2014-05-12T10:18:40-05:00 2013-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-07-01 010211494 CENTRAL MAINE MEDICAL CENTER % PHIL MORISSETTE CENT 2077952972 PO BOX 4500 Suite LEWISTON ME 042434500 PHIL MORISSETTE 2077952972 2014-04-29 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z LAIRD COVEY 300 MAIN STREET LEWISTON ME 04240 324561041 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 TO FULFILL ITS MISSION. 13 9 2399 1275 133492 -170361 3966975 2927313 323332135 316717786 761529 753102 82469 -466397 328143108 319931804 2408132 21500 0 0 160620748 156034253 0 0 5100 168047303 175496392 331076183 331552145 -2933075 -11620341 305089875 292372527 223909421 222477975 81180454 69894552 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS. false false 266952706 21500 316717786 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. 266952706 true true false true false false false false false true true false false true true false false true false false false false false false true false true true true false true true false false false false false true false false true false true false false false false true true true false false true 205 0 true 2399 true true true false false false false true true false false false false X 13 9 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 1.0 1.0 X 0 0 0 RICHARD L ROY 1.0 1.0 X X 0 0 0 MARK A ADAMS 1.0 3.0 X X 0 0 0 SHARON BUCKLEY 1.0 X 0 0 0 PETER E CHALKE 1.0 60.0 X X 0 1819657 16326 MICHAEL TOMPKINS 1.0 X 0 0 0 STEPHEN M COSTELLO 1.0 1.0 X 0 0 0 DEBORAH HAIRE 1.0 X 0 0 0 LAWRENCE OLIVER 55.0 X 326910 0 19283 JOHN E BLANCHARD 1.0 X 0 0 0 PHILIPPE NADEAU 1.0 X 0 0 0 RONALD PEYSER 1.0 X 0 0 0 MARK CARRIER 1.0 X 0 0 0 CANDACE SANBORN 1.0 X 0 0 0 REBECCA WEBBER 1.0 X 0 0 0 MATTHEW COX 1.0 57.0 X 0 335655 34197 CAROL J MORIN 1.0 57.0 X 0 73880 13407 LAIRD COVEY 1.0 50.0 X 0 397794 54643 SAMANTHA LUCE 1.0 57.0 X 0 0 0 TINA-MARIE LEGERE 5.0 X 0 0 0 PHILLIPPE MORISSETTE 1.0 58.0 X 0 120131 8517 JAMES LOGGINS MD 55.0 X 533283 0 19193 WILLIAM LEE MD 55.0 X 299549 0 20998 DAVID LAUVER MD 55.0 2.0 X 304576 0 23294 NICHOLETTE ERICKSON MD 55.0 X 591063 0 19197 DANIEL LALONDE MD 55.0 X 683814 0 16039 PATRICIO MUJICA MD 55.0 X 769105 0 13001 JOHN LEWANDOWSKI MD 55.0 X 652071 0 19197 OSWALDO BISBAL MD 55.0 X 963083 0 19197 5123454 2747117 296489 244 false true false CHG COMPANIES MEDICAL STAFFING 2357013 UNITED AMBULANCE SERVICES MEDICAL TRANSIT 3855251 CPS INC PHARMACY SERVICES 3466362 WEATHERBY LOCUMS INC MEDICAL STAFFING 2328321 ST JUDE MEDICAL MEDICAL SERVICES 2295385 43 1899462 332494 695357 48143 2927313 NET PATIENT SERVICE REVENUE 900099 303376860 303376860 PHARMACY REVENUE 446110 4423564 4423564 CAFETERIA REVENUE 722514 778229 778229 OTHER REVENUE 900099 8139133 8139133 316717786 574587 574587 0 0 11941 11941 0 11941 11941 3381991 11701 3213421 1756 168570 9945 178515 178515 396989 1899462 707530 -310541 -310541 0 840022 706530 133492 133492 LOSS ON REFINANCE 900099 -587465 -587465 EQUITY INVESTMENT 900099 286176 286176 -301289 