2020-08-14T08:25:19-05:00 2019-09-30 990 2018-10-01 010238552 MaineHealth MAIN 2076622576 22 Bramhall Street Portland ME 04102 Albert G Swallow III CFO 2076622576 2020-08-13 63.247.60.254 2020-08-14 09:24:21 ED P 829AE4A393A3EE33A28B50D291306587A51708D5 3BAD4420C644E26A0A4F69454799749AF4F84D03 2018 2020-09-23 17:36:50Z William L Caron Jr 22 Bramhall Street Portland ME 04102 2471108677 0 X www.mainehealth.org X 1951 ME MaineHealth is a voluntary, not-for-profit community and referral system of hospitals, 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. MaineHealth 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 MaineHealth's mission. MaineHealth also supports basic and clinical research as essential to the advancement of health care. 24 14 0 1176 1686698 0 61054317 68086239 1199064761 1933139975 31294341 25876176 249398227 253067698 1540811646 2280170088 5162440 7330255 0 0 700690580 1145536150 0 0 4246283 626295490 927114240 1332148510 2079980645 208663136 200189443 2015529466 2923881397 993247994 1360470171 1022281472 1563411226 X See Schedule O 0 0 1528298394 1779826 2151121545 Patient CareMaineHealth is a not-for-profit health system dedicated to improving the health of patients and communities by providing high-quality affordable care, educating tomorrow's caregivers, and researching better ways to provide care. MaineHealth includes tertiary care hospitals, critical access hospitals, primary and specialty practice locations, a stand-alone behavioral health hospital, an accountable care organization, an integrated lab company, and a home healthcare organization. (Continued on Schedule O)(Continued from page 2 of 990, Line 4a) These health system resources offer expertise in multiple disciplines including emergency medicine, surgery, radiology, oncology, behavioral health, and a level one trauma center. Summary operating metrics from FY19 are included in the table below: Category CountHospital I/P Discharges (exc. Newborns & Swing Beds) 48,669 Hospital I/P Days (exc. Newborns & Swing Beds) 272,513 Swing Bed Days 3,239 Total Surgeries (IP/OP, exc. Cath Lab & Endo) 53,888 ED Visits (excludes urgent care) 229,351 Nursing Facility Days (Skilled & Intermediate) 149,587 Home Care Visits 161,193 Laboratory Tests 4,333,159 MaineHealth organizations focused on four strategic priorities in FY19: Care Team Well Being, Healthy Communities, Affordable Care and Patient Centered Care. Care Team WellbeingOur employees are our greatest strength, and care team wellbeing is a priority. We focus on team member engagement, protection from burnout, and work-life balance. Each local health system within the MaineHealth organization identified specific goals to achieve care team wellbeing. These goals included establishing a formal physician and nurse retention program, increasing the availability of leadership development workshops, implement a workforce shortage identification policy, and creating a career center. To measure care team wellbeing, MaineHealth selected Gallup to measure care team engagement. A care team engagement survey will be conducted in 2020 and will support measurement and intervention to improve care team wellbeing. Healthy Communities To improve the health of our communities, we focused on developing population health programs to decrease health disparities. Our programs addressed the physical, mental, and behavioral, and socioeconomic determinant aspects of health and well-being. Our program philosophy promoted involvement, engagement, and autonomy so each individual can achieve the highest quality of life. In 2019, MaineHealth:1. Established Opioid Health Homes across our service area, and implemented an Opioid Use Disorder Hub & Spoke Model, allowing the organization to reach hundreds of new patients seeking treatment. 2. Provided social determinants of health training to care managers, conducted poverty awareness testing, and implemented food scarcity screening at pediatric offices in order to identify upstream health concerns. 3. Combined operations of adult and pediatric medical and surgical obesity treatment programs in order to provide surgical treatment to as many eligible adults as possible. Patient Centered CareMaineHealth focuses on continuous improvement in timely access to safe, efficient, effective, and equitable primary and specialty care. Improved communication and coordination of services among health care providers, patients and their caregivers, and community-based resources play a pivotal role in achieving these outcomes. By implementing referral processes, providing education, and establishing a thorough discharge process, MaineHealth has improved access to higher quality, patient centered care. In FY19, MaineHealth increased the number of Colorectal Cancer Screenings by 4.1%, Diabetes Treatments increased by 1.7%, Adverse Childhood Experiences Screening increased by 29.4%, and Congestive Heart Failure Admissions decreased by 13%. MaineHealth focused on providing a streamlined patient experience by investing in a shared patient medical record. In FY19, two additional MaineHealth organizations went live on our Epic medical record, and over the next two years our system will share a single medical record.Affordable CareGrowth in the cost of providing care and reductions in payment lead us to intensely focus on providing the highest quality care at the lowest possible cost. To achieve this goal and position ourselves as a market leader in delivering world-class care at an affordable price, we will foster a culture of innovation. This approach demands that we leverage the latest in technology, engage with our providers and staff, and promote lean processes in caring for our patients. As a way to best reduce cost of care, the MaineHealth System chose to undergo a unification process over the course of FY18, FY19, and continues into FY20. The unification process includes, but is not limited to, integrating services. Centralizing services within our system, why we are share resources efficiently to gain operating efficiencies is a priority as it will benefit patients through operating efficiency measures. To best ensure our Organization is operating efficiently, we set operating margin target goals. The projected FY19 income from operations of $83.2 million equates to an operating margin of 3.05%. This amount exceeds the year end goal of $72.8 million and 2.75. Achieving this result represents an increase over FY18 income from operations of $67.9 million and an operating margin of 2.69%.Finally, these realized efficiencies support realization of charity care. MaineHealth ensures an up-to-date and System-wide applied charity care policy. In FY19, MaineHealth provided $17,572,376 in charity care to our community. Moving forward, we continue to evaluate our charity care policy. 107543440 12735191 Teaching (Medical Education Program)MaineHealth's flagship hospital, Maine Medical Center, has a long history of educating medical students, residents, and faculty. The Department of Medical Education, with a staff of 50, manages 11 residencies and 10 fellowships, all approved by the Accreditation Council for Graduate Medical Education. Currently there are approximately 250 residents and fellows. Historically, about one-third of MMC's residency graduates have stayed in Maine to practice. Our graduates also go on to outstanding fellowship programs. (Continued on Schedule O)(Continued from page 2 of 990, Line 4b) Established in 2008, the Tufts University School of Medicine - Maine Medical Center Program, known as the "Maine Track," offers a unique and innovative curriculum, exposing students to rural practices and training in a major tertiary medical center. There are 40 matriculants in each TUSM class dedicated to Maine Track. Much of the curriculum is based in Maine, particularly in the 3rd & 4th years of medical school. MMC developed a unique 9-month Longitudinal Integrated Clerkship offered at MMC and in 8 community hospital sites. Additionally clerkship students from the UNE College of Osteopathic Medicine rotate through MMC annually. The Hannaford Center for Safety, Innovation and Simulation is a state-of-the-art 15,000 square-foot training center that utilizes the latest in human medical simulator technology to take medical education to the highest level possible. The center provides learners and faculty with extremely realistic scenarios, allowing them to gain significant skills while greatly reducing patient risk. MMC is the flagship provider for Continuing Medical Education in Maine, accredited through the Maine Medical Association. The goal of the CME program is to provide continuing education of the highest quality for physicians, both on the MMC medical staff and outside the greater Portland community. Launched in 2015, the MMC Institute for Teaching Excellence (MITE) provides faculty development opportunities (e.g., Scholars program) for educators. In addition to offering certificate programs, support for medical education research and a wide variety of high-quality educational opportunities, the Institute hosts a Speaker's Bureau to facilitate dissemination of high-quality faculty development. By promoting academic medicine excellence at all levels of medical education, the Institute and the newly formed MITE Academy seeks to support, nurture and promote all medical educators in the State of Maine. Significant FY2019 accomplishments include: - Development of a pre-medical "pipeline" program- Exploration of teaching the 1st/2nd Maine Track years in Maine- Rural Internal Medicine residency track at Stephens Memorial Hospital- Interprofessional Partnership to Advance Patient Care and Education (iPACE) grant for P2COther active initiatives include:- Joint Masters of Nursing degree with Tufts School of Medicine- Center for Educational Innovation- Integrating CME/OPPE/MOC efforts, national accreditation for CME status 33851488 5550429 24348779 ResearchMaine Medical Center Research Institute is the research arm of MaineHealth which supports and encourages a broad spectrum of research ranging from basic laboratory-based research to translational and clinical research, to patient-centered outcomes research. The institute is divided into the following divisions: Center for Molecular Medicine, Clinical and Translational Research, the Center for Psychiatric Research, and the Center for Outcomes Research and Evaluation. (Continued on Schedule O)(Continued from page 2 of 990, Line 4c) In 2019, we had roughly $25M in annual grant income and received 35 new grants, allowing our clinical and biomedical researchers to contribute to worldwide body of scientific research. In addition, over 200 Clinical Trial studies took place with the top areas of focus in Oncology, Cardiology, and Neurology. Notably in FY2019, MMCRI became a part of several national clinical trial research networks sponsored by the National Institutes of Health (NIH) in the research areas of cancer, cardiothoracic surgery, emergency care, and lung injuries and sepsis. These awards give researchers an opportunity to collaborate with colleagues and research organizations across the country on large clinical trials as well as to broaden our research and increase innovation at MMCRI. Other FY2019 highlights included: 252 scientific articles published, over 3,700 biospecimens distributed by our BioBank Tissue Repository, 11 patents filed, and 3 biotechnical companies launched. 1669693322 1 1 0 1 0 0 1 1 1 1 1 1 0 1 1 1 0 1 0 0 1 1 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 0 1 X 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 0 X 24 14 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X Lugene Inzana 2076622576 22 Bramhall Street Portland ME 04102 Ann Hooper Trustee 1.00 0.00 X 0 0 0 Brian H Noyes Trustee 1.00 0.00 X 0 0 0 William A Burke Chairman 1.00 0.00 X X 0 0 0 Brett Loffredo MD Trustee 50.00 0.00 X 240695 0 40500 Bruce P Garren Trustee 1.00 0.00 X 0 0 0 Christopher Claudio Trustee 1.00 0.00 X 0 0 0 Christopher W Emmons Trustee 1.00 0.00 X 0 0 0 L Clint Boothby Trustee 1.00 0.00 X 0 0 0 Daniel Loiselle MD Trustee 1.00 0.00 X 0 0 0 David James Kumaki MD FACP Trustee 1.00 50.00 X 0 275814 48898 Greg Dufour Vice Chairman 1.00 0.00 X X 0 0 0 George Isaacson Trustee 1.00 0.00 X 0 0 0 Jere G Michelson Trustee 1.00 0.00 X 0 0 0 Kathleen A Herlihy MD MHP Trustee 50.00 0.00 X 258642 0 51640 Katherine B Coster Trustee 1.00 0.00 X 0 0 0 Lisa Tran Beaule MD Trustee 50.00 0.00 X 528981 0 69864 Melissa Smith Trustee 1.00 0.00 X 0 0 0 Morris Fisher Trustee 1.00 0.00 X 0 0 0 Marie J McCarthy Trustee 1.00 0.00 X 0 0 0 Nancy Hasenfus MD Trustee 1.00 0.00 X 0 0 0 Peter Manning MD Trustee 50.00 0.00 X 400746 0 13612 Susannah Swihart Trustee 1.00 0.00 X 0 0 0 George Hissong Trustee 1.00 0.00 X 0 0 0 Thomas J Ryan MD Trustee 50.00 0.00 X 524626 0 41020 Heidi Hansen Trustee 1.00 0.00 X 0 0 0 Katherine Pope MD Trustee 1.00 0.00 X 0 0 0 Michael Q Simonds Trustee 1.00 0.00 X 0 0 0 Frank H Frye Trustee 1.00 0.00 X 0 0 0 Adrian M Moran MD Trustee 50.00 0.00 X 48559 0 2164 Margaret Bush Trustee 1.00 0.00 X 0 0 0 Lisa Almeder MD Trustee 50.00 0.00 X 218964 0 69019 William L Caron Jr CEO 50.00 0.00 X 1555829 0 120606 Albert G Swallow III Treasurer 50.00 0.00 X 807176 0 96707 Robert Frank Secretary 50.00 0.00 X 525684 0 73361 Beth Kelsch Asst Secretary 50.00 0.00 X 233236 0 62449 Richard W Petersen MaineHealth President 50.00 0.00 X 1562329 0 104484 Jeffrey Sanders EVP & COO 50.00 0.00 X 690339 0 70868 Lugene Inzana Sr VP of Finance/CFO 50.00 0.00 X 590943 0 44096 Joel Botler MD CMO 50.00 0.00 X 693887 0 120885 Marjorie Wiggins SVP of Nursing & CNO 50.00 0.00 X 521570 0 93303 Matthew R Sanborn MD Surgeon 50.00 0.00 X 1422065 0 47652 Robert Ecker MD Surgeon 50.00 0.00 X 1401595 0 72209 Joseph T Alexander MD Surgeon 50.00 0.00 X 1247897 0 80239 Dougald MacGillivray MD Surgeon 50.00 0.00 X 1247291 0 68033 Konrad Barth MD Surgeon 50.00 0.00 X 1235793 0 85733 Peter Bates MD (Frmr Officer) SVP Medical Affairs 50.00 0.00 X 332898 0 52983 16289745 275814 1530325 1645 1 1 0 Spectrum Medical Group 324 Gannett Drive 200 South Portland ME 04106 Medical Service 7222057 Consigli Construction Company 72 Summer Street Milford MA 01757 Construction 4404003 Chest Medicine Assoc 100 Foden Rd W Bldg Ste 103 S Portland ME 041062351 Medical Service 3987662 Healthcare Excellence Inst 21045 N 9th Place 205 Phoenix AZ 850245635 Consulting 3685955 USI Insurance Services 4605 Columbus St Virginia Beach VA 234622490 Consulting 3436883 88 1380710 1277497 5573404 22300292 37554336 68086239 Net Patient Service Revenue 622110 1933139975 1933139975 1933139975 22159274 22159274 192044586 2390744 188243949 2474479 3800637 -83735 3716902 3716902 252523 1277497 220161 32362 32362 Other Revenue 900099 183960320 183753332 206988 HR and IS Shared Services Rev 900099 67595306 67595306 Dietary Services 561000 1034198 1034198 445512 445512 253035336 2280170088 2188205515 1686698 22191636 5550429 5550429 1709003 1709003 70823 70823 11936638 2950800 8985838 1354167 1354167 864425928 647764836 213624574 3036518 63672505 47875960 15788881 7664 143472527 107828076 35560323 84128 60674385 45615924 15043549 14912 2450873 2450873 1903532 1903532 48400 48400 2382906 2382906 90911657 77543634 13296134 71889 3229318 2402733 792391 34194 9990628 7372191 2431254 187183 29811839 22418503 7393336 55690452 41868095 13807563 14794 4110620 3066968 1002416 41236 4588042 4320612 249801 17629 10927910 8217759 2710112 39 119162119 89606090 29550945 5084 7316618 5502097 1814521 Medical supplies 347981726 347981726 Other 110585859 81248765 28942165 394929 Outside medical service 59502707 59502707 Hospital tax 32675186 32675186 33843848 25197838 8309926 336084 2079980645 1669693322 406041040 4246283 26805 2728094 440180452 293272373 20984622 32275916 128360555 236101704 626341 1159103 22237803 37300764 8730348 15316127 2299433460 1326150914 531772480 973282546 604528237 791089992 110757925 209818633 17380799 24248642 129943099 307287503 2015529466 2923881397 116818831 202204857 12792513 31855058 323667714 402347947 232223 11636339 539968936 712193747 993247994 1360470171 X 888632991 1349968723 101731265 128614211 31917216 84828292 1022281472 1563411226 2015529466 2923881397 X 200189443 24185619 316754692 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 20000 1 65587 0 1 160921 246508 0 Part II-B, Line 1: Part IIB, Line 1f Grant to No on Question 1 in support of lobbying activities that opposed the proposed enactment of a payroll tax and non-wage income tax to fund a program called the Universal Home Care Program. Grant to Maine Economic Growth Coalition in support of Question 4 for a bond issuance to directly support Maine's public universities and the State's future workforce and economic prosperity. Part IIB, Line 1g Lobbied state legistlators and executive branch officials on matters of concern to MaineHealth, our local health systems, and our patients. Part IIB, Line 1i Amount represents portion of dues paid to various organizations that relate to lobbying expense: Maine Hospital Association - $86,042 American Hospital Association - $54,752 National Association of Children's Hospitals - $17,635 Maine State Chamber of Commerce - $300 MHCA - $2,091 National Rural Health Association - $101 X 1 54.00 1 0 5.00 52228 X X 0 0 1 X 102712122 12325688 -1591717 5566598 107879495 100061713 2437017 6156967 5943575 102712122 93775123 254233 11533363 5501006 100061713 95914866 209664 3650641 6000048 93775123 109296215 1193188 -9299173 5275364 95914866 0.66830 0.33170 1 0 54286824 54286824 1063516301 598211984 465304317 32185414 11392933 20792481 972928291 716545997 