Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2019 , and ending 09-30-2020
BCheck if applicable:
CName of organization
MaineHealth
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
22 Bramhall Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Portland, ME04102
D Employer identification number

01-0238552
E Telephone number

G Gross receipts $ 3,285,602,498
F Name and address of principal officer:
Andrew Mueller MD
22 Bramhall Street
Portland,ME04102
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.mainehealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1951
M State of legal domicile: ME
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: MaineHealth is a voluntary, not-for-profit community and referral system of hospitals, dedicated to providing high quality health care services to all persons who seek care regardless of their sex, race, religion, age, color, sexual orientation, national origin, physical or emotional disability or social or economic status. MaineHealth is also committed to education at the undergraduate, graduate, post-graduate and continuing education levels for physicians, nurses and allied health personnel, and in-service training for support staff all of which are essential to the delivery of quality patient care. Outreach education to other institutions and agencies is also vital to the fulfillment of the MaineHealth's mission. MaineHealth also supports basic and clinical research as essential to the advancement of health care.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 25
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 22,661
6 Total number of volunteers (estimate if necessary) ............. 6 1,381
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,154,874
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 68,086,239 167,681,351
9 Program service revenue (Part VIII, line 2g) ......... 1,933,139,975 2,074,717,361
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 25,876,176 19,584,777
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 253,067,698 254,599,897
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 2,280,170,088 2,516,583,386
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 7,330,255 6,266,445
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,145,536,150 1,362,046,839
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 144,427
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet5,185,639    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 927,114,240 1,027,794,495
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,079,980,645 2,396,252,206
19 Revenue less expenses. Subtract line 18 from line 12....... 200,189,443 120,331,180
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,923,881,397 3,676,866,927
21 Total liabilities (Part X, line 26)............. 1,360,470,171 1,996,166,494
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,563,411,226 1,680,700,433
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
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Signature of officer Date
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Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: See Schedule O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,934,645,316 including grants of $ 2,521,875 ) (Revenue $ 2,298,123,271 )
Patient CareMaineHealth operates eight licensed hospital facilities in the State of Maine and is part of a not-for-profit health system dedicated to improving the health of patients and communities by providing high-quality affordable care, educating tomorrow's caregivers, and researching better ways to provide care. MaineHealth System includes a tertiary care hospital, critical access hospitals, primary and specialty practice locations, a stand-alone behavioral health hospital, an accountable care organization, an integrated lab company, and a home healthcare organization. (Continued on Schedule O)(Continued from page 2 of 990, Line 4a) These health system resources offer expertise in multiple disciplines including emergency medicine, surgery, radiology, oncology, behavioral health, and a level one trauma center. Summary operating metrics from FY20 for the MaineHealth System are included below: Category CountHospital I/P Discharges 50,858 Hospital I/P Days 283,920Swing Bed Days 3,429 Total Surgeries (IP/OP, exc. Cath Lab & Endo) 50,904 ED Visits (excludes urgent care) 211,311Long-Term Care Patient Days 150,578Home Care Visits 151,690Laboratory Tests 4,260,800MaineHealth organizations focused on four strategic priorities in FY20: Enhance the Patient Experience, Improve Care Team Well-Being, Improve Population Health, and Make Care More Affordable.Enhance the Patient ExperienceMaineHealth focuses on continuous improvement in timely access to safe, efficient, effective, and equitable care. Improved communication and coordination of services among health care providers, patients and their caregivers, and community-based resources play a pivotal role in achieving these outcomes. As MaineHealth continues to focus on providing quality, standard care across all Local Health Systems, the creation of a single, multispecialty medical group for all of MaineHealth's employed providers is underway. Forming this group will enable MaineHealth