2024-08-05T14:17:29-05:00 2023-09-30 990 2022-10-01 010211546 Community Health and Nursing Services COMM 2077290181 60 Baribeau Drive Brunswick ME 04011 Michael Perry VP of Finance/CFO 2073736028 2024-06-10 1 2022 2024-08-08 14:25:15Z CHANS Home Health and Hospice Christopher Bowe MD 123 Medical Center Drive Brunswick ME 04011 41066053 0 X www.chanshomehealth.com X 1947 ME Provide home health and community health promotion services in Brunswick, Bath, and the surrounding communities. 20 14 0 43 0 0 857581 214202 9472311 9237155 4034535 1520692 0 0 14364427 10972049 0 0 0 0 8901009 8194005 0 0 0 1511436 1827278 10412445 10021283 3951982 950766 36157352 36731000 5240973 3050940 30916379 33680060 Community Health and Nursing Services (CHANS) provides home health andcommunity health promotion services in Brunswick, Bath, andsurrounding communities. 0 0 9460333 9237155 CHANS Home Health & Hospice is full service non-profit, JointCommission Accredited agency providing skilled home health, hospice,private duty care services and an array of community based wellness clinics and support services in Mid Coast Maine. Part of the MaineHealth system, CHANS has been providing home health and wellness services in the community since 1947. 9460333 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 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 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 20 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Michael Perry 2073736028 123 Medical Center Drive Brunswick ME 04011 Doug Sawyer MD Chief Academic Officer, MH 1.00 50.00 X 0 743845 54515 Lois N Skillings Former President 1.00 50.00 X X 0 690139 25087 Melissa Streeter MD Medical Staff President, MCH 1.00 50.00 X 0 451022 34389 Catherine Fredricks Rehagen DO Medical Staff Vice President, MCH 1.00 50.00 X 0 347862 38753 Kelly Elkins Chief Operating Officer, MH 1.00 50.00 X 0 1100614 29176 Pamela Bowerman Director 1.00 0.00 X 0 0 0 Marcus Deck MD Director 1.00 0.00 X 0 0 0 Charles Frizzle Director 1.00 0.00 X 0 0 0 Margo Knight Director 1.00 0.00 X 0 0 0 Bruce McGlauflin Director 1.00 0.00 X 0 0 0 Alain Montegut MD Director 1.00 0.00 X 0 0 0 Daniel Morganstern MD Vice Chairperson 1.00 0.00 X X 0 0 0 Sue Spann Director 1.00 0.00 X 0 0 0 Glenn L Hutchinson Director 1.00 0.00 X 0 0 0 Lenora Burke Chairperson 1.00 0.00 X X 0 0 0 Matthew Orlando Treasurer 1.00 0.00 X X 0 0 0 Charles Bridge Secretary 1.00 0.00 X X 0 0 0 Sandy Morrell Rooney Director 1.00 0.00 X 0 0 0 Diane Field Director 1.00 0.00 X 0 0 0 Christopher Bowe MD President 1.00 50.00 X X 0 460233 42711 Stemple Johnson MD Physician, MCH 1.00 50.00 X 0 85354 3296 Chris Thomson MD Chief Medical/Transform. Off., MH 1.00 50.00 X 0 0 0 Michael Perry Chief Financial Officer 1.00 50.00 X 0 391227 39396 Deborah Siegel RN Director 50.00 0.00 X 123839 0 31636 Jacqueline Katz Rehabilitation Manager 50.00 0.00 X 106754 0 23762 Ruth Savageau Registered Nurse 50.00 0.00 X 108664 0 24167 Jo-Ellyn Sturgeon Registered Nurse 50.00 0.00 X 102653 0 32459 Mary Caouette Clinical Nursing Manager 50.00 0.00 X 102569 0 33666 Patrick Keaney MD Physician, Former Officer 0.00 50.00 X 0 519409 42675 Ira Bird MD Physician, Former Officer 0.00 50.00 X 0 600981 39212 544479 5390686 494900 7 1 1 0 0 55948 158254 214202 Patient services 621610 9237155 9237155 9237155 341658 341658 31273038 30094004 1179034 1179034 1179034 10972049 9237155 0 1520692 6679402 6284636 394766 174401 164094 10307 844807 794877 49930 495395 466116 29279 626796 589188 37608 300 300 85507 80377 5130 218465 205357 13108 250697 250697 9957 9360 597 72418 68073 4345 15230 15230 Medical Supplies 542071 542071 Miscellaneous 5837 5487 350 10021283 9460333 560950 0 5926861 2447526 2350720 3826410 1290867 1203809 40163 43542 3117411 2736536 443125 380875 12154927 15785666 13247890 12894163 702799 149009 36157352 36731000 706394 765232 4534579 2285708 5240973 3050940 X 30285001 32924339 631378 755721 30916379 33680060 36157352 36731000 950766 1812915 0 X 0 1 X 1 1 1 X 66189 75975 615321 857581 214202 1829268 10882429 12181053 10874664 9472311 9237155 52647612 10948618 12257028 11489985 10329892 9451357 54476880 0 0 0 54476880 933599 850444 989482 4034535 1520692 8328752 933599 850444 989482 4034535 1520692 8328752 11882217 13107472 12479467 14364427 10972049 62805632 0.86740 0.88030 0.13260 0.11970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3390 3390 0 Schedule C, Part II-B, Line 1 Community Health and Nursing Services paid dues to Home Care & Hospice Alliance of Maine, a portion of which was available for lobbying. 