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CENTRAL MAINE MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTRAL MAINE MEDICAL CENTER (EIN 01-0211494)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201441329349301384
Schema version
2012v2.3
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)
Timestamp2014-05-12T10:18:40-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010211494EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PHIL MORISSETTEInCareOfName
Name ControlCENTNameControl
Phone2077952972Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4500AddressLine1
Address Line2SuiteAddressLine2
CityLEWISTONCity
StateMEState
ZIP Code042434500ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePHIL MORISSETTEName
TitleTREASURERTitle
Phone2077952972Phone
Date Signed2014-04-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLAIRD COVEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04240ZIPCode
FieldValueIRS element (for citing)
Gross Receipts324561041GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CMMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1888YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionCMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE TO FULFILL ITS MISSION.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2399TotalNbrEmployees
Total Nbr Volunteers1275TotalNbrVolunteers
Total Gross UBI133492TotalGrossUBI
Net Unrelated Business Txbl Income-170361NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3966975ContributionsGrantsPriorYear
Contributions Grants Current Year2927313ContributionsGrantsCurrentYear
Program Service Revenue Prior Year323332135ProgramServiceRevenuePriorYear
Program Service Revenue CY316717786ProgramServiceRevenueCY
Investment Income Prior Year761529InvestmentIncomePriorYear
Investment Income Current Year753102InvestmentIncomeCurrentYear
Other Revenue Prior Year82469OtherRevenuePriorYear
Other Revenue Current Year-466397OtherRevenueCurrentYear
Total Revenue Prior Year328143108TotalRevenuePriorYear
Total Revenue Current Year319931804TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2408132GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY21500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year160620748SalariesEtcPriorYear
Salaries Etc Current Year156034253SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year5100TotalFundrsngExpCurrentYear
Other Expense Prior Year168047303OtherExpensePriorYear
Other Expenses Current Year175496392OtherExpensesCurrentYear
Total Expenses Prior Year331076183TotalExpensesPriorYear
Total Expenses Current Year331552145TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2933075RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11620341RevenuesLessExpensesCY
Total Assets BOY305089875TotalAssetsBOY
Total Assets EOY292372527TotalAssetsEOY
Total Liabilities BOY223909421TotalLiabilitiesBOY
Total Liabilities EOY222477975TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY81180454NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY69894552NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense266952706Expense
Grants21500Grants
Revenue316717786Revenue
DescriptionCENTRAL 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.Description
Total Program Service Expense266952706TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096205NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2399NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPHIL MORISSETTENamePerson
Telephone Number2077952972TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line129 LOWELL STREET LEWISTON MEAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04240ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PAULINE V BEALE OD
TRUSTEE1.01.0X000
RICHARD L ROY
CHAIRMAN1.01.0X000X
MARK A ADAMS
VICE CHAIRMAN1.03.0X000X
SHARON BUCKLEY
TRUSTEE1.0X000
PETER E CHALKE
SYSTEM EXECUTIVE1.060.0X0181965716326X
MICHAEL TOMPKINS
TRUSTEE1.0X000
STEPHEN M COSTELLO
TRUSTEE ENDING 02/131.01.0X000
DEBORAH HAIRE
TRUSTEE1.0X000
LAWRENCE OLIVER
TRUSTEE55.0X326910019283
JOHN E BLANCHARD
TRUSTEE1.0X000
PHILIPPE NADEAU
TRUSTEE1.0X000
RONALD PEYSER
TRUSTEE1.0X000
MARK CARRIER
TRUSTEE1.0X000
CANDACE SANBORN
TRUSTEE1.0X000
REBECCA WEBBER
TRUSTEE ENDING 01/131.0X000
MATTHEW COX
TREASURER ENDING 06131.057.0033565534197X
CAROL J MORIN
SECRETARY ENDING 12/121.057.007388013407X
LAIRD COVEY
PRESIDENT - CMMC ENDING 04/131.050.0039779454643X
SAMANTHA LUCE
SECRETARY BEGINNING 01/131.057.0000X
TINA-MARIE LEGERE
PRESIDENT - CMMC BEG 04/135.0000X
PHILLIPPE MORISSETTE
TREASURER BEGINNING 06/131.058.001201318517X
JAMES LOGGINS MD
PHYSICIAN DIVISION CHIEF55.0533283019193X
WILLIAM LEE MD
PHYSICIAN DIVISION CHIEF55.0299549020998X
DAVID LAUVER MD
PHYSICIAN DIVISION CHIEF55.02.0304576023294X
NICHOLETTE ERICKSON MD
PHYSICIAN55.0591063019197X
DANIEL LALONDE MD
PHYSICIAN55.0683814016039X
PATRICIO MUJICA MD
PHYSICIAN55.0769105013001X
JOHN LEWANDOWSKI MD
PHYSICIAN55.0652071019197X
OSWALDO BISBAL MD
PHYSICIAN55.0963083019197X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5123454TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2747117TotalReportableCompFrmRltdOrgs