to better meet the challenges of a fast-changing health care environment, ensuring patient needs are met efficiently and seamlessly. In order to best monitor and benchmark hospital quality and safety measures, MaineHealth implemented Midas DataVision in all MaineHealth hospitals. Implementation of this platform allows care team members to actively monitor all patient quality and safety measures, produce reports, and address concerns in-real-time. Additionally, MaineHealth is working to establish an effective, comprehensive Patient Experience Program to improve overall performance in the care experience. This program includes improved data gathering, analysis, and standardized reporting for ambulatory, ED, inpatient, and telehealth surveys, prompt response and service recovery for patient complaints with appropriate support from the system-level team when needed, a training and coaching program with remote (virtual) trainings during the COVID-19 pandemic; and standardizing existing Patient and Family Advisory Council charters and planning to launch Advisory Councils in hospitals that do not have one.Finally, in FY20, MaineHealth successfully increased childhood trauma screenings to 87.7%, outperforming target percentages, and reduced the number of heart failure admissions by 15.5% and ED Visits by 10.1%. Improve Care Team Well-BeingOur employees are our greatest strength, and care team wellbeing is a priority. We focus on team member engagement, protection from burnout, and work-life balance. In order to increase retention, MaineHealth developed and invested in a set of career paths for gateway positions to retain and recruit care team members. Eight new leadership courses have been added to the curriculum and each have an identified audience for which course completion is expected. In addition, five current courses are being revised to more clearly connect their content and learning to support care team engagement. Through FY20, 667 leaders completed one or more training programs.Additionally, MaineHealth has developed a system-wide physician and advanced practice professional (APP) recruitment infrastructure and retention strategy with a local health system focus. Multiple infrastructure elements were developed and implemented, resulting in 46% and 48% reductions in openings for physicians and APPs respectively.In an effort to address recruitment, the expansion of training programs for certified nursing and phlebotomists have been completed, and an Advanced Medical Assistant training program has been developed with the Maine Community College system. In secondary schools, a program to help students learn how to enter the health care field has been developed, in addition to an advanced training program for those to whom English is a second language. Finally, a partnership with Jobs for Maine Graduates has been established to develop career awareness events for middle school to high school graduates.Improve Population Health To improve the health of our communities, we focused on developing population health programs to decrease health disparities. Our programs addressed the physical, mental, and behavioral, and socioeconomic determinant aspects of health and wellbeing. Our program philosophy promoted involvement, engagement, and autonomy so each individual can achieve the highest quality of life. In 2020, MaineHealth:1. Implemented changes to our hub, intermediate and spoke substance use treatment model to align with evolving clinical care models and updated state funding formulas.2. Implemented CDC's National Diabetes Prevention Program, enrolling 664 participants.3. Addressed at least two strategies in all Local Health System Community Health Needs Assessment Implementation Plans. 4. Conducted a pilot food insecurity screening for adult patients resulting in nearly 5,000 adult patients being screened; and of those, 3% were positive for food insecurity. Approximately 255 emergency food bags were distributed to patients, which is equivalent to more than 1,900 healthy meals. In order to ensure suitable access to care, MaineHealth welcomed Mid Coast-Parkview Health into the health system. Mid Coast-Parkview Health is built around a 93-bed hospital in Brunswick, ME. It has an active medical staff, a multispecialty medical group including primary care and specialty practices, and provides a range of senior care services through Mid Coast Senior Health and home health and hospice care through CHANS Home Health & Hospice. Teams from MaineHealth and Mid Coast-Parkview Health have been working together throughout 2020 to fully integrate, including transitioning Mid Coast-Parkview Health to the Epic medical records platform in 2021. Affordable CareGrowth in the cost of providing care and reductions in payment lead MaineHealth to intensely focus on providing the highest quality care at the lowest possible cost. Through the first five months of the fiscal year, financial results were favorable with income from operations of $31.5 million which exceeded the FY20 budget by $6.7 million. The COVID-19 pandemic resulted in a disruption in MaineHealth's revenue and unfavorably impacted expense structure. To aid in COVID-19 recovery, our care teams established an operating and financial metrics dashboard to monitor recovery efforts.
