2020-08-13T07:46:39-05:00 2019-09-30 990 2018-10-01 222571902 MAINEHEALTH CARE AT HOME MAIN 2072844566 15 INDUSTRIAL PARK DRIVE SACO ME 04072 Elaine Collins CFO 2072844566 2020-08-13 63.247.60.254 2020-08-13 08:45:20 ED P B45CD6F9D1811B9916B2A423673B63195B36551F 05B59A79989D8D80B3E3D119B5D3766651DA35E3 2018 2020-09-22 18:59:49Z Donna DeBlois 15 INDUSTRIAL PARK DRIVE SACO ME 04072 35689581 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 11 0 105 0 0 766145 901235 30146005 32126966 85122 -248555 94221 206643 31091493 32986289 0 0 0 0 22735792 24275640 0 0 0 7348990 8500811 30084782 32776451 1006711 209838 12725033 13674319 4755862 5280998 7969171 8393321 X HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. 0 0 23913962 0 25300917 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 8,864 ADMISSIONS, 158,520 HOME VISITS AND $281,838 OF FREE CARE. 4328569 0 4579617 VISITING HOSPICE: THE HOSPICE PROGRAM PROVIDED HEALTHCARE AND COMFORT FOR 445 TERMINALLY ILL PATIENTS WITHIN THE COMMUNITY. 1075685 0 1138072 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 166 PATIENTS WERE PROVIDED CARE. 941866 0 996492 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 787 ADMISSIONS AND 2,738 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. 941866 0 996492 30260082 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 11 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 JOHN BENOIT FORMER DIRECTOR 1.00 0.00 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 368807 34694 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 HEIDI WIERMAN MD FORMER SECRETARY 1.00 50.00 X X 0 217650 69928 ANTHONY T PLANTE TREASURER 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 112161 15103 JANE CONRAD DIRECTOR 1.00 0.00 X 0 0 0 DONNA DEBLOIS PRESIDENT, CEO 50.00 0.00 X 286193 0 27261 ELAINE COLLINS CFO 50.00 0.00 X 166614 0 28217 MARIA MILLEFOGLIE GRANT WRITER 50.00 0.00 X 114911 0 27503 JOCELYN CORKUM PHYSICAL THERAPIST 50.00 0.00 X 105398 0 24596 KATHRYN M ELLIS SYSTEMS ANALYST 50.00 0.00 X 105130 0 22896 CHERYL A MITCHELL SUPV - EVENING WEEKEND 50.00 0.00 X 106799 0 14457 ROBERT ABEL CNO 50.00 0.00 X 137977 0 16365 1023022 698618 281020 11 0 1 0 AHSA LLC 10126 E Cherry Bend Road Traverse City MI 49684 Staffing 508740 1 830878 70357 901235 Home health care services 623000 32126966 32126966 32126966 69956 69956 2384781 2703292 -318511 -318511 -318511 Other revenue 900099 206643 206643 206643 32986289 32015098 0 69956 540090 540090 18902032 17945034 956998 269624 254582 15042 3173719 2969439 204280 1390175 1285912 104263 4100 4100 58750 58750 9467 8757 710 1738806 1608396 130410 24552 22711 1841 1045684 967258 78426 998881 923965 74916 1046769 968261 78508 1302465 1204780 97685 104181 96367 7814 28843 26680 2163 613518 567504 46014 36511 33773 2738 Medical supplies 1209838 1119100 90738 Member dues 218766 202359 16407 Other 59680 55204 4476 32776451 30260082 2516369 0 1129464 3153998 453868 229351 2912436 2212652 49972 68259 8192703 7200425 1068802 992278 2848685 2705748 1761479 1979108 2500327 2332925 12725033 13674319 2064774 2288762 338376 153124 2352712 2839112 4755862 5280998 X 6002686 6478975 528784 497463 1437701 1416883 7969171 8393321 12725033 13674319 X 209838 262066 -47754 X 0 1 X 1 0 X 854254 953290 937133 766145 901235 4412057 18747811 22795424 28475101 30146005 32126966 132291307 19602065 23748714 29412234 30912150 33028201 136703364 0 0 0 136703364 75947 173541 69545 81391 69956 470380 75947 173541 69545 81391 69956 470380 19678012 23922255 29481779 