Total Other Compensation296489TotalOtherCompensation
Number Individuals GT100 K244NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CHG COMPANIES
MEDICAL STAFFING2357013
UNITED AMBULANCE SERVICES
MEDICAL TRANSIT3855251
CPS INC
PHARMACY SERVICES3466362
WEATHERBY LOCUMS INC
MEDICAL STAFFING2328321
ST JUDE MEDICAL
MEDICAL SERVICES2295385
FieldValueIRS element (for citing)
Number Of Contractors GT100 K43NumberOfContractorsGT100K
Fundraising Events1899462FundraisingEvents
Government Grants332494GovernmentGrants
All Other Contributions695357AllOtherContributions
Noncash Contributions48143NoncashContributions
Total Contributions2927313TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE900099303376860303376860
PHARMACY REVENUE44611044235644423564
CAFETERIA REVENUE722514778229778229
OTHER REVENUE90009981391338139133
FieldValueIRS element (for citing)
Total Program Service Revenue316717786TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column574587TotalRevenueColumn
Exclusion$574,587ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real11941Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real11941Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column11941TotalRevenueColumn
Exclusion$11,941ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3381991Securities
Other11701Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3213421Securities
Other1756Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities168570Securities
Other9945Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column178515TotalRevenueColumn
Exclusion$178,515ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events396989GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1899462CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses707530FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-310541TotalRevenueColumn
Exclusion-$310,541ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory840022GrossSalesOfInventory
Cost Of Goods Sold706530CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column133492TotalRevenueColumn
Unrelated Business Revenue133492UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
LOSS ON REFINANCE900099-587465-$587,465
EQUITY INVESTMENT900099286176$286,176
FieldValueIRS element (for citing)
Total Other Revenue-301289TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column319931804TotalRevenueColumn
Related Or Exempt Function Income316717786RelatedOrExemptFunctionIncome
Unrelated Business Revenue133492UnrelatedBusinessRevenue
Exclusion$153,213ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total21500Total
Program Services21500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1547087Total
Program Services1547087ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total135271Total
Program Services135271ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total128567931Total
Program Services96860425ProgramServices
Management And General31707506ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2143503Total
Program Services1614880ProgramServices
Management And General528623ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15873873Total
Program Services11993482ProgramServices
Management And General3880391ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7766588Total
Program Services5874725ProgramServices
Management And General1891863ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49138Total
Management And General49138ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total70878Total
Management And General70878ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5634Total
Management And General5634ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total47138713Total
Program Services35656194ProgramServices
Management And General11482519ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total515698Total
Program Services390079ProgramServices
Management And General125619ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11605485Total
Program Services8774647ProgramServices
Management And General2825738ManagementAndGeneral
Fundraising5100Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2851526Total
Program Services2156923ProgramServices
Management And General694603ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5607633Total
Program Services4241670ProgramServices
Management And General1365963ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1056759Total
Program Services799343ProgramServices
Management And General257416ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total113478Total
Program Services85836ProgramServices
Management And General27642ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6225423Total
Program Services4708972ProgramServices
Management And General1516451ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21070657Total
Program Services15938056ProgramServices
Management And General5132601ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6861093Total
Program Services5189799ProgramServices
