2016-05-12T10:00:35-05:00 2015-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-07-01 010211494 CENTRAL MAINE MEDICAL CENTER % PHIL MORISSETTE CENT 2077952972 PO BOX 4500 LEWISTON ME 042434500 PHIL MORISSETTE TREASURER 2077952972 2016-04-20 true Brian D Todd P00422601 4178658701 2014 2016-08-17 19:52:53Z TINA-MARIE LEGERE 300 MAIN STREET LEWISTON ME 04240 379887713 false X WWW.CMMC.ORG X 1888 ME CMMC STRIVES TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES. THE HOSPITAL DEPENDS ON THE EXPERTISE OF ITS CAREGIVERS IN ADDITION TO THE COMMITMENT AND COMPASSION THEY PROVIDE. 16 12 2489 1620 172979 -49479 1905838 3833350 359079093 375606175 718532 833208 -3562465 -4540278 358140998 375732455 15895 144300 0 0 163477084 176178942 0 0 3271 191827938 191292211 355320917 367615453 2820081 8117002 292642903 285929574 219490949 204747867 73151954 81181707 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS. false false 294550933 144300 375606175 CENTRAL MAINE MEDICAL CENTER IS A 250-BED, NOT-FOR-PROFIT HOSPITAL LOCATED IN LEWISTON, MAINE OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF THE CENTRAL AND WESTERN MAINE REGION WITH AN ACTIVE MEDICAL STAFF OF MORE THAN 300 PHYSICIANS REPRESENTING SOME 30 SPECIALTIES OVER 2,000 HIGHLY SKILLED EMPLOYEES AND WITH THE SUPPORT OF THE LATEST TECHNOLOGIES, CMMC IS WELL POSITIONED TO MEET THE REGION'S HEALTHCARE NEEDS WITH THE UTMOST COMPASSION, KINDNESS, AND UNDERSTANDING. 294550933 true true false true false false false false false true true false false true false false false true false false false false false false true false true true true false true true false false false false false true false false true false true false false false false true true true false false true 145 0 true 2489 true true true false false false false true true false false false false X 16 12 false false false false true true true true true false false true true true true true true false false false ME X PHIL MORISSETTE 2077952972 29 LOWELL STREET LEWISTON ME 04240 X PAULINE V BEALE OD TRUSTEE ENDING 12/14 1.0 1.0 X 0 0 0 RICHARD L ROY CHAIRMAN ENDING 2/15, TRUSTEE 1.0 1.0 X 0 0 0 MARK A ADAMS CHAIRMAN BEGINNING 2/15 1.0 3.0 X X 0 0 0 SHARON BUCKLEY TRUSTEE 1.0 0.0 X 0 0 0 PETER E CHALKE SYSTEM EXECUTIVE 1.0 60.0 X X 0 705146 30751 MICHAEL TOMPKINS VICE CHAIRMAN BEGINNING 2/15 1.0 0.0 X X 0 0 0 LAWRENCE OLIVER TRUSTEE 55.0 0.0 X 305993 0 41139 JOHN E BLANCHARD TRUSTEE 1.0 0.0 X 0 0 0 PHILIPPE NADEAU TRUSTEE 1.0 0.0 X 0 0 0 RONALD PEYSER TRUSTEE 1.0 0.0 X 0 0 0 MARK CARRIER TRUSTEE 1.0 0.0 X 0 0 0 CANDACE SANBORN TRUSTEE 1.0 0.0 X 0 0 0 SHARON POULIN TRUSTEE 1.0 0.0 X 0 0 0 AUSTIN ALBERT TRUSTEE BEGINNING 2/15 1.0 0.0 X 0 0 0 CHRISTINE BOSSE TRUSTEE BEGINNING 2/15 1.0 0.0 X 0 0 0 ADAM DUNBAR TRUSTEE BEGINNING 2/15 1.0 0.0 X 0 0 0 STEVE WALLACE TRUSTEE BEGINNING 2/15 1.0 0.0 X 0 0 0 SAMANTHA LUCE SECRETARY 1.0 57.0 X 0 69523 26110 TINA-MARIE LEGERE PRESIDENT - CMMC 55.0 1.0 X 0 393861 82492 PHILIPPE MORISSETTE TREASURER 1.0 58.0 X 0 312665 17143 RICHARD GOLDSTEIN MD PHYSICIAN PRACTICE EXECUTIVE 1.0 55.0 X 0 463071 83177 JAMES LOGGINS MD PHYSICIAN DIVISION CHIEF 55.0 0.0 X 641435 0 43052 WILLIAM LEE MD PHYSICIAN DIVISION CHIEF 55.0 0.0 X 318935 0 51248 DAVID LAUVER MD PHYSICIAN DIVISION CHIEF 55.0 2.0 X 388649 0 40564 ALAN HARMATZ MD PHYSICIAN DIVISION CHIEF 55.0 0.0 X 536955 0 24387 JENNIFER WEINER-SMITH PHYSICIAN DIVISION CHIEF 55.0 0.0 X 317942 0 41508 JENAE LIMOGES PHYSICIAN DIVISION CHIEF 55.0 0.0 X 230170 0 16440 PAUL WELDNER MD PHYSICIAN 55.0 0.0 X 861749 0 46601 OSWALDO BISBAL MD PHYSICIAN 55.0 0.0 X 858785 0 41337 DANIEL LACERTE MD PHYSICIAN 55.0 0.0 X 1234340 0 27991 CARMINE FRUMIENTO MD PHYSICIAN 55.0 0.0 X 915689 0 23810 MARK BRANDA MD PHYSICIAN 55.0 0.0 X 652377 0 43462 7263019 1944266 681212 273 false true false WEATHERBY LOCUMS INC MEDICAL STAFFING 4807013 UNITED AMBULANCE SERVICES MEDICAL TRANSIT 3570416 SODEXO INC FOOD SERVICES 2966770 ANESTHESIA ASSOCIATES MEDICAL SERVICES 2181544 CHG COMPANIES INC MEDICAL STAFFING 2004791 59 1358458 995487 166586 1312819 30676 3833350 NET PATIENT SERVICE REVENUE 900099 344416847 344416847 PHARMACY REVENUE 446110 20690974 20690974 CAFETERIA REVENUE 722320 704439 704439 OTHER REVENUE 900099 9793915 9793915 375606175 873931 873931 0 0 4366 4366 0 4366 4366 2896932 18386 2946383 9658 -49451 8728 -40723 -40723 177002 1358458 701377 -524375 -524375 0 670819 497840 172979 172979 EQUITY INVESTMENT 900099 20892 20892 LOSS ON UNCOLLECTIBLE NOTES RECEIVABLE 900099 -4214140 -4214140 -4193248 375732455 375606175 172979 -3880049 X 144300 144300 0 0 0 2998417 2998417 317851 317851 146176337 109824362 36351975 819310 585753 233557 16933642 12779829 4153813 8933385 6757302 2176083 0 268782 268782 114744 114744 0 0 13105 13105 56258708 42554649 13704059 799538 604779 194759 17161248 12981942 4176035 3271 3874424 2930653 943771 0 6135422 4640895 1494527 1007190 761849 245341 0 248753 188159 60594 5419556 4099406 1320150 0 18741828 14176506 4565322 6687368 5058392 1628976 MEDICAL SUPPLIES & DRUGS 51069542 51069542 BAD DEBT 17680370 17680370 REPAIRS & MAINTENANCE 4477380 3386735 1090645 LICENSES, DUES, SUBSCRIPTIONS 950497 718965 231532 383756 290277 93479 367615453 294550933 73061249 3271 1524481 331332 16543320 18427566 187837 9941 55628623 51147400 0 34629 0 0 2740482 2871208 2825819 4063877 6545474 6329753 368657575 232590279 144661993 136067296 16892891 23996923 3209974 3330866 0 0 0 0 41882009 39318783 292642903 285929574 92249621 84143111 0 0 302112 195176 117380133 114347425 0 0 0 0 9559083 6062155 0 0 0 0 219490949 204747867 X 54509772 62328183 6837687 6579437 11804495 12274087 73151954 81181707 292642903 285929574 X 8117002 12154 -99403 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 31220 31220 false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $31,220. 19253603 578486 -37780 328916 19465393 16922085 47094 2342008 57584 19253603 16439401 1317335 490909 1325560 16922085 15497906 2327217 -115277 1270445 16439401 13567546 2332798 801345 1203783 15497906 0.65568 0.34431 false true true 2368022 2368022 156344885 64941363 91403522 4945143 4004371 940772 194472850 157509020 36963830 10526675 6135525 4391150 136067296 DUE FROM AFFILIATES 145321 OTHER RECEIVABLES 4381378 DEPOSITS 5900 EST AMT DUE FROM 3RD PARTY 16544530 INTEREST IN RELATED PARTY 18241654 39318783 361873366 12154 8633 -14439432 -14418645 376292011 -559556 -559556 375732455 354068607 8633 4137996 4146629 349921978 13105 17680370 17693475 367615453 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION IN A VARIETY OF WAYS, DEPENDING UPON THE STATED PURPOSE OF EACH FUND. MANY OF THESE FUNDS HELP TO COVER COSTS OF CAPITAL EQUIPMENT PURCHASES, CONTINUING MEDICAL EDUCATION, OR FREE CARE. OTHERS ARE DESIGNATED TO SUPPORT SPECIFIC DEPARTMENTS OF THE HOSPITAL. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 328,916 NET ASSETS RELEASED FROM RESTRICTION (13,105) INVESTMENT MANAGEMENT FEES (17,680,370) BAD DEBT EXPENSE 2,925,127 MCHP REVENUES ------------- $(14,439,432) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (701,377) SPECIAL EVENTS EXPENSE 579,744 TEMPORARILY RESTRICTED CONTRIBUTIONS 61,175 TEMPORARILY RESTRICTED INVESTMENT RETURN (1,258) PERMANENTLY RESTRICTED CONTRIBUTIONS (497,840) COGS -------------- $ (559,556) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 701,377 SPECIAL EVENTS EXPENSE 497,840 COGS 2,938,779 MCHP EXPENSES ------------- $ 4,137,996 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 17,680,370 BAD DEBT EXPENSE DEMPSEY CHALLEN 1330943 1224718 106225 39411 69647 31407 13139 486494 SPRING GALA 103483 75883 27600 350 10618 3500 5831 3 101034 57857 43177 5000 1800 10575 10625 500 12480 1535460 1358458 177002 5000 41211 80572 52650 17139 504805 701377 -524375 SCHEDULE G, PART II, COLUMN A FUNDRAISING ACTIVITIES: DEMPSEY CHALLENGE - THIS EVENT OCCURS ANNUALLY IN OCTOBER AND OCCUPIES A YEAR-LONG PLANNING AND EXPENSE CYCLE. DUE TO THE OVERLAPPING YEAR CYCLE OF THIS EVENT, EACH REPORTED TAX YEAR WILL HAVE A PORTION OF REVENUE AND EXPENSES ATTRIBUTABLE TO THE EVENT OCCURRING WITHIN THE REPORTABLE TAX YEAR, AS WELL AS SOME EXPENSES, SPONSORSHIPS, REGISTRATIONS AND DONATIONS ASSOCIATED WITH THE FOLLOWING YEAR'S EVENT. AS SUCH, THE AMOUNT REPORTED WITH THIS RETURN IS NOT REPRESENTATIVE OF A SINGLE EVENT'S PROCEEDS; RATHER IT IS A REPORT OF ACTIVITY ENCOMPASSING OVERLAPPING PERIODS FOR AN EVENT THAT CROSSES A REPORTABLE TAX PERIOD. true true X true X false true true false false 5809249 5809249 0.01660 57849338 31403814 26445524 0.07560 63658587 31403814 32254773 0.09220 1447533 5180 1442353 0.00410 1905950 943693 962257 0.00270 148192 148192 0.00040 3501675 948873 2552802 0.00720 67160262 32352687 34807575 0.09940 false 17680370 568416 71942885 87004869 -15061984 X true true 1 1 CENTRAL MAINE MEDICAL CENTER 300 MAIN STREET LEWISTON ME 04240 www.cmmc.org 38361 X X X X CENTRAL MAINE MEDICAL CENTER 1 false false true X X X X X X X X X 12 true true true true X WWW.CMMC.ORG/ABOUT-COMMUNITY-BENEFITS X false 12 true WWW.CMMC.ORG/ABOUT-COMMUNITYBENEFITS false false true X 200. 