2022-05-16T09:20:14-05:00 2021-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2020-07-01 010386913 CENTRAL MAINE HEALTHCARE CORPORATION CENT 2077952813 PO BOX 4500 LEWISTON ME 04243 STEVEN LITTLESON PRESIDENT & CEO 2077952813 2022-05-12 1 STEVEN LITTLESON 999009999 AMY CIMINELLO P00796388 6148493000 2022-05-12 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEVE LITTLESON 300 MAIN STREET LEWISTO ME 04240 108556971 0 X WWW.CMHC.ORG X 1982 ME CENTRAL MAINE HEALTHCARE CORPORATION SUPPORTS ITS AFFILIATED HEALTHCARE INSTITUTIONS IN ORDER FOR THESE ENTITIES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES 16 11 576 15 0 0 2636273 1144202 67179044 35705118 18212529 10588526 -2069909 46456 85957937 47484302 2536850 16530 0 0 35613273 6944165 0 0 0 32541512 28781597 70691635 35742292 15266302 11742010 194409479 160072160 85103551 100561609 109305928 59510551 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITTMENT, AND COMPASSION OF OUR FAMILY OF CAREGIVERS. 0 0 30300459 16530 35751574 TO SUPPORT AFFILIATED HEALTHCARE INSTITUTIONS BY PROVIDING MANAGERIAL, ADMINISTRATIVE, AND FUND-RAISING SERVICES IN A CONTINUOUS, ORGANIZED, AND EFFICIENT MANNER. 30300459 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 59 0 1 576 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 16 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 ME X KRISTEN ST PETER 2077952813 300 MAIN STREET LEWISTON ME 04240 X JEFF BRICKMAN PRESIDENT/DIRECTOR 60.00 3.00 X X 945603 0 219303 DAVID SALKO DIRECTOR BEG 1/21 3.00 55.00 X 0 333577 26982 JENNIFER WEINER-SMITH MD PHYSICIAN/DIRECTOR 3.00 55.00 X 0 315310 26723 HECTOR TARRAZA DIRECTOR BEG 1/21 3.00 55.00 X 0 233969 0 DEBORAH DUNLAP AVASTHI CHAIR PERSON/ DIRECTOR END 1/21 3.00 1.00 X 0 0 0 AUSTIN ALBERT DIRECTOR 3.00 1.00 X 0 0 0 WILLIAM CLIFFORD DIRECTOR 3.00 1.00 X 0 0 0 DEVORE CULVER CHAIR PERSON/ DIRECTOR 3.00 1.00 X 0 0 0 JANET HALL KOSKI DIRECTOR 3.00 1.00 X 0 0 0 GEOFFREY SWIFT DIRECTOR 3.00 1.00 X 0 0 0 JOHN MCANUFF DIRECTOR 3.00 1.00 X 0 0 0 KEVIN MORNEAULT DIRECTOR END 7/20 3.00 1.00 X 0 0 0 SHERWOOD MOODY DIRECTOR 3.00 1.00 X 0 0 0 JOLAN IPPOLITO DIRECTOR 3.00 1.00 X 0 0 0 LOUIS SILVERMAN DIRECTOR BEG 1/21 3.00 1.00 X 0 0 0 MARNEY CHALMERS DIRECTOR BEG 1/21 3.00 1.00 X 0 0 0 ANN CONNELLY DIRECTOR BEG 1/21 3.00 1.00 X 0 0 0 JOHN WHITLOCK TREASURER END 6/21 60.00 3.00 X 478758 0 2850 CORY BAGBY SECRETARY 60.00 3.00 X 415621 0 9842 JASON KRUPP PHYSICIAN PRACTICE EXEC 55.00 3.00 X 563795 0 3257 JOHN ALEXANDER CHIEF MEDICAL OFFICER 55.00 3.00 X 496166 0 31685 STEVEN LITTLESON PRESIDENT CMMC/CMHCC 60.00 3.00 X 429920 0 19602 PETER WRIGHT PRESIDENT BRIDGTON HOSPITAL 55.00 3.00 X 436017 0 13176 AMY LEE VICE PRESIDENT 55.00 3.00 X 418577 0 27206 MICHELE TALKA CHIEF HUMAN RESOURCES