2015-05-12T11:24:11-05:00 2014-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-07-01 010211494 CENTRAL MAINE MEDICAL CENTER % PHIL MORISSETTE CENT 2077952972 PO BOX 4500 Suite LEWISTON ME 042434500 PHIL MORISSETTE TREASURER 2077952972 2015-04-23 true Brian D Todd P00422601 2077952972 2013 2016-03-07 17:11:31Z TINA-MARIE LEGERE 300 MAIN STREET LEWISTON ME 04240 362391083 false X WWW.CMMC.ORG X 1888 ME CMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE. 13 8 2312 498 228854 -50380 2927313 1905838 316717786 359079093 753102 718532 -466397 -3562465 319931804 358140998 21500 15895 0 0 156034253 163477084 0 0 7225 175496392 191827938 331552145 355320917 -11620341 2820081 292372527 292642903 222477975 219490949 69894552 73151954 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS. false false 287833336 15895 359079093 CENTRAL 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. 287833336 true true false true false false false false false true true false false true false false false true false false false false false false true false true true true false true true false false false false false false false false true false true false false false false true true true false false true 160 0 true 2312 true true true false false false false true true false false false false X 13 8 false false false false true true true true true false false true true true true true true false false false ME X PHIL MORISSETTE 2077952972 29 LOWELL STREET LEWISTON ME LEWISTON ME 04240 X PAULINE V BEALE OD TRUSTEE 1.0 1.0 X 0 0 0 RICHARD L ROY CHAIRMAN 1.0 1.0 X X 0 0 0 MARK A ADAMS VICE CHAIRMAN 1.0 3.0 X X 0 0 0 SHARON BUCKLEY TRUSTEE 1.0 X 0 0 0 PETER E CHALKE SYSTEM EXECUTIVE 1.0 60.0 X X 0 635098 29571 MICHAEL TOMPKINS TRUSTEE 1.0 X 0 0 0 DEBORAH HAIRE TRUSTEE ENDING 8/13 1.0 X 0 0 0 LAWRENCE OLIVER TRUSTEE 55.0 X 319750 0 42677 JOHN E BLANCHARD TRUSTEE 1.0 X 0 0 0 PHILIPPE NADEAU TRUSTEE 1.0 X 0 0 0 RONALD PEYSER TRUSTEE 1.0 X 0 0 0 MARK CARRIER TRUSTEE 1.0 X 0 0 0 CANDACE SANBORN TRUSTEE 1.0 X 0 0 0 SHARON POULIN TRUSTEE BEGINNING 8/13 1.0 X 0 0 0 SAMANTHA LUCE SECRETARY 1.0 57.0 X 0 58165 14797 TINA-MARIE LEGERE PRESIDENT - CMMC 55.0 1.0 X 0 298401 39846 PHILIPPE MORISSETTE TREASURER 1.0 58.0 X 0 156521 11628 JAMES LOGGINS MD PHYSICIAN DIVISION CHIEF 55.0 X 509954 0 43372 WILLIAM LEE MD PHYSICIAN DIVISION CHIEF 55.0 X 286517 0 53711 DAVID LAUVER MD PHYSICIAN DIVISION CHIEF 55.0 2.0 X 272488 0 40910 RICHARD GOLDSTEIN PHYSICIAN PRACTICE EXECUTIVE 1.0 55.0 X 0 495267 59224 JOHN LEWANDOWSKI MD PHYSICIAN 55.0 X 594302 0 47157 OSWALDO BISBAL MD PHYSICIAN 55.0 X 858949 0 43651 DANIEL LACERTE MD PHYSICIAN 55.0 X 1119025 0 27307 CARMINE FRUMIENTO MD PHYSICIAN 55.0 X 914474 0 24605 MARK BRANDA MD PHYSICIAN 55.0 X 564859 0 43822 LAIRD COVEY FORMER PRESIDENT X 0 537469 35314 MATTHEW COX FORMER TREASURER X 0 201344 28694 5440318 2382265 586286 238 true true false UNITED AMBULANCE SERVICES MEDICAL TRANSIT 3785929 WEATHERBY LOCUMS INC MEDICAL STAFFING 3550259 SODEXO INC FOOD SERVICES 3245908 ANESTHESIA ASSOCIATES MEDICAL SERVICES 2468556 CHG COMPANIES INC MEDICAL STAFFING 2128107 56 1045732 235011 625095 140045 1905838 NET PATIENT SERVICE REVENUE 900099 340933612 340933612 PHARMACY REVENUE 446110 7873148 7873148 CAFETERIA REVENUE 722514 554214 554214 OTHER REVENUE 900099 9718119 9718119 359079093 709376 709376 0 0 11149 11149 0 11149 11149 2896932 19378 2886140 21014 10792 -1636 9156 9156 269483 1045732 637271 -367788 -367788 0 934514 705660 228854 228854 LOSS ON UNCOLLECTIBLE NOTES REC 900099 -3600000 -3600000 GAIN ON EQUITY INVESTMENT 900099 165320 165320 -3434680 358140998 359079093 228854 -3072787 X 15895 15895 0 0 0 1569379 1569379 296148 296148 136212322 102621948 33590374 1602582 1187412 415170 15584794 11769282 3815512 8211859 6211532 