256382294 176516630 176516630 973282546 Hedge Funds 87754891 C Limited Parnterships 76727949 C Real Estate 45335793 C 209818633 AR under reimbursement regulations 91691648 Other assets 16017250 Due from affiliates 32980361 Charitable remainder trust 578000 Prepaid capital costs 158564324 Escrow of debt service 7455920 307287503 Accrued retirement benefits 322191472 Investments held for members 58207858 A/P under reimbursement regs 138263485 Notes payable to affiliates 119163763 Due to affiliates 33823239 Asset retirement obligation 17148980 Swap agreements 11210943 Leases payable 12011970 Other liabilities 172037 712193747 X Part II, Line 9: In 2002 Spring Harbor Hospital acquired a 54-acre parcel of land designated as a conservation easement which was conveyed as part of a land purchase upon which the hospital was built. Part III, Line 4: MaineHealth's artwork creates a healing and comfortable environment for our patients and visitors. Part IV, Line 2b: The organization maintains cash accounts for clients who are incapable of managing their Social Security or SSI payments. The payments are deposited into the account and a Social Secutity Representive Payee manages the account for them. Part V, Line 4: Current year contributions include $9,900,931 that represent endowment funds that were transferred from related organizations as a result of unification. 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. Part X, Line 2: The Internal Revenue Service has previously determined that the System and its subsidiaries (except Maine Medical partners (MMP)(a subsidiary of MaineHealth) 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. Maine Medical Partners (MMP) had significant net operating loss carryovers as of September 30, 2019 and 2018. A valuation allowance has been provided for the entire deferred tax benefit for the net operating losses, due to uncertainty of realization. MMP did not have material taxable income in 2019 or 2018. Accordingly, a provision for income taxes has not been made in the accompanying consolidated financial statements. The System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgement occurs. The System did not recognize the effect of any income tax positions in either 2019 or 2018. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The new law includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The Institute has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization. 0 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments 68059145 0 0 0 0 0 0 68059145 0 68059145 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 25865 Wire Transfer Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 25551 Wire Transfer Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 19408 Wire Transfer 3 0 0 0 0 0 0 Part I, Line 1 All subrecipient grants listed on Part II, Line 1 were recognized on the System for Award Managment website (sam.gov) as non-profit organizations. Radiothon 350976 350976 659 1159 7137 BBCH Golf Open 304550 238682 65868 4212 36960 15583 22659 18 874494 687839 186655 4187 25773 2716 99116 1530020 1277497 252523 9058 62733 19458 128912 220161 32362 1 1 X 1 X 175.000000000000 0 1 1 0 1 1 17572376 17572376 0.00840 220784169 188540072 32244097 0.01550 238356545 188540072 49816473 0.02390 2306711 153335 2153376 0.00100 107543440 12735191 94808249 0.04560 147903928 67013137 80890791 0.03890 33851488 24348779 9502709 0.00460 4151366 4151366 0.00200 295756933 104250442 191506491 0.09210 534113478 292790514 241322964 0.11600 1000 1000 0.00000 254740 254740 0.00010 107077 107077 0.00010 21250 21250 0.00000 3430078 3430078 0.00160 3814145 3814145 0.00180 0 45341838 425326550 477998859 -52672309 X 1 1 8 1 Maine Medical Center 22 Bramhall Street Portland ME 04102 See Part V, Section C 38910 X X X X X X A 2 Southern Maine Health Care - Biddeford One Medical Center Drive Biddeford ME 04005 See Part V, Section C 39032 X X X A 3 Penobscot Bay Medical Center 6 Glen Cove Drive Rockport ME 04856 See Part V, Section C 38936 X X X A 4 Waldo County General Hospital 118 Northport Ave Belfast ME 04915 See Part V, Section C 39054 X X X X A 5 LincolnHealth 35 Miles Street Damariscotta ME 04543 See Part V, Section C 38979 X X X A 6 Franklin Memorial Hospital 111 Franklin Health Commons Farmington ME 04938 See Part V, Section C 39266 X X X A 7 Spring Harbor Hospital 123 Andover Road Westbrook ME 04092 See Part V, Section C 39254 X A 8 Stephens Memorial Hospital Association 181 Main Street Norway ME 04268 See Part V, Section C 39215 X X X A Facility Reporting Group - A 0 0 1 X X X X X X X X X 18 1 1 0 1 X See Part V, Section C 1 18 1 See Part V, Section C 0 1 X 175.000000000000 X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X 1 X 0 X X X 1 X 0 0 Part V, Section A: Facility Information, Website AddressMaine Medical Center: mainehealth.org/maine-medical-centerSouthern Maine Health Care - Biddeford: mainehealth.org/southern-maine-health-careSouthern Maine Health Care - Sanford: mainehealth.org/southern-maine-health-carePenobscot Bay Medical Center: mainehealth.org/pen-bay-medical-centerWaldo County General Hospital: mainehealth.org/waldo-county-general-hospitalLincolnHealth: mainehealth.org/lincolnhealthFranklin Memorial Hospital: mainehealth.org/franklin-community-health-networkSpring Harbor Hospital: mainehealth.org/maine-behavioral-healthcareStephens Memorial Hospital Association: mainehealth.org/western-maine-health Part V, Section B, Line 5: Community input was taken into account when conducting the CHNA, including those with special knowledge of or expertise in public health. This included individuals from the following facilities: City of Portland - Health and Human Services Department, The Opportunity Alliance, Mercy Health System, VNA Home Health Hospice, Maine Centers for Disease Control and the United Way of Greater Portland. Part V, Section B, Line 6a: The CHNA was conducted through a partnership between MaineHealth, Central Maine Healthcare, Easter Maine Healthcare systems (EMHS), MaineGeneral Health (MGH), and the Maine Department of Health and Human Services. part V, Section B, Line 11: For the 2019 CHNA, the organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2019 Community Health Needs Assessment and the 2019-2021 Implementation Plan at https://mainehealth.org/ healthy-communities/community-health-needs-assessment for details. Part V, Section B, Line 7a & 10a: The 2019 CHNA and 2019-2021 CHNA Implementation Plans are posted on the following website: https://mainehealth.org/healthy-communities/community-health-needs-assessment Part V, Section B, Line 16a, 16b, 16c: The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy), free care application and plain language summary are available on the following website: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care. 133 1 - MMC Scarborough Campus 100 Campus Drive Scarborough ME 04074 General Medical and Surgical 2 - MMC Scarborough Surgical Center 84 Campus Drive Scarborough ME 04074 General Medical and Surgical 3 - Neurosurgery & Spine and Neurology 49 Spring Street Scarborough ME 04074 Neurosurgery, Spine and Neurology Care 4 - MMC Brighton Campus 335 Brighton Avenue Portland ME 04102 Emergency Care 5 - Cardiology 99 Campus Drive Lewiston ME 04240 Cardiology 6 - Pediatric Surgery & Specialty Care 887 Congress Street Portland ME 04102 Pediatrics 7 - MMC Falmouth Campus 5 Bucknam Road Falmouth ME 04105 General Medicine 8 - Cardiology 96 Campus Drive Scarborough ME 04074 Cardiology 9 - Mental Health Services 66 Bramhall Street Portland ME 04102 Mental Health Services 10 - MMC Sanford IV Therapy 27 Industrial Avenue Sanford ME 04073 IV Therapy 11 - Orthopedics 119 Gannett Drive South Portland ME 04106 Orthopedic Care 12 - Women's Health 489 State Street Bangor ME 04401 Women's Healthcare 13 - Cardiothoracic Surgery 818 Congress Street Portland ME 04102 Cardiothoracic Surgery 14 - Coastal Cancer Treatment Center 175 Congress Avenue Bath ME 04350 Cancer Treatment Center 15 - Otolaryngology 1250 Forest Avenue Portland ME 04103 Otolaryngology 16 - Urology 199 Main Street Norway ME 04268 Urology 17 - McGeachy Hall 216 Vaughan Street Portland ME 04102 Mental Health Services 18 - Cape Elizabeth Internal Medicine 155 Spurwink Avenue Cape Elizabeth ME 04107 General Medicine 19 - MMC Family Medicine 272 Congress Street Portland ME 04101 General Medicine 20 - MMC Biddeford IV Therapy 26 West Cole Road Suite 101 Biddeford ME 04005 IV Therapy 21 - Urology 110 Brickhill Ave Suite 100 South Portland ME 04106 Urology 22 - Westbrook Primary Care 1 Harnois Avenue Suite 2A Westbrook ME 04092 General Medicine 23 - MMP Surgical Care Casco Bay 10 Andover Road Portland ME 04102 General Medical and Surgical 24 - Otolaryngology 43 Baxter Boulevard Portland ME 04101 Otolaryngology 25 - Endocrinology 175 US Route One