2014-05-09T16:13:48-05:00 2013-06-30 010523282 Berry Dunn McNeil & Parker LLC 36 Pleasant Street Bangor ME 04401 990 2012-07-01 010518516 LifeFlight of Maine LIFE 2079735115 43 Whiting Hill No 400 Brewer ME 04412 Thomas P Judge 2079735115 2014-05-07 1 Barbara J McGuan CPA P00219457 2079421600 2014-05-07 2012 2015-11-30 17:44:51Z X Thomas P Judge 43 Whiting Hill No 400 Brewer ME 04412 8051445 0 X www.lifeflightofmaine.org X LLC 1998 ME To provide emergency air medical services to the citizens of the state of Maine. 2 0 0 0 0 0 575906 295596 8472697 7752593 3839 3256 0 0 9052442 8051445 0 0 0 0 0 0 0 0 296177 8614801 8564634 8614801 8564634 437641 -513189 10284517 9143862 6214645 5615141 4069872 3528721 X LifeFlight of Maine (LOM) is a state wide provider of critical care air and ground transport services. LOM is the primary provider of critical care transport in Maine and is fully accredited by the Commission for the Accreditation of Medical Transport Systems. LOM services are provided regardless of insurance status or ability to pay for care. 0 0 7806671 7752593 LOM provides emergency air and ground critical care and transport to every hospital, emergency medical services agency, public safety agencies and community in Maine. Under mutual aid protocols LOM provides services to hospitals and EMS agencies in New Hampshire, Vermont, Massachusetts, and the Canadian Provinces of Quebec and New Brunswick. In 2013 LOM provided resuscitation and transport to 1,453 patients originating from 35 hospitals and 142 communities in Maine, 7 hospitals and 10 communities in New Hampshire and New Brunswick. LifeFlight is financially supported by care to patients, grants, and the LifeFlight Foundation. LOM provides care to critically ill and injured patients without regard to the ability to pay for care or insurance status. In 2013 LOM incurred costs to care for patients unable to pay of $510,234 for Charity Care and $1,126,617 in bad debt. In addition to providing care to critically ill and injured patients, LOM supports a private-public aviation infrastructure with the State of Maine and the Federal Aviation Administration including: the maintenance support for 11 automated weather observation systems located at rural airports and hospitals which are used by general aviation operations and the National Weather Service; planning, development, management of helipads at three hospitals; the maintenance of 39 helicopter instrument flight approach and departure procedures at hospitals, communities, islands, and rural airports; and aviation safety equipment used by LifeFlight. LifeFlight also runs a remote access project with over 100 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. 144412 Supporting the chain of survival and with assistance from the LifeFlight Foundation, LOM provides physicians and clinical staff with continuing medical education. In 2013 LOM provided staffing, financial and management support for the human patient simulator project in partnership with the Maine Department of Public Safety Emergency Medical Services Bureau. The simulation program is used by hospitals and EMS agencies throughout Maine for continuing medical education to improve the care of critically ill and injured patients with a special focus on children. In 2013, the HPS provided 30 programs including 5 pediatric conferences. In total the continuing medical education program had 362 students including 17 physicians, 11 Nurse Practitioners/PAs, 230 RNs, 15 Respiratory Therapists and 89 Paramedics.LOM staff provided safety and clinical continuing medical education to over 70 public safety communications, rescue, and EMS agencies personnel with programs in 33 communities. Continuing medical education was provided to 429 Paramedics, EMT's, and First Responders. 