Management And General1671294ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUGS4010499040104990
BAD DEBT2663425026634250
REPAIRS & MAINTENANCE442767033491341078536
LICENSES, DUES, SUBSCRIPTIONS847529641079206450

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total309838Total
Program Services234364ProgramServices
Management And General75474ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total331552145Total
Program Services266952706ProgramServices
Management And General64594339ManagementAndGeneral
Fundraising5100Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9810BOY
EOY17321EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY21929730BOY
EOY22626383EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY224879BOY
EOY19476EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33793183BOY
EOY33598165EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY5301BOY
EOY119EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2422283BOY
EOY2563495EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2558455BOY
EOY2180827EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9475087BOY
EOY8209140EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis352961889LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec199710166LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY155585654BOY
EOY153251723EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5102297BOY
EOY514655EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3008478BOY
EOY3044654EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY70974718BOY
EOY66346569EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY305089875BOY
EOY292372527EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY83556529BOY
EOY71958857EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY267418BOY
EOY265947EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY123035157BOY
EOY118102841EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17050317BOY
EOY14469440EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY17680890EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY223909421BOY
EOY222477975EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY65239108BOY
EOY53496913EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5077531BOY
EOY4713593EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10863815BOY
EOY11684046EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81180454BOY
EOY69894552EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY305089875BOY
EOY292372527EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-11620341ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-112300ReconciliationUnrealizedInvest
Reconcilation Other Changes446739ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$24,880OtherActivitiesAmount
Total Lobbying Expenditures IIB24880TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationPORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $24,880.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance16439401BeginningOfYearBalance
Contributions1317335Contributions
Investment Earnings Or Losses490909InvestmentEarningsOrLosses
Other Expenditures1325560OtherExpenditures
End Of Year Balance16922085EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance15497906BeginningOfYearBalance
Contributions2327217Contributions
Investment Earnings Or Losses-115277InvestmentEarningsOrLosses
Other Expenditures1270445OtherExpenditures
End Of Year Balance16439401EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13567546BeginningOfYearBalance
Contributions2332798Contributions
Investment Earnings Or Losses801345InvestmentEarningsOrLosses
Other Expenditures1203783OtherExpenditures
End Of Year Balance15497906EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12631431BeginningOfYearBalance
Contributions2070765Contributions
Investment Earnings Or Losses-32907InvestmentEarningsOrLosses
Other Expenditures1101743OtherExpenditures
End Of Year Balance13567546EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13848034BeginningOfYearBalance
Contributions908502Contributions
Investment Earnings Or Losses-1683575InvestmentEarningsOrLosses
Other Expenditures441530OtherExpenditures
End Of Year Balance12631431EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.71626PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.28374TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2368022OtherCostOrOtherBasis
Book Value2368022BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis151813924OtherCostOrOtherBasis
Depreciation53878432Depreciation
Book Value97935492BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4945143OtherCostOrOtherBasis
Depreciation3493161Depreciation
Book Value1451982BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis169247714OtherCostOrOtherBasis
Depreciation136786698Depreciation
Book Value32461016BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24587086OtherCostOrOtherBasis
Depreciation5551875Depreciation
Book Value19035211BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings153251723TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES8106471