319931804 316717786 133492 153213 X 21500 21500 0 0 0 1547087 1547087 135271 135271 128567931 96860425 31707506 2143503 1614880 528623 15873873 11993482 3880391 7766588 5874725 1891863 0 49138 49138 70878 70878 0 0 5634 5634 47138713 35656194 11482519 515698 390079 125619 11605485 8774647 2825738 5100 2851526 2156923 694603 0 5607633 4241670 1365963 1056759 799343 257416 0 113478 85836 27642 6225423 4708972 1516451 0 21070657 15938056 5132601 6861093 5189799 1671294 MEDICAL SUPPLIES & DRUGS 40104990 40104990 BAD DEBT 26634250 26634250 REPAIRS & MAINTENANCE 4427670 3349134 1078536 LICENSES, DUES, SUBSCRIPTIONS 847529 641079 206450 309838 234364 75474 331552145 266952706 64594339 5100 9810 17321 21929730 22626383 224879 19476 33793183 33598165 5301 119 0 0 2422283 2563495 2558455 2180827 9475087 8209140 352961889 199710166 155585654 153251723 5102297 514655 3008478 3044654 0 0 0 0 70974718 66346569 305089875 292372527 83556529 71958857 0 0 267418 265947 123035157 118102841 0 0 0 0 17050317 14469440 0 0 0 17680890 223909421 222477975 X 65239108 53496913 5077531 4713593 10863815 11684046 81180454 69894552 305089875 292372527 X -11620341 -112300 446739 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 24880 24880 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $24,880. 16439401 1317335 490909 1325560 16922085 15497906 2327217 -115277 1270445 16439401 13567546 2332798 801345 1203783 15497906 12631431 2070765 -32907 1101743 13567546 13848034 908502 -1683575 441530 12631431 0.71626 0.28374 false true true 2368022 2368022 151813924 53878432 97935492 4945143 3493161 1451982 169247714 136786698 32461016 24587086 5551875 19035211 153251723 OTHER RECEIVABLES 8106471 DEPOSITS 5900 EST AMT DUE FROM 3RD PARTY 42361004 INTEREST IN RELATED PARTY 15873194 66346569 0 DUE TO AFFILIATES 17680890 17680890 321722169 -112300 47500 441105 376305 321345864 -1414060 -1414060 319931804 333008071 47500 1414060 1461560 331546511 5634 5634 331552145 INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 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. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE 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 1 SCHEDULE 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 25 SCHEDULE D, PART XII, LINE 2D $ 707,530 SPECIAL EVENTS EXPENSE 706,530 COST OF GOODS SOLD --------------- $ 1,414,060 DEMPSEY CHALLEN 2064029 1763687 300342 55305 23524 551278 SPRING GALA 108453 72550 35903 350 10041 3500 12263 3 123969 63225 60744 5000 1706 7390 6632 30541 2296451 1899462 396989 5000 1706 63045 40197 3500 594082 707530 -310541 FUNDRAISING ACTIVITIES SCHEDULE G, PART II, COLUMN A 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 7030519 7030519 0.02310 52888757 25263947 27624810 0.09060 59919276 25263947 34655329 0.11370 798349 81 798268 0.00260 1913273 1138611 774662 0.00250 21500 21500 0.00010 2733122 1138692 1594430 0.00520 62652398 26402639 36249759 0.11890 true 26634250 6072609 74553476 78200744 -3647268 X true true 1 1 CENTRAL MAINE MEDICAL CENTER

