2026-05-15T12:12:02-05:00 2025-06-30 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-07-01 010211494 CENTRAL MAINE MEDICAL CENTER CENT 2077952813 PO BOX 4500 LEWISTON ME 04243 DAVID PAULOSKY CHIEF FINANCIAL OFFICER 2077952813 2026-05-14 1 1 AMY CIMINELLO P00796388 6148493000 2026-05-14 2024 2025-03-06 01:10:19Z STEVE LITTLESON 300 MAIN STREET LEWISTON ME 04240 582643605 0 X WWW.CMHC.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. 12 10 2682 1400 137154 0 5375180 4323324 505973451 535764999 699331 7862166 1345546 -447037 513393508 547503452 14031 28911 0 0 290904561 287389952 0 0 290509 250160806 266381984 541079398 553800847 -27685890 -6297395 265327359 309958011 180063128 181581388 85264231 128376623 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFULENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OURFAMILY OF CAREGIVERS. 0 0 492210843 28911 535036556 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. WITH OVER 2,000 HIGHLY SKILLED EMPLOYEES AND THE SUPPORT OF THE LATEST TECHNOLOGIES, CMMC IS WELL POSITIONED TO MEET THE REGION'S HEALTHCARE NEEDS WITH THE UTMOST COMPASSION, KINDNESS, AND UNDERSTANDING. 492210843 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 129 0 1 2682 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 ME X KRISTEN ST PETER 2077957124 29 LOWELL ST BOX A LEWISTON ME 04240 DEVORE CULVER CHAIR 3.00 3.00 X X 0 0 0 AUSTIN ALBERT VICE CHAIR 3.00 3.00 X X 0 0 0 MARNEY CHALMERS DIRECTOR 3.00 3.00 X 0 0 0 JANET KOSKI DIRECTOR - PART YEAR 3.00 3.00 X 0 0 0 JAMES MARTIN DIRECTOR 3.00 3.00 X 0 0 0 JOHN MCANUFF DIRECTOR 3.00 3.00 X 0 0 0 LAURENCE MERLIS DIRECTOR 3.00 3.00 X 0 0 0 LINDA PEPIN DIRECTOR 3.00 3.00 X 0 0 0 DAVID SALKO DIRECTOR 55.00 3.00 X 330049 0 40664 LOUIS SILVERMAN DIRECTOR 3.00 3.00 X 0 0 0 GEOFFREY SWIFT DIRECTOR 3.00 3.00 X 0 0 0 HECTOR TARRAZA DIRECTOR 55.00 3.00 X 376463 0 8625 KENNETH WEBB DIRECTOR 3.00 3.00 X 0 0 0 STEVE LITTLESON PRESIDENT 3.00 60.00 X 0 841476 249217 DAVID PAULOSKY TREASURER 3.00 60.00 X 0 563549 83304 ELIZABETH SHEW SECRETARY 3.00 60.00 X 0 339035 64999 LAUREN ADEY DIVISION CHIEF 55.00 0.00 X 696370 0 41277 MICHAEL BERLOWITZ CHIEF MEDICAL OFFICER 55.00 0.00 X 750172 0 40021 KANISHKA BHATTACHARYA DIVISION CHIEF 55.00 0.00 X 823466 0 9444 REBECCA BRAKELEY DIVISION CHIEF 55.00 0.00 X 478507 0 39056 TIMOTHY COUNIHAN DIVISION CHIEF 55.00 0.00 X 635766 0 21020 TASHA DUVAL DIVISION CHIEF 55.00 0.00 X 440651 0 41591 TIARA SANBORN DIVISION CHIEF 55.00 0.00 X 385713 0 41709 MICHAEL STADNICKI DIVISION CHIEF 55.00 0.00 X 370103 0 40413 SHELDON STEVENSON DIVISION CHIEF 55.00 0.00 X 586316 0 36557 ERWEY TENG DIVISION CHIEF 55.00 0.00 X 737019 0 41709 GUSTAVO CHURRANGO PHYSICIAN 55.00 0.00 X 851321 0 43906 MICHAEL DEFRANCE PHYSICIAN 55.00 0.00 X 807990 0 40968 JOSEPH DELLORFANO PHYSICIAN 55.00 0.00 X 840523 0 38439 CARMINE FRUMIENTO PHYSICIAN 55.00 0.00 X 1118741 0 42433 DIONYSSIOS ROBOTIS PHYSICIAN 55.00 0.00 X 792435 0 37698 11021605 1744060 1003050 372 0 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE 3 SAN DIEGO CA 92121 MEDICAL STAFFING 21950253 SODEXO INC 9801 WASHINGTONIAN BOULEVARD GAITHERSBURG MD 20878 FOOD & OP. PLNT SVCS 8026865 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 MEDICAL SERVICES 8006042 CARDINAL HEALTH PHARMACY 1212 KINNEAR RD COLUMBUS OH 43212 PHARMACY SERVICES 6108784 NEW ENGLAND CANCER SPECIALISTS 11 ROCK ROW WESTBROOK ME 04092 MEDICAL STAFFING 4415064 55 4017035 306289 4323324 NET PATIENT REVENUE 621990 535764999 535764999 535764999 1504299 1504299 24951 753394 -728443 -728443 -728443 39692162 1052464 34386759 0 5305403 1052464 6357867 6357867 DIAGNOSTIC LABORATORY 621500 137154 137154 CENTRAL & WESTERN MAINE INSURANCE 900099 110770 110770 TAIL INSURANCE REVENUE 524298 33482 33482 281406 547503452 535036556 137154 8006418 X 28911 28911 7012678 5820523 1192155 241671820 200431758 41052288 187774 1674918 1390182 284736 33897025 28134531 