DEPOSITS5900
EST AMT DUE FROM 3RD PARTY42361004
INTEREST IN RELATED PARTY15873194
FieldValueIRS element (for citing)
Total Book Value Other Assets66346569TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$17,680,890Amount
FieldValueIRS element (for citing)
Total Of Amounts17680890TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt321722169TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-112300NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities47500DonatedSrvcAndUseOfFacilities
Other Revenues441105OtherRevenues
Revenue Not Rptd F990376305RevenueNotRptdF990
Revenue Subtotal321345864RevenueSubtotal
Other Revenues Not Included-1414060OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1414060RevenueNotRptdOnFinStmt
Total Revenue Per Form990319931804TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt333008071TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities47500DonatedServicesUseOfFacilities
Other Expenses Included1414060OtherExpensesIncluded
Expenses Not Rptd F9901461560ExpensesNotRptdF990
Expenses Subtotal331546511ExpensesSubtotal
Investment Expenses Not Included25634InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt5634ExpensesNotRptdOnFinStmt
Total Expenses Per Form990331552145TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4ENDOWMENT 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.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2D$ 446,739 CHANGE IN INTEREST IN RELATED PARTY (5,634) INVESTMENT MANAGEMENT FEES ------------- $ 441,105
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XI, LINE 4B$ (707,530) SPECIAL EVENTS EXPENSE (706,530) COST OF GOODS SOLD -------------- $ (1,414,060)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XII, LINE 2D$ 707,530 SPECIAL EVENTS EXPENSE 706,530 COST OF GOODS SOLD --------------- $ 1,414,060

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DEMPSEY CHALLENNameOfEvent1
Gross Receipts Event12064029GrossReceiptsEvent1
Charitable Contributions Event11763687CharitableContributionsEvent1
Gross Revenue Event1300342GrossRevenueEvent1
Rent Facility Costs Event155305RentFacilityCostsEvent1
Food And Beverage Event123524FoodAndBeverageEvent1
Other Direct Expenses Event1551278OtherDirectExpensesEvent1
Name Of Event2SPRING GALANameOfEvent2
Gross Receipts Event2108453GrossReceiptsEvent2
Charitable Contributions Event272550CharitableContributionsEvent2
Gross Revenue Event235903GrossRevenueEvent2
Rent Facility Costs Event2350RentFacilityCostsEvent2
Food And Beverage Event210041FoodAndBeverageEvent2
Entertainment Event23500EntertainmentEvent2
Other Direct Expenses Event212263OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events123969GrossReceiptsOtherEvents
Charitable Contrib Other Events63225CharitableContribOtherEvents
Gross Revenue Other Events60744GrossRevenueOtherEvents
Cash Prizes Other Events5000CashPrizesOtherEvents
Non Cash Prizes Other Events1706NonCashPrizesOtherEvents
Rent Facility Costs Other Events7390RentFacilityCostsOtherEvents
Food And Beverage Other Events6632FoodAndBeverageOtherEvents
Other Direct Expenses Other Events30541OtherDirectExpensesOtherEvents
Gross Receipts Total2296451GrossReceiptsTotal
Charitable Contributions Total1899462CharitableContributionsTotal
Gross Revenue Total Events396989GrossRevenueTotalEvents
Cash Prizes Total Events5000CashPrizesTotalEvents
Non Cash Prizes Total Events1706NonCashPrizesTotalEvents
Rent Facility Costs Total Events63045RentFacilityCostsTotalEvents
Food And Beverage Total Events40197FoodAndBeverageTotalEvents
Entertainment Total Events3500EntertainmentTotalEvents
Other Direct Expenses Total Events594082OtherDirectExpensesTotalEvents
Direct Expense Summary Events707530DirectExpenseSummaryEvents
Net Income Summary-310541NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierFUNDRAISING ACTIVITIESIdentifier
Return ReferenceSCHEDULE G, PART II, COLUMN AReturnReference
ExplanationDEMPSEY 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7030519TotalCommunityBenefitExpense
Net Community Benefit Expense7030519NetCommunityBenefitExpense
Percent Of Total Expense0.02310PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense52888757TotalCommunityBenefitExpense
Direct Offsetting Revenue25263947DirectOffsettingRevenue
Net Community Benefit Expense27624810NetCommunityBenefitExpense
Percent Of Total Expense0.09060PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense59919276TotalCommunityBenefitExpense
Direct Offsetting Revenue25263947DirectOffsettingRevenue
Net Community Benefit Expense34655329NetCommunityBenefitExpense
Percent Of Total Expense0.11370PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense798349TotalCommunityBenefitExpense
Direct Offsetting Revenue81DirectOffsettingRevenue
Net Community Benefit Expense798268NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1913273TotalCommunityBenefitExpense
Direct Offsetting Revenue1138611DirectOffsettingRevenue
Net Community Benefit Expense774662NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense21500TotalCommunityBenefitExpense