2000327 0 353359 353359 84997 84997 0 0 5852 5852 51220894 38743996 12476898 494595 374117 120478 13295596 10051457 3236914 7225 3603647 2725835 877812 0 5582855 4222928 1359927 1138444 861130 277314 0 91916 69526 22390 5559506 4205266 1354240 0 19989190 15120023 4869167 5494980 4156458 1338522 MEDICAL SUPPLIES & DRUGS 44300134 44300134 BAD DEBT 35352714 35352714 REPAIRS & MAINTENANCE 4139505 3131163 1008342 LICENSES, DUES, SUBSCRIPTIONS 797771 603442 194329 321983 243551 78432 355320917 287833336 67480356 7225 17321 1524481 22626383 16543320 19476 187837 33598165 55628623 119 0 0 0 2563495 2740482 2180827 2825819 8209140 6545474 360924180 216262187 153251723 144661993 514655 16892891 3044654 3209974 0 0 0 0 66346569 41882009 292372527 292642903 71958857 92249621 0 0 265947 302112 118102841 117380133 0 0 0 0 14469440 9559083 0 0 17680890 0 222477975 219490949 X 53496913 54509772 4713593 6837687 11684046 11804495 69894552 73151954 292372527 292642903 X 2820081 -99037 536358 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 26218 26218 false SCHEDULE C, PART II-B, LINE 1(I) PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $26,218. 16922085 47094 2342008 57584 19253603 16439401 1317335 490909 1325560 16922085 15497906 2327217 -115277 1270445 16439401 13567546 2332798 801345 1203783 15497906 12631431 2070765 -32907 1101743 13567546 0.63614 0.36385 false true true 2368022 2368022 154406713 59423045 94983668 4945143 3748905 1196238 188675172 147220710 41454462 10529130 5869527 4659603 144661993 DUE FROM AFFILIATES 46564 OTHER RECEIVABLES 5761890 DEPOSITS 5900 EST AMT DUE FROM 3RD PARTY 18036893 INTEREST IN RELATED PARTY 18030762 41882009 324711895 -99037 26725 -34635557 -34707869 359419764 -1278766 -1278766 358140998 323834898 26725 3845822 3872547 319962351 5852 35352714 35358566 355320917 SCHEDULE D, PART V, LINE 4 INTENDED 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 2 UNCERTAIN 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 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (1,701,602) TRANSFER FROM AFFILIATE 57,584 NET ASSETS RELEASED FROM RESTRICTION (5,852) INVESTMENT MANAGEMENT FEES (35,352,714) BAD DEBT EXPENSE 2,367,027 MCHP REVENUES ------------- $ (34,635,557) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (637,271) SPECIAL EVENTS EXPENSE (705,660) COST OF GOODS SOLD 47,584 TEMPORARILY RESTRICTED CONTRIBUTIONS 17,071 TEMPORARILY RESTRICTED INVESTMENT RETURN (490) PERMANENTLY RESTRICTED CONTRIBUTIONS -------------- $ (1,278,766) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 637,271 SPECIAL EVENTS EXPENSE 705,660 COST OF GOODS SOLD 2,502,891 MCHP EXPENSES --------------- $ 3,845,822 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 35,352,714 BAD DEBT EXPENSE DEMPSEY CHALLEN 1110521 903377 207144 2120 65341 26770 13054 480551 SPRING GALA 100090 71810 28280 350 10582 3500 5049 2 104604 70545 34059 5250 1200 8145 7832 7527 1315215 1045732 269483 5250 3320 73836 45184 16554 493127 637271 -367788 SCHEDULE G, PART II, COLUMN A FUNDRAISING 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. true true X true X false true true false false 8003622 8003622 0.02500 56349759 32335994 24013765 0.07510 64353381 32335994 32017387 0.10010 1066937 250 1066687 0.00330 2044085 1341396 702689 0.00220 15895 15895 3126917 1341646 1785271 0.00550 67480298 33677640 33802658 0.10560 true 35352714 8095772 66969699 77982793 -11013094 X true true 1 1 CENTRAL MAINE MEDICAL CENTER 300 MAIN STREET LEWISTON ME 04240 www.cmmc.org 37874 X X X X CENTRAL MAINE MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X www.cmmc.org/about-community benefits X X X X X X X X false false true true 150. false true X X true true X X X X X X true false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY INPUT