Scarborough ME 04074 Endocrinology and Diabetes 26 - Maine Transplant Program 19 West Street Portland ME 04102 Kidney and Pancreas Transplant 27 - Scarborough Internal Family Medicine 300 Professional Drive Scarborough ME 04074 General Medicine 28 - Lakes Region Primary Care 584 Roosevelt Trail Windham ME 04062 General Medicine 29 - Cardiology 35 Medical Center Parkway Suite 101 Augusta ME 04330 Cardiology 30 - South Portland Primary Care 75B John Roberts Road South Portland ME 04106 General Medicine 31 - Women's Health 102 Campus Drive Unit 116 Scarborough ME 04074 Women's Healthcare 32 - ME Inst for Sleep & Breathing Disorders 930 Congress Street Portland ME 04102 Sleep and Breathing Disorders 33 - Pediatric Care 1577 Congress Street Portland ME 04102 Pediatrics 34 - Cardiology 4 Glen Cove Drive Suite 108 Rockport ME 04856 Cardiology 35 - Otolaryngology 30 West Cole Road Biddeford ME 04005 Otolaryngology 36 - Pediatric Surgery 46 First Park Drive Oakland ME 04963 Pediatrics 37 - Cardiology 149 North Street Waterville ME 04901 Cardiology 38 - Saco Pediatrics 4 Scamman Street Suite 51 Saco ME 04072 Pediatrics 39 - Yarmouth Pediatrics 45 Forest Falls Drive Suite 1A Yarmouth ME 04096 Pediatrics 40 - Endocrinology and Diabetes Center 963 Sabattus Street Lewiston ME 04240 Endocrinology and Diabetes 41 - Ambulatory Clinic Services 48-52 Gilman Street Portland ME 04102 General Medicine 42 - Center for Tobacco Independence 315 Park Avenue Second Floor Portland ME 04101 Tobacco Treatment Center 43 - Women's Health 84 Marginal Way Suite 900 Portland ME 04103 Women's Healthcare 44 - Otolaryngology 55 Main Street Bridgton ME 04009 Otolaryngology 45 - MMC Preble St Learning Collaborative 20 Portland Street Portland ME 04101 General Medicine 46 - Otolaryngology 193 Main Street Norway ME 04268 Otolaryngology 47 - Oncology 265 Western Avenue South Portland ME 04106 Oncology 48 - SMHC Billing Dept 4 Shape Drive Kennebunk ME 04043 Physician Services Billing 49 - SMHC Dermatology 26A West Cole Rd Biddeford ME 04005 Physician Services - Dermatology 50 - SMHC Newton Center 35 July Street Sanford ME 04073 Nursing Home 51 - SMHC Oncology 26 West Cole Rd Biddeford ME 04005 Physician Services - Oncology 52 - SMHC Oncology 27 Industrial Park Rd Sanford ME 04073 Physician Services - Oncology 53 - SMHC Phys Svcs 13 Industrial Park Road Saco ME 04072 Family Medicine Physician Services 54 - SMHC Phys Svcs - Anc Facility 2 Livewell Drive Kennebunk ME 04043 Phys Offices, Anc Svcs, Minor Procedures 55 - SMHC Phys Svcs - Infectious Disease 2 Medical Center Drive Biddeford ME 04005 Infectious Disease Physician Services 56 - SMHC Phys Svcs - Internal Medicine 72 Main Street Kennebunk ME 04043 Internal Medicine Physician Services 57 - SMHC Phys Svcs - Partial Hospital Pro 235 Main Street Biddeford ME 04005 Substance Abuse, Psychiatry 58 - SMHC Phys Svcs - Pediatrics 3 Shape Drive Kennebunk ME 04043 Pediatric Physician Services 59 - SMHC Phys Svcs - Sports Performance 1 Emile Levasseur Drive Sanford ME 04073 Physician Services - Sports Performance 60 - SMHC Phys Svcs & Anc Facility 9 Healthcare Drive Biddeford ME 04005 Physician Offices and Diagnostic Service 61 - SMHC Phys Svcs & Rehab Therapy 45 Barra Road Biddeford ME 04005 Int Med, Orth Surg, Neurology, & Rehab 62 - SMHC Phys Svcs & Walk in Care Fac 655 Main Street Saco ME 04072 Pediatrics & Osteopathic Manipulation 63 - SMHC Phys Svcs Goodall Med Off Bld 25 A June Street Sanford ME 04073 Phys. Svcs, Anc. Svcs & Minor Procedures 64 - SMHC Phys Svcs Anc Svcs Walk-in 10 Goodall Drive East Waterboro ME 04030 Family Med Phys Svcs, Anc Svcs, Walk-in 65 - SMHC Sports Medicine 12 Thornton Avenue Saco ME 04072 Sports Medicine Clinic 66 - SMHC Wellness Center 13 July Street Sanford ME 04073 Rehab Therapy & Occupational Medicine 67 - Pen Bay Occupational Therapy 4 Glen Cove Drive Rockport ME 04856 Occupational Therapy 68 - Pen Bay Physical Therapy 4 Glen Cove Drive Rockport ME 04856 Physical Therapy 69 - Pen Bay Physical Therapy 116 Union Street Rockport ME 04856 Physical Therapy 70 - Pen Bay Physical Therapy 40 Washington Road Waldoboro ME 04572 Physical Therapy 71 - Pen Bay Physicians & Associates 4 Glen Cove Drive Rockport ME 04856 Physician Practices 72 - The Knox Center for Long Term Care 6 White Street Rockland ME 04841 Long-Term Care Facility 73 - Arthur Jewell Community Health Ctr 55 Reynolds Rd Brooks ME 04921 General medical 74 - Donald S Walker Health Center 43 West Main Street Liberty ME 04949 General medical 75 - Lincolnville Health Center 2399 Atlantic Highway Lincolnville ME 04849 General medical 76 - Stockton Springs Reg Health Center 11 Cape Jellison Rd Stockton Springs ME 04981 General medical 77 - Lincoln Medical Partners 42 Belvedere Road Newcastle ME 04553 Administration 78 - LMP Family Medicine 230 Kalers Corner Waldoboro ME 04572 Outpatient Clinic 79 - LMP Family Medicine 49 Hooper Street Wiscasset ME 04578 Outpatient Clinic 80 - LMP General Surgery 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 81 - LMP Ophthalmology 71 Main Street Newcastle ME 04553 Outpatient Clinic 82 - LMP Orthopedics 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 83 - LMP Primary Care 24 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 84 - St Andrews Village 145 Emery Lane Boothbay Harbor ME 04538 Long-Term Care Facility 85 - The Family Care Center 14 St Andrews Lane Boothbay Harbor ME 04538 Outpatient Clinic 86 - The Women's Center 5 Miles Center Way Damariscotta ME 04543 Outpatient Clinic 87 - Franklin Health Behavioral Services 131 Franklin Health Commons Farmington ME 04938 Behavioral Health Practice 88 - Franklin Health Farmington Fam Practi 111 Franklin Health Commons Farmington ME 04938 Family Practice 89 - Franklin Health Internal Medicine 111 Franklin Health Commons Farmington ME 04938 Internal Medicine Practice 90 - Franklin Health Livermore Falls Fam P 21 Main Street Livermore Falls ME 04254 Family Practice 91 - Franklin Health Orthopaedics 111 Franklin Health Commons Farmington ME 04938 Orthopaedic Practice 92 - Franklin Health Pediatrics 111 Franklin Health Commons Farmington ME 04938 Pediatrician Practice 93 - Franklin Health Primary Care Practice 131 Franklin Health Commons Farmington ME 04938 Primary Care Practice 94 - Franklin Health Surgery 111 Franklin Health Commons Farmington ME 04938 General Surgery Practice 95 - Franklin Health Urology 126 Middle Street Farmington ME 04938 Urology Practice 96 - Franklin Health Women's Care 111 Franklin Health Commons Farmington ME 04938 OB/GYN 97 - NorthStar 1001 Carriage Road Carrabasset Valley ME 04947 Ambulance Base 98 - NorthStar 111 Franklin Health Commons Farmington ME 04938 Ambulance Base 99 - NorthStar 119 Federal Road Livermore ME 04254 Ambulance Base 100 - NorthStar 138C Park Street Phillips ME 04966 Ambulance Base 101 - NorthStar 15 School Street Rangeley ME 04970 Ambulance Base 102 - Outpatient Services at Livermore Fall 21 Main Street Livermore Falls ME 04254 Outpatient Clinic 103 - ACT 106 Gilman Street Portland ME 04101 Assertive Community Treatment team 104 - ACT 576 St John Street Portland ME 04101 Assertive Community Treatment team 105 - Administration 77-79 Atlantic Place South Portland ME 04106 Administration offices 106 - Alfred St Apartments 20 Alfred Street Biddeford ME 04005 Apartments with supported housing services 107 - Bacon Street Apartments 72 Bacon Street Biddeford ME 04005 Sing. room supp. housing 108 - Bangor Office 268 State Street Bangor ME 04474 Outpatient counseling offices 109 - Beach Street Offices & CSU 31 Beach Street Saco ME 04072 Res. Crisis Stabilization Unit & Admin 110 - Belfast Apartments 31 Midcoast Drive Belfast ME 04915 Apartments, 1 office and common area 111 - Belfast Office 15 Midcoast Drive Belfast ME 04915 Outpatient office 112 - Biddeford Recovery Center 15 York Street Biddeford ME 04005 Peer recovery center 113 - Brunswick Office 11 Medical Center Drive Brunswick ME 04011 Outpatient counseling offices 114 - CADD 236 Gannett Drive South Portland ME 04106 Center of Autism & Developmental Disorders 115 - Cedar Street 125 Cedar Street Rockland ME 04841 3 bed single room occupancy 116 - Core 66 Baribeau Drive Brunswick ME 04086 Assertive Community Treatment team offices 117 - Core 18 Beluedere Road Damariscotta ME 04543 Assertive Community Treatment team 118 - Crescent Place 15 Crescent Street Biddeford ME 04005 6 bed group home 119 - Damariscotta Miles Campus LincolnHea 35 Miles Street Damariscotta ME 04543 Outpatient counseling offices 120 - Grace Street 47 Grace Street Rockland ME 04841 3 bed single room occupancy 121 - High Street Residence 5 High Street Sanford ME 04073 Sing. room supp. housing & file storage 122 - Main Street Biddeford 235 Main Street Biddeford ME 04005 Substance use outpatient counseling office 123 - Norway Office 193 Main Street Norway ME 04268 Outpatient counseling offices 124 - Owls Head 38 West Keag Road Owls Head ME 04854 7 bed single room occupancy 125 - Pleasant Street 407 Pleasant Street Rockland ME 04841 3 bed single room occupancy 126 - Portland Office 165 Lancaster St Portland ME 04101 Outpatient counseling offices 127 - Rockland Office 12 Union Street Rockland ME 04841 Outpatient office & peer recovery center 128 - Sanford Recovery Center 19 Washington Street Sanford ME 04073 Peer recovery center 129 - Sherry Sabo Center 2 Springbrook Drive Biddeford ME 04005 Outpatient counseling offices 130 - Springvale Office 474 Main Street Springvale ME 04083 Outpatient counseling offices 131 - The Elms 1-8 Sherry Lane North Berwick ME 03906 Apartments with supported housing services 132 - Warren Street Apartments 28 Warren Street Rockland ME 04841 Apartments, office & Common area for staff 133 - Woodbridge 19 Woodbridge Road York ME 03909 7 bed group home 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 Cost-to-Charges provided in the instructions for Schedule H. Part II, Community Building Activities: Community Support- MaineHealth 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 MMC, and the hospital has a full-time director of emergency preparedness.