4b (Code:   ) (Expenses $ 105,186,636 including grants of $   ) (Revenue $ 12,578,252 )
Teaching (Medical Education Program)MaineHealth's flagship hospital, Maine Medical Center, has a long history of educating medical students, residents, and faculty. The Department of Medical Education, with a staff of 80, manages 11 residencies and 10 fellowships, all approved by the Accreditation Council for Graduate Medical Education. Currently there are approximately 300 residents and fellows. Historically, about one-third of MMC's residency graduates have stayed in Maine to practice. Our graduates also go on to outstanding fellowship programs. (Continued on Schedule O)(Continued from page 2 of 990, Line 4b) Established in 2008, the Tufts University School of Medicine - Maine Medical Center Program, known as the "Maine Track," offers a unique and innovative curriculum, exposing students to rural practices and training in a major tertiary medical center. There are 40 matriculants in each TUSM class dedicated to Maine Track. Much of the curriculum is based in Maine, particularly in the 2nd through 4th years of medical school. MMC developed a unique 9-month Longitudinal Integrated Clerkship offered at MMC and in 10 community hospital sites. Additionally clerkship students from the UNE College of Osteopathic Medicine rotate through MMC annually. The Hannaford Center for Safety, Innovation and Simulation is a state-of-the-art 15,000 square-foot training center that utilizes the latest in human medical simulator technology to take medical education to the highest level possible. The center provides learners and faculty with extremely realistic scenarios, allowing them to gain significant skills while greatly reducing patient risk. MMC is the flagship provider for Continuing Interprofessional Development (CIPD) in Maine, and is now Jointly Accredited through the major national accrediting bodies including medicine, nursing, pharmacy, and others. The goal of the CIPD program is to provide continuing education of the highest quality for all professions within the state. Launched in 2015, the MMC Institute for Teaching Excellence (MITE) provides faculty development opportunities (e.g., Scholars program) for educators. In addition to offering certificate programs, support for medical education research and a wide variety of high-quality educational opportunities, the Institute hosts a varied menu of high-quality faculty development. By promoting academic medicine excellence at all levels of interprofessional education, the Institute and the recently formed MITE Academy seeks to support, nurture and promote all clinician educators in the State of Maine. Significant FY20 accomplishments include: Teaching the 2nd curriculum of the Maine Track years in Maine The first graduate of the Rural Internal Medicine Maine (RIMM) residency track at Stephens Memorial Hospital Second year of the Interprofessional Partnership to Advance Patient Care and Education (iPACE) grant from the American Medical Association Achieving 6-year Joint Accreditation to promote interprofessional and team-based education HRSA grant to explore a rural Psychiatry track at PenBay Medical Center
4c (Code:   ) (Expenses $ 34,961,495 including grants of $ 3,744,570 ) (Revenue $ 22,581,356 )
ResearchMaine Medical Center Research Institute is the research arm of MaineHealth which supports and encourages a broad spectrum of research ranging from basic laboratory-based research to translational and clinical research, to patient-centered outcomes research. The institute is divided into the following divisions: Center for Molecular Medicine, The Center for Clinical and Translational Research, the Center for Psychiatric Research, and the Center for Outcomes Research and Evaluation. (Continued on Schedule O)(Continued from page 2 of 990, Line 4c) In 2020, MMCRI had roughly $21.8M in annual grant income and received 47 new grants, allowing the institute's clinical and biomedical researchers to contribute to the worldwide body of scientific research. In addition, over 230 Clinical Trial studies took place with the top areas of focus in Oncology, Neurology, and COVID-19. Notably in 2020, while MaineHealth care teams were on the frontlines taking care of patients, researchers and physician scientists were participating in COVID-19 research to support new treatments for patients. Because of MaineHealth's investment in research, MMCRI was ready to respond immediately. During this time, there were over 40 studies in a range of research areas such as clinical trials, basic and translational research, epidemiological research, and patient data registries. Additionally in 2020, the MaineHealth Cancer Care Network (MHCCN) was able to expand cancer trial sites across the state and was selected to participate in the NIH-NCI Moonshot BioBank program due to the support from the National Cancer Institute Community Oncology Research Program. Other 2020 highlights included: 309 scientific articles published and over 2,450 biospecimens were distributed by our BioBank Tissue Repository.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet2,074,793,447
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
Yes
 