SEVERAL HEALTH-RELATED TEAMS AND TASK FORCES OPERATE WITHIN THE COMMUNITY AND THESE GROUPS WERE INVOLVED IN ASSESSING THE DATA RESULTS. THE PEOPLE FROM THESE GROUPS WHO PARTICIPATED IN THE PROCESS ARE: BRENDA JOLY*, MPH, PHD ASSISTANT RESEARCH PROFESSOR IN HEALTH POLICY AND MANAGEMENT PROGRAM. MUSKIE SCHOOL OF PUBLIC SERVICE, UNIVERSITY OF SOUTHERN MAINE, CYNTHIA RICE*, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER, ELIZABETH KEENE, VP OF MISSION INTEGRATION, ST. MARY'S HEALTH SYSTEM, STEVE JOHNDRO*, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER*, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES, GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, BECKY GRANT, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, CARA OUELLETTE, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, DARBY RAY, EXECUTIVE DIRECTOR, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, DIRECTOR OF RESOURCE DEVELOPMENT COMMUNITY CONCEPTS, KAREN WHITE, COMMUNITY TRANSFORMATION GRANT COORDINATOR, COMMUNITY CONCEPTS, ALEXANDER VEGUILLA-APONTE, WELLNESS AND RECOVER SERVICES COORDINATOR, TRI-COUNTY MENTAL HEALTH SERVICES. SCHEDULE H, PART V, SECTION B, LINE 6 IMPLEMENTATION STRATEGY IN RESPONSE TO THE RESULTS OF CENTRAL MAINE MEDICAL CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: http://www.cmmc.org/about-community-benefits CENTRAL MAINE MEDICAL CENTER HAS CREATED AN IMPLEMENTATION STRATEGY TO DIRECTLY ADDRESS SEVERAL HEATH ISSUES, INCLUDING CANCER, CARDIOVASCULAR DISEASE AND DIABETES. CMMC WILL BE COLLABORATING WITH OTHER AGENCIES TO ADDRESS ASTHMA AND DOMESTIC/CHILD ABUSE. MENTAL HEALTH AND SUBSTANCE ABUSE ARE NOT DIRECTLY ADDRESSED BY CMMC, HOWEVER CMMC DOES HAVE BOARD OF DIRECTOR REPRESENTATION ON AGENCIES DIRECTLY ADDRESSING THESE ISSUES WITHIN THE COMMUNITY. FURTHERMORE, REPRODUCTIVE/SEXUAL HEALTH, ORAL HEALTH, POVERTY, AND FOOD SECURITY ARE ADDRESSED DIRECTLY BY OTHER AGENCIES WITHIN THE COMMUNITY WITH INDIRECT SUPPORT FROM CMMC, SUCH AS DONATIONS TO THESE AGENCIES AND ADDITIONAL EDUCATION TO CURRENT PATIENTS. SCHEDULE H, PART V, SECTION B, LINE 7 ADDRESSING IDENTIFIED NEEDS CMMC IS NOT DIRECTLY ADDRESSING MENTAL HEALTH AS THIS IS WIDELY COVERED BY MENTAL HEALTH AGENCIES AND WE HAVE BOARD OF DIRECTOR REPRESENTATION; SUBSTANCE (ALCOHOL) ABUSE WHICH IS COVERED BY HEALTHY ANDROSCOGGIN (WHICH CMMC SUPPORTS AND HAS BOARD OF DIRECTOR REPRESENTATION); REPRODUCTIVE/SEXUAL HEALTH BUT SUPPORTING COMMUNITY WIDE EFFORTS THROUGH PARTICIPATION IN L/A PUBLIC HEALTH COMMITTEE AND INTERNAL EDUCATION; ORAL HEALTH WHICH IS ADDRESSED BY OTHER LOCAL AGENCIES (BUT WILL HAVE A DENTAL HYGIENIST STUDENT IN THE FALL OFFER EDUCATION TO PATIENTS); AND POVERTY AND FOOD SECURITY, WHICH IS SUPPORTED THROUGH DONATION TO LOCAL FOOD BANKS. SCHEDULE H, PART V, LINE 14G OTHER METHODS USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY THE FAP IS POSTED IN ALL OUTPATIENT DEPARTMENTS INCLUDING PROVIDER BASED PHYSICIANS' OFFICES, PATIENT FINANCIAL SERVICES, AND IS OFFERED TO ANY PATIENTS INDICATING A FINANCIAL NEED WHEN THEY CALL CUSTOMER SERVICE OR PRESENT THEMSELVES IN THE PATIENT FINANCIAL SERVICES DEPARTMENT. SCHEDULE H, PART V, SECTION B, LINE 20D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS FAP-ELIGIBLE PATIENTS ULTIMATELY RECEIVE FREE CARE. IF THE PATIENT HAS INSURANCE, THE INSURANCE COMPANY WOULD BE BILLED AND ONLY THE PATIENT MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS RESPONSIBILITY PORTION, UNDER THAT CARRIER'S CONTRACT, WOULD BE BILLED TO THE PATIENT. IF THE PATIENT IS UNINSURED, THE PATIENT WOULD BE BILLED WITH A 20% UNINSURED DISCOUNT FROM GROSS CHARGES. ONCE A PATIENT'S ELIGIBILITY IS CONFIRMED THROUGH THE FAP'S APPLICATION PROCESS, A FAP ADJUSTMENT WOULD BE APPLIED TO THE PATIENT'S ACCOUNT, BRINGING THE