5762494 3133511 2570127 526411 36973 14206 14206 8601 8601 14159 14159 55901333 55901242 91 7142 5785 1357 8376132 6783572 1591208 1352 852051 690161 161890 3992583 3233992 758591 713035 575867 135080 2088 10062564 3622523 6440041 11173868 8715617 2458251 4725932 3828005 897927 MEDICAL SUPPLIES 122863560 122801385 62175 BAD DEBT EXPENSE 37161044 37161044 MEDICAID TAX EXPENSE 9799997 9799997 HOSPITALITY ITEMS 123330 123330 592447 592291 100 56 553800847 492210843 61299495 290509 659956 2649403 3535567 0 64904847 56602908 3206487 3206487 11393363 11973245 1995070 1879381 437820102 354215393 85640547 83604709 22160280 42247072 0 965873 0 4200577 71831242 102628356 265327359 309958011 50164889 53187193 293426 287316 82785902 76168197 46818911 51938682 180063128 181581388 X 66043422 106033028 19220809 22343595 85264231 128376623 265327359 309958011 X -6297395 706176 -151733 48855344 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15841 15841 0 PART II-B, LINE 1: PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING 19220809 3557595 434809 22343595 17216635 2004174 19220809 15938965 1277670 17216635 16877187 -938222 15938965 15678635 1198552 16877187 0.00000 0.84779 0.15221 0 1 1 2318022 2318022 163396199 105027357 58368842 5152410 4861793 290617 220593592 207348932 13244660 46359879 36977311 9382568 83604709 RIGHT OF USE ASSET-FINANCE 23852709 DEFERRED PENSION 20929683 BONDS 19078512 RIGHT OF USE ASSET-OPERATING 7982149 INVESTMENT- WORKERS COMPENSATION 4647218 ENDOWMENT FUND 2198875 DEBT SERVICE RESERVE 1069484 UNREALIZED GAIN 1308148 DEPOSITS 189341 COST REPORT SETTLEMENT RECIEVABLE 20214559 STUDENT LOAN RECEIVABLE 454856 DEFERRED REVENUE 702822 102628356 WORKCOMP SELF INSURANCE 2534934 ASSET RETIREMENT OBLIGATION 3602981 LEASE LIABILITY - LT 31033694 PAYABLE TO AFFILIATES 14767073 51938682 PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION IN A VARIETY OF WAYS, DEPENDING UPON THE STATED PURPOSE OF EACH FUND. MANY OF THESE FUNDS HELP TO COVER COSTS OF CAPITAL EQUIPMENT PURCHASES, CONTINUING MEDICAL EDUCATION, OR FREE CARE. OTHERS ARE DESIGNATED TO SUPPORT SPECIFIC DEPARTMENTS OF THE HOSPITAL. 1 1 X 1 X 0 1 1 0 1 1 12025746 6633193 5392553 0.01040 95560245 64430461 31129784 0.06030 107585991 71063654 36522337 0.07070 2106619 225335 1881284 0.00360 3057198 1673565 1383633 0.00270 5163817 1898900 3264917 0.00630 112749808 72962554 39787254 0.07700 0 37161044 3806539 49189914 61464131 -12274217 X 1 1 1 1 CENTRAL MAINE MEDICAL CENTER 300 MAIN STREET LEWISTON ME 04240 WWW.CMHC.ORG 38819 X X X X CENTRAL MAINE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 25 1 1 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X 1 25 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 CENTRAL MAINE MEDICAL CENTER PART V, SECTION B, LINE 5: THE MAINE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (MAINE SHARED CHNA) IS A COLLABORATIVE THAT COORDINATES A STATEWIDE EFFORT TO CONDUCT A NEEDS ASSESSMENT. IT IS COMPRISED OF ALL FOUR MAJOR HEALTHCARE SYSTEMS IN THE STATE: CENTRAL MAINE HEALTHCARE, MAINEHEALTH, MAINEGENERAL, AND NORTHERN LIGHT HEALTH, AS WELL AS THE MAINE CENTER FOR DISEASE CONTROL & PREVENTION, AND THE MAINE COMMUNITY ACTION PARTNERSHIP. THE MAINE SHARED CHNA PROCESS OCCURS IN THREE-YEAR CYCLES, BEGINNING WITH A STATEWIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), FOLLOWED BY THE CREATION OF DETAILED WRITTEN DATA PROFILES FOR EACH COUNTY.FOR THE 2025 MAINE SHARED CHNA, DATA WAS COLLECTED THROUGH A STATEWIDE COMMUNITY SURVEY OF 3,967 VALID RESPONSES, SIX STATEWIDE FOCUS GROUPS WITH 31 PARTICIPANTS AND COUNTY-WIDE FOCUS GROUPS IN EACH COUNTY, 25 KEY INFORMANT INTERVIEWS, AND COUNTY-WIDE STAKEHOLDER FORUMS. TO ENSURE THAT BALANCED AND DIVERSE INPUT WAS COLLECTED AT COUNTY-WIDE FORUMS, STAKEHOLDERS FROM A VARIETY OF SECTORS WERE INVITED TO PARTICIPATE. COUNTY SPECIFIC FORUMS REPRESENTING THE CMH SERVICE AREA WERE HELD ON THE FOLLOWING