2013-08-13T06:52:30-05:00 2012-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2011-10-01 010238552 MAINE MEDICAL CENTER MAIN 2076622576 22 BRAMHALL STREET PORTLAND ME 04102 JOHN E HEYE 2076622576 2013-08-12 2013-08-13 2011 2016-02-24 21:20:13Z RICHARD W PETERSEN 22 BRAMHALL STREET PORTLAND ME 04102 1605220640 false X WWW.MMC.ORG X 1951 ME THE MAINE MEDICAL CENTER (THE MEDICAL CENTER) IS A VOLUNTARY, NOT-FOR-PROFIT COMMUNITY AND REFERRAL HOSPITAL, DEDICATED TO PROVIDING HIGH QUALITY HEALTH CARE SERVICES TO ALL PERSONS WHO SEEK CARE REGARDLESS OF THEIR SEX, RACE, RELIGION, AGE, COLOR, SEXUAL ORIENTATION, NATIONAL ORIGIN, PHYSICAL OR EMOTIONAL DISABILITY OR SOCIAL OR ECONOMIC STATUS. MAINE MEDICAL CENTER IS ALSO COMMITTED TO EDUCATION AT THE UNDERGRADUATE, GRADUATE, POST-GRADUATE AND CONTINUING EDUCATION LEVELS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PERSONNEL, AND IN-SERVICE TRAINING FOR SUPPORT STAFF ALL OF WHICH ARE ESSENTIAL TO THE DELIVERY OF QUALITY PATIENT CARE. OUTREACH EDUCATION TO OTHER INSTITUTIONS AND AGENCIES IS ALSO VITAL TO THE FULFILLMENT OF THE MAINE MEDICAL CENTER'S MISSION. THE MEDICAL CENTER ALSO SUPPORTS BASIC AND CLINICAL RESEARCH AS ESSENTIAL TO THE ADVANCEMENT OF HEALTH CARE. 20 16 7169 853 1868141 32312015 29095717 789964187 818119733 19555421 16462038 52325357 82497237 894156980 946174725 1585350 1570050 0 430028268 456757401 63348 66515 1760642 390873819 409397617 822550785 867791583 71606195 78383142 1098704079 1121281037 515082782 530631360 583621297 590649677 X THE MAINE MEDICAL CENTER (THE MEDICAL CENTER) IS A VOLUNTARY, NOT-FOR-PROFIT COMMUNITY AND REFERRAL HOSPITAL, DEDICATED TO PROVIDING HIGH QUALITY HEALTH CARE SERVICES TO ALL PERSONS WHO SEEK CARE REGARDLESS OF THEIR SEX, RACE, RELIGION, AGE, COLOR, SEXUAL ORIENTATION, NATIONAL ORIGIN, PHYSICAL OR EMOTIONAL DISABILITY OR SOCIAL OR ECONOMIC STATUS. MAINE MEDICAL CENTER IS ALSO COMMITTED TO EDUCATION AT THE UNDERGRADUATE, GRADUATE, POST-GRADUATE AND CONTINUING EDUCATION LEVELS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PERSONNEL, AND IN-SERVICE TRAINING FOR SUPPORT STAFF ALL OF WHICH ARE ESSENTIAL TO THE DELIVERY OF QUALITY PATIENT CARE. OUTREACH EDUCATION TO OTHER INSTITUTIONS AND AGENCIES IS ALSO VITAL TO THE FULFILLMENT OF THE MAINE MEDICAL CENTER'S MISSION. THE MEDICAL CENTER ALSO SUPPORTS BASIC AND CLINICAL RESEARCH AS ESSENTIAL TO THE ADVANCEMENT OF HEALTH CARE. false false 165324613 287624643 ROUTINE SERVICES - ADULTS, PEDIATRICS, INTENSIVE CARE, NEONATAL INTENSIVE CARE, CORONARY CARE, NURSERY TOTAL PATIENT DAYS - 153,224 SEE ATTACHED COMMUNITY BENEFIT STATEMENT. 131159653 392770029 OPERATING ROOM AND SCARBOROUGH SURGERY CENTER TOTAL VISITS - 28,972 THROUGH ITS 34 OPERATIVE SUITES, MAINE MEDICAL CENTER (THE MEDICAL CENTER) PROVIDES CRITICAL TRAUMA, EMERGENT, URGENT, AND ELECTIVE SURGICAL SERVICES TO THE COMMUNITY. THROUGH ITS EXPANSIVE ARRAY OF SURGICAL CAPABILITIES, THE MEDICAL CENTER PROVIDES MOST SURGICAL PROCEDURES WITHIN ITS COMMUNITY AS A GREAT CONVENIENCE TO ITS PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. 32809920 79214686 EMERGENCY DEPARTMENT AND BRIGHTON FIRST CARE (BFC) TOTAL VISITS - 88,264 THE EMERGENCY DEPARTMENT AND ESPECIALLY BFC SERVE AS THE PRIMARY CARE PHYSICIAN FOR A NUMBER OF LOW INCOME AND INDIGENT RESIDENTS OF GREATER PORTLAND. GIVEN THE MEDICAL CENTER'S COMMITMENT TO ACCESS TO CARE REGARDLESS OF ABILITY TO PAY, THESE EMERGENCY TREATMENT CENTERS SERVE A VITAL ROLE IN THE COMMUNITY'S HEALTH CARE NETWORK. 429716011 1570050 58510375 LABORATORY, EDUCATION, RESEARCH, RADIOLOGY, DELIVERY AND LABOR ROOM, ANESTHESIOLOGY, AND OTHER ANCILLARY SERVICES. 429716011 1570050 58510375 759010197 true true false true false false false true true true true false false true true true false true false false false false false true true false true true false true true true false false false false false false false false false true true true false false false true true true false false true 922 0 true 7169 true true true false false false false true true false false false false X 20 16 false false false false true true true true true false false true true true true true true true true true true ME X DIRECTOR OF ACCOUNTING 2073966700 22 BRAMHALL STREET PORTLAND ME 04102 X RICHARD W PETERSEN 50.00 X X 1093556 0 90952 WILLIAM L CARON JR 2.00 X 0 1071394 99218 SAMUEL BROADDUS MD 50.00 X 433846 0 47341 DAVID E WARREN 2.00 X 0 0 0 CHRISTOPHER W EMMONS 2.00 X X 0 0 0 JOYCE FOLEY 2.00 X 0 0 0 REED QUINN MD 2.00 X 0 0 0 MORRIS FISHER 2.00 X 0 0 0 JERE G MICHELSON 2.00 X 0 0 0 WILLIAM A BURKE 2.00 X 0 0 0 WARD I GRAFFAM 2.00 X 0 0 0 FRANK H FRYE 2.00 X X 0 0 0 COSTAS T LAMBREW MD 2.00 X 0 0 0 SUSANNAH SWIHART 2.00 X 0 0 0 SUSAN HILTON 2.00 X 0 0 0 PATRICIA B STOGSDILL MD 2.00 X 0 0 0 HEIDI HANSEN 2.00 X 0 0 0 BRIAN PETROVEK 2.00 X 0 0 0 KATHERINE POPE MD 2.00 X 0 0 0 PARKER ROBERTS MD 2.00 X 0 0 0 ELIZABETH LUNT 2.00 X 0 0 0 BETH NEWLANDS CAMPBELL 2.00 X 0 0 0 MARGARET BUSH 2.00 X 0 0 0 BETH SHORR 2.00 X 0 0 0 ELIZABETH KLEBE 2.00 X 0 0 0 PETER BATES MD 50.00 X 535115 0 65548 MARJORIE