BALANCE TO ZERO. 41 CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE 77 BATES STREET SUITE 202 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SURGICAL ASSOCIATES 12 HIGH STREET SUITE 401 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEART ASSOCIATES 60 HIGH STREET GROUND FLOOR LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE OBSTETRICSGYNECOLOGY 12 HIGH STREET SUITE 200 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC FAMILY HEALTH CARE ASSOCIATES 190 STETSON ROAD AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PEDIATRICS 12 HIGH STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE UROLOGY 12 HIGH STREET SUITE 404 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE NEUROLOGY 10 MINOT AVENUE AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE INTERNAL MEDICINE 12 HIGH STREET SUITE 400 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY MEDICINE RESIDENCY 76 HIGH STREET 1ST FLOOR LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY PRACTICE 12 HIGH STREET SUITE 302 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE BARIATIRC SURGERY 10 HIGH STREET SUITE 105 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PAIN & HEADACHE CENTER 77 BATES STREET SUITE 101 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE EAR NOSE & THROAT 12 HIGH STREET SUITE 102 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC WOMEN'S SPECIALTY CENTER 287 MAIN STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PLASTIC SURGERY 287 MAIN STREET SUITE 302 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC MINOT AVENUE FAMILY MEDICINE 789 MINOT AVENUE AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE ENDOCRINOLOGY 287 MAIN STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC LISBON FAMILY PRACTICE 2 BISBEE ROAD LISBON ME 04250 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PULMONARY & CRITICAL CARE 300 MAIN STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK FAMILY HEALTH 329 MAINE STREET SUITE H BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SLEEP CENTER 60 HIGH STREET LOWER LEVEL LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC TOPSHAM FAMILY MEDICINE 4 HORTON PLACE TOPSHAM ME 04086 OUTPATIENT PHYSICIAN CLINIC POLAND COMMUNITY HEALTH CENTER 364 MAIN STREET POLAND ME 04274 OUTPATIENT PHYSICIAN CLINIC GRAY FAMILY HEALTH CENTER 126 SHAKER ROAD ROUTE 26B GRAY ME 04039 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SPORTS MEDICINE 77 BATES STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC MECHANIC FALLS FAMILY PRACTICE 22 PLEASANT STREET MECHANIC FALLS ME 04256 OUTPATIENT PHYSICIAN CLINIC CMMC BLADDER CONTROL CENTER 287 MAIN STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK PEDIATRICS 329 MAINE STREET SUITE J BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEARING CENTER 12 HIGH STREET SUITE 102 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC INFECTIOUS DISEASE ASSOCIATES 76 HIGH STREET SUITE 200 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK PULMONOLOGY 329 MAINE STREET SUITE c BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC NORWAY FAMILY MEDICINE 39 MAIN STREET NORWAY ME 04268 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEART ASSOCIATES 329 MAINE STREET SUITE C BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEART ASSOCIATES 2 GREAT FALLS PLAZA AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK FAMILY MEDICINE 33 BATH ROAD BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PAIN MANAGEMENT 721 BATH ROAD WISCASSET ME 04578 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK ONCOLOGY 329 MAINE STREET BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE MENTAL HEALTH SERVICES 12 HIGH STREET SUITE 302 LEWSITON ME 04240 OUTPATIENT PHYSICIAN CLINIC HIGH STREET FAMILY MEDICINE 10 