2013-01-25T10:01:06-06:00 2012-06-30 010523282 Berry Dunn McNeil & Parker LLC 36 Pleasant Street Bangor ME 04401 990 2011-07-01 010518516 LifeFlight of Maine LIFE 2079736700 PO Box 940 Bangor ME 044020940 Thomas P Judge 2079736700 2013-01-17 1 Barbara J McGuan CPA P00219457 2079421600 2013-01-17 2011 2016-02-25 16:41:14Z Thomas P Judge PO Box 940 Bangor ME 044020940 9052455 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 519433 575906 7933883 8472697 8289 3839 0 0 8461605 9052442 0 0 0 0 138577 0 0 0 265607 7669627 8614801 7808204 8614801 653401 437641 9960258 10284517 6482225 6214645 3478033 4069872 LifeFlight of Maine is the primary provider of critical care air medical transport services for the entire state of Maine. LifeFlight has received numerous national awards for best practice clinical, patient, and aviation safety. 0 0 7972520 8472697 LifeFlight of Maine (LOM) provides emergency ground and air ambulance services to all of the hospitals, EMS, and public safety agencies in Maine. Under mutual aid protocols LOM provides services in New Hampshire, Vermont, and Massachusetts. Services are provided without regard to insurance status or financial ability to pay for the cost of care. In 2012 LOM provided services to 1,533 patients originating in over fifty hospitals and one hundred and sixty communities in Maine, New Hampshire, Vermont, Massachusetts, and New Brunswick. LifeFlight is financially supported by patient care services, grants, and the LifeFlight Foundation. In addition to providing direct patient care services for critically ill and injured patients, LifeFlight supports a public-private partnership instrument flight and weather network linking hospitals, airports, and rural communities with tertiary trauma and specialty centers. LifeFlight also runs a remote access project in conjunction with the Maine Department of Inland Fisheries and Wildlife, outdoor recreation organizations, the Maine Fire Chiefs Association, the Maine Emergency Management Agency, and woodland and paper companies. 76963 Supporting the chain of survival, LOM operates an extensive safety and continuing medical education system for hospitals, EMS, and public safety agencies in a public-private partnership with the Maine Department of Public Safety Emergency Medical Services Bureau. Outreach education progams use mobile state of the art human patient simulator labs. In 2012, LOM provided 25 ground safety courses and 19 outreach programs with minimal cost to participants. 8049483 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 0 1 10 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 Donald M Sleight 2079736700 931 Union Street Bangor ME 04401 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 2186742 Central Maine Medical Center 300 Main Street Lewiston ME 04240 Medical Services 767144 Agusta Aerospace Corporation 3050 Red Lion Road Philadelphia PA 19114 Engine Maintenance 595006 MedComm 6 State Street Suite 510 Bangor ME 04401 Dispatch & Billing Services 483220 Affiliated Healthcare Management 931 Union Street Bangor ME 04401 Management Services 404747 12 575906 575906 Net Patient Service Re 621910 8472697 8472697 8472697 3852 3852 13 -13 -13 -13 9052442 8472697 0 3839 604039 434459 169580 4016 4016 29670 29670 3842056 3569502 6947 265607 431 431 126108 108481 17627 141947 93175 48772 59354 59354 30491 30491 200645 200645 654371 649584 4787 313283 297902 15381 Bad Debt Expense 1367217 1367217 Aviation Expenses 639367 639367 Dispatch 325161 325161 Medical Director 235878 235878 40767 38267 2500 8614801 8049483 299711 265607 125 125 1196120 1184184 16308 15581 2015609 2240654 32706 36020 183225 227122 10272021 5149939 5361049 5122082 1155116 1458749 9960258 10284517 538914 359328 5642746 5317540 300565 537777 6482225 6214645 X 2324799 2592914 1153234 1476958 3478033 4069872 9960258 10284517 X 437641 154198 X X 0 1 1 X 0 X 162249 641765 483904 519433 575906 2383257 6831290 6988375 7998937 7933883 8472697 38225182 6993539 7630140 8482841 8453316 9048603 40608439 0 0 0 40608439 77060 44537 6014 7489 3852 138952 77060 44537 6014 7489 3852 138952 10600 10600 7081199 7674677 8488855 8460805 9052455 40757991 0.99630 0.99360 0.00340 0.00610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39511 17653 21858 10211327 5119762 5091565 21183 12524 8659 5122082 Interest in Net Assets of Financially Interrelated Organization 1434925 Due From Related Party 13424 Other Assets, Net of Amortization 10400 1458749 Due to Third Party Payors 98360 Due to Members and Other Related Parties 312780 Interest Rate Swaps 126637 537777 9052442 8614801 437641 154198 154198 591839 9213045 6405 154198 160603 9052442 0 9052442 8621206 6405 6405 8614801 0 8614801 Part XI, Line 8 - Other Adjustments: Change in Net Assets of Financially Interrelated Organization 280,836. Change in Fair Value of Interest Rate Swaps -126,638. Total to Schedule D, Part XI, Line 8: 154,198. Part XII Line 2d - Other Adjustments: Change in Net Assets of Financially Interrelated Organization: 280,836 Change in Fair Value of Interest Rate Swaps: -126,638 Total: 154,198 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. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Change in Net Assets of Financially Interrelated Organization 280,836. Change in Fair Value of Interest Rate Swaps -126,638. Total to Form 990, Part XI, Line 5: 154,198. Oversight of Audit Form 990, Part XI, Line 2c: The audit process has not changed from the prior year. Employee policies Form 990, Part VI, Section B, Lines 13 and 15: The Organization does not have employees.