WIGGINS 50.00 X 429444 0 59134 JEFFREY SANDERS 50.00 X 415305 0 57422 JOHN E HEYE 50.00 X 414343 0 68120 DONALD E QUIGLEY 2.00 X 0 324858 71995 KURT E KLEBE 2.00 X 0 0 0 LEE THIBODEAU MD 50.00 X 1200684 0 96499 KONRAD BARTH MD 50.00 X 1109349 0 134341 JAMES WILSON MD 50.00 X 1103447 0 125785 RAJIV DESAI MD 50.00 X 1065961 0 111532 JEFFREY FLORMAN MD 50.00 X 1038626 0 109012 GEORGE HIGGINS MD 50.00 X 281311 0 63719 9120987 1396252 1200618 532 true true false LANGFORD & LOW INC PO BOX 662 PORTLAND ME 04104 CONSTRUCTION 6014784 HURON CONSULTING GROUP LLC 3005 MOMENTUM PLACE CHICAGO IL 606895330 CONSULTING 5935200 SPECTRUM MEDICAL GROUP PA 324 GANNETT DRIVE SUITE 200 SOUTH PORTLAND ME 04106 MEDICAL SERVICE 2865113 SUFFOLK CONSTRUCTION 99 CONIFER HILL DRIVE DANVERS MA 01923 CONSTRUCTION 2541684 CHEST MEDICINE ASSOCIATES 100 FODEN ROAD WEST BLDG STE 103 SOUTH PORTLAND ME 041062351 MEDICAL SERVICE 2541206 131 657137 659841 31200 17931263 9816276 97935 29095717 NET PATIENT SERVICE REVENUE 623000 818119733 818119733 818119733 11819568 11819568 663389873 151027 658861469 36961 4528404 114066 4642470 4642470 139153 659841 147485 -8332 -8332 OTHER REVENUE 722210 79261175 79261175 ADMIN. SERVICES REVENUE 561000 1868141 1868141 MISC REVENUE 900099 1376253 1376253 82505569 946174725 898757161 1868141 16453706 1570050 1570050 3799991 3799991 343722392 300337409 42346597 1038386 36360680 31881044 4479636 48854375 42835516 6018859 24019963 20992586 2959259 68118 1425788 1408288 17500 1505000 1505000 66515 66515 1249986 1249986 45820417 29985897 15817190 17330 1585987 1390593 195394 127403379 126097052 1211878 94449 9219116 8083321 1135795 22134426 19283881 2726961 123584 1991144 1080048 877905 33191 862387 755275 100321 6791 3501555 3070163 431392 52609822 46128292 6481530 7579062 6645322 933740 BAD DEBT 36388919 36388919 OUTSIDE MEDICAL SERVICES 26012833 26012833 HOSPITAL TAX 14992011 14992011 MAINTENANCE 13620790 11888701 1678081 54008 41494995 29591284 11662941 240770 867791583 759010197 107020744 1760642 15080285 29199767 6513362 5644775 59642562 74422711 828680 189614 6988718 6695687 41582449 2668891 880971348 447938802 429571999 433032546 407507981 415118622 28901615 38207433 8712717 10563622 93373711 105537369 1098704079 1121281037 67340720 74294075 805693 1078069 118017071 109955508 2761850 1873690 326157448 343430018 515082782 530631360 X 484027534 487537746 76034061 78093180 23559702 25018751 583621297 590649677 1098704079 1121281037 X 78383142 -71354762 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 75084 75084 false false false false false SCHEDULE C, PART II-B, LINE 1 PORTION OF DUES PAID THAT RELATE TO LOBBYING EXPENSES: MAINE HOSPITAL ASSOCIATION - 51,009 AMERICAN HOSPITAL ASSOCIATION - 18,544 NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS - 5,006 MAINE STATE CHAMBER OF COMMERCE - 525 false false false false X X false true 49585160 17912541 13917796 53579905 false 89682688 1459049 10664178 -6023702 95782213 91020571 540226 -1878109 89682688 82336677 1430663 7253231 91020571 82100837 554091 -318252 82336677 0.26000 0.74000 true false false 21425398 21425398 405416963 185637560 219779403 2589752 1221752 1368000 410987558 261079490 149908068 40551677 40551677 433032546 AR UNDER REIMBURSEMENT REGULATIONS 53175000 PREPAID CAPITAL COSTS 33847131 DUE FROM RELATED PARTIES 11876315 OTHER ASSETS 4318898 INSURANCE RECEIVABLE 970000 DEFERRED FINANCING COSTS 662238 CHARITABLE REMAINDER TRUST 487656 INSURANCE RECEIVABLE - CURRENT 161498 CASH SURR. VALUE OF LIFE INSURANCE 38633 105537369 ACCRUED RETIREMENT BENEFITS 232707723 A/P UNDER REIMBURSEMENT REGULATIONS 37585000 DUE TO RELATED PARTIES 20243160 SELF INSURANCE RESERVES 18366788 ASSET RETIREMENT OBLIGATION 16884250 SWAP AGREEMENTS 14534095 LEASES PAYABLE 1903073 INSURANCE CLAIMS PAYABLE 970000 OTHER LIABILITIES 235929 343430018 TERMS FOR NOT REPORTING ASSETS PER SFAS 116 SCHEDULE D, PAGE 1, PART III, LINE 1A THE ORGANIZATION HAS ARTWORK THAT WAS RECEIVED DIRECTLY FROM THE ARTISTS. THIS ARTWORK IS NOT RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ARTWORK IS ON DISPLAY AT THE HOSPITAL. COLLECTIONS AND RELATION TO EXEMPT PURPOSE SCHEDULE D, PAGE 2, PART III, LINE 4 MMC'S ARTWORK CREATES A HEALING AND COMFORTABLE ENVIRONMENT FOR OUR PATIENTS AND THEIR FAMILIES AND VISITORS. EXPLANATION FOR UNREPORTED CONTRIBUTIONS OR ASSETS SCHEDULE D, PAGE 2, PART IV, LINE 1B THE INVESTMENT POOL AT MMC INCLUDES INVESTMENTS FROM SEVERAL RELATED ENTITIES. THESE INVESTMENTS ARE NOT INCLUDED IN MMC'S FINANCIAL STATEMENTS. INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWED FUNDS SUPPORT THE FOLLOWING TYPES OF ACTIVITIES: TUFTS SCHOLARSHIP PROGRAM, TRAINING AND EDUCATION OF NURSES, MMC RESEARCH AND EDUCATION PROGRAMS, SUPPORTING THE SALARY OF ENDOWED CHAIR OF PEDIATRICS AND FREE BED FUNDING. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE INTERNAL REVENUE SERVICE (IRS) HAS PREVIOUSLY DETERMINED THAT MMC AND ITS SUBSIDIARIES (EXCEPT MMP) ARE ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. 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EMERGENCY CARE MCGEACHY HALL