Net Community Benefit Expense21500NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2733122TotalCommunityBenefitExpense
Direct Offsetting Revenue1138692DirectOffsettingRevenue
Net Community Benefit Expense1594430NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense62652398TotalCommunityBenefitExpense
Direct Offsetting Revenue26402639DirectOffsettingRevenue
Net Community Benefit Expense36249759NetCommunityBenefitExpense
Percent Of Total Expense0.11890PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$26,634,250BadDebtExpenseAmount
Amount Attributable To6072609AmountAttributableTo
Amount Reimbursed By Medicare74553476AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare78200744CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3647268MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 MAIN STREETAddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04240ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MAINE MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent150.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities40NumberOfOtherFacilities

Other Facilities OtherFacilities (40 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE
77 BATES STREET SUITE 202LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SURGICAL ASSOCIATES
12 HIGH STREET SUITE 401LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEART ASSOCIATES
60 HIGH STREET GROUND FLOORLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE OBSTETRICSGYNECOLOGY
12 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
FAMILY HEALTH CARE ASSOCIATES
190 STETSON ROADAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PEDIATRICS
12 HIGH STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEMATOLOGY & ONCOLOGY
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE UROLOGY
12 HIGH STREET SUITE 404LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE NEUROLOGY
10 MINOT AVENUELEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE INTERNAL MEDICINE
12 HIGH STREET SUITE 400LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY MEDICINE RESIDENCY
76 HIGH STREET 1ST FLOORLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FAMILY PRACTICE
12 HIGH STREET SUITE 302LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE BARIATIRC SURGERY
10 HIGH STREET SUITE 105LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PAIN & HEADACHE CENTER
77 BATES STREET SUITE 101LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE EAR NOSE & THROAT
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
WOMEN'S SPECIALITY CENTER
287 MAIN STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PLASTIC SURGERY
287 MAIN STREET SUITE 302LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
MINOT AVENUE FAMILY MEDICINE
789 MINOT AVENUEAUBURNME04210OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE ENDOCRINOLOGY
287 MAIN STREET SUITE 301LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
LISBON FAMILY PRACTICE
2 BISBEE ROADLISBONME04250OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PULMONARY & CRITICAL CARE
300 MAIN STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK FAMILY HEALTH
329 MAINE STREET SUITE HLEWISTONME04011OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SLEEP CENTER
60 HIGH STREET LOWER LEVELLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE PULMONARY & SLEEP MEDICINE
76 HIGH STREET SUITE 300LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
TOPSHAM FAMILY MEDICINE
4 HORTON PLACETOPSHAMME04086OUTPATIENT PHYSICIAN CLINIC
POLAND COMMUNITY HEALTH CENTER
364 MAIN STREETPOLANDME04274OUTPATIENT PHYSICIAN CLINIC
GRAY FAMILY HEALTH CENTER
126 SHAKER ROAD ROUTE 26BGRAYME04039OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEART ASSOCIATION
11 EVERGREEN DRIVEOAKLANDME04693OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE SPORTS MEDICINE
77 BATES STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
MECHANIC FALLS FAMILY PRACTICE
22 PLEASANT STREETMECHANIC FALLSME04256OUTPATIENT PHYSICIAN CLINIC
CMMC BLADDER CONTROL CENTER
287 MAIN STREETLEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK PEDIATRICS
329 MAINE STREET SUITE JBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEARING CENTER
12 HIGH STREET SUITE 102LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
INFECTIOUS DISEASE ASSOCIATES
76 HIGH STREET SUITE 200LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE FERTILITY CENTER
287 MAIN STREET SUITE 201LEWISTONME04240OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK NEUROLOGY
51 HARPSWELL ROAD SUITE 100BRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK WOMEN'S HEALTH
331 MAINE STREET SUITE 6BRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
BRUNSWICK PULMONOLOGY
329 MAINE STREET SUITE cBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC
NORWAY FAMILY MEDICINE
39 MAIN STREETNORWAYME04268OUTPATIENT PHYSICIAN CLINIC
CENTRAL MAINE HEART ASSOCIATES
329 MAINE STREET SUITE CBRUNSWICKME04011OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO 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 $26,634,250.