DATES: OXFORD COUNTY: SEPTEMBER 25, 2024 WITH 35 PARTICIPANTS CUMBERLAND COUNTY LAKES REGION: OCTOBER 1, 2024 WITH 22 PARTICIPANTS ANDROSCOGGIN COUNTY: NOVEMBER 7, 2024 WITH 42 PARTICIPANTSCOMMUNITY ENGAGEMENT OVERVIEWS ARE AVAILABLE AND OFFER A DETAILED EXPLANATION OF THE 2025 MAINE SHARED CHNA PROCESS.A NEW PRIORITY SELECTION PROCESS WAS UTILIZED IN THE 2025 MAINE SHARED CHNA, WHICH GROUPED PRIORITIES INTO THREE DIFFERENT BUCKETS. COMMUNITY CONDITIONS INCLUDES THE PHYSICAL, ECONOMIC/WORK, SOCIAL, AND SERVICE ENVIRONMENTS. PROTECTIVE & RISK FACTORS INCLUDES ASPECTS OF A PERSON OR ENVIRONMENT THAT MAKE IT LESS LIKELY (PROTECTIVE) OR MORE LIKELY (RISK) THAT SOMEONE WILL EXPERIENCE A GIVEN CONDITION. HEALTH CONDITIONS & OUTCOMES INCLUDES THE STATE OF A PERSON'S HEALTH AND WELL-BEING EITHER AS A CURRENT DISEASE STATE, ONE THAT HAS BEEN EXPERIENCED, OR THE CATEGORY OF INJURY AND DEATH. CENTRAL MAINE MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA IS CONDUCTED THROUGH A MAINE SHARED CHNA COLLABORATION INCLUDING REPRESENTATION FROM MAINEGENERAL HEALTH, MAINEHEALTH, AND NORTHERN LIGHT HEALTH. CENTRAL MAINE MEDICAL CENTER PART V, SECTION B, LINE 6B: ADDITIONAL NON-HOSPITAL FACILITIES INVOLVED IN THE MAINE SHARED CHNA ARE THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES; THE UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL OF PUBLIC SERVICE AND JOHN SNOW, INC WHO BOTH PROVIDED DATA ORGANIZATION, ANALYSIS, METHODOLOGY, AND DESIGN SUPPORT; AND NUMEROUS COMMUNITY PARTNERS AND STAKEHOLDER GROUPS INCLUDING THE STEERING COMMITTEE, METRICS COMMITTEE, DATA ANALYSIS WORKGROUP, COMMUNITY ENGAGEMENT COMMITTEE, AND LOCAL PLANNING COMMITTEE. CENTRAL MAINE MEDICAL CENTER PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR EACH HOSPITAL TO ADDRESS THE 2025 MAINE SHARED CHNA WAS DEVELOPED IN THE SPRING OF 2025 BY A WORKING GROUP OF REPRESENTATIVES FROM EACH HOSPITAL, CMH SYSTEM-WIDE ROLES, AND COMMUNITY MEMBERS FROM EACH REGION. THE CHIPS WERE VOTED UPON AND APPROVED BY THE QUALITY, VALUE, AND COMMUNITY HEALTH COMMITTEE IN MAY 2025 AND THE CENTRAL MAINE HEALTHCARE BOD IN AUGUST 2025. EACH PLAN DETAILS THE PRIORITIES BEING ADDRESSED THROUGH SPECIFIC GOALS, STRATEGIES, AND ACTIVITIES. THE PLANS ALSO OUTLINE WHICH PRIORITIES IDENTIFIED BY THE MAINE SHARED CHNA ARE NOT BEING ADDRESSED, THE REASONS WHY, AND WHO IN THE COMMUNITY IS ADDRESSING THE PRIORITIES. THE CHIPS CAN BE FOUND HERE: WWW.CMHC.ORG/ABOUT-US/COMMUNITY-BENEFITS/. CENTRAL MAINE MEDICAL CENTER PART V, SECTION B, LINE 13H: FAP ELIGIBILITY CRITERIA:PATIENTS MUST APPLY FOR MAINE FREE CARE IN ORDER TO BE CONSIDERED FOR THEHOSPITAL'S FREE CARE PROGRAM. AS PART OF THE APPLICATION, PATIENTS MUSTSUBMIT A COPY OF CURRENT MAINECARE DECISION LETTERS. PATIENTS WILL BEASKED IF THEY HAVE INSURANCE OF ANY KIND TO HELP PAY FOR CARE AND AREALSO ASKED TO SHOW THAT INSURANCE OR A GOVERNMENT PROGRAM WILL NOT PAYFOR YOUR CARE. IF PATIENTS DO NOT QUALIFY FOR FREE HOSPITAL CARE, THEYARE ALLOWED TO ASK FOR A FAIR HEARING OR APPEAL. PART V, SECTION B, LINE 7A HTTPS://WWW.CMHC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ PART V, SECTION B, LINE 7B HTTPS://WWW.CMHC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ PART V, SECTION B, LINE 10A HTTPS://WWW.CMHC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ PART V, SECTION B, LINE 16A, FAP WEBSITE: HTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.CMHC.