2018-05-14T08:11:45-05:00 2017-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2016-07-01 010518516 LifeFlight of Maine LIFE 2079735115 43 Whiting Hill No 400 Brewer ME 04412 Thomas P Judge Executive Director 2079735115 2018-05-09 1 Barbara J McGuan CPA P00219457 2077752387 2018-05-09 2016 2022-09-23 18:48:47Z Thomas P Judge 43 Whiting Hill No 400 Brewer ME 04412 11009544 0 X www.lifeflightofmaine.org X LLC 1998 ME LifeFlight of Maine (LOM) is the primary provider of critical care air and ground transport services throughout the State of Maine. Critical care services are supplied directly to patients needing high acuity transport between hospitals, at emergency scenes in support of local EMS and public safety organizations, and in concert with public safety agencies selected search and rescue services. Hospital transfers from emergency department and critical care units are at the request of physicians caring for critically ill or injured patients requiring emergent resuscitation, stabilization, and transportation for specialty services at major medical centers throughout Maine New England and beyond. LOM fully accredited by the Commission for the Accreditation of Medical Transport Systems and is a member of the Association of Critical Care Transport. 2 0 0 33 0 0 2537523 727520 10423579 10275708 7294 6316 0 0 12968396 11009544 0 0 0 0 0 0 0 0 488788 9956036 11615996 9956036 11615996 3012360 -606452 18105385 25771010 7141505 13675629 10963880 12095381 X LifeFlight provides critical care and specialized medical transport by air and ground ambulances to the entire state of Maine and under mutual aid to hospitals and EMS agencies in New Hampshire, Vermont, and Massachusetts. 0 0 10413039 10275708 In FY2017 LifeFlight provided resuscitation and transport to 1929 patients originating from 124 communities, 33 referring hospitals in Maine, 17 communities and 10 hospitals in New Hampshire, 5 communities and 2 hospitals in Massachusetts, 2 hospitals in Vermont, and additional hospitals in Connecticut, Pennsylvania, as well the Provinces of Nova Scotia and Quebec. Patients were transported to 22 receiving hospitals in Maine, New Hampshire, Massachusetts, and Pennsylvania. LifeFlight is financially supported by care to patients with funding from the LifeFlight Foundation to support aviation infrastructure, specialized medical equipment, aircraft, and outreach education. LifeFlight of Maine (LOM) provides care to critically ill and injured patients without regard to the ability to pay for care or insurance status. In FY17 LOM incurred costs to care for patients unable to pay of $405,712 for Charity Care and $1,554,229 in bad debt. Contractual allowances with third party payors including reductions in revenue for Medicare and MaineCare beneficiaries reduced revenue by $8,251,931. In addition to providing care to critically ill and injured patients, during FY17 LOM supported a private-public aviation infrastructure with the State of Maine and the Federal Aviation Administration including: - staffing for the maintenance support and commissioning for 16 automated weather observation systems located at rural airports and hospitals in Belfast, Machias, Princeton, Fort Kent, Jackman, Greenville, Carrabassett, Skowhegan, Farmington, Rumford, Bethel, Eastport, and Brunswick, Bridgton, and Lewiston, and Matinicus, Vinalhaven, and Monhegan islands. - technical and consulting support including use of helicopter for flight sound study for new helipads at Maine Medical Center in Portland- technical consulting and support for runway extension projects in Rangeley, Machias, and Jackman - the maintenance of 39 helicopter instrument flight approach and departure procedures at hospitals, communities, islands, and rural airports; - support for fuel trucks at Northern Aroostook Regional Airport in Frenchville and Northern Maine Regional Airport in Presque IsleLifeFlight also runs a remote access project with over 120 remote access points in conjunction with the Maine Department of Conservation, the Maine Emergency Management Agency, Maine Fire Chiefs Association, Homeland Security, public safety agencies, and numerous private landowners, woodland and forest product companies as well as outdoor recreation organizations. During FY17, LifeFlight continued to provide an on-line database of over 700 approved landing sites with access granted to all of the 911 Public Safety Regional Communication Centers for coordination of emergency response. 219205 In support of operational safety and appropriate use, LifeFlight provided staff and helicopters for 61 Ground Safety User Courses with 854 participants. Supporting the chain of survival and with assistance from the LifeFlight Foundation, LOM provides physicians and clinical staff supporting continuing medical education. In FY2017 LifeFlight provided 13 continuing clinical education and high fidelity simulation programs for 137 physicians, nurses, respiratory therapists, paramedics, and EMT's. 10632244 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 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 0 0 0 0 0 0 1 25 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X Dan Parks 2079734124 43 Whiting Hill Rd Suite 400 Brewer ME 04412 X Michelle Hood Chair 3.00 X X 0 0 0 Jeff Brickman Vice Chair 3.00 X X 0 0 0 Phil Morissette Steering Committee Member/Treasurer 3.00 X X 0 0 0 Miles Theeman Steering Committee Member 3.00 X 0 0 0 Larry Hopperstead MD Steering Committee Member 3.00 X 0 0 0 Norman Dinerman MD Steering Committee Member 3.00 X 0 0 0 David Thompson Steering Committee Member 3.00 X 0 0 0 Thomas