0. X true true X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: SEVERAL HEALTH-RELATED TEAMS AND TASK FORCES OPERATE WITHIN THE COMMUNITY AND THESE GROUPS WERE INVOLVED IN ASSESSING THE DATA RESULTS. THE PEOPLE FROM THESE GROUPS WHO PARTICIPATED IN THE PROCESS ARE: BENDA JOLY, MPH, PHD ASSISTANT RESEARCH PROFESSOR IN HEALTH POLICY AND MANAGEMENT PROGRAM, MUSKIE SCHOOL OF PUBLIC SERVICE, UNIVERSITY OF SOUTHERN MAINE; CYNTHIA RICE, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER; ELIZABETH KEENE, VP OF MISSION INTEGRATION, ST. MARY'S HEALTH SYSTEM; STEVE JOHNDRO, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN; CATHERINE RYDER, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES; GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION; BECKY GRANT, WESTERN MAINE COMMUNITY ACTION; BRENDA CZADO, DIRECTOR OF HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE; CARA OUELLETTE, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES; DARBY RAY, EXECUTIVE DIRECTOR, HARWOOD CENTER AT BATES COLLEGE; JOAN CHURCHILL, DIRECTOR OF RESOURCE DEVELOPMENT, COMMUNITY CONCEPTS; KAREN WHITE, COMMUNITY TRANSFORMATION GRANT COORDINATOR, COMMUNITY CONCEPTS; ALEXANDER VEGUILLA-APONTE, WELLNESS AND RECOVERY SERVICES COORDINATOR, TRI-COUNTY MENTAL HEALTH SERVICES. SCHEDULE H, PART V, SECTION B, LINE 6A THE CHNA WAS CONDUCTED ON A SYSTEM-WIDE BASIS, AND THEREFORE INCLUDED RELATED ORGANIZATIONS WHICH HAVE HOSPITAL FACILITIES, RUMFORD HOSPITAL AND BRIDGTON HOSPITAL. SCHEDULE H, PART V, SECTION B, LINE 6B NON-HOSPITAL FACILITIES: THE CHNA WAS ALSO CONDUCTED WITH EASTERN MAINE HEALTH SYSTEM, MAINE GENERAL HEALTH, MAINE HEALTH, AND MAINE CENTER FOR DISEASE CONTROL AND PREVENTION. SCHEDULE H, PART V, SECTION B, LINE 11 IMPLEMENTATION STRATEGY/ADDRESSING IDENTIFIED NEEDS: CENTRAL MAINE MEDICAL CENTER HAS CREATED AN IMPLEMENTATION STRATEGY TO DIRECTLY ADDRESS SEVERAL HEATH ISSUES, INCLUDING CANCER, CARDIOVASCULAR DISEASE AND DIABETES. CMMC WILL BE COLLABORATING WITH OTHER AGENCIES TO ADDRESS ASTHMA AND DOMESTIC/CHILD ABUSE. MENTAL HEALTH AND SUBSTANCE ABUSE ARE NOT DIRECTLY ADDRESSED BY CMMC, HOWEVER CMMC DOES HAVE BOARD OF DIRECTOR REPRESENTATION ON AGENCIES DIRECTLY ADDRESSING THESE ISSUES WITHIN THE COMMUNITY. FURTHERMORE, REPRODUCTIVE/SEXUAL HEALTH, ORAL HEALTH, POVERTY, AND FOOD SECURITY ARE ADDRESSED DIRECTLY BY OTHER AGENCIES WITHIN THE COMMUNITY WITH INDIRECT SUPPORT FROM CMMC, SUCH AS DONATIONS TO THESE AGENCIES AND ADDITIONAL EDUCATION TO CURRENT PATIENTS. CMMC IS NOT DIRECTLY ADDRESSING MENTAL HEALTH AS THIS IS WIDELY COVERED BY MENTAL HEALTH AGENCIES AND WE HAVE BOARD OF DIRECTOR REPRESENTATION; SUBSTANCE (ALCOHOL) ABUSE WHICH IS COVERED BY HEALTHY ANDROSCOGGIN (WHICH CMMC SUPPORTS AND HAS BOARD OF DIRECTOR REPRESENTATION); REPRODUCTIVE/SEXUAL HEALTH BUT SUPPORTING COMMUNITY WIDE EFFORTS THROUGH PARTICIPATION IN L/A PUBLIC HEALTH COMMITTEE AND INTERNAL EDUCATION; ORAL HEALTH WHICH IS ADDRESSED BY OTHER LOCAL AGENCIES; AND POVERTY AND FOOD SECURITY WHICH IS SUPPORTED THROUGH DONATIONS TO LOCAL FOOD BANKS. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C MEASURES TO PUBLICIZE THE POLICY: HTTPS://WWW.CMMC.ORG/BILLING-FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: FAP-ELIGIBLE PATIENTS ULTIMATELY RECEIVE FREE CARE. IF THE PATIENT HAS INSURANCE, THE INSURANCE COMPANY WOULD BE BILLED AND ONLY THE PATIENT RESPONSIBILITY PORTION, UNDER THAT CARRIER'S CONTRACT, WOULD BE BILLED TO THE PATIENT. IF THE PATIENT IS UNINSURED, THE PATIENT WOULD BE BILLED WITH A 20% UNINSURED DISCOUNT FROM GROSS CHARGES. ONCE A PATIENT'S ELIGIBILITY IS CONFIRMED THROUGH THE FAP'S APPLICATION PROCESS, A FAP ADJUSTMENT WOULD BE APPLIED TO THE PATIENT'S ACCOUNT, BRINGING THE BALANCE TO ZERO. 38 CENTRAL MAINE GASTROENTEROLOGY ASSOCIATE 77 BATES STREET SUITE 202 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SURGICAL ASSOCIATES 12 HIGH STREET SUITE 401 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK FAMILY MEDICINE 33 BATH ROAD BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK PRIMARY CARE 329 MAIN STREET SUITE H BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC COASTAL PLASTIC SURGERY 4 HORTON PLACE TOPSHAM ME 04086 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE BARIATRIC SURGERY 10 HIGH STREET SUITE 105 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE ENDOCRINOLOGY & DIABETES 287 MAIN STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY HEALTH CARE ASSOC 190 STETSON ROAD AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY HEALTH RESIDENCY 76 HIGH STREET SUITE 100 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY PRACTICE 12 HIGH STREET SUITE 302 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE GYNECOLOGY & UROGYNECOLOGY 287 MAIN STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE CARDIOLOGY 2 GREAT FALLS PLAZA AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEMATOLOGY ONCOLOGY 12 HIGH STREET SUITE 205 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE INTERNAL MEDICINE 10 HIGH STREET SUITE 400 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE NEUROLOGY 10 MINOT AVENUE AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE OBGYN 12 HIGH STREET SUITE 200 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PAIN & HEADACHE CENTER 77 BATES STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PEDIATRICS 12 HIGH STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PLASTIC SURGERY 287 MAIN STREET SUITE 302 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE RADIOLOGY - OP 77 BATES STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SPORTS MEDICINE 77 BATES STREET SUITE 101 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE THERAPY SERVICES 77 BATES STREET SUITE 201 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE UROLOGY 287 MAIN STREET SUITE 404 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC GRAY FAMILY CLINIC 116 SHAKER ROAD GRAY ME 04039 OUTPATIENT PHYSICIAN CLINIC INFECTIOUS DISEASE ASSOCIATES 76 HIGH STREET SUITE 200 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC LISBON FAMILY PRACTICE 2 BISBEE ROAD LISBON ME 04250 OUTPATIENT PHYSICIAN CLINIC MECHANIC FALLS FAMILY PRACTICE 22 PLEASANT STREET MECHANIC FALLS ME 04256 OUTPATIENT PHYSICIAN CLINIC MINOT AVENUE FAMILY MEDICINE 789 MINOT AVENUE AUBURN ME 04210 OUTPATIENT PHYSICIAN CLINIC POLAND COMMUNITY HEALTH CENTER 364 MAIN STREET POLAND ME 04274 OUTPATIENT PHYSICIAN CLINIC PULMONARY AND SLEEP MEDICINE 76 HIGH STREET SUITE 300 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC TOPSHAM FAMILY MEDICINE 4 HORTON PLACE TOPSHAM ME 04086 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEARING CENTER 12 HIGH STREET SUITE 102 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE MEDICATION MANAGEMENT 10 HIGH STREET SUITE 103 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE EAR NOSE & THROAT 12 HIGH STREET SUITE 102 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC SPRUCE MOUNTAIN HEALTH CENTER 38 UNION STREET LIVERMORE FALLS ME 04254 OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PODIATRY 287 MAIN STREET LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC BRUNSWICK CARDIOLOGY 329 MAINE STREET SUITE C BRUNSWICK ME 04011 OUTPATIENT PHYSICIAN CLINIC HIGH STREET FAMILY MEDICINE 10 HIGH STREET SUITE 301 LEWISTON ME 04240 OUTPATIENT PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $17,680,370. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED TO CALCULATE AMOUNTS ON IRS WORKSHEETS 1 AND 3. ALL OTHER WORKSHEETS USED THE ORGANIZATION'S COST ACCOUNTING SYSTEM. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: LINE 2 REPORTS BAD DEBT EXPENSE FROM THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 WAS DETERMINED USING A COMPARISON OF EXPERIENCED CHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEAR AVAILABLE WHEN CHARITY CARE CONVERGE EXCEEDS THE CENSUS DATA, A MINIMAL AMOUNT OF BAD DEBT IS ASSUMED TO BE ELIGIBLE FOR CHARITY CARE TO ACCOUNT FOR THOSE PATIENTS WHO REFUSE TO PROVIDE INFORMATION DOCUMENTING ELIGIBILITY FOR THE PROGRAM. THESE ESTIMATES ARE BASED ON STATE-WIDE DATA AND DO NOT ACCOUNT FOR DIFFERENCES IN GEOGRAPHIC LOCATIONS WITHIN THE STATE. AS THIS AMOUNT IS RELATED TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, IT IS INCLUDED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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 (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: THE COSTING METHODOLOGY USED FOR LINE 6 IS INFORMATION PULLED FROM THE MEDICARE COST REPORT FILING. THE SHORTFALL REPORTED ON LINE 7 COULD BE CONSIDERED COMMUNITY BENEFIT TO A LEVEL PROPORTIONAL TO THE POVERTY LEVELS INDICATED BY CENSUS BUREAU DATA. IF MAINE RESIDENTS, AGE 65 OR OLDER, BELOW THE 150% FPG LEVEL WERE NOT COVERED BY MEDICARE, THEY WOULD QUALIFY UNDER CMMC'S FREE CARE POLICY. UNDER THAT CIRCUMSTANCE, THESE PATIENTS WOULD THEN APPEAR AS PART OF THE STATISTICS ON PART I, LINE 7A. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: COLLECTION PRACTICES FOR PATIENTS KNOWN TO BE ELIGIBLE FOR CHARITY CARE ARE LIMITED TO COLLECTING FROM ANY AVAILABLE PAYMENT SOURCES SUCH AS MEDICARE OR MEDICAID. IF A PATIENT IS ELIGIBLE, BUT HAS NOT APPLIED FOR MEDICAID COVERAGE, THE PATIENT IS REQUESTED TO APPLY. ASSISTANCE IS AVAILABLE TO HELP THE PATIENT WITH THE MEDICAID APPLICATION PROCESS. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: CENTRAL MAINE MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES TO ITS PRIMARY SERVICE AREA, AS WELL AS THE EXTENDED AREA OF THE ENTIRE CENTRAL MAINE HEALTHCARE SYSTEM. IT ASSESSES THE NEEDS OF ITS VARIOUS COMMUNITIES FROM VARIOUS THIRD-PARTY SURVEYS AND REPORTS, OBSERVATIONS IN ITS PATIENT POPULATION AND THE POPULATIONS OF ITS AFFILIATED SYSTEM HOSPITALS, AS WELL AS ASSISTING WITH STATE-WIDE INITIATES IN PREVENTATIVE MEDICINE AND EDUCATION. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRAL MAINE MEDICAL CENTER PROVIDES NOTICES ABOUT ITS FREE CARE POLICY IN ALL CLINICAL DEPARTMENTS AND MAJOR PATIENT AREAS. AN INPATIENT FINANCIAL COUNSELOR VISITS WITH ALL UNINSURED PATIENTS TO DISCUSS OPTIONS, INCLUDING GOVERNMENTAL PROGRAM ELIGIBILITY AND FREE CARE ASSISTANCE IS AVAILABLE TO HELP PATIENTS WITH COMPLETION OF MEDICAID APPLICATIONS. ALL PATIENT FINANCIAL SERVICES STAFF ARE TRAINED TO OFFER FREE CARE AS AN OPTION TO PATIENTS WHO INDICATE AN INABILITY OR DIFFICULTY IN PAYING FOR SERVICES. INFORMATION ABOUT FINANCIAL ASSISTANCE AVAILABILITY IS INCLUDED ON THE BACK OF EVERY PATIENT STATEMENT. ADDITIONALLY, UNINSURED PATIENTS RECEIVE A SEPARATE INFORMATION SHEET WITH THEIR STATEMENTS, FURTHER INFORMING THEM ABOUT THE AVAILABLE OPTIONS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: CENTRAL MAINE MEDICAL CENTER, LOCATED IN LEWISTON, MAINE SERVES A PRIMARY AREA OF ANDROSCOGGIN COUNTY IN CENTRAL MAINE. ADDITIONALLY, IT SERVES PORTIONS OF CUMBERLAND, FRANKLIN, KENNEBEC, OXFORD, AND SAGADAHOC COUNTIES. THE LEWISTON-AUBURN AREA IS URBAN, FOR MAINE STANDARDS, BUT QUICKLY BECOMES SUBURBAN TO ALMOST-RURAL QUICKLY OUTSIDE THE CITY LIMITS. ANDROSCOGGIN COUNTY HAS A POPULATION OF JUST UNDER 108,000 PERSONS, WHICH MAKES UP APPROXIMATELY 8% OF THE OVERALL MAINE POPULATION. WHILE ALMOST 93% OF THE POPULATION IS MADE UP OF CAUCASIAN PERSONS, MORE THAN 16% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THIRTEEN PERCENT OF THE POPULATION IS BELOW THE POVERTY LEVEL, SPECIFICALLY IN LEWISTON, THE SECOND LARGEST CITY IN MAINE, WITH A POPULATION OF APPROXIMATELY 36,600 PERSONS, SIMILAR RACIAL DISTRIBUTIONS ARE OBSERVED, BUT MORE THAN 28% CLAIM A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY. FIFTEEN PERCENT ARE BELOW THE POVERTY LEVEL. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: CENTRAL MAINE MEDICAL CENTER HAS AN OPEN MEDICAL STAFF, ALLOWING ANY NON-EMPLOYED OR AFFILIATED PHYSICIANS TO HAVE ADMITTING PRIVILEGES TO THE HOSPITAL. THE BOARD OF DIRECTORS IS MADE UP OF A MAJORITY OF LOCAL COMMUNITY MEMBERS ALONG WITH SOME REPRESENTATION BY DIRECTORS FROM CENTRAL MAINE HEALTHCARE, THE PARENT OF THE HEALTHCARE SYSTEM WHICH CENTRAL MAINE MEDICAL CENTER BELONGS TO, HELPING TO BRING TOGETHER THE VISIONS OF THE LOCAL COMMUNITY WITH THE CAPABILITIES AND VISION OF THE SYSTEM AS A WHOLE FOR THE BENEFIT OF LEWISTON AND SURROUNDING COMMUNITIES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: CENTRAL MAINE MEDICAL CENTER (CMMC) IS A TERTIARY CARE HOSPITAL IN THE CENTRAL MAINE HEALTHCARE SYSTEM. TWO RURAL, CRITICAL ACCESS HOSPITALS ARE ALSO MEMBERS OF THIS SYSTEM. CMMC PROVIDES A WIDE RANGE OF SPECIALIST PHYSICIANS AND SERVICES TO ITS COMMUNITY, AS WELL AS THE SYSTEM. CMMC PROVIDES PHYSICIANS TO STAFF SPECIALTY CLINICS IN THE RURAL COMMUNITIES SERVED BY THE CRITICAL ACCESS HOSPITALS ON A LIMITED, BUT REGULAR, BASIS. THESE SERVICES WOULD NOT NORMALLY BE