- MaineHealth is a dues paying member of Greater Portland Chamber of Commerce and Maine State Chamber of Commerce- SARSSM (Sexual Assault Response Services of Maine)- 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.- Community Nurse Support - Nurse Liaison for the Town of Scarborough teaching Basic Life Support and attending panel discussions. Physicians from Falmouth and South Portland Pediatrics offices providing educational opportunity and open discussion for local school RNs.Leadership Development and Training for Community Members- Doc4aDay Program- Medical Explorers- Project Medical Education (PME)- Heathcare Professional Pipeline ProgramWorkforce Development- CNA training program- Summer volunteers- Nutrition & food students from Maine colleges- Hanley leadership development- UNE elective course on medication transactions at MMC- Introductory pharmacy student experiential learning program- Nurse practitioners and physician assistant clinical intership site- Portland Family Medicine medical assistant extern mentoring site- Student mursing precepting- Training of nurse practitioner students - psychiatry- Rehab medicine educational program- UNE trauma and recovery class for social work- Course instruction at USM for social work and psychiatry- Social work student intership supervision- Outpatient psychiatry training Part III, Line 2: See Part III, Line 4 - Bad Debt Expense Footnote to the Financial Statements. Part III, Line 4: MaineHealth does not have a specific footnote in the financial statements that describes "bad debt expense." However, reference is made within the footnotes to a bad debt policy in a couple of instances. Within the footnote describing "Net Patient Service Revenue", the following explains the Provision for Bad Debts:"For receivables associated with self-pay patients, the MaineHealth records a significant provision for bad debts 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. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is written off against the allowance for bad debts."Bad debt expense represents healthcare services MaineHealth has provided without compensation. As a tax-exempt organization, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services. MaineHealth cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would qualify for financial assistance under the Hospital's 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, MaineHealth believes that bad debt expense should be included as a community benefit. Part III, Line 8: Medicare allowable costs were calculated using a cost to charge ratio. MaineHealth believes that the Medicare shortfall should be included as a community benefit because MaineHealth 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 MaineHealth, they would become the obligation of the Federal Government. Part III, Line 9b: Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services. Part VI, Line 2: The organization prepares a Community Health Needs Assessment (CHNA) every three years. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. Part VI, Line 3: Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, under insured or can't afford to pay theirhospital bill, they may receive a Financial Counseling Packet and/orreferred to financial counseling from the registration staff or ChangeHealthcare, an outside vendor who helps manage the self- pay accounts. Thepacket includes:- Information on MaineHealth's financial policies- Financial assistance information including Free Care Program, MonthlyPayment Plan Program, and Care Partners, MedAccess and other communityresource needs.- Program applications and instructions for MaineHealth's Free CareProgram, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financialconcernsSelf-pay or underinsured patients registering in person or via a phoneinterview receive financial counseling including information on ourfinancial assistance programs. Registration staff or Change Healthcareprovide forms and assist with completing financial assistance applicationsand providing follow up contact information.MaineHealth's Web site includes on line Registration and Patient Billinginformation:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary 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 pre-registration, registration, or whilereceiving care, all of these programs are explained again by the Single Billing Office 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. Part VI, Line 4: The Community Health Needs Assessment describes the geographic area anddemographic constituents it services. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA. Part VI, Line 5: MaineHealth's day-to-day operations as a tax-exempt organization include many system-wide initiatives in the state of Maine and the Northern New England region. Clinical services range fromoutpatient clinics for a diverse population to full inpatient and surgicalservices to a regional trauma center and a neuroscience institute. Many ofour services and specialties are not available elsewhere in the state or in our region. We have programs in undergraduate, graduate, post-graduate, 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, MaineHealth hopes to fill existing local gaps while making a positive impact in the communities we serve. These programs include: Subsidized Health Services, Community-Based Clinical Services, Community Education Services, Health Care Support Services, Community Building Activities, Medical Education and Research.MaineHealth made a net asset transfer to its wholly owned subsidiary, Maine Medical Partners, in the amount of $83,000,000 to cover the losses related to mission-critical physician practices to ensure access for the community to such specialties as trauma surgery, neurosurgery, urology, various pediatric specialties, and high-risk obstetrics. Part VI, Line 6: MaineHealth is a not-for-profit family of leading high-quality providersand other healthcare organizations working together so their communitiesare the healthiest in America. Ranked among the nation's top 100 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: The Memorial Hospital at North Conway, N.H., MaineHealth Care at Home, NorDx and MaineHealth Accountable Care Organization. The strategic affiliates of MaineHealth are MaineGeneral Medical Center, Mid Coast Hospital and St. Marys Regional Medical Center. Part VI, Line 7, Reports Filed With States ME Part V, Section B, Line 16i: Internal Revenue Code Section 501(r)(4) requires that translations of the financial assistance policy, financial assistance application form and plain language summary be available on the hospital's website. For FY 2019, the translated financial assistance policy was not available on the hospital's website for the entirety of the twelve months ending September 30, 2019. The free care and billing and collection policies (collectively the financial assistance policy) were translated into the required language and posted to the website in March 2019. The organization has established an annual process to evaluate its demographic patient information to ensure that the required documents are translated into the necessary languages (the lesser of 1,000 or 5% of the community served by the hospital).Despite not meeting the requirements of 501(r)(4) for the entirety of the fiscal year, patients and families with limited English proficiency did have access to several interpreter services options to provide assistance with their health care encounters, including assistance with various forms and applications. These options include oral telephonic capabilities, remote video services as well as live interpreters through multiple contracts with outside agencies. 