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ 30 1 - CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE 77 BATES STREET SUITE 202 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 2 - CENTRAL MAINE SURGICAL ASSOCIATES 12 HIGH STREET SUITE 401 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 3 - CENTRAL MAINE ENDOCRINOLOGY AND DIABETES 76 HIGH STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 4 - CENTRAL MAINE FAMILY HEALTH CARE ASSOC 190 STETSON ROAD AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC 5 - CENTRAL MAINE FAMILY HEALTH RESIDENCY 76 HIGH STREET SUITE 100 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 6 - CENTRAL MAINE FAMILY PRACTICE 12 HIGH STREET SUITE 302 LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC 7 - CENTRAL MAINE GYNECOLOGY & UROGYNECOLOGY 12 HIGH STREET SUITE 200 LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC 8 - CENTRAL MAINE HEMATOLOGY ONCOLOGY 17 HIGH STREET LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC 9 - CENTRAL MAINE INTERNAL MEDICINE 12 HIGH STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 10 - CENTRAL MAINE OBGYN 12 HIGH STREET SUITE 200 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 11 - CENTRAL MAINE PEDIATRICS 12 HIGH STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 12 - CENTRAL MAINE THERAPY SERVICES 77 BATES STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 13 - CENTRAL MAINE UROLOGY 12 HIGH STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 14 - GRAY FAMILY CLINIC 126 SHAKER ROAD GRAY ME 04039 OUTPATIENT PHYSICIAN CLINIC 15 - INFECTIOUS DISEASE ASSOCIATES 10 HIGH STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 16 - LISBON FAMILY PRACTICE 2 BISBEE ROAD LISBON ME 04250 OUTPATIENT PHYSICIAN CLINIC 17 - MINOT AVENUE FAMILY MEDICINE 789 MINOT AVENUE AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC 18 - POLAND COMMUNITY HEALTH CENTER 364 MAIN STREET POLAND ME 04274 OUTPATIENT PHYSICIAN CLINIC 19 - PULMONARY AND SLEEP MEDICINE 76 HIGH STREET SUITE 300 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 20 - TOPSHAM FAMILY MEDICINE 4 HORTON PLACE TOPSHAM ME 04086 OUTPATIENT PHYSICIAN CLINIC 21 - CENTRAL MAINE HEARING CENTER 12 HIGH STREET SUITE 102 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 22 - CENTRAL MAINE MEDICATION MANAGEMENT 10 HIGH STREET SUITE 103 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 23 - CENTRAL MAINE EAR NOSE AND THROAT 12 HIGH STREET SUITE 102 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 24 - TOPSHAM CARE CENTER 105 TOPSHAM FAIR MALL ROAD TOPSHAM ME 04086 OUTPATIENT PHYSICIAN CLINIC 25 - CENTRAL MAINE RHEUMATOLOGY 77 BATES STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC 26 - CENTRAL MAINE HEATHCARE ORTHOPEDICS 690 MINOT AVENUE AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC 27 - CENTRAL MAINE BREAST HEALTH 17 HIGH STREET SUITE 2 LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC 28 - CENTRAL MAINE INFUSION CENTER 17 HIGH STREET SUITE 7 LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC 29 - CENTRAL MAINE RADIATION ONCOLOGY 17 HIGH STREET SUITE 4 LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC 30 - CENTRAL MAINE SURGICAL ONCOLOGY 17 HIGH STREET SUITE 1A LEWISTON ME 04210 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: PATIENTS MUST APPLY FOR MAINE FREE CARE IN ORDER TO BE CONSIDERED FOR THEHOSPITAL'S FREE CARE PROGRAM. AS PART OF THE APPLICATION, PATIENTS MUSTSUBMIT A COPY OF CURRENT MAINECARE DECISION LETTERS. PATIENTS WILL BEASKED IF THEY HAVE INSURANCE OF ANY KIND TO HELP PAY FOR CARE AND AREALSO ASKED TO SHOW THAT INSURANCE OR A GOVERNMENT PROGRAM WILL NOT PAYFOR YOUR CARE. IF PATIENTS DO NOT QUALIFY FOR FREE HOSPITAL CARE, THEYARE ALLOWED TO ASK FOR A FAIR HEARING OR APPEAL.ELIGIBILITY FOR 100% FINANCIAL ASSISTANCE AS STATED IN THE FINANCIAL ASSISTANCE POLICY: A. FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE IS AVAILABLE TO MAINE RESIDENTS WHO: HAVE NO HEALTH INSURANCE COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; AND MEET THE INCOME CRITERIA SET FORTH BELOW. B. FINANCIAL ASSISTANCE FOR EMERGENCY CARE IS AVAILABLE TO MAINE RESIDENTS AND NON-MAINE RESIDENTS WHO: HAVE NO HEALTH INSURANCE COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE BILL; AND MEET THE INCOME CRITERIA SET FORTH BELOW. C. CMH HOSPITALS PROVIDE 100% FINANCIAL ASSISTANCE BASED ON CRITERIA AS DEFINED BELOW: GROSS INCOME