SUPPORTED BY THE LIMITED POPULATIONS AND PATIENTS WOULD INSTEAD NEED TO TRAVEL MUCH LONGER DISTANCES TO CONSULT OR VISIT WITH A SPECIALIST. CMMC ALSO PROVIDES ACCESS TO TRAUMA CARE, NEONATAL INTENSIVE CARE, AND SPECIALIZED CARDIAC CARE. THE SYSTEM PARENT, CENTRAL MAINE HEALTHCARE, PROVIDES STREAMLINED ADMINISTRATIVE FUNCTIONS AND BACKROOM SERVICES FOR THE ENTIRE SYSTEM, PROVIDING COST EFFICIENCY AND OTHER BENEFITS TO ALL MEMBERS. THIS ALSO ALLOWS FOR EASY ADMINISTRATIVE HANDLING OF TRANSFERS OF PATIENTS BETWEEN HOSPITALS, AS WELL AS A SINGLE POINT OF CONTACT FOR PATIENTS TO ADDRESS BILLS AND INSURANCE ISSUES. true AMERICAN HEART ASSOCIATION PO BOX 4002012 DES MOINES IA 503402012 135613797 501(C)(3) 25000 FREE ME FROM LUNG CANCER 176 LEAVITT ROAD AUGUSTA ME 04330 364734024 501(C)(3) 5300 UNITED WAY OF ANDROSCOGGIN COUNTY 66 ASH STREET PO BOX 888 LEWISTON ME 04243 010211564 501(C)(3) 33500 DFD RUSSELL MEDICAL CENTERS 180 CHURCH HILL ROAD LEEDS ME 04263 237423047 501(C)(3) 70000 4 SCHEDULE I, PART I, LINE 2 GRANT MONITORING: THE GRANTS ARE AWARDED TO CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, FOR USE IN THEIR EXEMPT PURPOSE. THE MISSION OF THESE ORGANIZATIONS ALSO HELPS SUPPORT COMMUNITY HEALTH OR HEALTHCARE, THEREBY HELPING TO FURTHER CENTRAL MAINE MEDICAL CENTER'S EXEMPT PURPOSE AS WELL. SINCE THE GRANTS ARE NOT AWARDED WITH A SPECIFIC PURPOSE ATTACHED, NO TRACKING IS REQUIRED. false true false false false false false false false PETER E CHALKE SYSTEM EXECUTIVE 0 654085 0 0 0 51061 0 23788 0 6963 0 735897 0 0 LAWRENCE OLIVER TRUSTEE 281646 0 18492 0 5855 0 24291 0 16848 0 347132 0 0 0 TINA-MARIE LEGERE PRESIDENT - CMMC 0 379783 0 0 0 14078 0 61193 0 21299 0 476353 0 6000 PHILIPPE MORISSETTE TREASURER 0 278801 0 0 0 33864 0 9775 0 7368 0 329808 0 0 RICHARD GOLDSTEIN MD PHYSICIAN PRACTICE EXECUTIVE 0 439239 0 0 0 23832 0 66057 0 17120 0 546248 0 6000 PAUL WELDNER MD PHYSICIAN 839269 0 0 0 22480 0 24798 0 21803 0 908350 0 0 0 OSWALDO BISBAL MD PHYSICIAN 775177 0 72288 0 11320 0 22281 0 19056 0 900122 0 0 0 DANIEL LACERTE MD PHYSICIAN 768660 0 439500 0 26180 0 8139 0 19852 0 1262331 0 0 0 CARMINE FRUMIENTO MD PHYSICIAN 786990 0 86892 0 41807 0 6500 0 17310 0 939499 0 0 0 MARK BRANDA MD PHYSICIAN 520435 0 122416 0 9526 0 24000 0 19462 0 695839 0 0 0 JAMES LOGGINS MD PHYSICIAN DIVISION CHIEF 442939 0 192037 0 6459 0 24000 0 19052 0 684487 0 0 0 WILLIAM LEE MD PHYSICIAN DIVISION CHIEF 281395 0 30628 0 6912 0 32400 0 18848 0 370183 0 0 0 DAVID LAUVER MD PHYSICIAN DIVISION CHIEF 248356 0 121979 0 18314 0 22361 0 18203 0 429213 0 0 0 ALAN HARMATZ MD PHYSICIAN DIVISION CHIEF 487925 0 7260 0 41770 0 7035 0 17352 0 561342 0 0 0 JENNIFER WEINER-SMITH PHYSICIAN DIVISION CHIEF 276729 0 37710 0 3503 0 23750 0 17758 0 359450 0 0 0 JENAE LIMOGES PHYSICIAN DIVISION CHIEF 224085 0 2959 0 3126 0 5664 0 10776 0 246610 0 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION: THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT IS DETERMINED BY THE PARENT CORPORATION'S BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE USING THE FOLLOWING: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL VEST ON THE PARTICIPANT'S VESTING DATE PROVIDED THE PARTICIPANT HAS REMAINED IN CONTINUOUS EMPLOYMENT IN THE SAME POSITION WHILE PARTICIPATING IN THIS PLAN. A PARTICIPANT WILL HAVE ONLY ONE VESTING DATE FOR ALL ELECTIVE DEFERRALS AND OTHER PLAN CONTRIBUTIONS MADE ON THE PARTICIPANT'S BEHALF. DURING ALL PLAN YEARS, A PARTICIPANT'S ENTITLEMENT TO BENEFITS WILL ALSO VEST (A) IF THE PARTICIPANT DIES WHILE STILL EMPLOYED BY THE EMPLOYER, (B) IF THE PARTICIPANT'S EMPLOYMENT TERMINATES DUE TO TOTAL DISABILITY; OR (C) IF THE EMPLOYER TERMINATES THE PARTICIPANT'S EMPLOYMENT FOR ANY REASON OTHER THAN FOR "CAUSE". ANY PORTION OF THE PARTICIPANTS ENTITLEMENT TO BENEFITS THAT IS NOT VESTED WHEN THE PARTICIPANT'S EMPLOYMENT WITH THE EMPLOYER TERMINATES, INCLUDING ELECTIVE DEFERRALS, WILL BE FORFEITED. THE EMPLOYER WILL DISTRIBUTE A PARTICIPANT'S BENEFITS UNDER THE PLAN AS SOON AS PRACTICABLE AFTER THE PARTICIPANT'S ENTITLEMENT BECOMES VESTED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCARE CORPORATION, A RELATED ENTITY. $ 6,000 RICHARD GOLDSTEIN (PAYOUT) 6,000 TINA-MARIE LEGERE (PAYOUT) 41,616 RICHARD GOLDSTEIN (DEFERRAL) 36,800 TINA-MARIE LEGERE (DEFERRAL) 3,000 PHILIPPE MORISSETTE (DEFERRAL) SCHEDULE J, PART II, COLUMN