1 Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston MA 022155491 042103881 501(c)(3) 65029 Research Brown University Controllers Office Box J Providence RI 02912 050258809 501(c)(3) 10465 Research DiMagi Inc 585 Massachusetts Ave Suite 4 Cambridge MA 02139 830343298 501(c)(3) 74454 Research Harvard Pilgrim Health Care Inc 93 Worcester Street Wellesley MA 024819181 042452600 501(c)(3) 45957 Research Indiana University 400 E 7th Street Rm 501 Bloomington IN 474053004 356001673 501(c)(3) 11566 Research Maine Dartmouth Family Medicine Residency 15 East Chestnutt Street Augusta ME 04330 010369195 501(c)(3) 7787 Research Massachusetts General Hospital 55 Fruit Street Boston MA 02114 042697983 501(c)(3) 371034 Research Northern Light Eastern Maine Medical Center 489 State Street Bangor ME 044016674 010211501 501(c)(3) 7250 Research President and Fellows of Harvard College 1033 Massachusetts Avenue 3rd Fl Cambridge MA 02138 042103580 501(c)(3) 16133 Research Regents of the University of Michigan 500 S State Street Ann Arbor MI 48109 386006309 501(c)(3) 347385 Research Tufts University 169 Holland Street Attn Tax Dept Somerville MA 02144 042103634 501(c)(3) 393659 Research University California San Francisco 220 Montogmery St Fl 5 San Francisco CA 94104 946036493 501(c)(3) 124872 Research University of Maine System acting through the University of Maine 5717 Corbett Hall Orono ME 044695717 016000769 501(c)(3) 66211 Research University of New England 11 Hills Beach Road Biddeford ME 04005 010211810 501(c)(3) 25930 Research University of Pittsburgh 123 University Place University Club B-21 Pittsburgh PA 152132303 250965591 501(c)(3) 27842 Research University of Southern Maine 5703 Alumni Hall Ste 101 Orono ME 04469 016000769 501(c)(3) 247502 Research University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas TX 75390 752556007 501(c)(3) 699620 Research University of Vermont 85 S Prospect St Rm 333 Burlington VT 05405 030179440 501(c)(3) 2450858 Research Yale University PO Box 208239 New Haven CT 065208239 060646973 501(c)(3) 527845 Research Worcester Polytechnic Institute 100 Institute Road Worcester MA 016092280 042121659 501(c)(3) 29030 Research 20 Scholarship 247 1709003 Part I, Line 2: For the Research Grants to Organizations, these represent subrecipient grants. A subrecipient agreement is signed by both MMC and the subrecipient stating the amount of the award, the award name, the name of the Federal Agency, requirements imposed by laws, regulations and the provisions of the grant agreement. The monthly subrecipient invoices are reviewed and approved by the Principal Investigator prior to payment to verify the Federal funds are used for authorized purposes and are included in the award budget. Other contributions are reviewed by Senior Management and are granted to organizations within our community that promote our shared values. For the Nursing and Healthcare Scholarships, as an application requirement, each scholarship applicant must provide confirmation of enrollment in a Nursing or healthcare related program. For the Medical Education Scholarships for students in the Maine Track of the MMC. TUSM Medical School Program, MMC transfers the scholarship funds to the Tufts School of Medicine (Tufts) financial aid department for distribution to the students. Tufts handles any oversignt to ensure that the funds are used as intended. MMC's role is limited to matching eligible students with scholarship selection criteria and determining who receives each scholarship award. 0 0 0 0 0 0 0 0 0 Brett Loffredo MD Trustee 233992 0 0 0 6703 0 26618 0 13882 0 281195 0 0 0 David James Kumaki MD FACP Trustee 0 242678 0 9419 0 23717 0 24226 0 24672 0 324712 0 0 Kathleen A Herlihy MD MHP Trustee 215964 0 11250 0 31428 0 25251 0 26389 0 310282 0 0 0 Lisa Tran Beaule MD Trustee 508199 0 10646 0 10136 0 37603 0 32261 0 598845 0 0 0 Peter Manning MD Trustee 387243 0 0 0 13503 0 9625 0 3987 0 414358 0 0 0 Thomas J Ryan MD Trustee 518972 0 0 0 5654 0 32470 0 8550 0 565646 0 0 0 Lisa Almeder MD Trustee 218046 0 0 0 918 0 43113 0 25906 0 287983 0 0 0 William L Caron Jr CEO 1057674 0 307230 0 190925 0 81804 0 38802 0 1676435 0 0 0 Albert G Swallow III Treasurer 564176 0 155463 0 87537 0 67016 0 29691 0 903883 0 0 0 Robert Frank Secretary 430474 0 63000 0 32210 0 56103 0 17258 0 599045 0 0 0 Beth Kelsch Asst Secretary 211008 0 20936 0 1292 0 35834 0 26615 0 295685 0 0 0 Richard W Petersen MaineHealth President 882200 0 252000 0 428129 0 73605 0 30879 0 1666813 0 0 0 Jeffrey Sanders EVP & COO 523189 0 152619 0 14531 0 36312 0 34556 0 761207 0 0 0 Lugene Inzana Sr VP of Finance/CFO 461980 0 117466 0 11497 0 11000 0 33096 0 635039 0 0 0 Joel Botler MD CMO 484969 0 72729 0 136189 0 87652 0 33233 0 814772 0 0 0 Marjorie Wiggins SVP of Nursing & CNO 350384 0 54528 0 116658 0 71848 0 21455 0 614873 0 0 0 Matthew R Sanborn MD Surgeon 1233631 0 0 0 188434 0 11000 0 36652 0 1469717 0 0 0 Robert Ecker MD Surgeon 1233933 0 0 0 167662 0 35630 0 36579 0 1473804 0 0 0 Joseph T Alexander MD Surgeon 1038607 0 0 0 209290 0 48347 0 31892 0 1328136 0 0 0 Dougald MacGillivray MD Surgeon 1149960 0 0 0 97331 0 37561 0 30472 0 1315324 0 0 0 Konrad Barth MD Surgeon 1033071 0 0 0 202722 0 48743 0 36990 0 1321526 0 0 0 Peter Bates MD (Frmr Officer) SVP Medical Affairs 203201 0 37160 0 92537 0 37690 0 15293 0 385881 0 0 0 Part III - Other Additional Information 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. A Maine Health & Higher Ed Facilities Auth 010314384 560427LW4 2011-08-31 17998986 See Part VI 0 0 0 B Maine Health & Higher Ed Facilities Auth 010314384 560427Y75 2015-01-07 85963004 See Part VI 0 0 0 C Maine Health & Higher Ed Facilities Auth 010314384 56042RQW5 2018-07-18 183854035 See Part VI 0 0 0 D Maine Health & Higher Ed Facilities Auth 010314384 000000000 2018-08-01 36735000 See Part VI 0 0 0 A 5630000 17998986 1753301 186573 17812413 1 0 1 1 B 85967973 953929 1271033 41929758 42754483 2016 1 0 1 1 C 187297626 4557 7590313 2002269 113408984 64296060 0 0 0 1 D 36735000 2635 537368 36197632 1 0 1 1 B 0 1 0 0 0.00100 0.00100 0 0 1 C 0 0 0 0 0.00000 0.00000 0 0 1 D 0 1 0 0 0.00100 0.00100 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 1 See Part VI 17.900000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 07/24/2019 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 06/28/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 11/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Additional Information (Bonds 1-4) "Entity 1" - Part I, column (f), bond A - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, and 11/15/2001 - Part I, column (f), bond B - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility - Part I, column (f), bond C - Build, renovate, and equip hospital facility - Part I, column (f), bond D - Refund bonds issued 5/22/2008 Series 2011A bonds - With respect to Part I column (e), and Part II lines 1-12 (column A), 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." Series 2014 bonds (issued 1/7/2015) - With respect to Part I column (e), and Part II lines 1-12 (column B), 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." Series 2014 bonds (issued 1/7/2015) and Series 2018A bonds (issued 7/18/2018) - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. Part II, line 4, column A - The amount shown here consists of $1,402,045 in a debt service reserve fund, plus $351,256 of debt service fund deposits. Part II, line 4, column B through D - The amount shown here consists of debt service fund deposits Part III has not been completed with respect to the bonds shown in column A, since the bonds being refinanced by such bonds were issued before 2003 Part IV, lines 4b and 4c, column D - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC and each having a term of 17.9 years Additional Information (Bonds 5-8) "Entity 2" - Part I, column (f), bond A - -Bond issued 6/28/12: Refund bonds issued 5/19/1999 and 8/3/2000 - Part I, column (f), bond B - Bond issued 7/24/14: Refund bonds issued 10/16/2003 and 6/3/2004 - Part I, column (f), bond C - Bond issued 6/28/16: Refund bond issued 9/7/2006 - Part I, column (f), bond D - Bond issued 12/28/17: Refund bonds issued 11/1/2007 and 6/19/2008 Schedule K, Part IV, Arbitrage, Line 2c: (a) Issuer Name: Maine Health & Higher Educational Facilities Authority Date the Rebate Computation was performed: 06/28/2017 MHHEFA Series 2012A, 2014A, 2016 and 2017B Bonds: Pooled Financing - The institution's share of pooled financings constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the institution's share of such pooled financings, not with respect to 100% of each issue. Part II, Line 4, column A - The