IS BELOW 200% OF THE FPL, SUBJECT TO APPROVAL PATIENT IS A RESIDENT OF MAINE NON-MAINE RESIDENT SEEKING EMERGENCY CARE FOR SERVICES OR SUPPLIES THAT ARE A MEDICAL NECESSITY ALL THIRD-PARTY PAYER SOURCES HAVE BEEN EXHAUSTED D. NO INDIVIDUAL ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CHARGED MORE FOR EMERGENCY OR OTHERWISE MEDICALLY NECESSARY CARE THAN THE CALCULATED AGB. PART I, LINE 7: COSTING METHODOLOGY:THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED TOCALCULATE AMOUNTS ON IRS WORKSHEETS 1 AND 3. ALL OTHER WORKSHEETS USEDTHE ORGANIZATION'S COST ACCOUNTING SYSTEM. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 37,161,044. PART III, LINE 2: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FORWHICH THE HEALTH SYSTEMS DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROMTHE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROMTHE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUERECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIALSTATEMENTS FOR THE YEAR ENDED JUNE 30, 2024. HOWEVER, THE HOSPITALINTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICESAND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A,LINE 2. PART III, LINE 3: BAD DEBT EXPENSES ATTRIBUTABLE TO CHARITY CARE:BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CAREPOLICY FOR LINE 3 WAS DETERMINED USING A COMPARISON OF EXPERIENCEDCHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEARAVAILABLE WHEN CHARITY CARE CONVERGE EXCEEDS THE CENSUS DATA, A MINIMAL AMOUNT OF BAD DEBT IS ASSUMED TO BE ELIGIBLE FOR CHARITY CARE TO ACCOUNTFOR THOSE PATIENTS WHO REFUSE TO PROVIDE INFORMATION DOCUMENTINGELIGIBILITY FOR THE PROGRAM. THESE ESTIMATES ARE BASED ON STATE-WIDE DATAAND DO NOT ACCOUNT FOR DIFFERENCES IN GEOGRAPHIC LOCATIONS WITHIN THESTATE. AS THIS AMOUNT IS RELATED TO PATIENTS ELIGIBLE UNDER THE FINANCIALASSISTANCE POLICY, IT IS INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBESBAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBESPATIENTS ACCOUNTS RECEIVABLE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CORPORATION'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CORPORATION'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CORPORATION RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: COMMUNITY BENEFIT:THE COSTING METHODOLOGY USED FOR LINE 6 IS INFORMATION PULLED FROM THEMEDICARE COST REPORT FILING. THE SHORTFALL REPORTED ON LINE 7 COULD BE CONSIDERED COMMUNITY BENEFIT TO A LEVEL PROPORTIONAL TO THE POVERTYLEVELS INDICATED BY CENSUS BUREAU DATA. IF MAINE RESIDENTS, AGE 65 OROLDER, BELOW THE 200% FPG LEVEL WERE NOT COVERED BY MEDICARE, THEY WOULDQUALIFY UNDER CMMC'S FREE CARE POLICY. UNDER THAT CIRCUMSTANCE, THESEPATIENTS WOULD THEN APPEAR AS PART OF THE STATISTICS ON PART I, LINE 7A. PART III, LINE 9B: COLLECTION POLICY:COLLECTION PRACTICES FOR PATIENTS KNOWN TO BE ELIGIBLE FOR CHARITY CAREARE LIMITED TO COLLECTING FROM ANY AVAILABLE PAYMENT SOURCES SUCH ASMEDICARE OR MEDICAID. IF A PATIENT IS ELIGIBLE, BUT HAS NOT APPLIED FORMEDICAID COVERAGE, THE PATIENT IS REQUESTED TO APPLY. ASSISTANCE ISAVAILABLE TO HELP THE PATIENT WITH THE MEDICAID APPLICATION PROCESS. PART VI, LINE 2: NEEDS ASSESSMENT:CENTRAL MAINE MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES TO ITSPRIMARY SERVICES AREA, AS WELL AS THE EXTENDED AREA OF THE ENTIRE CENTRAL MAINE HEALTHCARE SYSTEM. IT ASSESSES THE NEEDS OF ITS VARIOUS COMMUNITIESFROM VARIOUS THIRD-PARTY SURVEYS AND REPORTS, OBSERVATIONS IN ITS PATIENTPOPULATION AND THE POPULATIONS OF ITS AFFILIATED SYSTEM HOSPITALS, ASWELL AS ASSISTING WITH STATE-WIDE INITIATES IN PREVENTATIVE MEDICINE ANDEDUCATION. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:CENTRAL MAINE MEDICAL CENTER PROVIDES NOTICES ABOUT ITS FREE CARE POLICYIN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENT AREAS. AN INPATIENTFINANCIAL COUNSELOR VISITS WITH ALL UNINSURED PATIENTS TO DISCUSSOPTIONS, INCLUDING GOVERNMENTAL PROGRAM ELIGIBILITY AND FREE CAREASSISTANCE IS AVAILABLE TO HELP PATIENTS WITH COMPLETION OF MEDICAIDAPPLICATIONS. ALL PATIENTS FINANCIAL SERVICES STAFF ARE TRAINED TO OFFERFREE CARE AS AN OPTION TO PATIENTS WHO INDICATE AN INABILITY ORDIFFICULTY IN PAYING FOR SERVICES. INFORMATION ABOUT FINANCIAL ASSISTANCEAVAILABILITY IS INCLUDED ON THE BACK OF EVERY PATIENT STATEMENT.ADDITIONALLY, UNINSURED PATIENTS RECEIVED A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLEOPTIONS. PART VI, LINE 4: COMMUNITY INFORMATION:CENTRAL MAINE MEDICAL CENTER, LOCATED IN LEWISTON, MAINE SERVES A PRIMARYAREA OF ANDROSCOGGIN COUNTY IN CENTRAL MAINE. ADDITIONALLY, IT SERVESPORTIONS OF CUMBERLAND, FRANKLIN, KENNEBEC, OXFORD, AND SAGADAHOCCOUNTIES. THE LEWISTON-AUBURN AREA IS URBAN, FOR MAINE STANDARDS, BUTQUICKLY BECOMES SUBURBAN TO ALMOST-RURAL QUICKLY OUTSIDE THE CITY LIMITS.ANDROSCOGGIN COUNTY HAS A POPULATION OF JUST UNDER 108,000 PERSONS, WHICHMAKES UP APPROXIMATELY 8% OF THE OVERALL MAINE POPULATION. WHILE ALMOST93% OF THE POPULATION IS MADE UP OF CAUCASIAN PERSONS, MORE THAN 16%SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THIRTEEN PERCENT OF THEPOPULATION IS BELOW THE POVERTY LEVEL, SPECIFICALLY IN LEWISTON, THESECOND LARGEST CITY IN MAINE, WITH A POPULATION OF APPROXIMATELY 36,600PERSONS, 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. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:CENTRAL MAINE MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, ALLOWING ANYNON-EMPLOYED OR AFFILIATED PHYSICIANS TO HAVE ADMITTING PRIVILEGES TO THEHOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF A MAJORITY OF LOCALCOMMUNITY MEMBERS ALONG WITH SOME REPRESENTATION BY DIRECTORS FROMCENTRAL MAINE HEALTHCARE, THE PARENT OF THE HEALTHCARE SYSTEM WHICHCENTRAL MAINE MEDICAL CENTER BELONGS TO, HELPING TO BRING TOGETHER THEVISIONS OF THE LOCAL COMMUNITY WITH THE CAPABILITIES AND VISION OF THESYSTEM AS A WHOLE FOR THE BENEFIT OF LEWISTON AND SURROUNDINGCOMMUNITIES. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:CENTRAL MAINE MEDICAL CENTER (CMMC) IS A TERTIARY CARE HOSPITAL IN THECENTRAL MAINE HEALTHCARE SYSTEM. TWO RURAL, CRITICAL ACCESS HOSPITALS ARE ALSO MEMBERS OF THIS SYSTEM. CMMC PROVIDES A WIDE RANGE OF SPECIALISTPHYSICIANS AND SERVICES TO ITS COMMUNITY, AS WELL AS THE SYSTEM. CMMCPROVIDES PHYSICIANS TO STAFF SPECIALTY CLINICS IN THE RURAL COMMUNITIESSERVED BY THE CRITICAL ACCESS HOSPITALS ON A LIMITED, BUT REGULAR, BASIS.THESE SERVICES WOULD NOT NORMALLY BE SUPPORTED BY THE LIMITED POPULATIONSAND PATIENTS WOULD INSTEAD NEED TO TRAVEL MUCH LONGER DISTANCES TOCONSULT OR VISIT WITH A SPECIALIST. CMMC ALSO PROVIDES ACCESS TO TRAUMACARE, NEONATAL INTENSIVE CARE, AND SPECIALIZED CARDIAC CARE. THE SYSTEMPARENT, CENTRAL MAINE HEALTHCARE, PROVIDES STREAMLINED ADMINISTRATIVEFUNCTIONS AND BACK OFFICE SERVICES FOR THE ENTIRE SYSTEM, PROVIDING COSTEFFICIENCY AND OTHER BENEFITS TO ALL MEMBERS. THIS ALSO ALLOWS FOR EASYADMINISTRATIVE HANDLING OF TRANSFERS OF PATIENTS BETWEEN HOSPITALS, ASWELL AS A SINGLE POINT OF CONTACT FOR PATIENTS TO ADDRESS BILLS ANDINSURANCE ISSUES. 0 1 0 0 0 0 0 1 0 CARMINE FRUMIENTO PHYSICIAN 1112594 0 0 0 6147 0 8625 0 33808 0 1161174 0 0 0 STEVE LITTLESON PRESIDENT 0 839766 0 0 0 1710 0 220440 0 28777 0 1090693 0 0 GUSTAVO CHURRANGO PHYSICIAN 829518 0 0 0 21803 0 8625 0 35281 0 895227 0 0 0 JOSEPH DELLORFANO PHYSICIAN 791469 0 0 0 49054 0 8625 0 29814 0 878962 0 0 0 MICHAEL DEFRANCE PHYSICIAN 747954 0 0 0 60036 0 8625 0 32343 0 848958 0 0 0 KANISHKA BHATTACHARYA DIVISION CHIEF 809182 0 0 0 14284 0 8625 0 819 0 832910 0 0 0 DIONYSSIOS ROBOTIS PHYSICIAN 742210 0 0 0 50225 0 8625 0 29073 0 830133 0 0 0 MICHAEL BERLOWITZ CHIEF MEDICAL OFFICER 721525 0 22500 0 6147 0 8625 0 31396 0 790193 0 0 0 ERWEY TENG DIVISION CHIEF 733385 0 0 0 3634 0 8625 0 33084 0 778728 0 0 0 LAUREN ADEY DIVISION CHIEF 691663 0 0 0 4707 0 8625 