2021-08-11T13:36:10-05:00 2020-09-30 990 2019-10-01 222571902 MAINEHEALTH CARE AT HOME MAIN 2072844566 15 INDUSTRIAL PARK DRIVE SACO ME 04072 Elaine Collins CFO 2072844566 2021-08-06 2019 2022-09-23 18:48:47Z Donna DeBlois 15 INDUSTRIAL PARK DRIVE SACO ME 04072 33142237 0 X WWW.HOMEHEALTH.ORG X 1972 ME HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. 13 10 0 105 0 0 901235 2042108 32126966 28407365 -248555 111687 206643 220421 32986289 30781581 0 0 0 0 24275640 23700811 0 0 0 8500811 9129999 32776451 32830810 209838 -2049229 13674319 13871515 5280998 6743287 8393321 7128228 X HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. 0 0 22921737 21716249 HOMECARE: TO PROVIDE AND ASSURE EQUAL AND TIMELY ACCESS TO A COMPREHENSIVE ARRAY OF CLIENT-DIRECTED QUALITY HOME HEALTH CARE. THESE SERVICES INCLUDE VISITS FROM REGISTERED NURSES, REHABILITATIVE THERAPISTS, SOCIAL WORKERS, HOME HEALTH AIDES AND REGISTERED NUTRITIONISTS. THESE SERVICES INCLUDED 8,499 ADMISSIONS, 132,400 HOME VISITS AND $259,600 OF FREE CARE. 5439998 5153901 VISITING HOSPICE: THE HOSPICE PROGRAM PROVIDED HEALTHCARE AND COMFORT FOR 383 TERMINALLY ILL PATIENTS WITHIN THE COMMUNITY. 1047312 992233 RESIDENTAL HOSPICE - SUSSMAN HOUSE: THE SUSSMAN HOUSE IS A 7 BED HOSPICE FACILITY. THIS HOUSE ENHANCES THE CURRENT HOSPICE PROGRAM BY GIVING PATIENTS A PLACE TO GO FOR GENERAL INPATIENT CARE WHICH IS PART OF OUR CONTINUM OF CARE. THE SUSSMAN HOUSE ALSO OFFERS A PLACE FOR PATIENTS TO GO FOR RESPITE CARE. DURING THE TAX YEAR A TOTAL OF 148 PATIENTS WERE PROVIDED CARE. 832121 788358 PCH GRANT: NEWBORNS AND MOTHERS GOT A HEALTHY START WITH HOME NURSING VISITS OFFERED AT NO CHARGE THROUGH A HEALTH PROMOTION GRANT FROM THE DIVISION OF FAMILY HEALTH OF THE STATE OF MAINE DEPARTMENT OF HUMAN SERVICES. SERVICES INCLUDED 482 ADMISSIONS AND 1,734 HOME VISITS. COMMUNITY HEALTH: OUR COMMUNITY HEALTH NURSES PROVIDE EDUCATION, FLU SHOTS, FOOT CARE AND BLOOD PRESSURE SCREENINGS THROUGHOUT SOUTHERN MAINE. REGISTERED DIETITIANS PROVIDE CONSULTATION AND EDUCATIONAL PROGRAMS RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION. PRIVATE DUTY: TO PROVIDE PERSONAL CARE SUPPORT TO ENHANCE INDEPENDENCE AND DIGNITY. 832121 788358 30241168 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ELAINE COLLINS 2072844566 15 INDUSTRIAL PARK DRIVE SACO ME 04072 DARYL CADY DIRECTOR 1.00 0.00 X 0 0 0 DENISE DOYON SECRETARY 1.00 0.00 X X 0 0 0 JUDITH T STONE DIRECTOR 1.00 0.00 X 0 0 0 PATRICIA APRILE VICE CHAIR 1.00 50.00 X X 0 397011 36820 SCOTT GARDNER DIRECTOR 1.00 0.00 X 0 0 0 BRYAN CHRISTOFORO DIRECTOR 1.00 0.00 X 0 0 0 PATRICIA CAMIRE CHAIR 1.00 0.00 X X 0 0 0 CHAD A BOUCHER DIRECTOR 1.00 0.00 X 0 0 0 JEAN A DYER DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER MORTON DIRECTOR 1.00 0.00 X 0 0 0 KARY FRANCHETTI DIRECTOR 1.00 50.00 X 0 115522 16053 JANE CONRAD DIRECTOR 1.00 0.00 X 0 0 0 DANIEL FORGUES TREASURER 1.00 50.00 X X 0 246599 30755 DONNA DEBLOIS PRESIDENT, CEO 50.00 0.00 X 316844 0 33182 ELAINE COLLINS CFO 50.00 0.00 X 171605 0 28461 MARIA MILLEFOGLIE GRANT WRITER 50.00 0.00 X 113947 0 23382 JOCELYN CORKUM PHYSICAL THERAPIST 50.00 0.00 X 106108 0 30924 PAUL STELTZER VP REHAB & FACILITIES 50.00 0.00 X 106213 0 28995 CHERYL A MITCHELL