amount shown here consists of $267,900 in debt service reserve fund, plus $29,987 of debt service fund deposits. Part II, Line 4, column B - The amount shown here consists of $755,200 in debt service reserve fund, plus $189,033 of debt service fund deposits. Part II, Line 4 column C - The amount shown here consists of $179,600 in debt service reserve fund, plus $44,196 of debt service fund deposits. Part II, Line 4, column D - The amount shown here consists of $782,100 in debt service reserve fund, plus $197,798 of debt service fund deposits. Part III Part III has not been completed with respect to the refunding bonds issued 6/28/2012, since the bonds being refinanced by such bonds were issued before 2003. Part IV, Line 6, column A The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts. Additional Information (Bonds 9-12) "Entity 3" - Part I, column (f), bond C - Refund bonds issued 12/10/1998 - Part I, column (f), bond D - Refund bonds issued 7/30/2002 Part I column (e) and Part II lines 1-12 (bond C and bond D) The bond issue is a pooled financing and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f) and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue. Part II, Line 4, column C - The amount shown here consists of $612,600 in a debt service reserve fund, plus $148,521 of debt service fund deposits. Part II, line 4, column D - The amount shown here consists of $1,686,475 in a debt service reserve fund, plus $415,148 of debt service fund deposits. Part III has not been completed with respect to the bonds shown in column D, since the bonds being refinanced by such bonds were issued before 2003. Part IV, line 2c, column D - The date of the calculation was 6/28/2017. Part IV, line 6, column D - The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts. Additional Information (Bonds 13-16) "Entity 4" - Part I, column (f), Bond A - To finance buildings and equipment - Part I, column (f), Bond B - To refund bonds issued 9/7/2006 - Part I, column (f), Bond C - To refund bonds issued 2/22/2001 - Part I, column (f), Bond D - To refund bonds issued 9/7/2006 Part I column (e) and Part II lines 1-12 (bond B, C and D) These issues are part of a pooled financing, and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III (column B, C and D), have been answered with respect to the institution's share of such pooled financing, not with respect to 100% of the issue. Part I, column (e), bond A - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. Part II, line 4, column B - The amount shown here consists of $2,100,250 in debt service reserve fund, plus $521,742 of debt service fund deposits. Part II, Line 4, column C - The amount shown here consists of $552,869 in debt service reserve fund, plus $172,354 of debt services deposits. Part II, Line 4, column D - The amount shown here consists of $654,850 in debt service reserve fund, plus $217,536 of debt services deposits. Part III, column C - Part III has not been completed with respect to the refunding bonds issued 11/30/11, since the bonds being refinanced by such bonds were issued before 2003. Part IV, column C, line 2c (Bond C) - the rebate calculation for the 2011C bonds conducted on 11/30/16 concluded that there was no rebate liability. Part IV, line 6, column B - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount. Additional Information (Bonds 16-19) "Entity 5" -Part I, column (f), Bond A - Construction, renovation, and equipping of medical office building -Part I, column (f), Bond B and C - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, 11/15/2001 Part I column (e) and Part II lines 1-12 (bond A) With respect to Part I columns (e) and (f), Part II lines 1-12 (column A), and Part III (Column A), 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." Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. Part I column (e) and Part II lines 1-12 (bond B and C) With respect to Part I columns (e) and (f), Part II lines 1-12 (column B and C), and Part III (Column B and C), 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." Bond A - The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4 column B - the amount shown here consists of $672,062 in a debt service reserve fund, plus $169,778 of debt service fund deposits. Part II, line 4 column C - the amount shown here consists of $515,650 in a debt service reserve fund, plus $132,098 of debt service fund deposits. Part III, column B and C - Part III has not been completed, since the refunded bonds were issued before 2003. A Maine Health & Higher Ed Facilities Auth 010314384 560427EU4 2012-06-28 4287472 See Part VI 0 0 1 B Maine Health & Higher Ed Facilities Auth 010314384 560427W77 2014-07-24 7427323 See Part VI 0 0 1 C Maine Health & Higher Ed Facilities Auth 010314384 56042REW8 2016-06-28 1349217 See Part VI 0 0 1 D Maine Health & Higher Ed Facilities Auth 010314384 56042RQL9 2017-12-28 8909963 See Part VI 0 0 1 A 2895000 4287472 297887 67653 3440419 1 0 1 1 B 3500000 7427323 944233 79055 5152598 1 0 1 1 C 385000 1349217 223796 25510 1144107 1 0 1 1 D 645000 8909963 979898 96231 8031632 1 0 1 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 1 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A Maine Health & Higher Ed Facilities Auth 010314384 000000000 2014-03-31 4800000 Bldgs and Facilities 0 0 0 B Maine Health & Higher Ed Facilities Auth 010314384 000000000 2014-09-25 3125535 Equipment 0 0 0 C Maine Health & Higher Ed Facilities Auth 010314384 560427W77 2014-07-24 6774309 See Part VI 0 0 1 D Maine Health & Higher Ed Facilities Auth 010314384 560427EU4 2012-06-28 23271305 See Part VI 0 0 1 A 2505761 4800000 67653 4746775 2014 0 0 1 1 B 1801050 3125535 47000 3078535 2015 0 0 1 1 C 1790000 6774309 761121 80234 6694075 1 0 1 1 D 5735000 23271305 2101623 229167 21355663 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 1 1 A 1 B 1 C 1 D 1 A Finance Authority of Maine 010392006 000000000 2013-07-25 15742390 See Part VI 0 0 0 B Maine Health & Higher Ed Facilities Auth 010314384 56042REW8 2016-06-28 15930820 See Part VI 0 0 1 C Maine Health & Higher Ed Facilities Auth 010314384 560427NM4 2011-11-30 10452958 See Part VI 0 0 1 D Maine Health & Higher Ed Facilities Auth 010314384 56042REW8 2016-06-28 12359721 See Part VI 0 0 1 A 3202362 15742390 136633 15605757 2014 0 0 1 1 B 4510000 15930820 2621992 129526 15801294 1 0 1 1 C 3010000 9438683 725223 113744 9324939 1 0 1 1 D 1275000 12359721 872386 112509 12247212 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 0 0 0 1 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A Maine Health & Higher Ed Facilities Auth 010314384 560427Y75 2015-01-07 6079722 See Part VI 0 0 0 B Maine Health & Higher Ed Facilities Auth 010314384 560427LW4 2011-08-31 8469460 See Part VI 0 0 0 C Maine Health & Higher Ed Facilities Auth 010314384 560427LW4 2011-08-31 5616753 See Part VI 0 0 0 A 1360000 6079683 132738 78890 6000793 2016 1 0 1 1 B 2855000 8469460 841840 88736 8380724 1 0 1 1 C 2680000 5616753 647748 64425 5552328 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 Abigail Abbott See Part V 108397 See Part V 0 Alexander Abbott See Part V 225186 See Part V 0 Gwendolyn Anderson See Part V 35352 See Part V 0 Christina Manning See Part V 254465 See Part V 0 Jessika Morin See Part V 292456 See Part V 0 Marybeth Hourihan See Part V 164107 See Part V 0 Sarah Moran See Part V 40641 See Part V 0 Jennifer Caron See Part V 93336 See Part V 0 Elliot Bates See Part V 95725 See Part V 0 Judith Fisher See Part V 85143 See Part V 0 Substantial Contributor Sub. Contributor 203262 Employment 0 Substantial Contributor Sub. Contributor 827911 Employment 0 Substantial Contributor Sub. Contributor 231913 Employment 0 Substantial Contributor Sub. Contributor 393231 Employment 0 Substantial Contributor Sub. Contributor 233844 Employment 0 Substantial Contributor Sub. Contributor 148412 Employment 0 Substantial Contributor Sub. Contributor 249918 Employment 0 Substantial Contributor Sub. Contributor 399999 Employment 0 Substantial Contributor Sub. Contributor 234480 Employment 0 Substantial Contributor Sub. Contributor 514316 Employment 0 Substantial Contributor Sub. Contributor 237784 Employment 0 Substantial Contributor Sub. Contributor 3245622 Vendor 0 Substantial Contributor Sub. Contributor 896550 Vendor 0 Substantial Contributor Sub. Contributor 468112 Vendor 0 Substantial Contributor Sub. Contributor 420312 Vendor 0 Substantial Contributor Sub. Contributor 212421 Vendor 0 Substantial Contributor Sub. Contributor 196463758 Vendor 0 Substantial Contributor Sub. Contributor 12740915 Vendor 0 Substantial Contributor Sub. Contributor 9960200 Vendor 0 Substantial Contributor Sub. Contributor 8390912 Vendor 0 Substantial Contributor Sub. Contributor 4260719 Vendor 0 Substantial Contributor Sub. Contributor 1874160 Vendor 0 Substantial Contributor