Judge Executive Director 40.00 X 0 0 0 0 0 0 0 0 0 0 Seven Bar Aviation LLC 8111 Lemmon Avenue Hangar 4 Dallas TX 75209 Flight Hours & Backup Aircraft 3870138 AgustaWestland Philadelphia Co 3050 Red Lion Road Philadelphia PA 19114 Engine Maintenance 2693151 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical Services 1124306 Eastern Maine Medical Center 43 Whiting Hill Road Suite 400 Brewer ME 04412 Medical Services 535726 Affiliated Healthcare Management 43 Whiting Hill Road Suite 400 Brewer ME 04412 Administrative Services 447137 13 727520 727520 Net Patient Service Revenue 621910 10248095 10248095 Other Income 621910 27613 27613 10275708 6316 6316 11009544 10275708 0 6316 X 1026479 766855 259624 6405 6405 82784 82784 6214721 5719786 6147 488788 105204 98769 6435 38063 37990 73 164595 160357 4238 102697 102697 31923 31923 270280 270280 513545 384287 129258 315069 315069 Aviation Operation 1823848 1823848 Medical Expenses 475434 475434 Dispatch Expense 416104 416104 Miscellaneous Expenses 28845 28845 11615996 10632244 494964 488788 X 60734 72824 3325356 2385946 149291 129614 18481 24445 92719 110139 21141894 7949154 6971709 13192740 7487095 9855302 18105385 25771010 655310 1187411 6292110 5940448 5329346 545747 866762 7141505 13675629 X 6213564 3813296 4750316 8282085 10963880 12095381 18105385 25771010 X -606452 1737953 X 0 1 X 1 0 X 295596 110000 401277 2537523 727520 4071916 7752593 9744809 8632979 10423579 10275708 46829668 8048189 9854809 9034256 12961102 11003228 50901584 0 0 0 50901584 3256 10292 8624 7294 6316 35782 3256 10292 8624 7294 6316 35782 8051445 9865101 9042880 12968396 11009544 50937366 0.99930 0.99930 0.00070 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2265 2265 0 Part II-B, Line 1: The Organization pays dues to various organizations, a portion of which are attributable to lobbying expenses. 266600 57633 208967 20855211 7891521 12963690 20083 20083 13192740 Interest in Net Assets of Financially Interrelated Organization 9155302 Deposits on Helicopters 700000 9855302 Due to Third Party Payors 59801 Due to Members and Other Related Parties 708360 Interest Rate Swaps 98601 866762 12747497 1737953 1737953 11009544 0 11009544 11615996 0 11615996 0 11615996 Part XI, Line 2d - Other Adjustments: Change in Accumulated Earnings of Financially Interrelated Organization 96,971. Change in Fair Value of Interest Rate Swaps 4,263. Change in Net Assets of Financially Interrelated Organization 3,531,769. Contribution Returned to Financially Interrelated Organization -1,895,050. A Finance Authority of ME 010392006 2017-01-30 2500000 Helicopter purchase 0 0 0 B Town of Camden Maine 016000097 2017-01-30 4000000 Helicopter purchase 0 0 0 A 79133 2500000 28551 2471449 2017 0 0 1 1 B 128757 4000000 34266 3965734 2017 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 1 1 Bangor Savings Bank 15.000000000000 1 0 0 0 1 B 0 0 1 0 1 1 Bangor Savings Bank 15.000000000000 1 0 0 0 0 A 1 B 1 Form 990, Part VI, Section A, line 3 LifeFlight of Maine (LOM) has an administrative and management services contract with Affiliated Healthcare Management (AHM) under which AHM provides LOM with executive management, financial support, and marketing and fundraising support services. Thomas Judge, Executive Director of both LOM and LifeFlight Foundation (LFF), received $195,690 during calendar year 2016 as compensation and benefits from AHM for the services he provided to both LOM and LFF. Form 990, Part VI, Section A, line 6 The Organization is owned 50% by Central Maine Healthcare Corporation (CMHC) and 50% by Eastern Maine Healthcare Systems (EMHS). Form 990, Part VI, Section A, line 7a LifeFlight of Maine's membership is held 50% by Eastern Maine Healthcare Systems and 50% by Central Maine Healthcare Corporation. Each of the two members are represented by three voting representatives from their respective organizations for the governing body. Form 990, Part VI, Section A, line 7b Approval to dissolve the Organization is reserved to the member organizations, Eastern Maine Healthcare Systems and Central Maine Healthcare Corporation. Other organizational changes are also reserved to the member organizations. Form 990, Part VI, Section A, line 8b The Organization does not have any committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is provided to the board for review prior to filing with an opportunity to ask questions. The 990 is also reviewed internally by appropriate levels of organizational personnel prior to providing to the board. Form 990, Part VI, Section B, line 12c In 2012 LifeFlight of Maine implemented a policy which indicates that board members need to annually disclose any conflicts of interest. Annual disclosure statements are filed by members of the Steering Committee. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents and financial statements available upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 5,719,786. Management and general expenses 6,147. Fundraising expenses 488,788. Total expenses 6,214,721. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: LifeFlight of Maine 43 Whiting Hill Road, #400 Brewer, ME 04412 EIN: 01-0518516 Section 1.263(a)-3(n) Election: LifeFlight of Maine is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Net Assets of Financially Interrelated Organization 3,531,769. Change in Accumulated Earnings of Financially Interrelated Organization 96,971. Change in Fair Value of Interest Rate Swaps 4,263. Contribution Returned to financially interrelated Organization -1,895,050. Form 990, Part VI, Section B, Lines 13 and 15: The Organization does not have employees.