0 32652 0 737647 0 0 0 TIMOTHY COUNIHAN DIVISION CHIEF 619117 0 0 0 16649 0 7539 0 13481 0 656786 0 0 0 DAVID PAULOSKY TREASURER 0 467234 0 95000 0 1315 0 54255 0 29049 0 646853 0 0 SHELDON STEVENSON DIVISION CHIEF 498029 0 45350 0 42937 0 8625 0 27932 0 622873 0 0 0 REBECCA BRAKELEY DIVISION CHIEF 476185 0 0 0 2322 0 7161 0 31895 0 517563 0 0 0 TASHA DUVAL DIVISION CHIEF 432724 0 0 0 7927 0 8625 0 32966 0 482242 0 0 0 TIARA SANBORN DIVISION CHIEF 360852 0 21711 0 3150 0 8625 0 33084 0 427422 0 0 0 MICHAEL STADNICKI DIVISION CHIEF 366160 0 0 0 3943 0 8625 0 31788 0 410516 0 0 0 ELIZABETH SHEW SECRETARY 0 278464 0 60000 0 571 0 36125 0 28874 0 404034 0 0 HECTOR TARRAZA DIRECTOR 368514 0 0 0 7949 0 8625 0 0 0 385088 0 0 0 DAVID SALKO DIRECTOR 327878 0 0 0 2171 0 8625 0 32039 0 370713 0 0 0 PART I, LINE 3 CEO COMPENSATION: THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PARENT CORPORATION'S BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE FOLLOWING: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: 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'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY, OR ( C) IF OTHER THAN FOR CAUSE ANY PORTION OF THE PARTICIPANT'S ENTITLEMENT PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, ( B) IF THE THE EMPLOYER TERMINATES THE PARTICIPANTS EMPLOYMENT FOR ANY REASON 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. PART I, LINE 7 BONUSES ARE BASED ON PERFORMANCE MEASURES FOR WHICH THERE IS BOARD DISCRETION. A MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 56042RTR3 2019-07-31 52604797 REFUND SERIES 2009A BOND 0 0 1 B MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560427WV4 2013-05-23 41071242 REFUND SERIES 2003A BOND 0 0 1 C MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 56042RLG5 2017-06-27 12279914 REFUND SERIES 2005B BOND 0 0 1 A 7960000 52604797 392011 48710108 2019 1 0 0 0 B 17725000 41071242 2957944 302888 42862476 2013 1 0 1 1 C 6460000 12279914 138533 12141381 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 A 0 B 0 C 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. (CMHC) THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE MEMBER'S BOARD OF DIRECTORS OF CMHC. THE MEMBERS MAY MAKE, AMEND OR REPEAL THE BYLAWS IN A WHOLE OR IN PART. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. (CMHC) THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE MEMBER'S BOARD OF DIRECTORS OF CMHC. THE MEMBERS MAY MAKE, AMEND OR REPEAL THE BYLAWS IN A WHOLE OR IN PART. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. (CMHC) THE BOARD SHALL CONSIST OF THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE MEMBER'S BOARD OF DIRECTORS OF CMHC. THE MEMBERS MAY MAKE, AMEND OR REPEAL THE BYLAWS IN A WHOLE OR IN PART. FORM 990, PART VI, SECTION B, LINE 11B ALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY A PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE VICE PRESIDENT OF FINANCE THEN WITH THE CFO. 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 DISTRUBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS. THESE QUESTIONNAIRS 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 APPROPRAITE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS. IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR. FORM 990, PART VI, SECTION B, LINE 15B CENTRAL MAINE HEALTHCARE (CMHC) HAS ESTABLISHED AND FOLLOWS A DELIBERATIVE TRANSPARENT PROCESS WHICH MEETS IRS REGULATIONS FOR "REBUTTABLE" PRESUMPTION OF REASONABLENESS. A STANDING EXECUTIVE AND PHYSICIAN COMPENSATION COMMITTEE (EPCC) , 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, PRESIDENT OF RUMFORD HOSPITAL, AND PRESIDENT OF BRIDGTON HOSPITAL. THE PROCESS GUIDELINES AND AUTHORITY OF THE EPCC ARE SET OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS APPROVED BY THE CMHC BOARD. THE ENTIRE CHMC 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 ATTORNEY'S FACTORS USED IN