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GENERAL MEDICINE MMC CLINICS

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BREATHING DISORDERS 930 CONGRESS STREET PORTLAND ME 04102

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GENERAL MEDICINE CENTER FOR TOBACCO INDEPENDENCE

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MENTAL HEALTH SERVICES SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G 24866969 OF EXPENSES RELATED TO PROVIDER BASED PHYSICIAN PRACTICES ARE INCLUDED IN THE SUBSIDIZED HEALTH SERVICES TOTAL IN PART I LINE 7G EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSE OF 36388919 WAS REMOVED FROM THE TOTAL EXPENSES WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES IN COLUMN F COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE COSTING METHODOLOGY FOR THE AMOUNTS REPORTED IN PART I LINE 7 OF THE SCHEDULE H IS BASED ON A RATIO OF PATIENT CARE COST TO CHARGES THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H COMMUNITY BUILDING ACTIVITIES PART II COMMUNITY SUPPORT MAINE MEDICAL CENTER MMC IS DEEPLY INVOLVED IN DISASTER PLANNING AT THE LOCAL AND STATE LEVELS ONE OF THREE STATE REGIONAL RESOURCE CENTERS FOR EMERGENCY PREPAREDNESS IS LOCATED AT THE MEDICAL CENTER AND THE HOSPITAL HAS A FULLTIME DIRECTOR OF EMERGENCY PREPAREDNESS SOUTHERN MAINE REGIONAL RESOURCE CENTER FOR HEALTH EMERGENCY PREPAREDNESS COORDINATED ALL EMERGENCY PREPAREDNESS ACTIVITIES OF THE SOUTHERN 4 COUNTIES OF MAINE INCLUDING YORK CUMBERLAND SAGADAHOC AND LINCOLN THIS INCLUDES BOTH REGIONAL HOSPITALS AND OVER 300 MEDICAL CENTERS LABORATORIES CLINICS AMBULATORY CENTER PHYSICIAN PRACTICES LONG TERM CARE CENTERS HOME HEALTH AGENCIES IN OUR REGION THIS INCLUDES PUBLIC HEALTHCARE EMERGENCY PREPAREDNESS DEPARTMENT OF REHAB MEDICINE ORGANIZED A CAREER FAIR NIGHT CAREER EXPO AMERICAN HEART WALK AND THANKSGIVING FOOD DRIVE SESSION AT THE PORTLAND FAMILY MEDICINE CENTER INVOLVING UPWARD BOUND STUDENTS THE STUDENTS WERE PROVIDED A TOUR OF THE FACILITY WITH THE OPPORTUNITY TO SPEAK TO A VARIETY OF HEALTH PROFESSIONALS A HANDSON CLINICAL EXPERIENCE INJECTING ORANGES AND A DISCUSSION ABOUT THE PATHWAY TO BECOMING A PHYSICIAN WITH INFORMATION ABOUT THE MAINE TRACK PROGRAM A SPECIALITY PHYSICIAN FROM THE DIVISION OF GENETICS PRESENTS AN ANNUAL LECTURE OR LEADS AN OPEN PARENT MEDICAL DISCUSSION AT THE MDSN ANNUAL MEETING MMC IS A DUES PAYING MEMBER OF THE PORTLAND REGIONAL AND MAINE STATE CHAMBERS OF COMMERCE PLACEMENT OF PASTORAL CARE STUDENTS IN COMMUNITY AGENCIES ONE DAY PER WEEK DURING THE SUMMER OUTPATIENT CANCER PREBLE STREET NURSING HOMES AND SEAFARERS LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS DOC4ADAY PROGRAM HANLEY LEADERSHIP DEVELOPMENT SUMMER INTERN COMMUNITY HEALTH IMPROVEMENT ADVOCACY 21 REASONS FORMERLY PORTLAND CMCA IS A COALITION BASED ON THECMCA MODEL MMC BRINGS TOGETHER INDIVIDUALS ORGANIZATIONS AND BUSINESSES WITH A COMMON GOAL TO BUILD A HEALTHY COMMUNITY ENVIRONMENT WITH POLICIES PRACTICES AND ATTITUDES THAT SUPPORT THE DRUGFREE DEVELOPMENT OF ALL YOUTH WORKFORCE DEVELOPMENT LIFELINE WORKPLACE WELLNESS LIFELINE OFFERS A MENU OF WELLNESS SERVICES AND PROGRAMS TO EMPLOYERS INTERESTED IN WORKSITE WELLNESS EMPLOYERS CAN ALSO JOIN THE MMC SOUTHERN MAINE WELLNESS COUNCIL WHICH PROVIDES OPPORTUNITIES FOR NETWORKING RESOURCE ACCESS AND PROFESSIONAL TRAINING TRAINING FOR SURGICAL TECHS CNA TRAINING PROGRAM MAINE MEDICAL CENTERS MINI MEDICAL SCHOOL IS A WEEK LONG SUMMER PROGRAM DESIGNED TO GIVE MAINE COLLEGE STUDENTS AN IDEA OF WHAT A CAREER IN MEDICINE IS ALL ABOUT THE PROGRAM OFFERS A SERIES OF LECTURES HANDS ON ACTIVITIES AND CLINICAL EXPERIENCES DESIGNED TO EXPOSE ASPIRING STUDENTS TO A COMBINATION OF SMALL GROUP DIDACTIC SESSIONS RESEARCH EXPERIENCE AND CLINICAL PROCEDURES BAD DEBT EXPENSE EXPLANATION PART III LINE 4 MAINE MEDICAL CENTER DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE MAINE MEDICAL CENTER REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS THIRD PARTY REIMBURSING AGENCIES FREE CARE AND BAD DEBTS A BAD DEBT ALLOWANCE IS ESTABLISHED FOR ACCOUNTS THE HOSPITAL BELIEVES WILL BECOME UNCOLLECTIBLE THE ALLOWANCE IS ESTABLISHED BY EXAMINING HISTORICAL DATA AGING TRENDS OF COMMERCIAL INSURANCE AND SELFPAY BALANCES AND ECONOMIC TRENDS THE OFFSET TO THE ALLOWANCE ACCOUNT IS TO BAD DEBT EXPENSE ON THE STATEMENT OF OPERATIONS RECOVERIES ON ACCOUNTS PREVIOUSLY WRITTEN OFF ARE ACCOUNTED FOR ON A CASH BASIS AND ARE APPLIED DIRECTLY TO THE PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS AMOUNTS WRITTEN OFF OR RECOVERED FROM BAD DEBTS DURING THE YEAR ARE CHARGED AGAINST THE ALLOWANCE ACCOUNT ON THE BALANCE SHEET BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES MAINE MEDICAL CENTER HAS PROVIDED WITHOUT COMPENSATION AS A TAXEXEMPT HOSPITAL MAINE MEDICAL CENTER PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF MAINE MEDICAL CENTERS BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT FOR A VARIETY OF REASONS DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION PROCESS MAINE MEDICAL CENTER CAN NOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE MEDICAL CENTERS FREE CARE POLICY IN ADDITION BAD DEBT EXPENSE ALSO INCLUDES AMOUNTS FOR SERVICES PROVIDED TO INDIVIDUALS EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT HOWEVER BECAUSE OF THEIR INCOME LEVEL THEY DO NOT QUALIFY FOR FREE CARE BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES MAINE MEDICAL CENTER BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT MEDICARE EXPLANATION PART III LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO MAINE MEDICAL CENTER BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE MEDICAL CENTER HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY THE MEDICAL CENTER THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT COLLECTION PRACTICES EXPLANATION PART III LINE 9B PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY ONCE FINANCIAL ASSISTANCE HAS BEEN APPROVED FOR PATIENTS THAT DO NOT QUALIFY FOR 100 FINANCIAL ASSISTANCE THE APPROPRIATE DISCOUNT PERCENTAGE IS APPLIED AND THE REMAINING BALANCE IS BILLED TO THE RESPONSIBLE PARTY MONTHLY PAYMENT ARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE DEPARTMENT AS A TAXEXEMPT HOSPITAL MAINE MEDICAL CENTER PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF MAINE MEDICAL CENTERS BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THAT FOR A VARIETY OF REASONS DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION PROCESS MAINE MEDICAL CENTER CAN NOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE MEDICAL CENTERS FREE CARE POLICY NEEDS ASSESSMENT PART VI MMCS BOARD IS MADE UP OF A DIVERSE SET OF COMMUNITY MEMBERS THE BOARD REQUIRES A THOROUGH COMMUNITY NEEDS ASSESSMENT ON BEHALF OF THE ORGANIZATION AND DIRECTS THE ORGANIZATION TO ANALYZE AND RESPOND TO THE CURRENT NEEDS ASSESSMENT MAINE MEDICAL CENTER ALSO PARTICIPATES IN VARIOUS INITIATIVES TO HELP SUPPORT AND PROVIDE UPDATES TO COMMUNITY NEEDS ASSESSMENT PLANNING SOME OF THESE INITIATIVES INCLUDE CLINICAL STRATEGIC PLANNING FINANCIAL STRATEGIC PLANNING FACILITY PLANNING MANPOWER PLANNING PHYSICIAN RECRUITMENT STRATEGIC PLANNING EMERGENCY PREPAREDNESS PLANNING ALONG WITH THE INTERNAL ASSESSMENTS MAINE MEDICAL CENTER ALSO REVIEWS AND ACTS ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS SUCH AS THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE STATE HEALTH PLAN CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT IN ADDITION MAINEHEALTH AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH RELEASED THE ONEMAINE HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN MARCH 2011 THE REPORT IS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES THE REPORT CONTAINS A HEALTH STATUS PROFILE FOR THE STATE AS A WHOLE AND FOR EACH OF MAINES SIXTEEN COUNTIES THE PRIMARY DATA SOURCE WAS A RANDOMIZED TELEPHONE SURVEY THE SAMPLING METHODOLOGY WAS DESIGNED TO PERMIT COMPARISONS AT THE COUNTY LEVEL SECONDARY DATA SOURCES INCLUDE NUMEROUS STATE AND FEDERAL SOURCES THIS REPORT PROVIDES BASELINE DATA ON HUNDREDS OF HEALTH INDICATORS THAT ARE RELEVANT TO MAINE MEDICAL CENTER TO INFORM PLANNING AND EVALUATION ACTIVITIES PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS MAINEHEALTH WILL HOLD COMMUNITY FORUMS IN PARTNERSHIP WITH MAINE MEDICAL CENTER IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM IDENTIFICATION AND ACTION ON LOCALCOMMUNITYBASED HEALTH PRIORITIES PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN THE ADMITTING OUTPATIENT AND EMERGENCY REGISTRATION LOCATIONS IN THE FOLLOWING MANNER POSTINGS INCLUDING FREE CARE PROMPT PAYMENT PROGRAM MONTHLY PAYMENT PLAN AND EXPANDED FREE CARE PROGRAM HANDOUTS INTERVIEWS ALL PATIENTS RECEIVE MMCS FREE CARE GUIDELINES AND FINANCIAL POLICIES BROCHURE EXPLAINING OUR BILLING POLICIES AND CONTACT INFORMATION IF THE PATIENT IS SELF PAY UNDER INSURED OR CAN NOT AFFORD TO PAY THEIR HOSPITAL BILL THEY RECEIVE A FINANCIAL POLICIES BOOK AND FINANCIAL COUNSELING FROM THE REGISTRATION STAFF OR CEA THE BOOKLET INCLUDES INFORMATION ON MMCS FINANCIAL POLICIES FINANCIAL ASSISTANCE INFORMATION INCLUDING FREE CARE PROGRAM INCOME BASED DISCOUNT PROGRAM PROMPT PAY DISCOUNT PROGRAM MONTHLY PAYMENT PLAN PROGRAM AND CARE PARTNERS PROGRAM APPLICATIONS AND INSTRUCTIONS FOR MMCS FREE CARE PROGRAM INCOME BASED DISCOUNT PROGRAM AND MONTHLY PAYMENT PLAN APPLICATION CONTACT INFORMATION FOR ASSISTANCE WITH APPLICATIONS BILLS OR FINANCIAL CONCERNS SELF PAY OR UNDERINSURED PATIENTS REGISTERING IN PERSON OR VIA A PHONE INTERVIEW RECEIVE FINANCIAL COUNSELING INCLUDING INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAMS AND MAINECARE REGISTRATION STAFF OR CEA PROVIDE FORMS AND ASSIST WITH COMPLETING FINANCIAL ASSISTANCE APPLICATIONS AND PROVIDING FOLLOW UP CONTACT INFORMATION INPATIENTS WHO ARE UNINSURED UNDER INSURED OR ANY PATIENTS WHO MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILLS ARE VISITED BY AN ADMITTING FINANCIAL COUNSELOR OR CEA TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS AND ASSIST WITH APPLICATIONS MMCS WEB SITE INCLUDES ON LINE REGISTRATION AND PATIENT BILLING INFORMATION BILLING PROCESS FREE CARE DISCOUNT