2012-05-10T12:31:33-05:00 2011-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-07-01 010211494 CENTRAL MAINE MEDICAL CENTER CENT 2077952972 PO BOX 4500 LEWISTON ME 04243 MATTHEW COX 2012-04-13 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z LAIRD COVEY 300 MAIN STREET LEWISTON ME 04240 309728455 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 TO FULFILL ITS MISSION. 13 8 2405 1082 2698504 -94064 2161766 1929956 312363743 307216974 149120 717616 -94078 -1300129 314580551 308564417 51062 9200 0 0 179771341 161421646 0 0 0 139302725 156300142 319125128 317730988 -4544577 -9166571 301663131 279256735 210533517 195393908 91129614 83862827 TO PROVIDE EXCEPTIONAL HEALTHCARE SERVICES IN A SAFE AND TRUSTFUL ENVIRONMENT THROUGH THE EXPERTISE, COMMITMENT AND COMPASSION OF OUR FAMILY OF CAREGIVERS. false false 254173253 9200 304518470 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. 254173253 true true false true 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 false false false true 210 0 true 2405 true true true false false false false true true false false false false X 13 8 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 1.0 X X 0 0 0 RICHARD L ROY 1.0 X X 0 0 0 MARK A ADAMS 1.0 X 0 0 0 DEBORAH DUNLAP AVASTHI 1.0 X 0 0 0 PETER E CHALKE 1.0 X X 0 597235 112723 MICHAEL TOMPKINS 1.0 X 0 0 0 STEPHEN M COSTELLO 1.0 X 0 0 0 RAYMOND J TARDIF MD 55.0 X 143748 0 23277 JULIE SHACKLEY 1.0 X 0 0 0 LAWRENCE OLIVER 55.0 X 334492 0 37237 JOHN E BLANCHARD 1.0 X 0 0 0 PHILIPPE NADEAU 1.0 X 0 0 0 RONALD PEYSER 1.0 X 0 0 0 MARK CARRIER 1.0 X 0 0 0 NANCY WILKINS 1.0 X 0 0 0 JENNIFER WILEY 1.0 X 0 0 0 MATTHEW COX 1.0 X 0 146195 5351 CHARLES T ORNE 1.0 X 0 886705 39596 CAROL J MORIN 1.0 X 0 73554 15017 LAIRD COVEY 1.0 X 0 377009 59723 GLENN FOCHT 1.0 X 0 342350 20381 GUILLERMO CANDIA MD 55.0 X 785123 0 37061 DANIEL LALONDE MD 55.0 X 836941 0 20178 PATRICIO MUJICA MD 55.0 X 781332 38636 SUSAN MANDELL MD 55.0 X 838779 0 18623 OSWALDO BISBAL 55.0 X 700941 0 40888 4421356 2423048 468691 233 false true false CONSIGLI CONSTRUCTION CO INC CONSTRUCTION 16830831 UNITED AMBULANCE SERVICES MEDICAL TRANSIT 3612308 CPS INC PHARMACY SERVICES 3280574 ANESTHESIA ASSOCIATES OF LA MEDICAL SERVICES 2410256 CARETECH SOLUTIONS INC IT SERVICES 2151013 64 1405326 495770 28860 65424 1929956 NET PATIENT SERVICE REVENUE 900099 298450857 298450857 PHARMACY REVENUE 446110 2237408 2237408 CAFETERIA REVENUE 900099 717463 717463 LABORATORY SERVICES 900099 2698504 2698504 OTHER REVENUE 900099 3112742 3112742 307216974 228876 228876 265508 265508 0 17369 17369 17369 17369 937728 12564 727060 210668 12564 223232 223232 155129 1405326 436978 -281849 -281849 0 0 PENSION CURTAILMENT 900099 -507734 -507734 LEGAL SETTLEMENT 900099 -513409 -513409 EQUITY INVESTMENT 900099 -14506 -14506 -1035649 308564417 304518470 2698504 -582513 9200 9200 0 0 0 538754 538754 134593 134593 135591736 102413665 33178071 4804814 3628584 1176230 12506642 9451234 3055408 7845107 5934117 1910990 0 806853 806853 219095 219095 0 0 5360 5360 38201687 28896138 9305549 1438115 1087805 350310 8331006 6301656 2029350 3352277 2535696 816581 0 6100910 4614789 1486121 1119189 846566 272623 0 50760 38395 12365 3031532 2293081 738451 0 20241661 15310995 4930666 7684555 5812674 1871881 BAD DEBT 21601685 21601685 MEDICAL SUPPLIES & DRUGS 38401011 38401011 LICENSES, DUES, SUBSCRIPTIONS 1026408 776385 250023 RECRUITING & RETENTION 293003 221630 71373 REPAIRS & MAINTENANCE 4050803 3064068 986735 344232 260532 83700 317730988 254173253 63557735 0 3385 3485 41279733 19209624 432505 191126 34074314 36113312 5814 31217 2117509 2282237 2963070 2853171 2285414 2376147 314667091 166436469 135233984 148230622 8363964 8460266 3004164 2989658 71899275 56515870 301663131 279256735 72807390 61311659 401838 281354 128299357 125857257 9024932 7943638 210533517 195393908 X 77562068 68364919 2298676 4188513 11268870 11309395 91129614 83862827 301663131 279256735 X -9166571 1899784 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 22224 22224 false false LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I PORTION OF DUES FOR PROFESSIONAL ASSOCIATIONS ATTRIBUTED TO LOBBYING EXPENSES - $22,224. 13567546 2332798 801345 1203783 15497906 12631431 2070765 -32907 1101743 13567546 13848034 908502 -1683575 441530 12631431 0.73250 0.26750 false true true 2279639 2279639 116612049 38498407 78113642 22290934 7801610 14489324 154718225 115309112 39409113 18766244 4827340 13938904 148230622 DUE FROM AFFILIATES 107934 OTHER RECEIVABLES 3260480 DEPOSITS 900 EST AMT DUE TO 3RD PARTY 38187186 INTEREST IN RELATED PARTY 14959370 56515870 308564417 317730988 -9166571 -30578 2857723 2827145 -6339426 311906505 -30578 83325 2852363 2905110 309001395 -436978 -436978 308564417 318245931 83325 436978 520303 317725628 5360 5360 317730988 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 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. UNCERTAIN TAX POSITION SCHEDULE D, PART X, LINE 2 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. OTHER RECONCILING ITEMS SCHEDULE D, PART XI, LINE 8 $2,857,723 CHANGE IN INTEREST IN RELATED PARTY OTHER RECONCILING ITEMS SCHEDULE D, PART XII, LINE 2D $2,857,723 CHANGE IN INTEREST IN RELATED PARTY (5,360) INVESTMENT MANAGEMENT FEE ----------- 2,852,363 OTHER RECONCILING ITEMS SCHEDULE D, PART XII, LINE 4B $ (436,978) SPECIAL EVENT EXPENSE OTHER RECONCILING ITEMS SCHEDULE D, PART XIII, LINE 2D $ 436,978 SPECIAL EVENT EXPENSE DEMPSEY CHALLEN 1337047 1273187 63860 1000 57058 22178 4520 275572 SPRING GALA 110801 80806 29995 50 10692 3500 9077 2 112607 51333 61274 1750 2955 7945 6882 1000 32799 1560455 1405326 155129 1750 3955 65053 39752 9020 317448 436978 -281849 FUNDRAISING ACTIVITIES SCHEDULE G, PART II, COLUMN A 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 300. false true true true false false 6153590 6153590 0.02080 43816923 28830155 14986768 0.05060 49970513 28830155 21140358 0.07140 657108 657108 0.00220 2308303 1012074 1296229 0.00440 9200 9200 0.00000 2974611 1012074 1962537 0.00660 52945124 29842229 23102895 0.07800 false 10011075 2172403 74119019 78820918 -4701899 X true true 1 1 CENTRAL MAINE MEDICAL CENTER

