2024-05-10T16:56:47-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-07-01 010386912 CENTRAL MAINE COMMUNITY HEALTH CORPORATION CENT 2077952813 PO BOX 4500 LEWISTON ME 04243 DAVID PAULOSKY PRESIDENT 2077952813 2024-05-08 1 DAVID PAULOSKY XXX-XX-XXXX 0 AMY CIMINELLO P00796388 6148493000 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEVE LITTLESON 300 MAIN STREET LEWISTON ME 04240 1097265 0 X WWW.HEALTHYANDROSCOGGIN.ORG X 1982 ME CMCH ACTS AS THE FISCAL AGENT FOR HEALTHY ANDROSCOGGIN, A COMMUNITY BASED PUBLIC HEALTH AGENCY THAT PROVIDES ESSENTIAL PUBLIC HEALTH SERVICES FOR THE ANDROSCOGGIN COUNTY AREA. 9 7 18 7 0 0 654591 902447 176471 191678 -5242 39 0 3101 825820 1097265 0 0 0 0 656745 862073 0 0 0 232851 242592 889596 1104665 -63776 -7400 142836 400924 300880 354071 -158044 46853 X HEALTHY ANDROSCOGGIN'S MISSION IS TO EMPOWER PEOPLE TO LIVE HEALTHY LIFESTYLES AND TO IMPROVE THE PUBLIC HEALTH OF THE COMMUNITIES WE SERVE THROUGH ONGOING PLANNING, COMMUNITY ACTION, EDUCATION AND ADVOCACY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 0 0 929464 0 191678 THE TOBACCO PREVENTION TEAM SUPPORTED ADOPTION OF SMOKE-FREE POLICIES IN PLACES WHERE PEOPLE WORK, PLAY, AND RECEIVE CARE, INCLUDING THE AUBURN PUBLIC LIBRARY AND LOCAL LANDLORDS. ADDITIONALLY, HEALTHY ANDROSCOGGIN PARTNERED EXTENSIVELY WITH LISBON SCHOOLS THROUGH TOBACCO AND VAPING PREVENTION PRESENTATIONS TO STUDENTS, STAFF, AND PARENTS. OVER 450 COMMUNITY MEMBERS INCLUDING YOUTH RECEIVED TOBACCO PREVENTION EDUCATION. THE SUBSTANCE USE PREVENTION TEAM DISSEMINATED INFORMATION AND RESOURCES AT 9 COMMUNITY TABLING EVENTS, PROVIDED TRAININGS TO 5 UNIQUE COMMUNITY-BASED ORGANIZATIONS AND PRESENTED TO YOUTH AT 3 SCHOOLS/YOUTH SERVING ENTITIES, TOTALING 108 STUDENTS. ADDITIONALLY, CREATED A NALOXONE ACCESS ADVERTISEMENT THAT RAN AT AUBURN FLAGSHIP CINEMAS, JOURNEY MAGAZINE, AND LEWISTON AUBURN BUS SERVICES. DURING THE FREE DRUG TAKE BACK EVENT IN APRIL, APPROXIMATELY 1,019 POUNDS OF UNUSED OR EXPIRED MEDICATIONS WERE COLLECTED IN ANDROSCOGGIN COUNTY. HEALTHY ANDROSCOGGIN'S HEALTHY EATING ACTIVE LIVING (HEAL) PROGRAM SUPPORTS INTERVENTIONS THAT FOCUS ON HEALTHY EATING AND PHYSICAL ACTIVITY WITH THE GOAL OF DECREASING OBESITY IN YOUTH AND ADULTS IN ANDROSCOGGIN COUNTY. WE USE EVIDENCE-BASED APPROACHES TO PROMOTE A HEALTHFUL DIET AND LIFELONG PHYSICAL ACTIVITY. IN 2023, A TOTAL OF 105 ORGANIZATIONS, INCLUDING HEALTHCARE OFFICES, SCHOOL DISTRICTS, EARLY CHILDCARE PROGRAMS, WORKSITES, AND RECREATIONAL DEPARTMENTS PARTICIPATED IN HEALTHY ANDROSCOGGIN'S HEAL ACTIVITIES.NUTRITION EDUCATORS AT HEALTHY ANDROSCOGGIN PROVIDED DIRECT NUTRITION EDUCATION TO ELIGIBLE PARTICIPANTS THROUGH CLASSES IN SCHOOLS, DAYCARES, RECREATION CENTERS, GROCERY STORES, ADULT HOUSING, AND OTHER COMMUNITY LOCATIONS. IN TOTAL, 1,799 PEOPLE PARTICIPATED IN OVER 609 EDUCATIONAL SESSIONS USING 118 NUTRITION SERIES OR WORKSHOPS. THE CHILDHOOD LEAD POISONING PREVENTION PROGRAM PARTICIPATED IN COMMUNITY EVENTS WHERE EDUCATION