631378 58379 65964 755721 662106 -30728 631378 622987 39119 662106 590911 32076 622987 516719 74192 590911 0.38000 0.62000 0 1 1 43025 43025 1361598 1113430 248168 1702621 1623106 79515 10167 10167 380875 Hedge Funds 6714765 F Limited Partnerships 4613944 F Real Estate 71298 C Common/Collective Trusts 1494156 F 12894163 Due to affiliates 2285708 2285708 X Part X, Line 2: The Internal Revenue Service has previously determined that the System and its subsidiaries (except Maine Medical Partners (MMP) (a subsidiary of MaineHealth) are organizations as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the IRC. The System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The System did not recognize the effect of any income tax positions in either 2023 or 2022. Part V, line 4: The income from endowment funds is used to support hospice related projects. Permanently restricted net assets include those funds designated by donors to be invested in perpetuity to provide a permanent source of income. Temporarily restricted endowment net assets include accumulated appreciation on donor-restricted endowment funds to support CHANS. 0 1 0 0 0 0 0 0 0 Kelly Elkins Chief Operating Officer, MH 0 734790 0 174375 0 191449 0 12200 0 16976 0 1129790 0 0 Doug Sawyer MD Chief Academic Officer, MH 0 464466 0 126753 0 152626 0 15250 0 39265 0 798360 0 0 Lois N Skillings Former President 0 376524 0 125569 0 188046 0 7071 0 18016 0 715226 0 0 Ira Bird MD Physician, Former Officer 0 577489 0 1750 0 21742 0 9150 0 30062 0 640193 0 0 Patrick Keaney MD Physician, Former Officer 0 498099 0 0 0 21310 0 9150 0 33525 0 562084 0 0 Christopher Bowe MD President 0 383974 0 66151 0 10108 0 9150 0 33561 0 502944 0 0 Melissa Streeter MD Medical Staff President, MCH 0 421668 0 1750 0 27604 0 9150 0 25239 0 485411 0 0 Michael Perry Chief Financial Officer 0 275683 0 44188 0 71356 0 9150 0 30246 0 430623 0 0 Catherine Fredricks Rehagen DO Medical Staff Vice President, MCH 0 302603 0 1750 0 43509 0 9150 0 29603 0 386615 0 0 Deborah Siegel RN Director 108229 0 1500 0 14110 0 3950 0 27686 0 155475 0 0 0 Part I, Line 4b Community Health and Nursing Services Corporation and its related organizations has a deferred compensation arrangement under a non-qualified defined contribution plan to provide supplemental retirement benefits to certain employees. Lois Skillings and Michael Perry, officers of the Organization, participated in this plan. Lois Skillings and Mike Perry received $71,754 and $41,652 respectively from Mid Coast Health Management Corp & Subs. These amounts are reported in Schedule J, Part II, Column (B)(iii) for each individual. Form 990 Part V Line 1a MaineHealth (EIN 01-0238552), acting on behalf of the MaineHealth System filed 1,684 Form 1099s for the calendar year 2022. Form 990 Part V Line 2a MaineHealth (EIN 01-0238552), acting on behalf of the MaineHealth System filed Form W-3, reporting 26,427 employees for the calendar year 2022. Form 990, Part VI, Section A, line 6 MaineHealth (EIN #01-0238552) is the organization's sole corporate member, a Maine non-profit corporation. Form 990, Part VI, Section A, line 7a The directors of the organization are elected by the sole member. The organization's directors must also be members of a certain committee of the sole member's Board known as the Mid Coast Parkview Health Board. Form 990, Part VI, Section A, line 7b A. The exercise of the following powers by the Board of Trustees of the Corporation shall be subject to recommendation by the MCPH Board and approval by the Board of Trustees of the Corporate Member: 1.adoption of the annual capital and operating budgets, including modifications thereof; 2.approval of any business, marketing, and strategic plans, including modifications thereof; 3.authorization for debt incurred, assumed, or guaranteed by the Corporation, or other financial commitment by the Corporation, in excess of $5,000,000, other than as provided for in approved capital and operating budgets; 4.authorization for any acquisition, disposition, organization or initial investment by the Corporation in a direct subsidiary or any other corporation, partnership, limited liability company or joint venture; 5.authorization for any sale, capitalized lease, assignment, transfer, mortgage or encumbrance of any properties or assets of the Corporation having an aggregate value in excess of $5,000,000; 6.authorization for any merger or consolidation of the Corporation with any other entity, dissolution of the Corporation, or any sale or other disposition of substantially all of the assets of the Corporation; 7.authorization for the institution of any bankruptcy, insolvency or reorganization proceedings; 8.authorization for the capital investment in an individual, entity or project, including the purchase, license or lease of real estate or another capital asset, in the form of cash or either tangible or intangible property in excess of $5,000,000, other than as provided for in