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEART ASSOCIATES

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE OBSTETRICSGYNECOLOGY

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OUTPATIENT PHYSICIAN CLINIC FAMILY HEALTH CARE ASSOCIATES

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PEDIATRICS

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEMATOLOGY & ONCOLOGY

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE UROLOGY

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE NEUROLOGY

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE INTERNAL MEDICINE

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY MEDICINE RESIDENCY

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FAMILY PRACTICE

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE BARIATIRC SURGERY

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PAIN & HEADACHE CENTER

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE EAR NOSE & THROAT

12 HIGH STREET SUITE 102 LEWISTON ME 04240

OUTPATIENT PHYSICIAN CLINIC WOMEN'S SPECIALITY CENTER

287 MAIN STREET SUITE 201 LEWISTON ME 04240

OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PLASTIC SURGERY

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OUTPATIENT PHYSICIAN CLINIC MINOT AVENUE FAMILY MEDICINE

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE ENDOCRINOLOGY

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OUTPATIENT PHYSICIAN CLINIC LISBON FAMILY PRACTICE

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PULMONARY & CRITICAL CARE

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OUTPATIENT PHYSICIAN CLINIC BRUNSWICK FAMILY HEALTH

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SLEEP CENTER

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE PULMONARY & SLEEP MEDICINE

