2019-11-12T12:00:44-06:00 2019-01-01 990 2018-10-01 261475629 LincolnHealth Group LINC 2076338402 6 St Andrews Ln Boothbay Harbor ME 04538 Wayne Printy CFO 2076338402 2019-11-08 63.247.60.254 2019-11-12 12:59:50 ES P B45CD6F9D1811B9916B2A423673B63195B36551F 071534DF782BAFFC7F19FAE443616795F01F9B48 2018 2020-01-14 16:20:31Z X James Donovan 6 St Andrews Ln Boothbay Harbor ME 04538 1324254 0 X mainehealth.org/lincolnhealth X 2008 ME LincolnHealth Group (LHG) was established to promote and support integrated & cost-effective health care services for the residents and visitors of Lincoln County, Maine. X 20 14 0 0 0 0 77902 20100 9748878 1293084 19928 11070 30562 0 9877270 1324254 5908 11208 0 0 4004788 1047663 0 0 72958 5978297 304886 9988993 1363757 -111723 -39503 12809771 0 7276429 0 5533342 0 See Schedule O 0 0 1218046 11208 1293084 Management Services - LincolnHealth Group (LHG) is the parent company of LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners, Inc. LHG provides management services to these three tax exempt entities which include a critical access hospital, two long term care facilities that offer skilled and long term nursing care as well as dementia and adult day care, assisted living, and independent living facilities, a home health agency which includes professional and private duty home services, hospice services, and home monitoring, as well as multi-specialty physician group practices. 47601 Nursing School - The Education Center is a collaborative effort of Central Maine Community College and LincolnHealth Group, and is the first college degree program in Lincoln County. The program collaboratively works with colleges, clinical departments of the hospital and long term care facilities. Students receive classroom training at Central Maine Community College and in classrooms at the LincolnHealth Group Education Center located in Damariscotta. Clinical training is at LincolnHealth - Miles Campus and LincolnHealth Cove's Edge. LincolnHealth Group provides administration services, clinical training, equipment, supplies, technical support, telecommunications, and full scholarships in support of the nursing school program. 1265647 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Wayne Printy 2076338402 6 St Andrews Ln Boothbay Harbor ME 04538 Aquilino Alamo MD Trustee 0.40 50.00 X 0 212497 37919 James Cosgrove Trustee 0.40 0.00 X 0 0 0 Leslie Fossel Trustee 0.40 0.00 X 0 0 0 Timothy Fox MD Trustee 0.40 50.00 X 0 280160 36794 Jack T Fulmer MD Secretary 0.40 0.00 X X 0 0 0 Bruce P Garren Treasurer 0.40 0.00 X X 0 0 0 Meagan G Hamblett Trustee 0.40 0.00 X 0 0 0 Samira Hasan DO Trustee 0.40 50.00 X 0 383109 34929 David Lawrence Vice Chairman 0.40 0.00 X X 0 0 0 William Logan Chairman 0.40 0.00 X X 0 0 0 Bruce Lutsk Trustee 0.40 0.00 X 0 0 0 Russell Mack MD Trustee 0.40 0.00 X 0 0 0 Wayne Moore Trustee 0.40 0.00 X 0 0 0 Sean O'Donnell MD Trustee 0.40 50.00 X 0 246850 38606 Susan Porter Trustee 0.40 0.00 X 0 0 0 Andrew Russ MD Trustee 0.40 50.00 X 0 267804 41605 Louis Sell Trustee 0.40 0.00 X 0 0 0 Denise Soucy MD Trustee 0.40 0.00 X 0 0 0 Holly B Stover Trustee 0.40 0.00 X 0 0 0 Peter W Wood Trustee 0.40 0.00 X 0 0 0 James Donovan CEO 50.00 3.00 X 382926 0 47197 Wayne Printy CFO 50.00 3.00 X 249708 0 27674 Cynthia Wade Executive VP & COO 50.00 0.00 X 272364 0 30199 Scott Shott VP, Develop/Market 50.00 0.00 X 120495 0 31313 Katharine Rose Dir Reimbursement 50.00 0.00 X 124769 0 20582 Catherine Cole Dir Educ & Comm Out 50.00 0.00 X 107044 0 23888 Patrick Parson Director Operations 50.00 0.00 X 111720 0 5453 1369026 1390420 376159 8 0 1 0 LOCUMTENENSCOM LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 Medical Staffing 215268 1 20100 20100 Fees for Services 900099 1293084 1293084 1293084 11070 11070 1324254 1293084 0 11070 11208 11208 194450 194450 685253 643384 41869 23372 22079 1293 95203 89843 5360 49385 46916 2469 2883 2883 14569 5000 9569 68896 52814 12406 3676 279 279 64168 56806 7362 12539 12295 244 40952 36889 4063 11070 11070 25055 25055 12766 11503 1263 9742 9742 Integrated Services 34439 34439 Dues and Subscriptions 6589 1216 50 5323 Other Expenses 939 659 280 1363757 1265647 25152 72958 36681 0 0 0 0 0 0 0 0 81711 0 0 0 115443 0 462097 0 0 0 0 12113839 0 12809771 0 457311 0 51527 0 6767591 0 7276429 0 X 5088620 0 144722 0 300000 0 5533342 0 12809771 0 X -39503 -49486 -5444353 X 0 0 0 X X 3 LincolnHealth Medical Partners Inc 263878235 7 1 0 0 LincolnHealth 010153960 3 1 0 0 LincolnHealth Coves Edge 010382340 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Supplemental Information: LincolnHealth Group (LHG) was the parent company of LincolnHealth, LincolnHealth Cove's Edge and LincolnHealth Medical Partners, Inc. LHG provided management services to these three tax exempt entities. These services included leadership, human resources, accounting, development and information technology services. 