WAS PROVIDED TO APPROXIMATELY 450 RESIDENTS. ALMOST 4,050 PEOPLE IN ANDROSCOGGIN COUNTY RECEIVED LEAD POISONING EDUCATIONAL OUTREACH THROUGH MAILERS, VIDEOS, RESOURCES, DIRECT EDUCATION, AND PRINTED MATERIALS. THE CHILDHOOD LEAD POISONING PREVENTION COORDINATOR PARTNERED WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO DELIVER PRESENTATIONS TO REFUGEES, IMMIGRANTS, AND ASYLEES ON CREATING HEALTHY HOMES SAFE FROM LEAD EXPOSURE. FINALLY, THE PROGRAM COLLABORATED WITH CENTRAL MAINE PEDIATRICS AND CENTRAL MAINE TEAM LEAD NURSES FOR THE PRIMARY CARE DIVISION TO WORK ON COLLECTING DATA ON LEAD POISONING AND TESTING IN THEIR PRACTICES TO STRATEGIZE WITH MAINE CDC TO INCREASE TESTING AMONG TWO-YEAR OLDS. 929464 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 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 1 0 0 0 1 4 0 1 18 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 ME X KRISTEN ST PETER 2077957124 29 LOWELL STREET BOX A LEWISTON ME 04240 RICHARD WHITING CO CHAIR 3.00 0.00 X X 0 0 0 CHRISTINE BOSSE CO CHAIR 3.00 0.00 X X 0 0 0 DAVID BILODEAU DIRECTOR 3.00 0.00 X 0 0 0 BRENDA EDDY DIRECTOR 3.00 0.00 X 0 0 0 COLEEN ELIAS DIRECTOR 3.00 0.00 X 0 0 0 ORNELLA NIBASUMBA DIRECTOR 3.00 0.00 X 0 0 0 HERITIER NOSSO DIRECTOR 3.00 0.00 X 0 0 0 ANNIE DERTHICK DIRECTOR 3.00 55.00 X 0 135335 8638 JENAE LIMOGES DIRECTOR 3.00 55.00 X 0 259020 21638 STEVE LITTLESON PRESIDENT 3.00 60.00 X 0 960940 80951 DAVID PAULOSKY TREASURER 3.00 60.00 X 0 291452 25982 ELIZABETH SHEW SECRETARY 3.00 60.00 X 0 199857 31070 0 1846604 168279 0 0 1 0 0 133861 768586 902447 MANAGEMENT FEES 900099 191678 191678 191678 39 39 STATE REFUND 990009 3101 3101 3101 1097265 191678 0 3140 733091 601135 131956 81929 67182 14747 47053 38583 8470 6566 5121 1445 13999 10919 3080 -2695 -2102 -593 8291 6467 1824 51277 39996 11281 8763 6835 1928 56 20 36 4031 3547 484 368 287 81 LEASED EMPLOYEE EXPENSE 87696 87696 0 MEDICAL SUPPLIES 60390 60390 0 REPAIRS & MAINTENANCE 3850 3388 462 1104665 929464 175201 0 1575 4355 136861 395537 121965 121965 0 0 4400 1032 142836 400924 61184 117496 239696 236575 300880 354071 X -162178 39314 4134 7539 -158044 46853 142836 400924 X -7400 212297 X X 0 1 X 1 1 1 X 903169 834495 713949 654592 902447 4008652 903169 834495 713949 654592 902447 4008652 4008652 12 5 3 39 59 800 3101 3901 4012612 579811 0.99900 0.99980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6150 6150 0 115815 115815 0 0 0 1 0 0 0 0 0 0 0 STEVE LITTLESON PRESIDENT 0 757521 0 163538 0 39881 0 51685 0 29266 0 1041891 0 0 DAVID PAULOSKY TREASURER 0 228427 0 0 0 63025 0 11250 0 14732 0 317434 0 0 JENAE LIMOGES DIRECTOR 0 255305 0 0 0 3715 0 1370 0 20268 0 280658 0 0 ELIZABETH SHEW SECRETARY 0 186213 0 7670 0 5974 0 2538 0 28532 0 230927 0 0 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 PART I, LINE 7 BONUSES ARE BASED ON PERFORMANCE MEASURES FOR WHICH THERE IS BOARD DISCRETION. 