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7THE 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.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE 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. LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. 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.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8THE 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.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION 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.
COMMUNITY INPUTSCHEDULE H, PART V, SECTION B, LINE 3SEVERAL 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.
IMPLEMENTATION STRATEGYSCHEDULE H, PART V, SECTION B, LINE 6IN 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
ADDRESSING IDENTIFIED NEEDSSCHEDULE H, PART V, SECTION B, LINE 7CMMC 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.
OTHER METHODS USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICYSCHEDULE H, PART V, LINE 14GTHE 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.
MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALSSCHEDULE H, PART V, SECTION B, LINE 20DFAP-ELIGIBLE PATIENTS ULTIMATELY RECEIVE FREE CARE. IF THE PATIENT HAS INSURANCE, THE INSURANCE COMPANY WOULD BE BILLED AND ONLY THE PATIENT 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.
NEEDS ASSESSMENTCENTRAL 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCECENTRAL 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.
COMMUNITY INFORMATIONCENTRAL 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.
PROMOTION OF COMMUNITY HEALTHCENTRAL 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.
AFFILIATED HEALTH CARE SYSTEMCENTRAL 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)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1AMERICAN HEART ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 UNION STREET STE 301AddressLine1
CityROBBINSVILLECity
StateNJState
ZIP Code04183ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient135613797EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant15000AmountOfCashGrant
Purpose Of GrantOPERATIONSPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE GRANT WAS AWARDED TO A CHARITABLE ORGANIZATION EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, FOR USE IN ITS 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 GRANT WAS NOT AWARDED WITH A SPECIFIC PURPOSE ATTACHED, NO TRACKING IS REQUIRED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER E CHALKE
SYSTEM EXECUTIVE05925530001227104011066052600183598301186628
LAWRENCE OLIVER
TRUSTEE30099002036805552063400129430346193000
MATTHEW COX
TREASURER ENDING 0613031135500024300021250012947036985200
LAIRD COVEY
PRESIDENT - CMMC ENDING 04/13033515700062637041700012943045243700
NICHOLETTE ERICKSON MD
PHYSICIAN57667101299001402062500129470610260000
DANIEL LALONDE MD
PHYSICIAN679413000440106250097890699853000
PATRICIO MUJICA MD
PHYSICIAN52688102353500687406250067510782106000
JOHN LEWANDOWSKI MD
PHYSICIAN543688010232406059062500129470671268000
OSWALDO BISBAL MD
PHYSICIAN5739370349893039253062500129470982280000
JAMES LOGGINS MD
PHYSICIAN DIVISION CHIEF413987011065608640062500129430552476000
WILLIAM LEE MD
PHYSICIAN DIVISION CHIEF271650017594010305080550129430320547000
DAVID LAUVER MD
PHYSICIAN DIVISION CHIEF25398205059400059860173080327870000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CEO COMPENSATIONSCHEDULE J, PART I, LINE 3THE 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
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BA 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. $ 1,186,628 PETER CHALKE (PAYOUT) 27,950 LAIRD COVEY (DEFERRAL) 15,000 MATTHEW COX (DEFERRAL)
COMPENSATION REPORTED IN PRIOR FORM 990SCHEDULE J, PART II, COLUMN FCOMPENSATION 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

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
A010314384560425LU22003-02-0762898646BUILD & EQUIP FACILITYfalsefalsetrue
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
B010314384560425WW62005-12-2928435783REFUND BOND SERIES 1993D, BLDGfalsefalsefalse
MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH
C010314384560427GEO2009-12-1056033554FACILITY EXPANSION/CONSTRUCTIONfalsefalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0062898646538981119178960703668236000054651271002004falsefalsetruetrue
