALSO HELPS SUPPORT COMMUNITY HEALTH OR HEALTHCARE, THEREBY HELPING TO FURTHER CENTRAL MAINE MEDICAL CENTER'S EXEMPT PURPOSE AS WELL. SINCE THE GRANTS ARE NOT AWARDED WITH A SPECIFIC PURPOSE ATTACHED, NO TRACKING IS REQUIRED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PETER E CHALKE
SYSTEM EXECUTIVE$0$659,155$0$88,750$0$48,414$0$22,881$0$6,463$0$825,663$0$33,952
LAWRENCE OLIVER
TRUSTEE/PHYSICIAN$134,533$0$28,272$0$4,696$0$20,690$0$15,444$0$203,635$0$0$0
TINA-MARIE LEGERE
PRESIDENT - CMMC$0$391,734$0$73,600$0$21,254$0$63,633$0$21,299$0$571,520$0$15,096
PHILIPPE MORISSETTE
TREASURER$0$315,340$0$0$0$7,394$0$75,625$0$7,368$0$405,727$0$0
RICHARD GOLDSTEIN
PHYSICIAN PRACTICE EXECUTIVE$0$475,750$0$83,232$0$13,183$0$72,125$0$17,217$0$661,507$0$6,000
PAUL WELDNER MD
PHYSICIAN$841,034$0$0$0$13,598$0$24,625$0$21,962$0$901,219$0$0$0
OSWALDO BISBAL MD
PHYSICIAN$773,353$0$609$0$7,462$0$24,625$0$19,056$0$825,105$0$0$0
DANIEL LACERTE MD
PHYSICIAN$795,029$0$221,000$0$8,668$0$6,625$0$17,844$0$1,049,166$0$0$0
CARMINE FRUMIENTO MD
PHYSICIAN$756,920$0$38,000$0$4,787$0$6,625$0$17,352$0$823,684$0$0$0
MICHAEL BROWN MD
PHYSICIAN$542,479$0$178,368$0$44,597$0$6,625$0$20,462$0$792,531$0$0$0
JAMES LOGGINS MD
PHYSICIAN DIVISION CHIEF$433,547$0$209,184$0$15,810$0$24,625$0$19,302$0$702,468$0$0$0
WILLIAM LEE MD
PHYSICIAN DIVISION CHIEF$275,550$0$43,319$0$10,345$0$32,575$0$18,848$0$380,637$0$0$0
DAVID LAUVER MD
PHYSICIAN DIVISION CHIEF$238,533$0$125,254$0$4,235$0$23,000$0$19,299$0$410,321$0$0$0
ALAN HARMATZ MD
PHYSICIAN DIVISION CHIEF$466,116$0$0$0$16,956$0$6,625$0$17,352$0$507,049$0$0$0
JENAE LIMOGES
PHYSICIAN DIVISION CHIEF$217,578$0-$418$0$3,821$0$5,612$0$10,776$0$237,369$0$0$0
LAIRD COVEY
FORMER PRESIDENT OF CMMC$0$0$0$0$0$316,649$0$0$0$0$0$316,649$0$316,649

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3CEO 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 4BSUPPLEMENTAL 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. $ 316,649 LAIRD COVEY (DISTRIBUTION) 33,952 PETER CHALKE (DISTRIBUTION) 15,096 TINA-MARIE LEGERE (DISTRIBUTION) 6,000 RICHARD GOLDSTEIN (DISTRIBUTION) 47,500 RICHARD GOLDSTEIN (DEFERRAL) 39,008 TINA-MARIE LEGERE (DEFERRAL) 69,000 PHILIPPE MORISSETTE (DEFERRAL)
SCHEDULE J, PART II, COLUMN FCOMPENSATION 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
A010314384560427GE02009-12-10$56,033,554FACILITY EXPANSION/CONSTRUCTIONfalsefalseYes (true)
MAINE HEALTH & HIGHER EDUCATION FACILITIES AUTH
B010314384560425WW62005-12-29$28,435,783REFUND BOND SERIES 1993D, BLDGfalsefalsefalse
MAINE HEALTH & HIGHER EUDCATIONAL FACILITIES AUTH
C010314384560427WV42013-05-23$41,071,242REFUND SERIES 2003A BONDfalsefalseYes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$56,033,554$6,631,632$1,923,331$0$639,410$0$1,675,000$32,010,671$0$02011falsefalseYes (true)Yes (true)
B$0$0$28,435,783$2,325,648$0$12,082,042$370,150$80,000$0$13,577,565$0$02006falseYes (true)Yes (true)Yes (true)
C$0$0$41,071,242$2,957,944$0$42,862,476$302,888$0$0$0$0$0falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
Cfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falsefalse
0
BYes (true)falsefalseYes (true)FSAfalsefalse25.Yes (true)
0
CfalseYes (true)falsefalsefalse0falsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2C, COLUMN AFormAndLineReferenceDesc
ExplanationDATE OF REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 12/10/2014.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
PAUL WELDNER
EMPLOYEESALARY ADVYes (X)$50,000$24,703falsefalseYes (true)
MICHAEL BROWN
EMPLOYEESALARY ADVYes (X)$20,000$2,840falsefalseYes (true)
FieldValueIRS element (for citing)
Total Balance Due$27,543TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PATRICIA E ROY
RELATIVE OF R. ROY$127,990SALARY AND WAGESfalse
JULIA LAUVER
RELATIVE OF D. LAUVER$80,726SALARY AND WAGESfalse
CYNTHIA HARRADON
RELATIVE OF S. POULIN$107,808SALARY AND WAGESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution43ContributionCnt
Noncash Contributions Rpt F990$12,680NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMISCELLANEOUSDesc
Contribution101ContributionCnt
Noncash Contributions Rpt F990$79,717NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIP: JEFFREY GOSSELIN HAS A BUSINESS RELATIONSHIP WITH RICHARD ROY.
FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7BMEMBERS OF THE ORGANIZATION: THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. UP TO THREE TRUSTEES SHALL BE APPOINTED BY THE CHAIRMAN OF CENTRAL MAINE HEALTHCARE CORPORATION FOR A TERM OF ONE YEAR, AND NINE TO FIFTEEN TRUSTEES SHALL BE NOMINATED BY VOTE OF THE BOARD OF TRUSTEES OF THIS CORPORATION AND ELECTED BY THE SOLE MEMBER TO SERVE A TERM OF THREE YEARS. NO MORE THAN FOUR TRUSTEES CAN SIMULTANEOUSLY BE DIRECTORS OF THE CENTRAL MAINE HEALTHCARE CORPORATION. THE SOLE MEMBER HAS THE POWER AND AUTHORITY TO REMOVE ANY TRUSTEES OF CENTRAL MAINE MEDICAL CENTER WITH OR WITHOUT CAUSE. THE MEMBER ALSO APPOINTS THE EXECUTIVE COMPENSATION COMMITTEE. IN ADDITION, THE MEMBER HAS THE SOLE AUTHORITY TO ALTER, AMEND, OR REPEAL THE BYLAWS AT ANY TIME. THE MEMBER SHALL HAVE THE RIGHT TO APPROVE CERTAIN DECISIONS OF THE BOARD OF TRUSTEES, AS DETAILED IN THE BYLAWS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BFORM 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 WITH THE FINANCE COMMITTEE MEMBER TAKING AND ANSWERING QUESTIONS. A FINANCE DEPARTMENT REPRESENTATIVE, KNOWLEDGEABLE OF THE RETURN, IS AVAILABLE TO ASSIST DURING PRESENTATIONS, IF REQUESTED BY THE FINANCE COMMITTEE MEMBER. IN THE EVENT THAT THE NEXT BOARD MEETING IS NOT SCHEDULED UNTIL AFTER THE FILING DATE, THE FINAL RETURN IS MAILED TO ALL BOARD MEMBERS AND THE PRESENTATION OCCURS AT THE NEXT SCHEDULED BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING 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 & 15BEXECUTIVE 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 OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS 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 INCLUDE 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 19PUBLIC 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 ABOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. PETER CHALKE IS EMPLOYED AS PRESIDENT OF CENTRAL MAINE HEALTHCARE CORPORATION. HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY. LAWRENCE OLIVER IS AN EMPLOYEE OF CENTRAL MAINE MEDICAL CENTER. HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: $ 18,028,863 OUTSIDE SERVICES 14,505,152 LABOR SERVICES 19,476,150 PURCHASED LABOR 6,377,612 PURCHASED SERVICES 690,561 CONSULTING 171,567 PROFESSIONAL FEES 3,101 INTERPRETING SERVICES 15,310 MEDICAL DIRECTOR FEES 22,266 DATA PROCESSING FEES ------------- $ 59,290,582
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS: $ 749,814 CHANGE IN INTEREST IN RELATED PARTY

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MAINE COLLEGE OF HEALTH PROFESSIONS
PO BOX 4500LEWISTONME04243010356077EDUCATIONME501(C)(3)2CMMCYes (true)
CENTRAL MAINE REAL ESTATE MANAGEMENT COR
PO BOX 4500LEWISTONME04243010387674REAL ESTATEME501(C)(2)CMHCfalse
CENTRAL MAINE COMMUNITY HEALTH CORP
PO BOX 4500LEWISTONME04243010386912PUBLIC EDME501(C)(3)7CMHCfalse
RUMFORD COMMUNITY FAMILY HEALTH CENTER
430 FRANKLIN STREETRUMFORDME04276010481000HEALTHCAREME501(C)(3)3CMHCfalse
RUMFORD COMMUNITY HOME CORPORATION
11 JOHN F KENNEDY DRIVERUMFORDME04276222844951NURSING HOMEME501(C)(3)9CMHCfalse
RUMFORD HOSPITAL
PO BOX 619RUMFORDME04276010215227HEALTHCAREME501(C)(3)3CMHCfalse
BRIDGTON HOSPITAL
10 HOSPITAL DRIVEBRIDGTONME04009010130427HEALTHCAREME501(C)(3)3CMHCfalse
BRIDGTON HOSPITAL PHYSICIANS GROUP
SOUTH HIGH STREETBRIDGTONME04009010493083HEALTHCAREME501(C)(3)3CMHCfalse
CENTRAL MAINE HEALTHCARE CORPORATION
PO BOX 4500LEWISTONME04243010386913HEALTHCAREME501(C)(3)7NAfalse
ELIAS E TUCKER TRUST FUND
C/O CMMC 300 MAIN STREETLEWISTONME04240016042343NURSING EDME501(C)(3)11 A ICMMCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CENTRAL MAINE HEALTH VENTURES INC
300 MAIN STREETLEWISTONME04240010430016HEALTHCAREMECMHCC CORPfalse
CWM INSURANCE LTD
980220891INSURANCECMHCC CORPfalseGENESIS BUIDLING PO BOX 1363GRAND CAYMANB.W.I.CJCJ
CENTRAL MAINE ACO
300 MAIN STREETLEWISTONME04240274604314ACCOUNTABLE CAREMECMHCC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MAINE COLLEGE OF HEALTH PROFESSIONS
O$784,782COST
MAINE COLLEGE OF HEALTH PROFESSIONS
Q$161,334COST
MAINE COLLEGE OF HEALTH PROFESSIONS
A$147,888COST