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,687
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
22,661
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
25
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
ME
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletLugene Inzana22 Bramhall Street   Portland,ME04102 (207) 662-2576
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Ann Hooper......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(2) Brian H Noyes......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(3) William A Burke......................................................................
Chairman
 1.00
.................
0.00 		X   X       0 0 0
(4) Brett Loffredo MD......................................................................
Trustee
 50.00
.................
0.00 		X           262,035 0 52,961
(5) Bruce P Garren......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(6) Christopher W Emmons......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(7) Clint Boothby Esq......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(8) Daniel Loiselle MD......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(9) David Kumaki MD FACP......................................................................
Trustee
 50.00
.................
0.00 		X           289,553 0 33,098
(10) Gregory Dufour......................................................................
Vice Chairman
 1.00
.................
0.00 		X   X       0 0 0
(11) George Isaacson Esq......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(12) Jere G Michelson......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(13) Kate Herlihy MD MHP......................................................................
Trustee
 50.00
.................
0.00 		X           257,583 0 32,561
(14) Katherine B Coster......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(15) Lisa Beaule MD......................................................................
Trustee
 50.00
.................
0.00 		X           548,750 0 73,772
(16) Melissa Smith......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
(17) Morris Fisher......................................................................
Trustee
 1.00
.................
0.00 		X           0 0 0
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Marie J McCarthy........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(19) Nancy Hasenfus MD........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(20) Peter Manning MD........................................................................
Trustee
 50.00
.......................0.00 		X           399,307 0 13,779
(21) Susannah Swihart........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(22) George Ted Hissong........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(23) Thomas J Ryan Jr MD FACC........................................................................
Trustee
 50.00
.......................0.00 		X           532,579 0 66,491
(24) Sandy Morrell Rooney........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(25) Stuart H Watson........................................................................
Trustee
 1.00
.......................0.00 		X           0 0 0
(26) William L Caron Jr........................................................................
CEO
 50.00
.......................0.00 		    X       1,862,132 0 129,912
(27) Albert G Swallow III........................................................................
Treasurer
 50.00
.......................0.00 		    X       826,469 0 110,434
(28) Robert Frank........................................................................
Secretary
 50.00
.......................0.00 		    X       623,622 0 78,206
(29) Beth Kelsch........................................................................
Asst Secretary
 50.00
.......................0.00 		    X       291,793 0 81,054
(30) Richard W Petersen........................................................................
President
 50.00
.......................0.00 		    X       1,810,862 0 113,239
(31) Matthew R Sanborn MD........................................................................
Surgeon
 50.00
.......................0.00 		        X   1,486,152 0 50,283
(32) Robert Ecker MD........................................................................
Surgeon
 50.00
.......................0.00 		        X   1,465,260 0 77,417
(33) Joseph T Alexander MD........................................................................
Surgeon
 50.00
.......................0.00 		        X   1,311,723 0 93,488
(34) Konrad Barth MD........................................................................
Surgeon
 50.00
.......................0.00 		        X   1,294,335 0 100,181
(35) Rajiv D Desai MD........................................................................
Surgeon
 50.00
.......................0.00 		        X   1,288,028 0 90,964
(36) Jeffrey Sanders........................................................................
(Frmr Officer) EVP & COO
 50.00
.......................0.00 		          X 827,683 0 76,424
(37) Lugene Inzana........................................................................
(Frmr Officer) Sr VP of Finance/CFO
 50.00
.......................0.00 		          X 586,254 0 48,063
(38) Joel Botler MD........................................................................
(Frmr Officer) CMO
 50.00
.......................0.00 		          X 735,013 0 133,276
(39) Marjorie Wiggins........................................................................
(Frmr Officer) SVP of Nursing & CNO
 50.00
.......................0.00 		          X 569,682 0 100,328
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 17,268,815 0 1,555,931
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,933
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Consigli Construction Company