300 MAIN STREET LEWISTON ME 04240

X X X X CENTRAL MAINE MEDICAL CENTER 1 true X X X X X X X X X 12 true false true X X X X X X X X X false false true true 150. false true X true true X X X X X X true false X X true X false false 40 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 HEMATOLOGY & ONCOLOGY

12 HIGH STREET SUITE 102 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 LEWISTON ME 04240

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 SPECIALITY 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 LEWISTON ME 04011

OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SLEEP CENTER

60 HIGH STREET LOWER LEVEL LEWISTON ME 04240

OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PULMONARY & SLEEP MEDICINE

76 HIGH STREET SUITE 300 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 HEART ASSOCIATION

11 EVERGREEN DRIVE OAKLAND ME 04693

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 CENTRAL MAINE FERTILITY CENTER

287 MAIN STREET SUITE 201 LEWISTON ME 04240

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK NEUROLOGY

51 HARPSWELL ROAD SUITE 100 BRUNSWICK ME 04011

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK WOMEN'S HEALTH

331 MAINE STREET SUITE 6 BRUNSWICK ME 04011

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 PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F 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 $26,634,250. COSTING METHODOLOGY SCHEDULE H, PART I, LINE 7 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. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 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. 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 BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B 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. COMMUNITY INPUT SCHEDULE H, PART V, SECTION B, LINE 3 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. IMPLEMENTATION STRATEGY SCHEDULE H, PART V, SECTION B, LINE 6 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 ADDRESSING IDENTIFIED NEEDS SCHEDULE H, PART V, SECTION B, LINE 7 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. OTHER METHODS USED TO PUBLICIZE THE FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART V, LINE 14G 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. MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS SCHEDULE H, PART V, SECTION B, LINE 20D FAP-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 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. 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. 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. 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. 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 AMERICAN HEART ASSOCIATION 1 UNION STREET STE 301 ROBBINSVILLE NJ 04183 135613797 501(C)(3) 15000 OPERATIONS 1 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 THE 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. false true false false false false false false false PETER E CHALKE 0 592553 0 0 0 1227104 0 11066 0 5260 0 1835983 0 1186628 LAWRENCE OLIVER 300990 0 20368 0 5552 0 6340 0 12943 0 346193 0 0 0 MATTHEW COX 0 311355 0 0 0 24300 0 21250 0 12947 0 369852 0 0 LAIRD COVEY 0 335157 0 0 0 62637 0 41700 0 12943 0 452437 0 0 NICHOLETTE ERICKSON MD 576671 0 12990 0 1402 0 6250 0 12947 0 610260 0 0 0 DANIEL LALONDE MD 679413 0 0 0 4401 0 6250 0 9789 0 699853 0 0 0 PATRICIO MUJICA MD 526881 0 235350 0 6874 0 6250 0 6751 0 782106 0 0 0 JOHN LEWANDOWSKI MD 543688 0 102324 0 6059 0 6250 0 12947 0 671268 0 0 0 OSWALDO BISBAL MD 573937 0 349893 0 39253 0 6250 0 12947 0 982280 0 0 0 JAMES LOGGINS MD 413987 0 110656 0 8640 0 6250 0 12943 0 552476 0 0 0 WILLIAM LEE MD 271650 0 17594 0 10305 0 8055 0 12943 0 320547 0 0 0 DAVID LAUVER MD 253982 0 50594 0 0 0 5986 0 17308 0 327870 0 0 0 CEO COMPENSATION SCHEDULE J, PART I, LINE 3 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 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B 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. $ 1,186,628 PETER CHALKE (PAYOUT) 27,950 LAIRD COVEY (DEFERRAL) 15,000 MATTHEW COX (DEFERRAL) COMPENSATION REPORTED IN PRIOR FORM 990 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 560427GEO 2009-12-10 56033554 FACILITY EXPANSION/CONSTRUCTION false false true A 0 0 62898646 5389811 1917896 0 703668 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 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true A 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 0 false 0 false false A false B false C false DATE OF REBATE COMPUTATION SCHEDULE K, PART IV, LINE 2C, COLUMN A THE REBATE COMPUTATION WAS PERFORMED 02/07/2013. OSWALDO BISBAL EMPLOYEE ADVANCE X 30000 119 false false true 119 PATRICIA E ROY RELATIVE OF R. ROY 123633 SALARY AND WAGES false HE CALLAHAN CONSTRUCTION CO SEE PART V 501095 CONTRACTOR false MARCY COVEY RELATIVE OF L. COVEY 11638 SALARY AND WAGES false MECHANICS SAVINGS BANK SEE PART V 831483 BANKING AND RELATED SERVICES false TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV JOHN 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. X 5556 FMV X 4 2375 FMV X AUCTION ITEMS 107 25706 FMV X SIGNAGE 1 14506 FMV false true false NUMBER OF CONTRIBUTIONS SCHEDULE B, PART I, COLUMN B THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B 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 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B 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. MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. EXECUTIVE COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A & 15B 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. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 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. BOARD MEMBER COMPENSATION FORM 990, PART VII, SECTION A 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. OTHER FEES FOR SERVICES FORM 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 ASSETS FORM 990, PART XI, LINE 9 $ 446,739 CHANGE IN INTEREST IN RELATED PARTY CENTRAL MAINE HEART & VASCULAR INSTITUTE PO BOX 4500 LEWISTON ME 04243 542078282 HEALTHCARE ME 501(C)(3) 9 CMHC false CMMC COLLEGE OF NURSING AND HEALTH PROF 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 CMMC COLLEGE OF NURSING AND HEALTH PROFESSION A/J 552009 FMV CMMC COLLEGE OF NURSING AND HEALTH PROFESSION M 9603992 FMV CMMC COLLEGE OF NURSING AND HEALTH PROFESSION O 625812 FMV CMMC COLLEGE OF NURSING AND HEALTH PROFESSION P 2506409 FMV CMMC COLLEGE OF NURSING AND HEALTH PROFESSION Q 42329916 FMV