HIGH STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC COASTAL PLASTIC SURGERY 4 HORTON PLACE SUITE 202 TOPSHAM ME 04086 OUTPATIENT PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT 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 $35,352,714. SCHEDULE H, PART I, LINE 7 COSTING 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 2 BAD DEBT EXPENSE LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD 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 4 BAD 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: THE CORPORATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE CORPORATION PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CORPORATION BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY 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 9B COLLECTION 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 2 NEEDS 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 3 PATIENT 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 4 COMMUNITY 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 5 PROMOTION 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 6 AFFILIATED 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. true SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS THE GRANTS ARE AWARDED TO CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, FOR USE IN THE EXEMPT PURPOSE. THE MISSION OF THE ORGANIZATION 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. false true false false false false false false false PETER E CHALKE SYSTEM EXECUTIVE 0 592913 0 0 0 42185 0 16674 0 12897 0 664669 0 0 LAWRENCE OLIVER TRUSTEE 296387 0 17841 0 5522 0 23873 0 18804 0 362427 0 0 0 LAIRD COVEY FORMER PRESIDENT 0 125871 0 0 0 411598 0 25760 0 9554 0 572783 0 368622 JOHN LEWANDOWSKI MD PHYSICIAN 489711 0 98669 0 5922 0 23873 0 23284 0 641459 0 0 0 OSWALDO BISBAL MD PHYSICIAN 688820 0 150561 0 19568 0 23875 0 19776 0 902600 0 0 0 JAMES LOGGINS MD PHYSICIAN DIVISION CHIEF 419737 0 84021 0 6196 0 23873 0 19499 0 553326 0 0 0 WILLIAM LEE MD PHYSICIAN DIVISION CHIEF 264210 0 14858 0 7449 0 31525 0 22186 0 340228 0 0 0 DAVID LAUVER MD PHYSICIAN DIVISION CHIEF 238946 0 27773 0 5769 0 22527 0 18383 0 313398 0 0 0 TINA-MARIE LEGERE PRESIDENT - CMMC 0 248517 0 15000 0 34884 0 23217 0 7879 0 329497 0 0 PHILIPPE MORISSETTE TREASURER 0 126014 0 25000 0 5507 0 4044 0 7584 0 168149 0 0 RICHARD GOLDSTEIN PHYSICIAN PRACTICE EXECUTIVE 0 373947 0 75000 0 46320 0 23875 0 18349 0 537491 0 0 DANIEL LACERTE MD PHYSICIAN 719845 0 394500 0 4680 0 6375 0 20932 0 1146332 0 0 0 CARMINE FRUMIENTO MD PHYSICIAN 551705 0 297132 0 65637 0 6375 0 18230 0 939079 0 0 0 MARK BRANDA MD PHYSICIAN 451849 0 92079 0 20931 0 23873 0 19949 0 608681 0 0 0 MATTHEW COX FORMER TREASURER 0 150063 0 0 0 51281 0 4460 0 9734 0 215538 0 13614 SCHEDULE J, PART I, LINE 3 CEO 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 4B SUPPLEMENTAL 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. $ 368,622 LAIRD COVEY (PAYOUT) 13,614 MATTHEW COX (PAYOUT) 14,500 MATTHEW COX (DEFERRAL) 8,750 TINA-MARIE LEGERE (DEFERRAL) 17,000 RICHARD GOLDSTEIN (DEFERRAL) SCHEDULE J, PART II, COLUMN F 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. A MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560425LU2 2003-02-07 62898646 BUILD & EQUIP FACILITY false false true B MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560425WW6 2005-12-29 28435783 REFUND BOND SERIES 1993D, BLDG false false false C MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560427GE0 2009-12-10 56033554 FACILITY EXPANSION/CONSTRUCTION false false true A 0 0 62898646 5389811 1917896 0 730668 236000 0 54651271 0 0 2004 false false true true B 0 0 28435783 2325648 0 12082420 370150 80000 0 13577565 0 0 2006 false true true true C 0 0 56033554 6631632 1923311 0 639410 0 1675000 32010671 0 0 2011 false false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false false B true false false 0 true FSA 24.5 true false false C false true false false false false 0 false 0 false false A false B false C false SCHEDULE K, PART IV, LINE 2C, COLUMN A DATE OF REBATE COMPUTATION THE REBATE COMPUTATION WAS PERFORMED 02/07/2013. 