72 Summer Street
Milford,MA01757 		Construction 44,643,265
Spectrum Medical Group

324 Gannett Drive 200
South Portland,ME04106 		Medical Service 10,301,624
Chest Medicine Assoc

100 Foden Rd W Bldg Ste 103
S Portland,ME041062351 		Medical Service 4,840,894
Healthcare Excellence Inst

21045 N 9th Place 205
Phoenix,AZ850245635 		Consulting 3,141,125
USI Insurance Services

4605 Columbus St
Virginia Beach,VA234622490 		Consulting 2,838,418
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet148
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 2,221,770
b Membership dues..1b  
c Fundraising events..1c 1,027,685
d Related organizations1d  
e Government grants (contributions)1e 128,926,890
f All other contributions, gifts, grants, and similar amounts not included above1f 35,505,006
g Noncash contributions included in lines 1a - 1f:$ 1g 2,176,034
h Total. Add lines 1a-1f.......MediumBullet 167,681,351
Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 622110 2,074,717,361 2,074,717,361    
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 2,074,717,361
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 13,404,294     13,404,294
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   273,051 6a
b Less: rental expenses   338,683 6b
c Rental income or (loss)   -65,632 6c
d Net rental income or (loss).......MediumBullet -65,632   -65,632  
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 461,997 774,261,772 7a
b Less: cost or other basis and sales expenses 1,000,657 767,542,629 7b
c Gain or (loss) -538,660 6,719,143 7c
d Net gain or (loss).........MediumBullet 6,180,483 6,180,483    
8a Gross income from fundraising events (not including $ 1,027,685of contributions reported on line 1c). See Part IV, line 18 ....
8a 197,131
b Less: direct expenses ... 8b 137,143
c Net income or (loss) from fundraising events..MediumBullet 59,988   59,988
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a Other Revenue 900099 161,503,914 160,613,198 890,716  
b HR and IS Shared Services Rev 900099 91,771,837 91,771,837    
c Dietary Services 561000 1,075,814   1,075,814  
d All other revenue .... 253,976   253,976  
e Total. Add lines 11a–11d ...... MediumBullet 254,605,541
12 Total revenue. See instructions.....MediumBullet 2,516,583,386 2,333,282,879 2,154,874 13,464,282
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 3,875,563 3,875,563
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 2,343,375 2,343,375
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 47,507 47,507
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 7,953,605 2,254,717 5,698,888  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 3,071,474 3,071,474    
7 Other salaries and wages........ 1,053,404,067 905,717,379 144,148,322 3,538,366
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 69,073,013 59,399,660 9,441,028 232,325
9 Other employee benefits ....... 162,958,152 139,248,551 23,158,686 550,915
10 Payroll taxes ........... 65,586,528 55,071,973 10,271,260 243,295
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,318,322   2,318,322  
c Accounting ........... 2,488,391   2,488,391  
d Lobbying ........... 51,000 51,000    
e Professional fundraising services. See Part IV, line 17 144,427 144,427
f Investment management fees ...... 1,963,496   1,963,496  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 123,830,330 123,768,805   61,525
12 Advertising and promotion .... 2,801,117 742,613 2,058,474 30
13 Office expenses ....... 12,211,746 11,951,974 116,093 143,679
14 Information technology ...... 33,885,570 13,391,512 20,494,058  
15 Royalties ..        
16 Occupancy ........... 65,006,321 55,643,804 9,343,011 19,506
17 Travel ............ 2,282,862 1,623,410 631,310 28,142
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 4,241,806 2,496,637 1,735,717 9,452
20 Interest ........... 12,137,441 10,033,903 2,103,538  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 118,678,946 101,586,244 17,086,501 6,201
23 Insurance ... 10,745,347 6,618,896 4,126,451  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical supplies 389,466,277 389,466,235   42
b Other 123,583,951 64,286,643 59,089,574 207,734
c Outside medical service 79,354,317 79,354,317    
d Hospital tax 42,747,255 42,747,255    
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 2,396,252,206 2,074,793,447 316,273,120 5,185,639
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 2,728,094 1 23,876,149
2 Savings and temporary cash investments ......... 293,272,373 2 639,073,538
3 Pledges and grants receivable, net ...... 32,275,916 3 32,875,422
4 Accounts receivable, net ............. 236,101,704 4 228,348,351
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 1,159,103 7 973,386
8 Inventories for sale or use ............ 37,300,764 8 42,360,554
9 Prepaid expenses and deferred charges ...... 15,316,127 9 15,210,801
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,478,026,555
b Less: accumulated depreciation 10b 1,414,053,892 973,282,546 10c 1,063,972,663
11 Investments—publicly traded securities . 791,089,992 11 782,839,000
12 Investments—other securities. See Part IV, line 11 ..... 209,818,633 12 250,463,579
13 Investments—program-related. See Part IV, line 11 .. 24,248,642 13 0
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 307,287,503 15 596,873,484
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,923,881,397 16 3,676,866,927
Liabilities 17 Accounts payable and accrued expenses ..... 202,204,857 17 285,073,143
18 Grants payable ...   18  
19 Deferred revenue ......... 31,855,058 19 56,433,102
20 Tax-exempt bond liabilities ......... 402,347,947 20 595,110,137
21 Escrow or custodial account liability. Complete Part IV of Schedule D 232,223 21 328,557
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 11,636,339 23 57,050,307
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 712,193,747 25 1,002,171,248
26 Total liabilities. Add lines 17 through 25.. 1,360,470,171 26 1,996,166,494
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,349,968,723 27 1,446,195,090
28 Net assets with donor restrictions ........... 213,442,503 28 234,505,343
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,563,411,226 32 1,680,700,433
33 Total liabilities and net assets/fund balances ........ 2,923,881,397 33 3,676,866,927
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,516,583,386
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,396,252,206
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
120,331,180
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,563,411,226
5
Net unrealized gains (losses) on investments ...............
5
62,119,405
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-65,161,378
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,680,700,433
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2019 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2019:
a From 2014.......  
b From 2015.......  
c From 2016.......  
d From 2017.......  
e From 2018.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2019 distributable amount  
i Carryover from 2014 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2019 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2015.....  
b Excess from 2016.....  
c Excess from 2017.....  
d Excess from 2018.....  
e Excess from 2019.....  
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
MaineHealth
  		Employer identification number
01-0238552
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 3
Name of organization
MaineHealth
  		Employer identification number