F COMPENSATION REPORTED IN PRIOR FORM 990: COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. A MAINE HEALTH AND HIGHER EDUCATIONAL FACILITIES AUT 010314384 560425LU2 2003-02-07 62898646 BUILD & EQUIP FACILITY false false true B MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560425WW6 2005-12-29 28435783 REFUND BOND SERIES 1993D, BLDG false false false C MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560427GE0 2009-12-10 56033554 FACILITY EXPANSION/CONSTRUCTION false false true A 0 0 62898646 5389811 1917896 0 730668 236000 0 54651271 0 0 2004 false false true true B 0 0 28435783 2325648 0 12082420 370150 80000 0 13577565 0 0 2006 false true true true C 0 0 56033554 6631632 1923311 0 639410 0 1675000 32010671 0 0 2011 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false false B true false false 0 true FSA 25. true false false C false false false true false false 0 false 0 false false A false B false C false SCHEDULE K, PART IV, LINE 2C, COLUMN A DATE OF REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 08/25/2014. SCHEDULE K, PART IV, LINE 2C, COLUMN C DATE OF REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 12/10/2014. PAUL WELDNER EMPLOYEE SALARY ADV X 50000 34629 false false true 34629 PATRICIA E ROY RELATIVE OF R. ROY 133118 SALARY AND WAGES false JULIA LAUVER RELATIVE OF D. LAUVER 68652 SALARY AND WAGES false CYNTHIA HARRADON RELATIVE OF S. POULIN 116081 SALARY AND WAGES false X 184 FMV X 3144 FMV X 8 1353 FMV X 1 100 FMV X MISCELLANEOUS 55 21135 FMV X TICKETS/PASSES 32 4760 FMV false true false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B MEMBERS OF THE ORGANIZATION: THE SOLE MEMBER OF CENTRAL MAINE MEDICAL CENTER IS CENTRAL MAINE HEALTHCARE CORPORATION. UP TO THREE TRUSTEES SHALL BE APPOINTED BY THE CHAIRMAN OF CENTRAL MAINE HEALTHCARE CORPORATION FOR A TERM OF ONE YEAR, AND NINE TO FIFTEEN TRUSTEES SHALL BE NOMINATED BY VOTE OF THE BOARD OF TRUSTEES OF THIS CORPORATION AND ELECTED BY THE SOLE MEMBER TO SERVE A TERM OF THREE YEARS. NO MORE THAN FOUR TRUSTEES CAN SIMULTANEOUSLY BE DIRECTORS OF THE CENTRAL MAINE HEALTHCARE CORPORATION. THE SOLE MEMBER HAS THE POWER AND AUTHORITY TO REMOVE ANY TRUSTEES OF CENTRAL MAINE MEDICAL CENTER WITH OR WITHOUT CAUSE. THE MEMBER ALSO APPOINTS THE EXECUTIVE COMPENSATION COMMITTEE. IN ADDITION, THE MEMBER HAS THE SOLE AUTHORITY TO ALTER, AMEND, OR REPEAL THE BYLAWS AT ANY TIME. THE MEMBER SHALL HAVE THE RIGHT TO APPROVE CERTAIN DECISIONS OF THE BOARD OF TRUSTEES, AS DETAILED IN THE BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: ALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY A PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE CFO. FOLLOWING THAT REVIEW THEY ARE PRESENTED TO THE FINANCE COMMITTEE OF THE CENTRAL MAINE HEALTHCARE BOARD OF DIRECTORS, WHICH HAS REPRESENTATIVES FROM ALL AFFILIATED BOARDS. ONCE THIS REVIEW IS COMPLETED, ANY NECESSARY CHANGES ARE MADE AND THE FINAL RETURN IS PRESENTED TO ITS RESPECTIVE BOARD WITH THE FINANCE COMMITTEE MEMBER TAKING AND ANSWERING QUESTIONS. A FINANCE DEPARTMENT REPRESENTATIVE, KNOWLEDGEABLE OF THE RETURN, IS AVAILABLE TO ASSIST DURING PRESENTATIONS, IF REQUESTED BY THE FINANCE COMMITTEE MEMBER. IN THE EVENT THAT THE NEXT BOARD MEETING IS NOT SCHEDULED UNTIL AFTER THE FILING DATE, THE FINAL RETURN IS MAILED TO ALL BOARD MEMBERS AND THE PRESENTATION OCCURS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: OFFICERS AND DIRECTORS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT WHICH IS REVIEWED BY THE CHAIRMAN OF THE BOARD AND CONFORMS TO THE CONDITIONS CONTAINED WITHIN THE CORPORATION'S BYLAWS, WHICH MEET OR EXCEED THE CURRENT IRS REPORTING THRESHOLDS. IN AREAS OF CONFLICT BY THE CHAIRMAN, THE VICE-CHAIRMAN REVIEWS. ADDITIONALLY, AS PART OF THE ANNUAL FORM 990 PREPARATION PROCESS, A SEPARATE QUESTIONNAIRE IS PROVIDED, WHICH INCLUDES DISTRIBUTION TO KEY EMPLOYEES, COVERING REPORTING AREAS OF LOANS, GRANTS, BUSINESS RELATIONSHIPS, AND OTHER CONFLICTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE FINANCE DEPARTMENT FOR REPORTABLE ITEMS FOR THE FORM 990. IN THE CASE OF A POSSIBLE CONFLICT, THE BOARD WOULD REVIEW THE SITUATION AND TAKE ACTIONS DEEMED APPROPRIATE FOR THE POSSIBLE OR ACTUAL CONFLICTS OF MEMBERS OF THE BOARD OR THE EXECUTIVE OFFICERS. IN THE CASE OF KEY EMPLOYEES, THE REVIEW AND ACTIONS TAKEN WOULD BE PERFORMED BY THEIR DIRECT