30993541 33098157 137173744 0.99660 0.99600 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1966485 5507 8842 66488 1914346 1876630 120026 30171 1966485 1693655 1790 210417 29232 1876630 1645002 62637 13984 1693655 1825226 20 -155191 25054 1645002 0.74000 0.26000 0 1 1 122000 122000 1579726 1431653 148073 495783 241062 254721 5995194 5527710 467484 992278 HEDGE AND OTHER 1979108 F 1979108 PREPAID CAPITAL COSTS 1118052 ESCROW FOR DEBT SERVICE 43202 BENEFICIAL INTEREST PERPETUAL TRUST 1171671 2332925 DUE TO AFFILIATES 1878847 LONG TERM NOTE TO AFFILIATE 960265 2839112 X 33262481 262066 14126 276192 32986289 0 32986289 32776451 0 32776451 0 32776451 Part X, Line 2: FIN 48 Footnote The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. 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 34,944. CHANGE IN VALUE OF BENEFICIAL INT -20,818. 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 315288 0 28060 0 25459 0 9625 0 25069 0 403501 0 0 HEIDI WIERMAN MD FORMER SECRETARY 0 216233 0 0 0 1417 0 41317 0 28611 0 287578 0 0 DONNA DEBLOIS PRESIDENT, CEO 202835 0 38000 0 45358 0 4985 0 22276 0 313454 0 0 0 ELAINE COLLINS CFO 146879 0 0 0 19735 0 0 0 28217 0 194831 0 0 0 ROBERT ABEL CNO 134006 0 0 0 3971 0 2779 0 13586 0 154342 0 0 0 PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN AT PART I, 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 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 V - ADDITIONAL INFORMATION 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 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 SYSTEM. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE TO REVIEW EACH EXECUTIVE'S BENCHMARK REPORT. THE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S 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. AT THE TIME OF HIRE MAINEHEALTH COMPENSATION DEPARTMENT UTILIZES MARKET DATA TO PROVIDE AN ACCURATE, COMPETITIVE AND APPROPRIATE OFFER. ON AN ANNUAL BASIS OFFICERS RECEIVE A MERIT INCREASE RELATED TO THE RESULTS OF THEIR ANNUAL PERFORMANCE APPRAISAL PERFORMED BY THE CEO. AT THIS TIME IT IS EVALUATED IF AN ADDITIONAL BONUS WILL BE PROVIDED BASED UPON BUDGET AND PERFORAMNCE, THIS IS AT THE DISCRETION OF THE CEO, CFO, AND HR DIRECTOR. 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 Affiliate -26,936. Change in Value of BIPT -20,818. Coastal Healthcare Alliance PO Box 287 Belfast ME 04915 222494475 Healthcare ME 501(c)(3) Line 12b, II 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 Geriatric Resource Network 110 Free Street Portland ME 04101 010542842 Healthcare ME 501(c)(3) Line 7 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 Maine Behavioral Healthcare 78 Atlantic Place South Portland ME 04106 010524834 Hospital ME 501(c)(3) Line 3 MaineHealth Services 0 MaineHealth 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 MaineHealth Services 0 MaineHealth Cardiology 110 Free Street Portland ME 04101 452525629 Healthcare 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 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 Hospital ME 501(c)(3) Line 3 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 Western Maine Health Care Corp 181 Main Street Norway ME 04268 010411788 Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services 0 MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 MaineHealth ACO 110 Free Street Portland ME 04101 452929273 ACO ME N/A Synernet Inc 110 Free Street Portland ME 04101 010539789 Administrative services ME N/A C 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0