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 PARTICIPANTS EMPLOYMENT FOR ANY REASON OTHER THAN FOR CAUSE ANY PORTION OF THE PARTICIPANT'S ENTITLEMENT 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. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE CORPORATION SHALL BE CENTRAL MAINE HEALTHCARE CORPORATION, A CORPORATION DULY ORGANIZED UNDER THE LAWS OF THE STATE OF MAINE. THE ANNUAL MEETING OF THE VOTING MEMBERS SHALL BE HELD IN JANUARY EACH YEAR AT SUCH A TIME AND PLACE AS MAY BE ESTABLISHED BY THE SOLE MEMBER OF THE CORPORATION. MEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE SOLE MEMBER OF THE CORPORATION. ALL OFFICERS OTHER THAN THE PRESIDENT AND THE TREASURER SHALL BE NAMED BY THE SOLE MEMBER. THE SOLE MEMBER MAY REMOVE ANY OFFICER AT ANY TIME. THE BYLAWS OR ANY PORTION OF THEM MAY BE ALTERED, AMENDED, ADDED TO OR REPEALED BY THE SOLE MEMBER. THE MEMBER MAY EXCERCISE THE RIGHTS AS DESIGNATED IN THE BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE CORPORATION SHALL BE CENTRAL MAINE HEALTHCARE CORPORATION, A CORPORATION DULY ORGANIZED UNDER THE LAWS OF THE STATE OF MAINE. THE ANNUAL MEETING OF THE VOTING MEMBERS SHALL BE HELD IN JANUARY EACH YEAR AT SUCH A TIME AND PLACE AS MAY BE ESTABLISHED BY THE SOLE MEMBER OF THE CORPORATION. MEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE SOLE MEMBER OF THE CORPORATION. ALL OFFICERS OTHER THAN THE PRESIDENT AND THE TREASURER SHALL BE NAMED BY THE SOLE MEMBER. THE SOLE MEMBER MAY REMOVE ANY OFFICER AT ANY TIME. THE BYLAWS OR ANY PORTION OF THEM MAY BE ALTERED, AMENDED, ADDED TO OR REPEALED BY THE SOLE MEMBER. THE MEMBER MAY EXCERCISE THE RIGHTS AS DESIGNATED IN THE BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER OF THE CORPORATION SHALL BE CENTRAL MAINE HEALTHCARE CORPORATION, A CORPORATION DULY ORGANIZED UNDER THE LAWS OF THE STATE OF MAINE. THE ANNUAL MEETING OF THE VOTING MEMBERS SHALL BE HELD IN JANUARY EACH YEAR AT SUCH A TIME AND PLACE AS MAY BE ESTABLISHED BY THE SOLE MEMBER OF THE CORPORATION. MEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE SOLE MEMBER OF THE CORPORATION. ALL OFFICERS OTHER THAN THE PRESIDENT AND THE TREASURER SHALL BE NAMED BY THE SOLE MEMBER. THE SOLE MEMBER MAY REMOVE ANY OFFICER AT ANY TIME. THE BYLAWS OR ANY PORTION OF THEM MAY BE ALTERED, AMENDED, ADDED TO OR REPEALED BY THE SOLE MEMBER. THE MEMBER MAY EXCERCISE THE RIGHTS AS DESIGNATED IN THE BYLAWS OF THE CORPORATION. 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 REVIEWED WITH THE VICE PRESIDENT OF FINANCE THEN WITH THE CFO FOLLOWING THAT REVIEW; THEY ARE PRESENTED TO THE FINANCE COMMITTEE OF THE CENTRAL MAINE HEALTHCARE BOARD OF DIRECTORS. ONCE THIS REVIEW IS COMPLETED, ANY NECESSARY CHANGES ARE MADE AND THE FINAL RETURN IS PRESENTED TO ITS RESPECTIVE BOARD. 