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OUTPATIENT PHYSICIAN CLINIC TOPSHAM FAMILY MEDICINE

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OUTPATIENT PHYSICIAN CLINIC POLAND COMMUNITY HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC GRAY FAMILY HEALTH CENTER

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEART ASSOCIATION

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE SPORTS MEDICINE

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OUTPATIENT PHYSICIAN CLINIC MECHANIC FALLS FAMILY PRACTICE

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OUTPATIENT PHYSICIAN CLINIC CMMC BLADDER CONTROL CENTER

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OUTPATIENT PHYSICIAN CLINIC BRUNSWICK PEDIATRICS

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEARING CENTER

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OUTPATIENT PHYSICIAN CLINIC INFECTIOUS DISEASE ASSOCIATES

76 HIGH STREET SUITE 200 LEWISTON ME 04240

OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE FERTILITY CENTER

287 MAIN STREET SUITE 201 LEWISTON ME 04240

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK NEUROLOGY

51 HARPSWELL ROAD SUITE 100 BRUNSWICK ME 04011

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK WOMEN'S HEALTH

331 MAINE STREET SUITE 6 BRUNSWICK ME 04011

OUTPATIENT PHYSICIAN CLINIC BRUNSWICK PULMONOLOGY

329 MAINE STREET SUITE C BRUNSWICK ME 04011

OUTPATIENT PHYSICIAN CLINIC NORWAY FAMILY MEDICINE

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OUTPATIENT PHYSICIAN CLINIC CENTRAL MAINE HEART ASSOCIATES

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OUTPATIENT PHYSICIAN CLINIC CRITERIA FOR ELIGIBILITY SCHEDULE H, PART I, LINE 3C CENTRAL MAINE MEDICAL CENTER CURRENTLY PROVIDES FREE CARE FOR PATIENTS UP TO 300% FPG LEVELS. THIS IS A LEVEL OF FREE CARE ELIGIBILITY HIGHER THAN THE AVERAGE AND IS SET AT THIS LEVEL INSTEAD OF OFFERING DISCOUNTED CARE TO PATIENTS AT 250% TO 300% FPG, WHICH IS A COMMON RANGE FOR DISCOUNTED CARE ELIGIBILITY. PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 ($317,730,988) WAS REDUCED BY BAD DEBT EXPENSE ($21,601,685). THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 WAS USED IN COMPUTING THE FIGURES ON LINE 7B. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 THERE IS NO FOOTNOTE IN THE CONSOLIDATED FINANCIAL STATEMENTS RELATING TO BAD DEBT EXPENSE. THE AMOUNT REPORTED ON LINE 3 OF SCHEDULE H, PART III IS BASED ON THE COST-TO-CHARGE RATIO CALCULATED IN SUPPORTING WORKSHEET 2, PROVIDED WITH THE INSTRUCTIONS TO SCHEDULE H. THE AMOUNT ON LINE 3, IN THE SAME SECTION, IS BASED UPON A COMPARISON OF EXPERIENCED CHARITY CARE COVERAGE AND US CENSUS BUREAU DATA FOR THE MOST RECENT YEAR AVAILABLE WHEN CHARITY CARE COVERAGE 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. THE COSTING METHODOLOGY USED IN LINES 2 AND 3 IS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, "RATIO OF PATIENT CARE COST-TO-CHARGES", INCLUDED WITH THE SCHEDULE H INSTRUCTIONS. THIS RATIO WAS USED IN THE AMOUNTS ON LINES 7A AND 7B IN PART I. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 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. IN 2010, DATA INDICATES THAT 59.2% OF MAINE RESIDENTS, AGE 65 OR OLDER, ARE BELOW THE 300% FPG LEVEL. IF THESE PATIENTS 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B 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. 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. 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. 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 THIRD 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. 