B0028435783232564801208242037015080000013577565002006falsetruetruetrue
C00560335546631632192331106394100167500032010671002011falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalse0.000000.000000.00000falsefalsefalsetrue
Bfalsefalsefalsefalse0.000000.000000.00000falsefalsefalsetrue
Cfalsefalsefalsefalse0.000000.000000.00000falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedRebate Not Due YetRebateNotDueYet
0
Afalsetruefalsefalsefalse0falsefalse
0
BtruefalsefalsetrueFSAfalsefalse24.5true
0
Cfalsefalsefalsefalse0falsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Afalse
Bfalse
Cfalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDATE OF REBATE COMPUTATIONIdentifier
Return ReferenceSCHEDULE K, PART IV, LINE 2C, COLUMN AReturnReference
ExplanationTHE REBATE COMPUTATION WAS PERFORMED 02/07/2013.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonOSWALDO BISBALNamePerson
Relationship With OrganizationEMPLOYEERelationshipWithOrganization
Purpose Of LoanADVANCEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$30,000OriginalPrincipalAmount
Balance Due119BalanceDue
DefaultfalseDefault
Approved By BoardfalseApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due119TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PATRICIA E ROY
RELATIVE OF R. ROY123633SALARY AND WAGESfalse
HE CALLAHAN CONSTRUCTION CO
SEE PART V501095CONTRACTORfalse
MARCY COVEY
RELATIVE OF L. COVEY11638SALARY AND WAGESfalse
MECHANICS SAVINGS BANK
SEE PART V831483BANKING AND RELATED SERVICESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationJOHN BLANCHARD, A TRUSTEE OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF H.E. CALLAHAN CONSTRUCTION CO. RICHARD ROY, CHAIRMAN OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF MECHANICS SAVINGS BANK.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9905556NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9902375NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XAUCTION ITEMS10725706FMV
XSIGNAGE114506FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNUMBER OF CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE B, PART I, COLUMN BReturnReference
ExplanationTHE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MEMBERS OF THE ORGANIZATIONFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE 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 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BALL 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.
MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12COFFICERS 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.
EXECUTIVE COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15A & 15BA 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.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE 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.
BOARD MEMBER COMPENSATIONFORM 990, PART VII, SECTION ANO 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.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11G$ 14,479,524 OUTSIDE SERVICES 13,075,984 LABOR SERVICES 12,225,467 PURCHASED LABOR 6,012,924 PURCHASED SERVICES 733,158 CONSULTING SERVICES 417,340 PROFESSIONAL FEES 142,603 INTERPRETING SERVICES 28,313 MEDICAL DIRECTOR FEES 23,400 DATA PROCESSING FEES --------------- $ 47,138,713
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9$ 446,739 CHANGE IN INTEREST IN RELATED PARTY

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CENTRAL MAINE HEART & VASCULAR INSTITUTE
PO BOX 4500LEWISTONME04243542078282HEALTHCAREME501(C)(3)9CMHCfalse
CMMC COLLEGE OF NURSING AND HEALTH PROF
PO BOX 4500LEWISTONME04243010356077EDUCATIONME501(C)(3)2CMMCtrue
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)11 B IINAfalse
ELIAS E TUCKER TRUST FUND
C/O CMMC 300 MAIN STREETLEWISTONME04240016042343NURSING EDME501(C)(3)11 A ICMMCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
CENTRAL MAINE HEALTH VENTURES INC
300 MAIN STREETLEWISTONME04240010430016HEALTHCAREMECMHCC CORPfalse
CWM INSURANCE LTD
980220891INSURANCECMHCC CORPfalseCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
A/J552009FMV
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
M9603992FMV
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
O625812FMV
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
P2506409FMV
CMMC COLLEGE OF NURSING AND HEALTH PROFESSION
Q42329916FMV