300000 10500 11020 321520 300000 19713 -19713 300000 300000 6434 -6434 300000 300000 31207 -31207 300000 300000 11899 -11899 300000 0 0 0 Part V, Line 4: LHG Nursing School Endowment Schedule D, Part V L 2e. As Lincoln Health Group merged into MaineHealth (EIN: 01-0238552) on 1/1/19, the endowment balance was transferred to MaineHealth at the close of the period covered by this return. 1 Scholarships for students attending the LincolnHealth Group/Central Maine Community College Nursing Program 7 11208 0 Part I, Line 2 - Procedures for Monitoring the Use of Grant Funds The students receiving the scholarships must be enrolled in LincolnHealth Group's Nursing School program to be eligible to receive a scholarship. 0 0 0 0 0 0 0 0 0 Aquilino Alamo MD Trustee 0 158204 0 53893 0 400 0 8862 0 29057 0 250416 0 0 Timothy Fox MD Trustee 0 275160 0 0 0 5000 0 10146 0 26649 0 316955 0 0 Samira Hasan DO Trustee 0 281729 0 0 0 101380 0 8250 0 26678 0 418037 0 0 Sean O'Donnell MD Trustee 0 198650 0 0 0 48200 0 10227 0 28379 0 285456 0 0 Andrew Russ MD Trustee 0 184848 0 60381 0 22575 0 9517 0 32088 0 309409 0 0 James Donovan CEO 288283 0 52000 0 42643 0 10021 0 37177 0 430124 0 0 0 Wayne Printy CFO 222465 0 0 0 27243 0 9791 0 17883 0 277382 0 0 0 Cynthia Wade Executive VP & COO 252160 0 0 0 20204 0 9959 0 20240 0 302563 0 0 0 Scott Shott VP, Develop/Market 119795 0 0 0 700 0 5045 0 26267 0 151807 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. Cash & Cash Equivalents 2019-01-01 64146 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Prepaids & Other Current Assets 2019-01-01 84183 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Due From MH & Other Members 2019-01-01 702278 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Investments 2019-01-01 439292 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 PPE, net 2019-01-01 136756 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Other Assets 2019-01-01 9631532 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Accounts Payable & Other Current Liabilities 2019-01-01 -100468 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Accrued Payroll, Payroll Taxes, & Amounts Withheld 2019-01-01 -425512 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Deferred Revenue 2019-01-01 -55691 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Due to MH & Other Members 2019-01-01 -5189299 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Net Assets Unrestricted 2019-01-01 -4865308 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Net Assets Temporarily Restricted 2019-01-01 -111407 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 Net Assets Permanently Restricted 2019-01-01 -310502 Book Value 010238552 MaineHealth 22 Bramhall Street Portland ME 04102 1 1 0 0 1 1 1 1 0 Part I, Line 2e: Person(s) Involved: Bruce P. Garren; Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO;Sean O'Donnell, MD; Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO Part I, Line 2e: Explanation of Involvement: Bruce P. Garren trustee, became a member of MaineHealth's (EIN: 01-0238552)board of trustees upon LH's merger with MaineHealth on 1/1/2019.Aquilino Alamo, MD; Timothy Fox, MD; Samira Hasan, DO; Sean O'Donnell, MD;Andrew Russ, MD; James Donovan, CEO; Wayne Printy, CFO are employees ofMaineHealth. Form 990, Part V, Line 1a MaineHealth (EIN 01-0238552), acting on behalf of Maine Healthcare (EIN 01-0431680), filed 1,645 Form 1099s for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, Southern Maine Health Care, Coastal Healthcare Alliance, Pen Bay Medical Center, Waldo County General Hospital, Franklin Memorial Hospital, LincolnHealth Group, Memorial Hospital, Western Maine Healthcare, Maine Behavioral Healthcare, NorDx, MaineHealth Care at Home. Form 990, Part V, Line 2a MaineHealth (EIN 01-0238552) filed Form W-3, reporting 18,322 employees, for the calendar year 2018 on behalf of the following organizations: Maine Healthcare, MaineHealth, MMC Realty, Maine Medical Partners, NorDx, MaineHealth Care at Home and MaineHealth Cardiology, Southern Maine Health Care, Maine Behavioral Healthcare, Waldo County General Hospital