7951083 1 1 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Penny Chadwick 2079735115 43 Whiting Hill Rd Suite 400 Brewer ME 04412 X Peter Chalke 3.00 X X 0 0 0 Michelle Hood 3.00 X X 0 0 0 Miles Theeman 3.00 X X 0 0 0 Norman Dinerman MD 3.00 X 0 0 0 Larry Hopperstead MD 3.00 X 0 0 0 Matthew Cox 3.00 X 0 0 0 Thomas Judge 40.00 X 0 0 0 0 0 0 0 0 0 0 ERA Helicopters LLC PO Box 6550 Lake Charles LA 70606 Helicopter Personnel and Management 2436560 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical Services 692136 Agusta Aerospace Corporation 3050 Red Lion Road Philadelphia PA 19114 Engine Maintenance 683856 Affiliated Healthcare Management 931 Union Street Bangor ME 04401 Management Services 489046 MedComm 6 State Street Suite 510 Bangor ME 04401 Dispatch & Billing Services 481055 10 295596 295596 Net Patient Service Re 621910 7752593 7752593 7752593 3256 3256 8051445 7752593 0 3256 X 758243 569898 188345 2874 2874 32977 32977 3973060 3665692 11191 296177 2657 2657 11512 11512 145750 95100 50650 77525 77525 30645 30645 203828 203828 732288 727573 4715 292071 279618 12453 Bad Debt Expense 1126617 1126617 Aviation Expenses 524867 524867 Dispatch 299762 299762 Medical Director 205327 205327 144631 144631 8564634 7951083 317374 296177 125 125 1184184 556040 15581 119731 2240654 1733830 209000 36020 57584 227122 57615 10929165 5879627 5122082 5049538 1458749 1360399 10284517 9143862 359328 187171 5317540 5026104 537777 401866 6214645 5615141 X 2592914 2169032 1476958 1359689 4069872 3528721 10284517 9143862 X -513189 -27962 X 0 1 X 1 0 X 641765 483904 519433 575906 295596 2516604 6988375 7998937 7933883 8472697 7752593 39146485 7630140 8482841 8453316 9048603 8048189 41663089 0 0 0 41663089 44537 6014 7489 3852 3256 65148 44537 6014 7489 3852 3256 65148 7674677 8488855 8460805 9052455 8051445 41728237 0.99840 0.99630 0.00160 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39511 15697 23814 10831635 5845142 4986493 58019 18788 39231 5049538 Interest in Net Assets of Financially Interrelated Organization 1352599 Other Assets, Net of Amortization 7800 1360399 Due to Third Party Payors 125156 Due to Members and Other Related Parties 204437 Interest Rate Swaps 72273 401866 8079407 27962 27962 8051445 0 8051445 8564634 0 8564634 0 8564634 Part XI, Line 2d - Other Adjustments: Change in Accumulated Deficit of Financially Interrelated Organization 82,326. Change in Fair Value of Interest Rate Swaps -54,364. Form 990, Part VI, Section A, line 3 LifeFlight of Maine (LOM) has entered into 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 $171,477 during the 2012 tax year as compensation and benefits from AHM for the services he provided to both LOM and LFF. LOM reimbursed AHM for Mr. Judge's services provided to both entities: LOM in the amount of $114,318 and LFF in the amount of $57,159. 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 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 11 Prior to filing Form 990, a copy is provided to the Steering Committee to review. Form 990, Part VI, Section B, line 12c In 2012 LifeFlight of Maine implemented a policy which indicates that the Steering Committee members need to annually disclose any conflicts of interest. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents and financial statements available upon request. Other Fees Form 990, Part IX, line 11g Pilots and Mechanics: Program service expenses 1,306,871. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,306,871. Air transportation: Program service expenses 1,268,268. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,268,268. Medical services: Program service expenses 997,884. Management and general expenses 0. Fundraising expenses 0. Total expenses 997,884. Billing and IS services: Program service expenses 92,669. Management and general expenses 11,191. Fundraising expenses 0. Total expenses 103,860. Professional Fees: Program service expenses 0. Management and general expenses 0. Fundraising expenses 296,177. Total expenses 296,177. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in Net Assets of Financially Interrelated Organization -82,326. Change in Fair Value of Interest Rate Swaps 54,364. Employee policies Form 990, Part VI, Section B, Lines 13 and 15: The Organization does not have employees.