OFFICER 60.00 3.00 X 341978 0 26126 REBECCA SPERREY VICE PRESIDENT 55.00 0.00 X 295351 0 10301 DENIS TANGUAY CIO 60.00 3.00 X 262093 0 14640 KRISTINE CHAISSON CHIEF NURSING OFFICER BEGIN 8/20 55.00 0.00 X 214935 0 26514 STEPHANIE JACKMAN-HAVEY VICE PRESIDENT 55.00 0.00 X 232478 0 2914 MICHAEL ANDEREGG VICE PRESIDENT 55.00 0.00 X 232979 0 1640 JACQUELINE WEDER DIRECTOR MARKETING 55.00 0.00 X 218611 0 8963 MARY-ANNE PONTI CHIEF NURSING OFFICER END 8/20 55.00 0.00 X 188967 0 19025 CINDY RUSSO VICE PRESIDENT 55.00 3.00 X 419701 0 13715 STEVEN MARTEL CHIEF MEDICAL INFO OFFICER 55.00 0.00 X 329661 0 29987 NANCY BAN VICE PRESIDENT 55.00 0.00 X 250864 0 23283 JEFFREY BUCK DIRECTOR MANAGED CARE 55.00 3.00 X 213725 0 9339 CHARLYN FEENEY DIRECTOR RISK MANAGEMENT 55.00 3.00 X 201691 0 20019 DAVID TUPPONCE FORMER PRESIDENT CMMC 0.00 1.00 X 557207 0 4127 RYAN MCKEOWN FORMER VICE PRESIDENT 0.50 0.00 X 119944 0 0 8264642 882856 591219 34 1 1 0 CERNER CORPORATION 2800 ROCK CREEK PKWY KANSAS CITY MO 64117 IT SUPPORT 6154691 KAUFMAN HALL AND ASSOCIATES IN 10 S WACKER SUITE 3375 CHICAGO IL 60606 CONSULTING SERVICES 3694907 MEDMATICA CONSULTING 2555 MERIDIAN BLVD FRANKLIN TN 37067 COLLECTIONS SERVICES 810394 UMR PO BOX 88822 MILWAUKEE WI 532880822 BENEFITS ADMINISTRATION 730054 PARALLON REVENUE CYCLE SER 552 METROPLEX DR NASHVILLE TN 37211 COLLECTIONS SERVICES 717167 5 1144202 1144202 MANAGEMENT FEES/AFFILIATES ALLOCA 900099 35599400 35599400 RELATED ENTITY RENTAL 532000 105718 105718 35705118 1145734 1145734 46456 0 46456 46456 46456 66332967 4182494 57780919 3291750 8552048 890744 9442792 9442792 47484302 35751574 0 10588526 X 16530 16530 1222311 1038964 183347 -116240 -98804 -17436 3815524 3243195 572329 2022570 1719185 303385 505996 505996 292341 292341 14005995 14005995 358974 265641 93333 5222454 3864616 1357838 6778894 5016382 1762512 207289 153394 53895 87145 64487 22658 41536 13707 27829 206216 121667 84549 -494936 -366253 -128683 IC ALLOCATIONS- MEDICAL 1241753 1241753 TAXES- PP/ REAL ESTATE 327940 327940 35742292 30300459 5441833 0 56761 -121007 79076286 15385962 37320 1417746 1445344 8581294 8746551 7766234 838867 5277320 59171853 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RESTRICTED BY DONORS 20544814 HELD BY TRUSTEE 7832284 DEFERRED COMPENSATION PLAN 38184562 RIGHT OF USE ASSETS- OPERATING LEASE 5157753 FINANCE LEASE ASSETS 6316294 OTHER 4252534 117015712 OPERATING LEASE LIABILITY 5183266 FINANCE LEASE LIABILITY 6501687 DEFERRED PENSION LIABILITY 42397742 457 PLAN LIABILITY 20845800 ACCRUED LONG TERM BENEFITS 95505 LT CHOICE TIME RESERVE 356048 RESERVE FLEX BENEFITS 135677 DEFERRED SOCIAL SECURITY EMPLOYER 1048799 UNSECURED NOTES PAYABLE -49551 76514973 PART V, LINE 4: CENTRAL MAINE HEALTHCARES ENDOWMENTS ARE USED TOWARD THE VARIOUS ASPECTS OF MANAGING A HEALTHCARE NETWORK. SOME ENDOWMENTS ARE DEDICATED TO SPECIFIC HOSPITALS WITHIN THE SYSTEM WHILE OTHER ENDOWMENTS ARE MORE GENERIC IN NATURE. SOME ARE DEDICATED TO CAPITAL ACQUISITIONS WHILE OTHERS ARE OPERATIONAL PURPOSES. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES CAPTIVE INSURANCE INV. 5829050 0 0 0 0 0 0 5829050 0 5829050 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 CENTRAL MAINE MEDICAL CENTER 010211494 501 (C) (3) 16530 RELATED ENTITY SUPPORT BRIDGTON HOSPITAL 010130427 501 (C) (3) RELATED ENTITY SUPPORT MAINE COLLEGE OF HEALTH PROFESSIONS 010356077 501 (C) (3) RELATED ENTITY SUPPORT 3 0 PART I, LINE 2: ASSISTANCE WAS PROVIDED TO EMPLOYEES IN DIRE FINANCIAL STRAITS DUE TO ECONOMIC HARDSHIP. THE AMOUNTS DID NOT HAVE A SPECIFIC PURPOSE ATTACHED AND NO TRACKING IS REQUIRED. CONTRIBUTIONS ARE BOOKED TO CENTRAL MAINE HEALTHCARE CORPORATION AND RELEASED TO CENTERAL MAINE MEDICAL CENTER, A RELATED ORGANIZATION, FOR SUPPORT. AS THE ORGANIZATIONS ARE RELATED AND SHARE COMMON MANAGEMENT AND DIRECTORS, CMHC CAN MONITOR THE USE OF THE FUNDS X X X X 1 1 0 0 0 0 0 1 0 JEFF BRICKMAN PRESIDENT/DIRECTOR 780191 0 146241 0 19171 0 190423 0 28880 0 1164906 0 0 0 JASON KRUPP PHYSICIAN PRACTICE EXEC 451668 0 39529 0 72598 0 3257 0 0 0 567052 0 0 0 DAVID TUPPONCE FORMER PRESIDENT CMMC 91479 0 0 0 465728 0 2116 0 2011 0 561334 0 0 0 JOHN ALEXANDER CHIEF MEDICAL OFFICER 411811 0 40160 0 44195 0 3109 0 28576 0 527851 0 0 0 JOHN WHITLOCK TREASURER END 6/21 401238 0 36560 0 40960 0 2850 0 0 0 481608 0 0 0 STEVEN LITTLESON PRESIDENT CMMC/CMHCC 328265 0 35000 0 66655 0 0 0 19602 0 449522 0 0 0 PETER WRIGHT PRESIDENT BRIDGTON HOSPITAL 362649 0 34996 0 38372 0 2709 0 10467 0 449193 0 0 0 AMY LEE VICE PRESIDENT 233754 0 103846 0 80977 0 4002 0 23204 0 445783 0 0 0 CINDY RUSSO VICE PRESIDENT 217899 0 0 0 201802 0 2916 0 10799 0 433416 0 0 0 CORY BAGBY SECRETARY 279318 0 50000 0 86303 0 2980 0 6862 0 425463 0 0 0 MICHELE TALKA CHIEF HUMAN RESOURCES OFFICER 282208 0 27242 0 32528 0 2124 0 24002 0 368104 0 0 0 DAVID SALKO DIRECTOR BEG 1/21 0 259379 0 65637 0 8561 0 2406 0 24576 0 360559 0 0 STEVEN MARTEL CHIEF MEDICAL INFO OFFICER 323434 0 5000 0 1227 0 2107 0 27880 0 359648 0 0 0 JENNIFER WEINER-SMITH MD PHYSICIAN/DIRECTOR 0 295035 0 16618 0 3657 0 2422 0 24301 0 342033 0 0 REBECCA SPERREY VICE PRESIDENT 225669 0 45263 0 24419 0 1673 0 8628 0 305652 0 0 0 DENIS TANGUAY CIO 143791 0 0 0 118302 0 1780 0 12860 0 276733 0 0 0 NANCY BAN VICE PRESIDENT 191891 0 40208 0 18765 0 1352 0 21931 0 274147 0 0 0 KRISTINE CHAISSON CHIEF NURSING OFFICER BEGIN 8/20 201850 0 0 0 13085 0 1334 0 25180 0 241449 0 0 0 STEPHANIE JACKMAN-HAVEY VICE PRESIDENT 186883 0 17093 0 28502 0 1443 0 1471 0 235392 0 0 0 MICHAEL