and LincolnHealth Group. Form 990, Part VI, Section A, line 6 The sole corporate member (Corporator) is Maine Healthcare - EIN 01-0431680. Form 990, Part VI, Section A, line 7a The member elects the Board of Trustees. All officers of the Board of Trustees are elected by the board, and each must be a trustee. Officers of the corporation are elected annually by the board. Form 990, Part VI, Section A, line 7b Decisions of the governing body such as budgets, business strategies, significant financial commitments, amendments to the articles of incorporation, and election of the President/CEO among other decisions, are subject to the approval of the sole member. Form 990, Part VI, Section B, line 11b The Chief Financial Officer performs a detailed review of the entire Form 990. The Form 990 is also made available to the full board prior to filing. Form 990, Part VI, Section B, line 12c Any duality of interest or possible conflict of interest on the part of a trustee, physician, officer or manager (e.g., a member of LincolnHealth Group's Leadership Team, Director, Manager or person responsible for purchasing) must be disclosed to the applicable Board, Board Committee or, in the case of an administrative decision that is not subject to Board or committee approval, to the manager's immediate supervisor. Such disclosures shall be made a matter of record. Disclosure will be made at the time of initial affiliation with LincolnHealth Group, annually and when the interest becomes a matter for Board or committee action or administrative decision. Disclosure Forms shall be completed annually by trustees and officers at the time of the Annual Meeting, and annually by vice presidents, directors, and managers in conjunction with their annual performance review. Form 990, Part VI, Section B, line 15 Line 15a - Compensation Process for Top Official 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 LincolnHealth Group, along with other executives in the Maine Healthcare system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on Maine Healthcare'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. Line 15b - Compensation Process for Officers See process above under "Compensation Process for Top Official". 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: Merger of assets into MaineHealth (EIN:01-0238552) -5,287,217. Intercompany Equity Transfers -157,136. Coastal Healthcare Alliance PO Box 287 Belfast ME 04915 222494475 Healthcare ME 501(c)(3) Line 12b, II Maine Healthcare 0 Franklin Community Health Network 111 Franklin Health Commons Farmington ME 04938 223209406 Healthcare ME 501(c)(3) Line 12b, II Maine Healthcare 0 Geriatric Resource Network 110 Free Street Portland ME 04101 010542842 Healthcare ME 501(c)(3) Line 7 Maine Healthcare 0 LincolnHealth 35 Miles Street Damariscotta ME 04543 010153960 Hospital ME 501(c)(3) Line 3 LincolnHealth Group 1 LincolnHealth Cove's Edge 35 Miles Street Damariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 LincolnHealth Group 1 LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta ME 04543 263878235 Physician practices ME 501(c)(3) Line 7 LincolnHealth Group 1 Maine Behavioral Healthcare 78 Atlantic Place South Portland ME 04106 010524834 Hospital ME 501(c)(3) Line 3 Maine Healthcare 0 MaineHealth 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 Maine Healthcare 0 MaineHealth Cardiology 110 Free Street Portland ME 04101 452525629 Healthcare ME 501(c)(3) Line 10 Maine Healthcare 0 MaineHealth Care at Home 15 Industrial Park Saco ME 04072 222571902 Home health ME 501(c)(3) Line 10 Maine Healthcare 0 NorDx 301A US Route One Scarborough ME 04074 010511356 Lab ME 501(c)(3) Line 10 Maine Healthcare 0 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 Hospital ME 501(c)(3) Line 3 Maine Healthcare 0 The Memorial Hospital 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital NH 501(c)(3) Line 3 Maine Healthcare 0 Western Maine Health Care Corp 181 Main Street Norway ME 04268 010411788 Healthcare ME 501(c)(3) Line 12b, II Maine Healthcare 0 Maine Healthcare 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 MaineHealth Related 0 1 0.03330 Synernet Inc 110 Free Street Portland ME 04101 010539789 Administrative services ME N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 LincolnHealth L 64228 Fair market value LincolnHealth Cove's Edge O 102461 Fair market value LincolnHealth O 742251 Fair market value LincolnHealth Cove's Edge S 141253 Fair market value LincolnHealth S 1032340 Fair market value