DETERMINING COMPARABILITY TO THE ORGANIZATION INCLUDING GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE'S CONSULTANTS, OR ITS ATTORNEYS. USING THIS INFORMATION, THE EPCC 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 IRS GUIDANCE. THE COMPENSATION PAID TO KEY EMPLOYEES IS REVIEWED BY THE VICE PRESIDENT OF HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT. DURING THE REVIEW PROCESS, THE CENTRAL MAINE HEALTHCARE COMPENSATION MANAGER PROVIDERS MARKET DATA ON COMPARABLE POSITIONS FROM COMPARATIVE GROUPS OF HEALTHCARE ORGANIZATIONS THAT ARE APPROPRIATELY SIMILAR IN TERMS OF THEIR REVENUE, GEOGRAPHIC LOCATION, NUMBER OF EMPLOYEES, NUMBER OF STAFFED HOSPITAL BEDS, ETC. HUMAN RESOURCES PROVIDES AT A MINIMUM FOUR SETS OF COMPARABILITY DATA FROM THE MOST RECENT NATIONAL HEALTHCARE SPECIFIC COMPENSATION SURVEYS ( E. G. WATSON & WYATT, SULLIVAN & COTTER, THE HAY GROUP, MERCER, ETC) FOR REFERENCE. THESE SURVEYS REPORT PAY RATE DATA THAT IS TYPICALLY AGED LESS THAN 6 MONTHS. CENTRAL MAINE HEALTHCARE AND AFFILIATES STRIVE TO PAY AT THE MARKET AVERAGE OR SLIGHTLY ABOVE IT FOR KEY EMPLOYEES. ONCE THE COMPENSATION MANAGER AND THE VICE PRESIDENT OF HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT HAVE FINALIZED RECOMMENDATIONS BASED ON THIS EMPIRICAL DATA, THEY ARE PRESENTED TO THE PRESIDENTS OF EACH HOSPITAL THAT SUPERVISE THE KEY EMPLOYEES, AND THE CEO OF CENTRAL MAINE HEALTHCARE, FOR REVIEW, EDITS, AND APPROVAL. THIS PROCESS TYPICALLY OCCURS DURING THE LAST MONTH OF THE FISCAL YEAR IN PREPARATION FOR THE NEXT FISCAL YEAR. CENTRAL MAINE HEALTHCARE DOCUMENTS THE BASIS FOR ITS DETERMINATION FOR KEY EMPLOYEES' COMPENSATION AND MAINTAINS THIS CONTEMPORANEOUSLY SUBSTANTIATED MATERIAL IN THE HUMAN RESOURCES DEPARTMENT. 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 RECENTLY FILED FORM 990 AND PROVIDED, UPON REQUEST, IN THAT FORMAT UNLESS THE SPECIFIC REQUEST DEEMS A DIFFERENT FORMAT MORE APPROPRIATE. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 55,901,242. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 91. TOTAL EXPENSES 55,901,333. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AFFLIATE 44,967,048. CHANGE IN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS -127,190. NET ASSETS RELEASED FROM RESTRICTION 1,553,317. RESTRICTED INVESTMENT INCOME 385,570. TRANSFER TO PARENT 88,403. CHANGE IN INTEREST OF RESTRICTED ASSETS 73,972. DEFERRED PENSION -2,913. GRANT USED FOR ACQUISITION OF PPE 1,224,024. TRANSFER TO AFFILIATE 693,113. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. CENTRAL MAINE HEALTHCARE CORPORATION PO BOX 4500 LEWISTON ME 04243 010386913 HEALTHCARE ME 501(C)(3) LINE 7 N/A 0 MAINE COLLEGE OF HEALTH PROFESSIONS PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501(C)(3) LINE 2 CMMC 1 RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 HEALTHCARE ME 501(C)(3) LINE 3 CMHC 0 RUMFORD HOSPITAL 420 FRANKLIN STREET RUMFORD ME 04276 010215227 HEALTHCARE ME 501(C)(3) LINE 3 CMHC 0 CENTRAL MAINE REAL ESTATE MANAGEMENT CO01-0387674 PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501(C)(2) CMHC 0 RUMFORD COMMUNITY HOME CORPORATION 11 JOHN F KENNEDY LANE RUMFORD ME 04276 222844951 NURSING HOME ME 501(C)(3) LINE 10 CMHC 0 CENTRAL MAINE COMMUNITY HEALTH CORP PO BOX 4500 LEWISTON ME 04243 010386912 PUBLIC ED ME 501(C)(3) LINE 7 CMHC 0 BRIDGTON HOSPITAL 10 HOSPITAL DRIVE BRIDGTON ME 04009 010130427 HEALTHCARE ME 501(C)(3) LINE 3 CMHC 0 ELIAS E TUCKER TRUST FUND CO CMMC 300 MAIN STREET LEWISTON ME 04240 016042343 FUNDING ME 501(C)(3) LINE 12A, I CMMC 1 CWM INSURANCE LTD GENESIS BUILDING PO BOX CJ 980220891 INSURANCE CJ N/A C 0 CENTRAL MAINE HEALTH VENTURES INC 300 MAIN STREET LEWISTON ME 04240 010430016 HEALTHCARE ME N/A C 0 CENTRAL MAINE ACO 300 MAIN STREET LEWISTON ME 04240 274604314 ACCOUNTABLE CARE ME N/A C 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 MAINE COLLEGE OF HEALTH PROFESSIONS O 3390502 COST