Sub. Contributor 876905 Vendor 0 Substantial Contributor Sub. Contributor 747354 Vendor 0 Substantial Contributor Sub. Contributor 545199 Vendor 0 Substantial Contributor Sub. Contributor 386375 Vendor 0 Substantial Contributor Sub. Contributor 326916 Vendor 0 Substantial Contributor Sub. Contributor 212116 Vendor 0 Substantial Contributor Sub. Contributor 134471 Vendor 0 Substantial Contributor Sub. Contributor 111572 Vendor 0 Schedule L, Part IV, Column (b) and (d) George Isaacson is a member of the Board of Trustees. His daughter, Abigail Abbott, is employed by MMC as a Senior Director. His son in law, Alexander Abbott, is also employed by MMC as a Vice President.Nancy Hasenfus, MD is a member of the Board of Trustees. Her daughter, Gwendolyn Anderson, is employed by Maine Behavioral Healthcare as a Phych Technician.Peter Manning, MD is a member of the Board of Trustees. His wife, Christina Manning, MD is a physician employed by Southern Maine Health Care.Susannah Swihart is a member of the Board of Trustees. Her stepdaughter, Jessika Morin is a physician employed by Southern Maine Health Care.Thomas J. Ryan, MD is a member of the Board of Trustees. His wife, Mary Hourihan, MD is a physician employed by MMC.Adrian Moran, MD was a member of the Board of Trustees. His wife, Sarah Moran, is a Social Worker employed by MMC.William Caron is an ex-officio Trustee of MMC. His daughter in law, Jennifer Caron, is a Research Associate employed by MMC.Peter Bates' son, Elliot Bates, is a Senior Project Manager employed by MMC.Morris Fisher is a member of the Board of Trustees. His wife, Judith Fisher, is employed by MMC. X 20 2071460 Fair Market Value 0 1 0 Form 990, Part V, Line 1a MaineHealth Services (EIN: 01-0431680), acting on behalf of the MaineHealth System filed 1,645 Form 1099s for the calendar year 2018. Form 990, Part V, Line 2a MaineHealth Services (EIN: 01-0431680), acting on behalf of the MaineHealth System filed Form W-3, reporting 18,322 employees, for the calendar year 2018. Form 990, Part VI, Section A, line 2 Katherine Coster, Christopher Claudio, and Jere Michelson were board members of MaineHealth and Gorham Savings Bank. Form 990, Part VI, Section A, line 4 On December 14, 2018, the Maine Medical Center Articles of Incorporation were amended to change the name of the corporation from Maine Medical Center to MaineHealth, and a corresponding change was made to the Maine Medical Center Bylaws. Effective January 1, 2019, the MaineHealth (f/k/a Maine Medical Center) Articles of Incorporation were amended and restated to expand the charitable purposes to encompass a larger geographic area and to significantly restructure the Board of Trustees in connection with an internal corporate restructuring by which several affiliated corporations merged into the corporation. Corresponding changes were made to the organization's Bylaws. Form 990, Part VI, Section A, line 6 MaineHealth Services (EIN: 01-0431680) is the sole Member of the organization. Form 990, Part VI, Section A, line 7a The sole Member of the organization has the responsibility for the election of the members of the governing body. Form 990, Part VI, Section A, 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 MaineHealth 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 MaineHealth or its subsidiaries as a constituent entity or any sale or other disposition of substantially all of the assets of MaineHealth 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 MaineHealth's CEO 11. The authorization for the commencement of litigation by the MaineHeatlh other than routine collection actions 12. The adoption of MaineHealth's Bylaws and any amendments and modifications to MaineHealth's Bylaws Form 990, Part VI, Section B, line 11b The MaineHealth CFO reviewed the 990 in detail. The Form 990 is then reviewed by the MaineHealth Executive Committee. Subsequent to the meeting, the 990 was also made available to the full Board of Trustees for MaineHealth. The Board was then given an opportunity to ask questions of the Chairman of the Board, the CEO, or the CFO. Form 990, Part VI, Section B, line 12c Conflicts of Interest statements are obtained annually. MaineHealth Services' Audit & Compliance Services Department collects and reviews the responses to these documents and addresses any issues immediately. The results are shared with Board leadership. Form 990, Part VI, Section B, line 15 Compensation for Top Official & Officers MaineHealth uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO and other key administrative employees. The firm meets with the Executive Committee of the Board of Directors to review each executive's benchmark report. The Executive 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: Equity Transfers to Affiliates -76,246,597. Retirement Benefit Plan Adjustments -132,636,465. Net Assets Transferred as a Result of Unification 496,193,349. PenBay and Goodall Hospital Acquisition Adjustment 29,444,405. MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 Maine Medical Center Realty Corp 22 Bramhall Street Portland ME 04102 010434215 Property management ME 501(c)(3) Line 12a, I MaineHealth 1 Maine Behavioral Healthcare 78 Atlantic Place South Portland ME 04106 010524834 Hospital ME 501(c)(3) Line 3 MaineHealth Services 0 LincolnHealth Group 6 St Andrews Lane Boothbay Harbor ME 04538 261475629 Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services 0 Western Maine Health Care Corp 181 Main Street Norway ME 04268 010411788 Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services 0 Geriatric Resource Network 110 Free Street Portland ME 04101 010542842 Healthcare ME 501(c)(3) Line 7 MaineHealth Services 0 MaineHealth Care at Home 15 Industrial Park Saco ME 04072 222571902 Home health ME 501(c)(3) Line 10 MaineHealth Services 0 NorDx 301A US Route One Scarborough ME 04074 010511356 Lab ME 501(c)(3) Line 10 MaineHealth Services 0 Coastal Healthcare Alliance PO Box 287 Belfast ME 04915 222494475 Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services 0 MaineHealth Cardiology 110 Free Street Portland ME 04101 452525629 Healthcare 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 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 Hospital ME 501(c)(3) Line 3 MaineHealth Services 0 Franklin Community Health Network 111 Franklin Health Commons Farmington ME 04938 223209406 Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services 0 St Joseph's Rehab & Residence 1133 Washington Avenue Portland ME 04103 010339489 Nursing home ME 501(c)(3) Line 10 MaineHealth 0 LincolnHealth Cove's Edge 35 Miles Street Damariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 MaineHealth 1 Quarry Hill PO Box 287 Belfast ME 04915 010213976 Long term care ME 501(c)(3) Line 10 MaineHealth 1 Penobscot Bay Physicians & Associates PO Box 287 Belfast ME 04915 010530517 Physician services ME 501(c)(3) Line 12b, II MaineHealth 1 LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta ME 04543 263878235 Physician practices ME 501(c)(3) Line 7 MaineHealth 1 Western Maine Multi-Medical Specialists 181 Main Street Norway ME 04268 010489824 Physician practices ME 501(c)(3) Line 10 MaineHealth 1 Evergreen Behavioral Services 131 Franklin Health Commons Farmington ME 04938 010492747 Mental Health ME 501(c)(3) Line 10 MaineHealth 1 Healthy Community Coalition 105 Mt Blue Circle Farmington ME 04938 223305743 Community services ME 501(c)(3) Line 7 MaineHealth 1 MaineHealth Accountable Care Organization 110 Free Street Portland ME 04101 452929273 Accountable Care Organization ME MaineHealth Related 1312209 11335879 0 1 0.86890 Maine Medical Partners 22 Bramhall Street Portland ME 04102 010442142 Healthcare ME MaineHealth C 204447281 21418476 1.00000 1 Waldo County Healthcare Mgmt Co PO Box 287 Belfast ME 04915 010485133 Management Services ME MaineHealth C 1165032 2658765 1.00000 1 PBH Management Company PO Box 287 Belfast ME 04915 010537278 Management Services ME MaineHealth C 143302 492452 1.00000 1 1 1 1 1 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 MaineHealth Services Q 665000 Fair Market Value Maine Medical Partners J 59912689 Fair Market Value Maine Medical Partners O 174477463 Fair Market Value Maine Medical Partners P 6932037 Fair Market Value Maine Medical Partners Q 44346251 Fair Market Value Maine Medical Partners R 199187743 Fair Market Value Maine Medical Center Realty Corp K 2630018 Fair Market Value Maine Medical Center Realty Corp Q 2208785 Fair Market Value Maine Medical Center Realty Corp O 176244 Fair Market Value Maine Medical Center Realty Corp P 3050970 Fair Market Value Saint Joseph's Rehabilitation and Residence Q 96967 Fair Market Value Saint Joseph's Rehabilitation and Residence S 216075 Fair Market Value Saint Joseph's Rehabilitation and Residence R 2225000 Fair Market Value