SUPV - EVENING WEEKEND 50.00 0.00 X 103577 0 13065 ROBERT ABEL CNO 50.00 0.00 X 141683 0 17056 HEIDI WIERMAN MD FORMER SECRETARY 0.00 50.00 X 0 237461 86886 1059977 996593 345579 10 1 1 0 Blacktree Hlthcre Consult LLC 1030 Continental Dr King of Prussia PA 19406 Consulting 369752 AHSA LLC 10126 E Cherry Bend Road Traverse City MI 49684 Staffing 138288 2 1904237 137871 2042108 Home health care services 623000 28407365 28407365 28407365 88732 88732 2383611 2360656 22955 22955 22955 Other revenue 900099 220421 220421 220421 30781581 28650741 0 88732 550286 550286 18862438 17916589 945849 289765 273264 16501 3078673 2882723 195950 919649 850675 68974 4498 4498 133157 133157 8076 7470 606 2051116 1897282 153834 44735 41380 3355 1153795 1067260 86535 1107042 1024014 83028 1087226 1005684 81542 1058715 979311 79404 84961 78589 6372 25387 23483 1904 549853 508614 41239 40621 37574 3047 Medical supplies 1406943 1301422 105521 Member dues 327589 303020 24569 Other 46285 42814 3471 32830810 30241168 2589642 0 3153998 1880737 229351 256933 2212652 3469522 68259 45241 8078183 7208905 992278 869278 2705748 2639337 1979108 2487590 2332925 2222877 13674319 13871515 2288762 2859542 153124 105599 2839112 3778146 5280998 6743287 X 6478975 4839679 1914346 2288549 8393321 7128228 13674319 13871515 X -2049229 474513 309623 X 0 1 X 1 0 X 953290 937133 766145 901235 2042108 5599911 22795424 28475101 30146005 32126966 28627786 142171282 23748714 29412234 30912150 33028201 30669894 147771193 0 0 0 147771193 173541 69545 81391 69956 88732 483165 173541 69545 81391 69956 88732 483165 23922255 29481779 30993541 33098157 30758626 148254358 0.99670 0.99660 0.00330 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1914346 3375 394846 24018 2288549 1966485 5507 8842 66488 1914346 1876630 120026 30171 1966485 1693655 1790 210417 29232 1876630 1645002 62637 13984 1693655 0.75000 0.25000 0 1 1 122000 122000 1643900 1463004 180896 525762 280847 244915 5786521 5465054 321467 869278 HEDGE AND OTHER 2487590 F 2487590 PREPAID CAPITAL COSTS 696085 ESCROW FOR DEBT SERVICE 45498 BENEFICIAL INTEREST PERPETUAL TRUST 1481294 2222877 DUE TO AFFILIATES 2986960 LONG TERM NOTE TO AFFILIATE 791186 3778146 X 32145499 474513 889405 1363918 30781581 0 30781581 33386574 555764 555764 32830810 0 32830810 Part X, Line 2: FIN 48 Footnote The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code (IRC). As a public charity, the Association is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Association's tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: NET TRANSFERS TO AFFILIATES 24,018. CHANGE IN VALUE OF BENEFICIAL INT 309,623. EE RETENTION TAX CREDIT REV RECLASS TO PAYROLL TAX EXP 555,764. Part XII, Line 2d - Other Adjustments: EE RETENTION TAX CREDIT REV RECLASS TO PAYROLL TAX EXP 555,764. PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE INCOME FROM THE ENDOWMENT FUND IS USED TO PROVIDE CHARITY AND UNCOMPENSATED CARE TO THE RESIDENTS SERVED BY THE ORGANIZATION. 