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. 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 FAMILY MEDICINE EDUCATION COALITION 7795 RAINTREE ROAD DAYTON OH 45459 311436038 501(C)(3) 7900 SPONSORSHIP 1 GRANT MONITORING PROCEDURES SCHEDULE I, PART I, LINE 2 THE GRANT WAS A SPONSORSHIP TO A 501(C)(3) ORGANIZATION TO FURTHER THEIR EDUCATIONAL PURPOSE WHICH CORRESPONDS WITH THE CMMC RESIDENCY PROGRAM'S EDUCATIONAL PURPOSES. false true false false false false false false false PETER E CHALKE 0 527048 0 0 0 70187 0 100000 0 12723 0 709958 MATTHEW COX 0 107538 0 25000 0 13657 0 0 0 5351 0 151546 CHARLES T ORNE 0 308480 0 0 0 578225 0 16500 0 23096 0 926301 552516 RAYMOND J TARDIF MD 131407 0 7605 0 4736 0 3500 0 19777 0 167025 0 LAWRENCE OLIVER 308603 0 20994 0 4895 0 20415 0 16822 0 371729 0 LAIRD COVEY 0 320706 0 0 0 56303 0 42841 0 16882 0 436732 117 GUILLERMO CANDIA MD 743477 0 0 0 41646 0 16500 0 20561 0 822184 0 DANIEL LALONDE MD 815897 0 0 0 21044 0 0 0 20178 0 857119 0 PATRICIO MUJICA MD 743909 0 37423 16500 22136 819968 SUSAN MANDELL MD 364204 0 455085 0 19490 0 0 0 18623 0 857402 0 OSWALDO BISBAL 461916 0 221794 0 17231 0 13325 0 27563 0 741829 0 GLENN FOCHT 0 318212 0 0 0 24138 0 0 0 20381 0 362731 CEO COMPENSATION SCHEDULE J, PART I, LINE 3 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 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B 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 PARTICIPANTS BENEFITS UNDER THE PLAN AS SOON AS PRACTICABLE AFTER THE PARTICIPANTS ENTITLEMENT BECOMES VESTED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH CENTRAL MAINE HEALTHCARE CORPORATION, A RELATED ENTITY. $ 552,516 CHARLES ORNE (PAYOUT) 100,000 PETER CHALKE (DEFERRAL) 26,341 LAIRD COVEY (DEFERRAL) 3,915 LAWRENCE OLIVER (DEFERRAL) 117 LAIRD COVEY (PAYOUT) COMPENSATION REPORTED IN PRIOR FORM 990 SCHEDULE J, PART II, COLUMN F 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. MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560425LU2 2003-02-07 62898646 BUILD & EQUIP FACILITY false false true MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560425WW6 2005-12-29 28435783 REFUND BOND SERIES 1993D, BLDG false false false MAINE HEALTH & HIGHER EDUCATIONAL FACILITIES AUTH 010314384 560427GE0 2009-12-10 92870000 FACILITY EXPANSION/CONSTRUCTIO false false true 62898646 5389811 1917896 703668 236000 54651271 2004 false false true true 28435783 2325648 12082420 370150 80000 13577565 2006 false true true true 92870000 6631632 1166116 45933950 39138302 false false false true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false true 0.00000 0.00000 0.00000 true false false false false false false false false false false false false false false false false false false RAYMOND TARDIF TAIL INSURANCE X 11391 3482 false false true OSWALDO BISBAL SALARY ADVANCE X 30000 11499 false false true SUSAN MANDELL TAIL INSURANCE X 23794 16236 false false true 31217 PATRICIA E ROY RELATIVE OF R. ROY 121509 SALARY AND WAGES false LEWISTON DAILY SUN INC SEE PART V 166471 ADVERTISING AND SUBSCRIPTION false HE CALLAHAN CONSTRUCTION CO SEE PART V 540368 CONTRACTOR false MARCY COVEY RELATIVE OF L. COVEY 13084 SALARY AND WAGES false MECHANICS SAVINGS BANK SEE PART V 118164 BANKING AND RELATED SERVICES false TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV STEPHEN COSTELLO, A TRUSTEE OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF LEWISTON DAILY SUN, INC. JOHN BLANCHARD, A TRUSTEE OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF H.E. CALLAHAN CONSTRUCTION CO. RICHARD ROY, VICE CHAIRMAN OF CENTRAL MAINE MEDICAL CENTER, IS ALSO AN OFFICER OF MECHANICS SAVINGS BANK. X 11500 FMV X 1 31995 FMV X 1 10094 FMV X SIGNAGE 1 8722 FMV X BICYCLE 1 2200 FMV X FLOWERS 1 99 FMV X AUCTION ITEMS 2 814 FMV 0 false true false NUMBER OF CONTRIBUTIONS SCHEDULE B, PART I, COLUMN B THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS FOR EACH LINE ITEM. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B 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 ANYTIME. 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 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B ALL AFFILIATED FORM 990'S AND APPLICABLE SCHEDULES ARE PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM IN COOPERATION WITH THE FINANCE DEPARTMENT. THE COMPLETED RETURNS ARE REVIEWED WITH THE DIRECTOR OF FINANCE THEN 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. CEO COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A 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, PRESIDENT OF RUMFORD HOSPITAL, AND PRESIDENT OF BRIDGTON HOSPITAL. 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. PUBLIC DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 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. COMPENSATION FORM 990, PART VII, SECTION A, COLUMN B PETER CHALKE, CHARLES ORNE (THROUGH JANUARY, 2011), CAROL MORIN, AND MATTHEW COX (AFTER JANUARY, 2011) ARE ALL EMPLOYED BY CENTRAL MAINE HEALTHCARE. AS PART OF THEIR DUTIES, THEY ARE ALSO OFFICERS OF SEVERAL SUBSIDIARY CORPORATIONS. MOST OF THEIR TIME IS SPENT WORKING FOR THE SYSTEM AS A WHOLE, NOT SPECIFICALLY FOR EACH ENTITY OF WHICH THEY OFFICIATE. MARK ADAMS IS A MEMBER OF THE BOARDS OF CENTRAL MAINE MEDICAL CENTER, CENTRAL MAINE REAL ESTATE, AND CENTRAL MAINE COMMUNITY HEALTH. PAULINE BEALE IS A MEMBER OF THE BOARDS OF CENTRAL MAINE MEDICAL CENTER AND CENTRAL MAINE HEALTHCARE. RICHARD ROY IS A MEMBER OF THE BOARDS OF CENTRAL MAINE MEDICAL CENTER AND CENTRAL MAINE HEALTHCARE. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 $ 2,857,723 CHANGE IN INTEREST IN RELATED PARTY (927,361) PRIOR PERIOD ADJUSTMENT (30,578) NET UNREALIZED LOSSES ------------ 1,899,784 CENTRAL MAINE HEART & VASCULAR INSTITUTE 300 MAINE STREET LEWISTON ME 04243 542078282 HEALTHCARE ME 501(C)(3) 9 NA CMMC COLLEGE OF NURSING & HEALTH PROF PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501(C)(3) 2 NA CENTRAL MAINE REAL ESTATE MGMT CORP PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501(C)(2) NA CENTRAL MAINE COMMUNITY HEALTH CORP PO BOX 4500 LEWISTON ME 04243 010386912 PUBLIC EDUCAT ME 501(C)(3) 7 NA RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 HEALTHCARE ME 501(C)(3) 3 NA RUMFORD COMMUNITY HOME CORPORATION 11 JOHN F KENNEDY DRIVE RUMFORD ME 04276 222844951 NURSING HOME ME 501(C)(3) 9 NA RUMFORD HOSPITAL 420 FRANKLIN STREET RUMFORD ME 04276 010215227 HEALTHCARE ME 501(C)(3) 3 NA BRIDGTON HOSPITAL 10 HOSPITAL DRIVE BRIDGTON ME 04009 010130427 HEALTHCARE ME 501(C)(3) 3 NA BRIDGTON HOSPITAL PHYSICIANS GROUP SOUTH HIGH STREET BRIDGTON ME 04009 010493083 HEALTHCARE ME 501(C)(3) 9 NA CENTRAL MAINE HEALTHCARE CORPORATION PO BOX 4500 LEWISTON ME 04243 010386913 HEALTHCARE ME 501(C)(3) 11 B II NA ELIAS E TUCKER TRUST FUND C/O CMMC 300 MAIN STREET LEWISTON ME 04240 016042343 NURSING ED ME 501(C)(3) 11 A I NA CENTRAL MAINE HEALTH VENTURES INC 300 MAIN STREET LEWISTON ME 04240 010430016 HEALTHCARE ME NA C CORP 0 0 0.00000 CWM INSURANCE LTD GENESIS BUILDING PO BOX 1363 GRAND CAYMAN B.W.I. CJ 980220891 INSURANCE CJ NA C CORP 0 0 0.00000 true false false false false false false false false false false true false true true true false false CMMC COLLEGE OF NURSING AND HEALTH PROF A 478293 CMMC COLLEGE OF NURSING AND HEALTH PROF N 1758658