SUPERVISOR. FORM 990, PART VI, SECTION B, LINE 15A & 15B EXECUTIVE COMPENSATION REVIEW: A STANDING EXECUTIVE COMPENSATION COMMITTEE (ECC), COMPRISED OF INDEPENDENT MEMBERS OF BOARD LEADERSHIP, EXISTS TO UNDERTAKE THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, PRESIDENT OF CENTRAL MAINE MEDICAL CENTER, PHYSICIAN PRACTICE EXECUTIVE, AND PRESIDENT OF RUMFORD AND BRIDGTON HOSPITALS. THE PROCESS GUIDELINES AND AUTHORITY OF THE ECC ARE SET OUT IN THE EXECUTIVE COMPENSATION PHILOSOPHY AND RESPONSIBILITIES CHARTER WHICH WAS APPROVED BY THE CMHC BOARD. THE ENTIRE CMHC BOARD PARTICIPATES IN THE ANNUAL PERFORMANCE EVALUATION OF EACH EXECUTIVE, INCLUDING A REVIEW OF ACCOMPLISHMENTS RELATIVE TO GOALS AND OBJECTIVES DERIVED FROM THE STRATEGIC PLAN. THE ECC REVIEWS THE RESULTS OF THE ANNUAL PERFORMANCE EVALUATION AND APPROPRIATE COMPARABILITY DATA BASED ON SEVERAL FACTORS RECOMMENDED BY AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT, WHO SPECIALIZES IN NOT-FOR-PROFIT HOSPITALS AND HEALTH SYSTEMS, AND OUR ATTORNEYS. FACTORS USED IN DETERMINING COMPARABILITY TO THE ORGANIZATION INCLUDE SIZE, GEOGRAPHY, ORGANIZATIONAL COMPLEXITY, FACILITY TYPE, OWNERSHIP TYPE, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE, ITS CONSULTANTS, OR ITS ATTORNEYS. USING THIS INFORMATION, THE ECC ANNUALLY REVIEWS THE EXECUTIVES' COMPENSATION TO DETERMINE IF MODIFICATION TO BASE SALARY IS WARRANTED, AND REVIEWS THE EXECUTIVES' ACCOMPLISHMENTS TO DETERMINE IF ANY VARIABLE PAY IS TO BE AWARDED. THE ENTIRE PROCESS IS THEN DOCUMENTED CONTEMPORANEOUSLY WITH THE DECISION-MAKING PROCESS AND APPROVED THEREAFTER IN ACCORDANCE WITH THE REQUIREMENTS OF THE IRS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICES. THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE INCLUDED IN THE MOST RECENTLY FILED FORM 990 AND PROVIDED, UPON REQUEST, IN THAT FORMAT UNLESS THE SPECIFIC REQUEST DEEMS A DIFFERENT FORMAT MORE APPROPRIATE. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. PETER CHALKE IS EMPLOYED AS PRESIDENT OF CENTRAL MAINE HEALTHCARE CORPORATION. HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY. LAWRENCE OLIVER IS AN EMPLOYEE OF CENTRAL MAINE MEDICAL CENTER. HIS COMPENSATED TIME IS SPENT IN THAT CAPACITY. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: $17,434,641 OUTSIDE SERVICES 20,835,634 LABOR SERVICES 12,559,386 PURCHASED LABOR 4,795,642 PURCHASED SERVICES 450,195 CONSULTING 152,748 PROFESSIONAL FEES 2,862 INTERPRETING SERVICES 4,000 MEDICAL DIRECTOR FEES 23,600 DATA PROCESSING FEES ------------- $56,258,708 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $( 99,403) CHANGE IN INTEREST IN RELATED PARTY CENTRAL MAINE HEART & VASCULAR INSTITUTE PO BOX 4500 LEWISTON ME 04243 542078282 HEALTHCARE ME 501(C)(3) 9 CMHC false MAINE COLLEGE OF HEALTH PROFESSIONS PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501(C)(3) 2 CMMC true CENTRAL MAINE REAL ESTATE MANAGEMENT COR PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501(C)(2) CMHC false CENTRAL MAINE COMMUNITY HEALTH CORP PO BOX 4500 LEWISTON ME 04243 010386912 PUBLIC ED ME 501(C)(3) 7 CMHC false RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 HEALTHCARE ME 501(C)(3) 3 CMHC false RUMFORD COMMUNITY HOME CORPORATION 11 JOHN F KENNEDY DRIVE RUMFORD ME 04276 222844951 NURSING HOME ME 501(C)(3) 9 CMHC false RUMFORD HOSPITAL PO BOX 619 RUMFORD ME 04276 010215227 HEALTHCARE ME 501(C)(3) 3 CMHC false BRIDGTON HOSPITAL 10 HOSPITAL DRIVE BRIDGTON ME 04009 010130427 HEALTHCARE ME 501(C)(3) 3 CMHC false BRIDGTON HOSPITAL PHYSICIANS GROUP SOUTH HIGH STREET BRIDGTON ME 04009 010493083 HEALTHCARE ME 501(C)(3) 3 CMHC false CENTRAL MAINE HEALTHCARE CORPORATION PO BOX 4500 LEWISTON ME 04243 010386913 HEALTHCARE ME 501(C)(3) 7 NA false ELIAS E TUCKER TRUST FUND C/O CMMC 300 MAIN STREET LEWISTON ME 04240 016042343 NURSING ED ME 501(C)(3) 11 A I CMMC true CENTRAL MAINE HEALTH VENTURES INC 300 MAIN STREET LEWISTON ME 04240 010430016 HEALTHCARE ME CMHC C CORP false CWM INSURANCE LTD GENESIS BUILDING PO BOX 1363 CJ 980220891 INSURANCE CJ CMHC C CORP false CENTRAL MAINE ACO 300 MAIN STREET LEWISTON ME 04240 274604314 ACCOUNTABLE CARE ME CMHC C CORP false true false false false false false false false false true true false true false true true true false false MAINE COLLEGE OF HEALTH PROFESSIONS A 221833 COST MAINE COLLEGE OF HEALTH PROFESSIONS O 524697 COST