0 0 0 0 0 0 0 0 0 PATRICIA APRILE VICE CHAIR 0 320957 0 44757 0 31297 0 9800 0 27020 0 433831 0 0 DANIEL FORGUES TREASURER 0 203584 0 22800 0 20215 0 16366 0 14389 0 277354 0 0 DONNA DEBLOIS PRESIDENT, CEO 219145 0 41000 0 56699 0 5600 0 27582 0 350026 0 0 0 ELAINE COLLINS CFO 150741 0 0 0 20864 0 0 0 28461 0 200066 0 0 0 ROBERT ABEL CNO 135148 0 0 0 6535 0 2849 0 14207 0 158739 0 0 0 HEIDI WIERMAN MD FORMER SECRETARY 0 229685 0 0 0 7776 0 54171 0 32715 0 324347 0 0 Schedule J, Part III (relating to Part 1, Line 3) Top management officials are compensated by related organizations. These organizations used one or more of the methods shown at Part 1, Line 3 to establish the compensation of top management. See description of process in Schedule O - Form 990, Part VI, Line 15 - Compensation for Top Official FORM 990, PART V - ADDITIONAL INFORMATION LINE 2a: MaineHealth (EIN 01-0238552), acting on behalf of the MaineHealth System filed Form W-3, reporting 22,661 employees for the calendar year 2019. FORM 990, PART V - ADDITIONAL INFORMATION LINE 1a: MaineHealth (EIN 01-0238552), acting on behalf of the MaineHealth System filed 1,687 Form 1099s for the calendar year 2019. Form 990, Part VI, Section A, line 6 MAINEHEALTH SERVICES (EIN# 01-0431680) IS THE ORGANIZATION'S SOLE MEMBER. Form 990, Part VI, Section A, line 7a THE MEMBER ELECTS THE BOARD MEMBERS ANNUALLY. OFFICERS OF THE CORPORATION ARE ELECTED OR APPOINTED BY THE BOARD. Form 990, Part VI, Section A, line 7b THE MEMBER ELECTS THE BOARD OF DIRECTORS. THE MEMBER ALSO WOULD HAVE SOLE AUTHORITY TO APPROVE OF ANY SALE OR DISPOSITION OF CORPORATE ASSETS GREATER THAN $100,000, TO APPROVE OF ANY CORPORATE MERGER, ACQUISITION, DISSOLUTION OR LIQUIDATION, OR ANY OTHER ACTIONS REQUIRED OF MEMBERS BY LAW. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE GOVERNANCE AND MANAGEMENT OF THE CORPORATION. Form 990, Part VI, Section B, line 11b A DETAILED REVIEW OF THE 990 WAS PERFORMED BY THE EXECUTIVE COMMITTEE AND PROVIDED TO THE BOARD OF DIRECTORS. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING AND PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ALL OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE AN ANNUAL QUESTIONNAIRE. THE CEO REVIEWS ALL CONFLICT OF INTEREST FORMS ANNUALLY. ANY REPORTED CONFLICTS ARE IMMEDIATELY REVIEWED BY THE COMPLIANCE OFFICER AND THESE ARE ADDRESSED IMMEDIATELY. Form 990, Part VI, Section B, line 15 The process followed for determining compensation of the CEO compensated by this or other related organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of MaineHealth Care at Home, along with other executives in the MaineHealth Services system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on MaineHealth Services' written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Form 990, Part VI, Section C, line 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: Change in Value of BIPT 309,623. MaineHealth 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 MaineHealth Services 0 NorDx 301A US Route One Scarborough ME 04074 010511356 Lab ME 501(c)(3) Line 10 MaineHealth Services 0 The Memorial Hospital 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital NH 501(c)(3) Line 3 MaineHealth Services 0 MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 Mid Coast-Parkview Health 123 Medical Center Drive Brunswick ME 04011 010430069 Healthcare ME 501(c)(3) Line 12a, I MaineHealth Services 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0