approved capital and operating budgets; 9.authorization for the commencement of litigation other than routine collection actions; 10.settlement of claims that would require the Corporation to spend amounts in excess of $5,000,000; 11.adoption of any amendments and modifications to the Articles of Incorporation of the Corporation; 12.adoption of the Corporation's Bylaws and any amendments and modifications to the Corporation's Bylaws; and 13.authorization for cessation of, or any significant change in, the health care services provided by the Corporation. B. The exercise of the following powers by the Board of Trustees of the Corporation shall be subject to the approval of the MCPH Board and notification to the Board of Trustees or Executive Committee of the Corporate Member: 1.authorization for debt incurred, assumed, or guaranteed by the Corporation, or other financial commitment by the Corporation, in excess of $1,000,000 (but not exceeding $5,000,000), other than as provided for in approved capital and operating budgets; 2.authorization for any sale, capitalized lease, assignment, transfer, mortgage or encumbrance of any properties or assets of the Corporation having an aggregate value in excess of $1,000,000 (but not exceeding $5,000,000); and 3.authorization for the capital investment in an individual, entity or project including the purchase, license or lease of real estate or another capital asset, in the form of cash or either tangible or intangible property in excess of $1,000,000 (but not exceeding $5,000,000), other than as provided for in approved capital and operating budgets. C. The approval of the MCPH Board but not the Board of Trustees of the Corporate Member shall be required for the exercise of the following powers by the Board of Trustees of the Corporation: 1.authorization for debt incurred, assumed, or guaranteed by the Corporation in excess of $500,000 (but not exceeding $1,000,000), other than as provided for in approved capital and operating budgets; 2.authorization for any sale, capitalized lease, assignment, transfer, mortgage or encumbrance of any properties or assets of the Corporation having an aggregate value in excess of $500,000 (but not exceeding $1,000,000); 3.authorization for the capital investment in an individual, entity or project in the form of cash or either tangible or intangible property in excess of $500,000 (but not exceeding $1,000,000), other than as provided for in approved capital and operating budgets; 4.settlement of claims that would require the Corporation to spend amounts in excess of $1,000,000 (but not exceeding $5,000,000); 5.authorization for developing, implementing, or terminating programs and services other than those included within any approved strategic or financial plan; and 6.initial entry into or renewal of any management services agreement. Form 990, Part VI, Section B, line 11b The Chief Financial Officer reviews the Form 990 prior to signing the return. The Form 990 is provided to the full Board of Trustees prior to filing the return. Form 990, Part VI, Section B, line 12c MaineHealth's Audit & Compliance Services sends Conflict of Interest (COI) disclosure form requests to over 3,000 Care Team Members (including all Board Members, Officers, and other Senior Leaders) each year. Audit & Compliance Services collects the disclosure forms and reviews each submission for possible reported conflicts to determine if a management mitigation plan is required. The results of the annual COI process are reported to the MaineHealth Executive Compliance Committee, the Audit Committee, Local Health System Presidents, and the Board of Trustees Chairpersons. Form 990, Part VI, Section B, line 15 Compensation Process for President (Line 15a) MaineHealth, a related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis annually for the President of Community Health and Nursing Services. The firm meets with the Executive Committee of the Board of Directors of MaineHealth to review the executive compensation report. The Executive Committee then deliberates on MaineHealth's written salary and incentive plan philosophy before making a final decision. All meeting decisions are captured in minutes with appropriate approvals at all levels. Compensation for Officers (Line 15b) Compensation for officers of Community Health and Nursing Services is part of the independent benchmark analysis performed annually by Sullivan Cotter. All compensation decisions are reviewed and approved by the MaineHealth Chief Executive Officer, Chief Operating Officer and Chief People Officer. Form 990, Part VI, Section C, line 19 Documents that are required to be open for public inspection are made available upon request. 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