ANDEREGG VICE PRESIDENT 106163 0 0 0 126816 0 1640 0 0 0 234619 0 0 0 HECTOR TARRAZA DIRECTOR BEG 1/21 0 229239 0 0 0 4730 0 0 0 0 0 233969 0 0 JACQUELINE WEDER DIRECTOR MARKETING 152451 0 20000 0 46160 0 0 0 8963 0 227574 0 0 0 JEFFREY BUCK DIRECTOR MANAGED CARE 185474 0 24510 0 3741 0 1261 0 8078 0 223064 0 0 0 CHARLYN FEENEY DIRECTOR RISK MANAGEMENT 192624 0 3994 0 5073 0 1446 0 18573 0 221710 0 0 0 MARY-ANNE PONTI CHIEF NURSING OFFICER END 8/20 169055 0 0 0 19912 0 1989 0 17036 0 207992 0 0 0 RYAN MCKEOWN FORMER VICE PRESIDENT 0 0 0 0 119944 0 0 0 0 0 119944 0 0 0 PART I, LINE 7 BONUSES ARE BASED ON PERFORMANCE MEASURES AND THERE IS BOARD DISCRETION. PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED NET TAXABLE SEVERANCE PAYMENTS FROM CENTRAL MAINE HEALTHCARE CORPORATION: MICHAEL ANDEREGG $112,206 STEPHANIE JACKMAN-HAVEY $8,109 RYAN MCKEOWN $119,944 CINDY RUSSO $176,544 DENIS TANGUARY $103,039 DAVID TUPPONCE $460,184 PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL VEST ON THE PARTICIPANT'S VESTING DATE PROVIDED THE PARTICIPANT HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THIS PLAN. A PARTICIPANT WILL HAVE ONLY ONE VESTING DATE FOR ALL ELECTIVE DEFERRALS AND OTHER PLAN CONTRIBUTIONS MADE ON THE PARTICIPANT'S BEHALF DURING ALL PLAN YEARS. A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL ALSO VEST ( A) IF THE PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, ( B) IF THE PARTICIPANT'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY, OR ( C) IF THE EMPLOYER TERMINATES THE PARTICIPANTS EMPLOYMENT FOR ANY REASON OTHER THAN FOR CAUSE ANY PORTION OF THE PARTICIPANT'S ENTITLEMENT 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. JEFF BRICKMAN PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCARE CORPORATION. THE AMOUNT WAS $185,248. WILLIAM W CHALMERS BOARD MEMBER- DEPARTED IN 2018 LIFE INSURANCE X 0 207835 1 1 1 WILLIAM LEE BOARD MEMBER- DEPARTED IN 2019 LIFE INSURANCE X 0 1237509 1 1 1 PETER CHALKE BOARD MEMBER- DEPARTED IN 2016 LIFE INSURANCE X 0 8746551 1 1 1 10191895 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. FOLLOWING THAT REVIEW THEY ARE PRESENTED TO THE FINANCE COMMITTE 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. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY OFFICERS AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND CONFORMS TO THE CONDITIONS CONTAINED WITHIN THE CORPORATION'S BYLAWS, WHICH MEET OR EXCEED THE CURRENT IRS REPORTING THRESHOLDS IN AREAS OF CONFLICT BY THE CHAIRMAN, THE VICE-CHAIRMAN REVIEWS ADDITIONALLY, AS PART OF THE ANNUAL FORM 990 PREPARATION PROCESS, A SEPARATE QUESTIONNAIRE IS PROVIDED, WHICH INCLUDES DISTRIBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS THESE QUESTIONNAIRES ARE REVIEWED BY THE FINANCE