PROGRAM PROMPT PAY DISCOUNT MONTHLY PAYMENT PLAN PATIENT STATEMENT PRICE INFORMATION CONTACT US AND QUESTIONS PRIMARY LANGUAGE DEAF AND HARD OF HEARING AND INTERPRETER NEEDS ARE ASSESSED DURING THE REGISTRATION INTERVIEW AND SERVICES ARE PROVIDED AS NEEDED IF A PATIENT DOES NOT RESPOND AT PREREGISTRATION REGISTRATION OR WHILE RECEIVING CARE ALL OF THESE PROGRAMS ARE EXPLAINED AGAIN BY THE PATIENT ACCOUNTS STAFF THE INTENT OF THESE EFFORTS IS TO ENSURE THAT THE PATIENT IS FULLY INFORMED OF AND ABLE TO TAKE ADVANTAGE OF THESE ASSISTANCE PROGRAMS COMMUNITY INFORMATION PART VI MOST OF MAINE MEDICAL CENTERS SERVICES ARE FOUND AT OUR MAIN CAMPUS AT 22 BRAMHALL STREET IN MAINES LARGEST CITY PORTLAND A CITY OF 66000 IS LOCATED ON MAINES SOUTHERN COAST THE COST OF LIVING INDEX IS 115 SERVICES ARE ALSO LOCATED AT OUR BRIGHTON CAMPUS AND OUR FAMILY MEDICINE CENTER BOTH LOCATED IN PORTLAND AS WELL AS AT OUR CAMPUSES IN SCARBOROUGH THE FALMOUTH FAMILY HEALTH CENTER AND COASTAL CANCER TREATMENT CENTER IN BATH A JOINT VENTURE WITH SOUTHERN MAINE MEDICAL CENTER AND GOODALL HOSPITAL THE CANCER CARE CENTER OF YORK COUNTY IS LOCATED IN SANFORD NEW ENGLAND REHABILITATION HOSPITAL OF PORTLAND A JOINT VENTURE WITH HEALTHSOUTH IS LOCATED ON OUR BRIGHTON CAMPUS MAINE MEDICAL CENTER IS THE TERTIARY CARE HOSPITAL FOR ALL OF MAINE CARING FOR NEARLY ONE OF EVERY FIVE HOSPITAL INPATIENTS IN THE STATE AS A NONPROFIT INSTITUTION MAINE MEDICAL CENTER PROVIDES 20 PERCENT OF ALL THE CHARITY CARE DELIVERED IN MAINE PORTLAND WHERE OUR MAIN CAMPUS IS LOCATED HAS A LARGE REFUGEE AND IMMIGRANT POPULATION WHILE SERVING ALL SIXTEEN COUNTIES IN MAINE 84 OF ALL INPATIENT AND OUTPATIENT SERVICES PROVIDED BY MAINE MEDICAL CENTER WERE FOR THE RESIDENTS OF BOTH CUMBERLAND AND YORK COUNTIES HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI MAINE MEDICAL CENTERS DAYTODAY OPERATIONS AS A TAXEXEMPT ORGANIZATION INCLUDE MANY SYSTEMWIDE INITIATIVES IN CUMBERLAND COUNTY AND IN THE STATE OF MAINE AND THE NORTHERN NEW ENGLAND REGION CLINICAL SERVICES RANGE FROM OUTPATIENT CLINICS FOR A DIVERSE POPULATION TO FULL INPATIENT AND SURGICAL SERVICES TO A REGIONAL TRAUMA CENTER AND A NEUROSCIENCE INSTITUTE MANY OF OUR SERVICES AND SPECIALTIES ARE NOT AVAILABLE ELSEWHERE IN THE STATE OR IN OUR REGION WE HAVE PROGRAMS IN UNDERGRADUATE GRADUATE POSTGRAUDATE AND CONTINUING EDUCATION ENGAGE IN CLINICAL RESEARCH AND SUPPORT ORGANIZATIONS AND EFFORTS WHOSE MISSIONS AUGMENT OR COMPLEMENT OURS WE STRIVE TO BE A GOOD INSTITUTIONAL CITIZEN OF OUR REGION AND STATE WITH THESE PROGRAMS MAINE MEDICAL CENTER HOPES TO FILL EXISTING LOCAL GAPS WHILE MAKING A POSITIVE IMPACT IN THE COMMUNITIES WE SERVE THESE PROGRAMS INCLUDE SUBSIDIZED HEALTH SERVICES COMMUNITYBASED CLINICAL SERVICES COMMUNITY EDUCATION SERVICES HEALTH CARE SUPPORT SERVICES COMMUNITY BUILDING ACTIVITIES MEDICAL EDUCATION AND RESEARCH SEE THE ATTACHED COMMUNITY BENEFIT REPORT FOR ADDITIONAL INFORMATION ON EACH OF THESE PROGRAMS AND SERVICES MAINE MEDICAL CENTER MADE A NET ASSET TRANSFER TO ITS WHOLLY OWNED SUBSIDIARY MAINE MEDICAL PARTNERS IN THE AMOUNT OF 27684217 TO COVER THE LOSSES RELATED TO MISSIONCRITICAL PHYSICIAN PRACTICES TO ENSURE ACCESS FOR THE COMMUNITY TO SUCH SPECIALTIES AS TRAUMA SURGERY NEUROSURGERY UROLOGY VARIOUS PEDIATRIC SPECIALTIES AND HIGHRISK OBSTETRICS AFFILIATED HEALTH CARE INFORMATION PART VI MAINEHEALTH IS A NOTFORPROFIT FAMILY OF LEADING HIGHQUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA RANKED AMONG THE NATIONS TOP 50 INTEGRATED HEALTHCARE DELIVERY NETWORKS MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREAS THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS LINCOLN COUNTY HEALTHCARE MILES MEMORIAL HOSPITAL AND ST ANDREWS HOSPITAL HEALTHCARE CENTER MAINE MEDICAL CENTER MAINE MENTAL HEALTH PARTNERS SPRING HARBOR HOSPITAL PEN BAY HEALTHCARE PEN BAY MEDICAL CENTER SOUTHERN MAINE MEDICAL CENTER GOODALL HOSPITAL WALDO COUNTY HEALTHCARE WALDO COUNTY GENERAL HOSPITAL WESTERN MAINE HEALTH STEPHENS MEMORIAL HOSPITAL HOMEHEALTH VISITING NURSES MAINE PHYSICIAN HOSPITAL ORGANIZATION NORDX SYNERNET AND MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION THE STRATEGIC AFFILIATES OF MAINEHEALTH ARE MAINEGENERAL MEDICAL CENTER MID COAST HOSPITAL AND ST MARYS REGIONAL MEDICAL CENTER LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MAINE ADDITIONAL INFORMATION PART VI PART I LINE 3B MAINE MEDICAL CENTER USES FEDERAL POVERTY GUIDELINES FPG FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS THE FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE IS 176 225 MAINE MEDICAL CENTER LINE NUMBER 1 PART V LINE 11H PART V LINE 11H UPON RECEIPT OF AN APPLICATION MAINE MEDICAL CENTER SHALL DETERMINE THAT AN INDIVIDUAL SEEKING FREE CARE QUALIFIES FOR SUCH CARE IF SERVICES RENDERED WERE MEDICALLY NECESSARY MAINE MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D PART V LINE 19D MAINE MEDICAL CENTER USES ITS CHARGES FROM ITS CHARGE DESCRIPTION MASTER TO DETERMINE THE FULL CHARGE THEN MAINE MEDICAL CENTER USES FEDERAL POVERTY GUIDELINES FPG FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS THE FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE IS 176 225 true X SCHOLARSHIPS 167 1570050 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 FOR THE NURSING SCHOLARSHIPS, AS AN APPLICATION REQUIREMENT, EACH SCHOLARSHIP APPLICANT MUST PROVIDE CONFIRMATION OF ENROLLMENT IN A PROGRAM OF STUDIES IN NURSING. FOR THE MEDICAL EDUCATION SCHOLARSHIPS FOR STUDENTS IN THE MAINE TRACK OF THE MMC.TUSM MEDICAL SCHOOL PROGRAM, THE MEDICAL CENTER TRANSFERS THE SCHOLARSHIP FUNDS TO THE TUFTS SCHOOL OF MEDICINE FINANCIAL AID DEPARTMENT FOR DISBURSEMENT TO THE STUDENTS. TUFTS HANDLES ANY OVERSIGHT TO ENSURE THAT THE FUNDS ARE USED AS INTENDED. MAINE MEDICAL CENTER'S ROLE IS LIMITED TO MATCHING ELIGIBLE STUDENTS WITH SCHOLARSHIP SELECTION CRITERIA AND DETERMINING WHO RECEIVES EACH SCHOLARSHIP AWARD. X X X X false true false false false false false false false RICHARD W PETERSEN 625338 173500 294718 75608 15344 1184508 WILLIAM L CARON JR 678670 183000 209724 83614 15604 1170612 SAMUEL BROADDUS MD 397462 29500 6884 31737 15604 481187 PETER BATES MD 421221 60633 53261 49944 15604 600663 MARJORIE WIGGINS 272749 38997 117698 50313 8821 488578 JEFFREY SANDERS 346653 68112 540 41647 15775 472727 JOHN E HEYE 283450 41206 89687 52472 15648 482463 DONALD E QUIGLEY 269359 38000 17499 56686 15309 396853 LEE THIBODEAU MD 540334 296731 363619 81111 15388 1297183 KONRAD BARTH MD 486924 406499 215926 118566 15775 1243690 JAMES WILSON MD 492910 419704 190833 110441 15344 1229232 RAJIV DESAI MD 488277 381458 196226 95757 15775 1177493 JEFFREY FLORMAN MD 492565 408112 137949 93624 15388 1147638 GEORGE HIGGINS MD 239318 21670 20323 48115 15604 345030 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 RICHARD W. PETERSEN 0 272,888 0 WILLIAM L. CARON, JR. 0 192,125 0 SAMUEL BROADDUS, M.D. 0 3,130 0 PETER BATES, M.D. 0 49,622 0 MARJORIE WIGGINS 0 114,134 0 JOHN E. HEYE 0 83,884 0 DONALD E. QUIGLEY 0 10,480 0 LEE THIBODEAU, M.D. 0 360,055 0 KONRAD BARTH, M.D. 0 214,684 0 JAMES WILSON, M.D. 0 190,023 0 RAJIV DESAI, M.D. 0 195,416 0 JEFFREY FLORMAN, M.D. 0 137,409 0 GEORGE HIGGINS, M.D. 0 522 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III TOP MANAGEMENT OFFICIALS THAT ARE COMPENSATED BY RELATED ORGANIZATIONS USED ONE OR MORE OF THE METHODS AT PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. MHHEFA REVENUE BONDS SERIES 2008A 010314384 560425W48 2008-05-22 107180000 REFUND BONDS ISSUED 5/18/2006 AND 7/12/2006 false false false MHHEFA REVENUE BONDS SERIES 2008B 010314384 560425W55 2008-06-19 25985000 REFUND BONDS ISSUED 5/18/2006 false false false MHHEFA REVENUE BONDS SERIES 2011A 010314384 560427LW4 2011-08-31 17998986 REFUND BONDS ISSUED 7/9/1998, 12/10/1998, 5/19/1999, AND 11/15/2001 false false false 10850000 107180008 11661440 484392 38754 4226 106009079 2008 true false true true 16685000 25985000 4692066 163914 9396 25811690 true false true true 755000 17998986 1745875 186573 17812413 true false true true false false false false false false true false false false false false false true false false false false false false true true true true SEE PART V false false true SEE PART V 28.1 true true true false true true MORGAN STANLEY 6.0 false false true SEE PART VI 6.0 true true true false false false false false true ADDITIONAL INFORMATION SCHEDULE K MHHEFA REVENUE BONDS SERIES 2008A PART IV LINES 3B AND 3C COLUMN A THERE ARE THREE SEPARATE HEDGING CONTRACTS IDENTIFIED WITH THESE BONDS WITH MORGAN STANLEY CAPITAL SERVICES INC TERM 281 YEARS MERRILL LYNCH CAPITAL SERVICES INC TERM 181 YEARS AND MORGAN STANLEY CAPITAL SERVICES INC TERM 281 YEARS PART II LINE 4 COLUMN A THE AMOUNT SHOWN HERE CONSISTS OF 8840406 IN A DEBT SERVICE RESERVE FUND PLUS 2821034 OF DEBT SERVICE FUND DEPOSITS PART IV LINE 4B COLUMN A TRANSAMERICA LIFE PART IV LINE 5 COLUMNS A AND B SUCH AMOUNTS WERE APPROPRIATELY YIELDRESTRICTED PART IV COMPARISON OF LINES 1 AND 6 COLUMN A THE CURRENT REFUNDING ESCROW FUND MET THE REQUIREMENTS OF THE SIXMONTH SPENDING EXCEPTION WHICH WAS NOT UTILIZED AS THOSE AMOUNTS WERE INVESTED AT A LOWER YIELD REBATE WAS PAID ON THE BONDS WHICH AROSE ENTIRELY DUE TO A HIGHERYIELDING INVESTMENT CONTRACT ON THE DEBT SERVICE RESERVE FUND FOR THE BONDS MHHEFA REVENUE BONDS SERIES 2008B PART IV LINES 4B COLUMN B TRANSAMERICA LIFE PART II LINE 4 COLUMN B THE AMOUNT SHOWN HERE CONSISTS OF 2598500 IN A DEBT SERVICE RESERVE FUND PLUS 2093566 OF DEBT SERVICE FUND DEPOSITS PART III HAS NOT BEEN COMPLETED WITH RESPECT TO THE BONDS SHOWN IN COLUMNS B AND C SINCE THE ORIGINAL PROJECTS BEING REFINANCED BY SUCH BONDS ARE TRACEABLE TO BONDS ISSUED BEFORE 2003 COLUMN B OR THE BONDS BEING REFINANCED BY SUCH BONDS WERE ISSUED BEFORE 2003 COLUMN C HAD COMPLETION OF PART III BEEN REQUIRED LINE 7 WOULD HAVE BEEN ANSWERED YES FOR THESE BONDS MHHEFA REVENUE BONDS SERIES 2011A SERIES 2011 BONDS WITH RESPECT TO PART I COLUMN E AND PART II LINES 112 THE INSTITUTION IS REPORTING ITS ALLOCABLE PORTION OF THIS BOND ISSUE THE REMAINDER OF WHICH IS ALLOCABLE TO AFFILIATED ENTITIES FOR PURPOSES OF PART I COLUMN I THE INSTITUTION