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 BYTHE 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 15 COMPENSATION PAID TO KEY EMPLOYEES AND RECOMMENDATIONS BY THE CEO FOR ANY CHANGES TO THEIR COMPENSATION IS ALSO REVIEWED BY THE EXUCUTIVE AND PHYSICIAN COMPENSATION COMMITTEE (EPCC). THE INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT PROVIDES MARKET DATA ON COMPARABLE POSITIONS FROM COMPARATIVE GROUPS OR HEALTHCARE ORGANIZATIONS THAT ARE APPROPRIATELY SIMILAR IN TERMS OF THEIR REVENUE, GEOGRAPHIC LOCATION, NUMBER OF EMPLOYEES, NUMBERS OF STAFFED HOSPITAL BEDS, ETC THE CONSULTANT PROVIDES AT A MINIMUM FOUR SETS OF COMPARABILITY DATA FROM THE MOST RECENT NATIONAL HEALTHCARE SPECIFIC COMPENSATION SURVEYS (E.G. WILLIS TOWERS WATSON, SULLIVAN AND COTTER, INTEGRATED HEALTHCARE STRATEGIES, MERCER, ETC) FOR REFERENCE. THESE SURVEYS REPORT PAY RATE DATA THAT IS TYPICALLY AGED LESS THAN 6 MONTHS. CENTRAL MAINE HEALTHCARE AND AFFILIATES STRIVE TO PAY AT THE MARKET AVERAGE OR SLIGHTLY ABOVE IT FOR THE CEO AND KEY EMPLOYEES. ONCE THE COMPENSATION CONSULTANT AND THE VICE PRESIDENT, CHIEF HUMAN RESOURCE OFFICER HAVE FINALIZED RECOMMENDATIONS BASED ON THIS EMPIRICAL DATA, THEY ARE PRESENTED TO THE PRESIDENTS OF EACH HOSPITAL THAT SUPERVISE THE KEY EMPLOYEES AND THE CEO OF CENTRAL MAINE HEALTHCARE FOR REVIEW, EDITS, AND APPROVAL. THE EPCC IS ASKED TO REVIEW AND APPROVE THOSE RECOMMENDATIONS. THIS TYPICALLY OCCURS AFTER THE CLOSE OF THE FISCAL YEAR WITH ANY ADJUSTMENTS MADE RETROACTIVE TO THE BEGI NNING OF THE FISCAL YEAR. CENTRAL MAINE HEALTHCARE DOCUMENTS THE BASIS FOR THE DETERMINATION OF THE CEO AND & KEY EMPLOYEES' COMPENSATION AND MAINTAINS THIS CONTEMPORANEOUSLY SUBSTANTIATED MATERIAL IN THE HUMAN RESOURCES DEPARTMENT. 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 APPROPRIATELY. FORM 990, PART XI, LINE 9: RESTRICTED CONTRIBUTIONS 17,556. EQUITY TRANSFER TO AFFLIATE 194,741. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. CENTRAL MAINE MEDICAL CENTER PO BOX 4500 LEWISTON ME 04243 010211494 HEALTHCARE ME 501 C(3) LINE 3 CMHC 0 CM REAL ESTATE MGMT CORP PO BOX 4500 LEWISTON ME 04243 010387674 REAL ESTATE ME 501 C(2) CMHC 0 RUMFORD COMMUNITY FAMILY HEALTH CENTER 430 FRANKLIN STREET RUMFORD ME 04276 010481000 HEALTHCARE ME 501 C(3) LINE 10 CMHC 0 ME COLLEGE OF HEALTH PROF PO BOX 4500 LEWISTON ME 04243 010356077 EDUCATION ME 501 C(3) LINE 2 CMMC 0 RUMFORD HOSPITAL 420 FRANKLIN STREET RUMFORD ME 04276 010215227 HEALTHCARE ME 501 C(3) LINE 3 CMHC 0 RUMFORD COMMUNITY HOME CORP 11 JOHN F KENNEDY LANE RUMFORD ME 04276 222844951 NURSING HOME ME 501 C(3) LINE 3 CMMC 0 BRIDGTON HOSPITAL 10 HOSPITAL DRIVE BRIDGTON ME 04009 010130427 HEALTHCARE ME 501 C(3) LINE 3 CMHC 0 ELIAS E TUCKER TRUST FUND C/O CMMC 300 MAIN STREET LEWISTON ME 04240 016042343 FUNDING ME 501 C(3) LINE 12A, I CMMC 0 CENTRAL MAINE HEALTHCARE CORP PO BOX 4500 LEWISTON ME 04243 010386913 HEALTHCARE ME 501 C(3) LINE 7 N/A 0 CENTRAL MAINE HEALTH VENTURES INC 300 MAINE STREET LEWISTON ME 04240 010430016 HEALTHCARE ME N/A C 0 CENTRAL AND WESTERN MAINE INSURANCE LTD PO BOX 1363 GRAND CAYMAN CJ 980220891 INSURANCE CJ N/A C 0 CENTRAL MAINE ACO 300 MAINE STREET LEWISTON ME 04240 274604314 ACCOUNTABLE CARE ME N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 1