0 PATRICIA E ROY RELATIVE OF R. ROY 124718 SALARY AND WAGES false HE CALLAHAN CONSTRUCTION CO SEE PART V 170277 CONTRACTOR false JULIA LAUVER RELATIVE OF D. LAUVER 64508 SALARY AND WAGES false MECHANICS SAVINGS BANK SEE PART V 830196 BANKING AND RELATED SERVICES false CYNTHIA HARRADON RELATIVE OF S. POULIN 106922 SALARY AND WAGES false SCHEDULE L, PART IV TRANSACTIONS WITH INTERESTED PERSONS (2) JOHN BLANCHARD, A TRUSTEE OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF H.E. CALLAHAN CONSTRUCTION CO. RICHARD ROY, CHAIRMAN OF (4) CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF MECHANICS SAVINGS BANK. X 908 FMV X 13918 FMV X 10 7808 FMV X 3 350 FMV X 9 34450 FMV X AUCTION ITEMS 88 63185 FMV X CRAFT SUPPLIES 20 3788 FMV X MISCELLANEOUS 44 15638 FMV false true false SCHEDULE B, PART I, COLUMN B NUMBER OF CONTRIBUTIONS THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERS 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 ANYTIME. 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 11B FORM 990 REVIEW PROCESS ALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE DIRECTOR OF FINANCE THEN WITH 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 12C MONITORING 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 & 15B EXECUTIVE 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 19 PUBLIC 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 A BOARD 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 11G OTHER FEES FOR SERVICES $ 16,220,906 OUTSIDE SERVICES 19,723,187 LABOR SERVICES 9,869,235 PURCHASED LABOR 4,816,785 PURCHASED SERVICES 419,968 CONSULTING SERVICES 119,750 PROFESSIONAL FEES 5,383 INTERPRETING SERVICES 13,813 MEDICAL DIRECTOR FEES 31,867 DATA PROCESSING FEES --------------- $ 51,220,894 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS $2,237,960 CHANGE IN INTEREST IN RELATED PARTY (1,701,602) TRANSFER TO AFFILIATE ------------ $ 536,358 CENTRAL MAINE HEART & VASCULAR INSTITUTE PO BOX 4500 LEWISTON ME 04243 542078282 HEALTHCARE ME 501(C)(3) 9 CMHC false MAINE COLLEGE OF HEALTH PROFESSIONS PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501(C)(3) 2 CMMC true CENTRAL MAINE REAL ESTATE MANAGEMENT COR PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501(C)(2) CMHC false CENTRAL MAINE COMMUNITY HEALTH CORP PO BOX 4500 LEWISTON ME 04243 010386912 PUBLIC ED ME 501(C)(3) 7 CMHC false RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 HEALTHCARE ME 501(C)(3) 3 CMHC false RUMFORD COMMUNITY HOME CORPORATION 11 JOHN F KENNEDY DRIVE RUMFORD ME 04276 222844951 NURSING HOME ME 501(C)(3) 9 CMHC false RUMFORD HOSPITAL PO BOX 619 RUMFORD ME 04276 010215227 HEALTHCARE ME 501(C)(3) 3 CMHC false BRIDGTON HOSPITAL 10 HOSPITAL DRIVE BRIDGTON ME 04009 010130427 HEALTHCARE ME 501(C)(3) 3 CMHC false BRIDGTON HOSPITAL PHYSICIANS GROUP SOUTH HIGH STREET BRIDGTON ME 04009 010493083 HEALTHCARE ME 501(C)(3) 3 CMHC false CENTRAL MAINE HEALTHCARE CORPORATION PO BOX 4500 LEWISTON ME 04243 010386913 HEALTHCARE ME 501(C)(3) 11 B II NA false ELIAS E TUCKER TRUST FUND C/O CMMC 300 MAIN STREET LEWISTON ME 04240 016042343 NURSING ED ME 501(C)(3) 11 A I CMMC true CENTRAL MAINE HEALTH VENTURES INC 300 MAIN STREET LEWISTON ME 04240 010430016 HEALTHCARE ME CMHC C CORP false CWM INSURANCE LTD 980220891 INSURANCE CJ CMHC C CORP false true false false false false false false false false true true false true false true true true false false