HAS ASSUMED THAT THIS ARRANGEMENT DOES NOT CONSTITUTE A POOLED FINANCING THE DIFFERENCE BETWEEN THE ISSUE PRICE PART I AND TOTAL PROCEEDS PART II LINE 3 IN COLUMN A IS DUE TO INVESTMENT EARNINGS PART II LINE 4 COLUMN C THE AMOUNT SHOWN HERE CONSISTS OF 1402046 IN A DEBT SERVICE RESERVE FUND PLUS 343829 OF DEBT SERVICE FUND DEPOSITS CHRISTOPHER EMMONS SEE PART V 525219 SEE PART V false MORRIS FISHER SEE PART V 929087 SEE PART V false KATHERINE POPE MD SEE PART V 6217060 SEE PART V false PETER BATES MD SEE PART V 6217060 SEE PART V false BRIAN PETROVEK SEE PART V 350136 SEE PART V false ADDITIONAL INFORMATION SCHEDULE L PART V CHRISTOPHER EMMONS IS A MEMBER OF THE BOARD OF TRUSTEES OF MAINE MEDICAL CENTER AS WELL AS THE PRESIDENT OF GORHAM SAVINGS BANK MAINE MEDICAL CENTER HAS COPIER LEASES THROUGH GORHAM SAVINGS LEASING GROUP WHICH IS A WHOLLY OWNED SUBSIDIARY OF GORHAM SAVINGS BANK ALL TRANSACTIONS WERE AT ARMS LENGTH FOR FAIR VALUE AND IN THE ROUTINE COURSE OF BUSINESS MORRIS FISHER IS A MEMBER OF THE BOARD OF TRUSTEES OF MAINE MEDICAL CENTER AS WELL AS THE PRESIDENT OF THE BOULOS COMPANY THE BOULOS COMPANY PROVIDES PROPERTY MANAGEMENT SERVICES TO MAINE MEDICAL CENTER ALL TRANSACTIONS WERE AT ARMS LENGTH FOR FAIR VALUE AND IN THE ROUTINE COURSE OF BUSINESS KATHERINE POPE MD IS A MEMBER OF THE BOARD OF TRUSTEES OF MAINE MEDICAL CENTER AND MEDICAL MUTUAL INSURANCE CO OF MAINE PETER BATES MD IS AN OFFICER OF MAINE MEDICAL CENTER AND A MEMBER OF THE BOARD OF TRUSTEES OF MEDICAL MUTUAL INSURANCE CO OF MAINE MEDICAL MUTUAL INSURANCE PROVIDES MALPRACTICE INSURANCE TO MAINE MEDICAL CENTER ALL TRANSACTIONS WERE AT ARMS LENGTH FOR FAIR VALUE AND IN THE ROUTINE COURSE OF BUSINESS BRIAN PETROVEK IS A MEMBER OF THE BOARD OF TRUSTEES OF MAINE MEDICAL CENTER AND THE UNITED WAY OF GREATER PORTLAND MAINE MEDICAL CENTER EMPLOYEES CONTRIBUTE TO THE UNITED WAY THROUGH THEIR PAYROLL ALL TRANSACTIONS WERE AT ARMS LENGTH FOR FAIR VALUE AND IN THE ROUTINE COURSE OF BUSINESS X 35 SELLING PRICE X 1355 SELLING PRICE X 19 87865 FAIR MARKET VALUE X 7 574 SELLING PRICE X 5 1200 SELLING PRICE X TREASURY BONDS 2 FAIR MARKET VALUE X AUCTION ITEMS 44 6906 SELLING PRICE false true false EXPLANATION FOR NOT REPORTING REVENUE SCHEDULE M, PAGE 1, PART I, LINE 33 THERE WAS ONE CONTRIBUTION OF STOCK THAT WAS RECEIVED DURING FY12 AS A PAYMENT ON A PRIOR YEAR PLEDGE. ACCORDINGLY, NO ADDITIONAL REVENUE WAS RECORDED FOR THIS CONTRIBUTION. THE CONTRIBUTION IS INCLUDED IN COLUMN (B). ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION THE MAINE MEDICAL CENTER (THE MEDICAL CENTER) IS A VOLUNTARY, NOT-FOR-PROFIT COMMUNITY AND REFERRAL HOSPITAL, DEDICATED TO PROVIDING HIGH QUALITY HEALTH CARE SERVICES TO ALL PERSONS WHO SEEK CARE REGARDLESS OF THEIR SEX, RACE, RELIGION, AGE, COLOR, SEXUAL ORIENTATION, NATIONAL ORIGIN, PHYSICAL OR EMOTIONAL DISABILITY OR SOCIAL OR ECONOMIC STATUS. MAINE MEDICAL CENTER IS ALSO COMMITTED TO EDUCATION AT THE UNDERGRADUATE, GRADUATE, POST-GRADUATE AND CONTINUING EDUCATION LEVELS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PERSONNEL, AND IN-SERVICE TRAINING FOR SUPPORT STAFF ALL OF WHICH ARE ESSENTIAL TO THE DELIVERY OF QUALITY PATIENT CARE. OUTREACH EDUCATION TO OTHER INSTITUTIONS AND AGENCIES IS ALSO VITAL TO THE FULFILLMENT OF THE MAINE MEDICAL CENTER'S MISSION. THE MEDICAL CENTER ALSO SUPPORTS BASIC AND CLINICAL RESEARCH AS ESSENTIAL TO THE ADVANCEMENT OF HEALTH CARE. ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D LABORATORY, EDUCATION, RESEARCH, RADIOLOGY, DELIVERY AND LABOR ROOM, ANESTHESIOLOGY, AND OTHER ANCILLARY SERVICES. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 MAINEHEALTH (EIN 01-0431680) IS THE SOLE MEMBER OF THE ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THERE ARE DECISIONS BY THE GOVERNING BODY THAT REQUIRE THE APPROVAL OF ITS SOLE MEMBER. THEY INCLUDE: 1. THE ADOPTION OF OPERATING AND CAPITAL BUDGETS; 2. THE APPROVAL OF ANY SIGNIFICANT STRATEGIC PLAN FOR PROGRAMS OR FACILITIES; 3. THE AUTHORIZATION OF DEBT INCURRED, ASSUMED, OR GUARANTEED BY THE MEDICAL CENTER IN EXCESS OF 1,000,000 AND ITS SUBSIDIARIES IN EXCESS OF 1,000,000 OTHER THAN AS PROVIDED FOR IN ANNUAL CAPITAL AND OPERATING BUDGETS; 4. THE AUTHORIZATION FOR ANY ACQUISITION, DISPOSITION, ORGANIZATION OR INVESTMENT IN ANY OTHER CORPORATION, PARTNERSHIP, LIMITED LIABILITY COMPANY OR JOINT VENTURE; 5. THE AUTHORIZATION FOR ANY SALE, ASSIGNMENT, TRANSFER, MORTGAGE OR ENCUMBRANCE OF ANY PROPERTIES OR ASSETS HAVING AN AGGREGATE VALUE IN EXCESS OF 1,000,000; 6. THE AUTHORIZATION FOR ANY MERGER OR CONSOLIDATION INVOLVING THE MEDICAL CENTER OR ITS SUBSIDIARIES AS A CONSTITUENT ENTITY OR ANY SALE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE MEDICAL CENTER OR ITS SUBSIDIARIES; 7. THE AUTHORIZATION FOR THE INSTITUTION OF ANY BANKRUPTCY, INSOLVENCY OR REORGANIZATION PROCEEDINGS; 8. THE AUTHORIZATION FOR THE CAPITAL INVESTMENT IN ANY INDIVIDUAL, ENTITY, OR PROJECT IN THE FORM OF CASH OR EITHER TANGIBLE OR INTANGIBLE PROPERTY IN EXCESS OF 1,000,000; 9. THE AMENDMENT OF THE ARTICLES OF INCORPORATION; 10. THE SELECTION, ANNUAL ELECTION, EVALUATION, AND TERMINATION OF THE MEDICAL CENTER'S CEO; 11. THE AUTHORIZATION FOR THE COMMENCEMENT OF LITIGATION BY THE MEDICAL CENTER OTHER THAN ROUTINE COLLECTION ACTIONS; 12. THE ADOPTION OF THE MEDICAL CENTER'S BYLAWS AND ANY AMENDMENTS AND MODIFICATIONS TO THE MEDICAL CENTER'S BYLAWS. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THE 990 WAS ALSO MADE AVAILABLE TO THE FULL BOARD OF TRUSTEES. THE BOARD WAS THEN GIVEN AN OPPORTUNITY TO ASK QUESTIONS OF THE CHAIRMAN OF THE BOARD, THE CEO, OR THE SR. VICE PRESIDENT FOR FINANCE & CFO. THE SR. VICE PRESIDENT FOR FINANCE & CFO ALSO REVIEWED THE 990 IN DETAIL BEFORE SIGNING THE RETURN. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C CONFLICTS OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. MAINEHEALTH'S AUDIT & COMPLIANCE SERVICES DEPARTMENT COLLECTS AND REVIEWS THE RESPONSES TO THESE DOCUMENTS AND ADDRESSES ANY ISSUES IMMEDIATELY. THE RESULTS ARE SHARED WITH BOARD LEADERSHIP. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A MAINE MEDICAL CENTER USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS. THEY MEET WITH THE BOARD OF TRUSTEES EXECUTIVE COMPENSATION COMMITTEE TO REVIEW THE CEO'S BENCHMARK REPORT. THE EXECUTIVE COMMITTEE THEN DELIBERATES ON MMC'S WRITTEN SALARY AND INCENTIVE COMPENSATION PLAN PHILOSOPHY AND DOCUMENTS BEFORE MAKING A FINAL DECISION. ALL DECISIONS AND MEETINGS ARE CAPTURED IN MINUTES. THERE IS APPROPRIATE REPORTING AT ALL LEVELS. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B MAINE MEDICAL CENTER USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS. THEY MEET WITH THE BOARD OF TRUSTEES EXECUTIVE COMPENSATION COMMITTEE TO REVIEW EACH EXECUTIVE BENCHMARK REPORT. THE EXECUTIVE COMMITTEE THEN DELIBERATES ON MMC'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY AND DOCUMENTS BEFORE MAKING A FINAL DECISION. ALL DECISIONS AND MEETINGS ARE CAPTURED IN MINUTES. THERE IS APPROPRIATE REPORTING AT ALL LEVELS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII WILLIAM CARON AND DONALD QUIGLEY WORK AN AVERAGE OF 50 HOURS PER WEEK FOR A RELATED ORGANIZATION - MAINEHEALTH. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 CHANGE IN PV OF POOLED LIFE AND CHARITABLE REMAINDER TRUSTS - (257,311) NET ASSETS RELEASED FROM RESTRICTIONS - (8,040,744) RECOGNIZED GAIN IN FV OF INVESTMENTS - 20,601,955 EQUITY TRANSFER TO AFFILIATES - (29,738,714) CHANGE IN NET UNREALIZED LOSS ON CASH FLOW HEDGE INSTRUMENTS - (415,984) RETIREMENT BENEFIT PLAN ADJUSTMENTS - (53,503,964) MAINEHEALTH (MH) 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false MMC REALTY 22 BRAMHALL STREET PORTLAND ME 04102 010434215 PROP MGMT ME 501C3 11A MMC true MAINE MENTAL HEALTH PARTNERS 123 ANDOVER ROAD WESTBROOK ME 04092 263426990 HEALTHCARE ME 501C3 11C MH false LINCOLN COUNTY HEALTH CARE INC 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475629 HEALTHCARE ME 501C3 11C MH false WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11C MH false WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 049150287 222864961 HEALTHCARE ME 501C3 11C MH false GERIATRIC RESOURCE NETWORK 110 FREE STREET PORTLAND ME 04101 010542842 HEALTHCARE ME 501C3 7 MH false WEBBER HOSPITAL ASSOC DBA SMMC PO BOX 626 BIDDEFORD ME 040050626 010179500 HOSPITAL ME 501C3 3 MH false HOMEHEALTH VISITING NURSES OF SO ME 15 INDUSTRIAL PARK DRIVE SACO ME 04072 222571902 HEALTHCARE ME 501C3 9 MH false NORDX 301A US ROUTE ONE SCARBOROUGH ME 04074 010511356 LABORATORY ME 501C3 9 MH false PEN BAY HEALTHCARE 4 WHITE STREET ROCKLAND ME 04841 222494475 ADMIN ME 501C3 11C MH false HENRIETTA D GOODALL HOSPITAL INC 25 JUNE STREET SANFORD ME 04073 010078060 HOSPITAL ME 501C3 3 MH false MAINEHEALTH ACCOUNTABLE CARE ORG 110 FREE STREET PORTLAND ME 04101 452929273 ADMINSERV ME N/A false false MAINE MEDICAL PARTNERS (MMP) 22 BRAMHALL STREET PORTLAND ME 04102 010442142 HEALTHCARE ME N/A SYNERNET INC 110 FREE STREET PORTLAND ME 04101 010539789 ADMINSERV ME N/A MAINE PHYSICIAN HOSPITAL ORG 110 FREE STREET PORTLAND ME 04101 010527540 HEALTHCARE ME N/A MMC CLINICAL SERVICES SUPPORT CORP 22 BRAMHALL STREET PORTLAND ME 04102 203656876 ADMINSERV ME N/A false true true true true false false false true true false false false true true true true true MAINE MEDICAL PARTNERS N 13453727 FAIR MARKET VALUE MAINE MEDICAL PARTNERS O 1898136 FAIR MARKET VALUE MAINE MEDICAL PARTNERS P 62538862 FAIR MARKET VALUE MAINE MEDICAL PARTNERS Q 75934538 FAIR MARKET VALUE MAINE MEDICAL PARTNERS R 1880079 FAIR MARKET VALUE MMC REALTY J 2560709 FAIR MARKET VALUE MMC REALTY N 191201 FAIR MARKET VALUE MMC REALTY P 3697943 FAIR MARKET VALUE MMC REALTY Q 1639688 FAIR MARKET VALUE MAINE MEDICAL PARTNERS N 13453727 FAIR MARKET VALUE MAINE MEDICAL PARTNERS O 1898136 FAIR MARKET VALUE MAINE MEDICAL PARTNERS P 62538862 FAIR MARKET VALUE MAINE MEDICAL PARTNERS Q 75934538 FAIR MARKET VALUE MAINE MEDICAL PARTNERS R 1880079 FAIR MARKET VALUE MMC REALTY J 2560709 FAIR MARKET VALUE MMC REALTY N 191201 FAIR MARKET VALUE MMC REALTY P 3697943 FAIR MARKET VALUE MMC REALTY Q 1639688 FAIR MARKET VALUE