DEPARTMENT FOR REPORTABLE ITEMS FOR THE FORM 990 IN THE CASE OF A POSSIBLE CONFLICT, THE BOARD WOULD REVIEW THE SITUATION AND TAKE ACTIONS DEEMED APPROPRIATE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION POLICY CENTRAL MAINE HEALTHCARE (CMHC) HAS ESTABLISHED AND FOLLOWS A DELIBERATE, TRANSPARENT PROCESS WHICH MEETS IRS REGULATIONS FOR REBUTTABLE PRESUMPTION OF REASONABLENESS A STANDING PHYSICIAN & EXECUTIVE COMPENSATION COMMITTEE (P&ECC), COMPRI SEO OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, REVIEWS AND APPROVES THE CEOS RECOMMENDATIONS FOR THE OTHER KEY EXECUTIVES INCLUDING, BUT NOT LIMITED TO THE CHIEF FINANCIAL OFFI CER, PRESIDENT OF CENTRAL MAINE MEDICAL GROUP (CMMG), PRESIDENT OF CENTRAL MAINE MEDICAL C ENTER, AND THE PRESIDENT OF RUMFORD AND BRIDGTON HOSPITALS THE PROCESS GUIDELINES AND AUTHORITY OF THE P&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 THE CEO, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN THE P&ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE THIRD PARTY PUBLISHED COMPENSATION COMP ARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, THAT INCLUDES GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE'S INDEPENDENT CONSUL TANT USING THIS INFORMATION, THE P&ECC ANNUALLY REVIEWS THE CEO'S COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE CEO'S 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 THE COMPENSATION PAID TO KEY EMPLOYEES AND RECOMMENDATIONS BY THE CEO FOR ANY CHANGES TO THEIR COMPENSATION IS ALSO REVIEWED BY THE P&ECC THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT PROVIDES MARKET DATA ON COMPARABLE POSITIONS FROM COMPARATIVE GROUPS OR HEALTHCARE ORGANIZATIONS THAT ARE APPROPRIATELY SIMILAR IN TERMS OF THEIR REVENUE, GEOGRAPHIC LOCATION, NUMBER OF EMPLOYEES, NUMBERS OF STAFFED HOSPITAL BEDS, ETC THE CONSUL TANT PROVIDES AT A MINIMUM FOUR SETS OF COMPARABILITY DATA FROM THE MOST RECENT NATIONAL HEALTHCARE SPECIFIC COMPENSATION SURVEYS (E G WILLIS TOWERS WATSON, SULLIVAN AND CO TTER,INTEGRATED HEALTHCARE STRATEGIES, 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 THE CEO AND KEY EMPLOYEES ONCE THE COMPENSATION CONSULTANT AND THE VICE PRESIDENT, CHIEF HUMAN RESOURCE OFFICER 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 THE P&ECC IS ASKED TO REVIEW AND APPROVE THOSE RECOMMENDATIONS THIS TYPICALLY OCCURS AFTER THE CLOSE OF THE FISCAL YEAR WITH ANY ADJUSTMENTS MADE RETROACTIVE TO THE BEGI NNING OF THE FISCAL YEAR CENTRAL MAINE HEALTHCARE DOCUMENTS THE BASIS FOR THE DETERMINATION OF THE CEO AND & 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 VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. JEFF BRICKMAN WAS EMPLOYED AS PRESIDENT OF CENTRAL MAINE HEALTHCARE CORPORATION AND NOW STEVEN LITTLESON IS IN THAT POSITION. BOTH JEFF BRICKMAN AND STEVEN LITTLESON WERE COMPENSATED BASED ON THEIR ROLE AS PRESIDENT. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 14,005,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,005,995. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -64,723,008. CHANGE IN DEFINED BENEFIT 742,503. RESTRICTED CONTRIBUTIONS 212,705. RESTRICTED INVESTMENT INCOME 363,909. CHANGE IN UNREALIZED GAIN 172,802. CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION 2,004,749. CHANGE IN INTEREST OF RESTRICTED NET ASSETS 164,854. TRANSFER TO PARENT -54,075. NET ASSETS RELEASED FROM RESTRICTIN -1,351,593. CENTRAL MAINE MEDICAL CENTER PO BOX 4500 LEWISTON ME 04243 010211494 HEALTHCARE ME 501 (C) (3) LINE 3 CMHC 1 MAINE COLLEGE OF HEALTH PROFESSIONS PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501 (C) (3) LINE 2 CMMC 1 RUMFORD HOSPITAL 420 FRANKLIN STREET RUMFORD ME 04276 010215227 HEALTHCARE ME 501 (C) (3) LINE 3 CMHC 1 CENTRAL MAINE REAL ESTATE MGMT CORP PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501 (C) (2) CMMC 1 RUMFORD COMMUNITY HOME CORPORATION 11 JOHN F KENNEDY DRIVE RUMFORD ME 04276 222844951 NURSING HOME ME 501 (C) (3) LINE 10 CMHC 1 CENTRAL MAINE COMMUNITY HEALTH CORP PO BOX 4500 LEWISTON ME 04243 010386912 PUBLIC EDUCATION ME 501 (C) (3) LINE 7 CMHC 1 BRIDGTON HOSPITAL 10 HOSPITAL DRIVE BRIDGTON ME 04009 010130427 HEALTHCARE ME 501 (C) (3) LINE 3 CMHC 1 BRIDGTON HOSPITAL PHYSICIANS GROUP SOUTH HIGH STREET BRIDGTON ME 04009 010493083 FUNDING ME 501 (C) (3) PF CMHC 1 ELIAS E TUCKER TRUST FUND C/O CMMC 300 MAIN STREET LEWISTON ME 04240 016042343 NURSING EDUCATION ME 501 (C) (3) LINE 12A, I CMMC 0 RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 FUNDING ME 501 (C) (3) LINE 3 RUMFORD HOSPITAL 1 CWM INSURANCE LTD GENESIS BUILDING PO BOX GRAND CAYMAN CJ 980220891 INSURANCE CJ CMHC C 3463010 72678025 1.00000 1 CENTRAL MAINE HEALTH VENTURES INC 300 MAIN STREET LEWISTON ME 04240 010430016 HEALTHCARE ME CMHC C 14043104 29852993 1.00000 1 CENTRAL MAINE ACO 300 MAIN STREET LEWISTON ME 04240 274604314 ACCOUNTABLE CARE ME CMHC C 5487493 12357426 1.00000 1 1 1 0 0 0 1 0 0 0 1 0 1 0 0 1 1 1 0 0 CENTRAL MAINE MEDICAL CENTER L 29938903 COST CENTRAL MAINE MEDICAL CENTER O 27337719 COST BRIDGTON HOSPITAL L 3447404 COST BRIDGTON HOSPITAL O 3345769 COST RUMFORD HOSPITAL L 3134202 COST RUMFORD HOSPITAL O 3084010 COST CENTRAL MAINE ACO O 1161936 COST CENTRAL MAINE HEALTH VENTURES INC L 954375 COST CENTRAL MAINE HEALTH VENTURES INC O 775417 COST CENTRAL MAINE MEDICAL CENTER P 492100 COST CENTRAL MAINE ACO L 131255 COST CENTRAL MAINE COMMUNITY HEALTH ORGANIZATION L 69116 COST BRIDGTON HOSPITAL A 60298 FMV BRIDGTON HOSPITAL P 56513 COST RUMFORD HOSPITAL P 51778 COST RUMFORD HOSPITAL A 45420 FMV