01-0238552
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
Page 4
Name of organization
MaineHealth
  		Employer identification number

01-0238552
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data


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SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2019

Schedule C (Form 990 or 990-EZ) 2019
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2016 (b) 2017 (c) 2018 (d) 2019 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2019


Schedule C (Form 990 or 990-EZ) 2019
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
61,215
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
183,295
j
Total. Add lines 1c through 1i ....................................................................................................
244,510
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1: Part II-B, Line 1g Lobbied state legislators and executive branch officials on matters of concern to MaineHealth, our local health systems, and our patients. Part II-B, Line 1i Amount represents portion of dues paid to various organizations that relate to lobbying expense: Maine Hospital Association - $89,339 American Hospital Association - $65,960 National Association of Children's Hospitals - $18,295 Maine State Chamber of Commerce - $300 MHCA - $7,070 Strategic Health Care - $1,000 Alliance for Addiction and Mental Health Services - $1,230 National Rural Health Association - $101
Schedule C (Form 990 or 990EZ) 2019


Additional Data


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Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a 1
b Total acreage restricted by conservation easements .................... 2b 54.00
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet1
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet5.00
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $ 0
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $ 52,228
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 107,879,495 102,712,122 100,061,713 93,775,123 95,914,866
b Contributions ... 465,125 12,325,688 2,437,017 254,233 209,664
c Net investment earnings, gains, and losses 13,521,978 -1,591,717 6,156,967 11,533,363 3,650,641
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		7,240,679 5,566,598 5,943,575 5,501,006 6,000,048
f Administrative expenses ....          
g End of year balance ...... 114,625,919 107,879,495 102,712,122 100,061,713 93,775,123
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet38.440 %
c
Term endowment SchDMd Bullet61.560 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
Yes
 
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ..... 55,966,322   55,966,322
b Buildings .... 1,242,498,082   640,461,892 602,036,190
c Leasehold improvements 36,233,586   13,533,610 22,699,976
d Equipment .... 1,017,462,960   760,058,390 257,404,570
e Other ..... 125,865,605     125,865,605
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,063,972,663
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) Hedge Funds		 116,676,579 F

(B) Limited Partnerships		 87,356,000 F

(C) Real Estate		 2,021,000 C

(D) Beneficial and Charitable Remainder Trusts		 44,410,000 F
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 250,463,579
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)AR under reimbursement regulations 83,321,689
(2)Other assets 37,931,983
(3)Investments held for members 66,564,408
(4)Due from affiliates 89,913,484
(5)Prepaid capital costs 127,112,500
(6)Escrow of debt service 7,761,616
(7)Right of use assets 176,596,868
(8)Deposits - Cardinal Health 7,670,936
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 596,873,484
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,002,171,248
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part II, Line 9: In 2002 Spring Harbor Hospital acquired a 54-acre parcel of land designated as a conservation easement which was conveyed as part of a land purchase upon which the hospital was built.
Part III, Line 4: MaineHealth's artwork creates a healing and comfortable environment for our patients and visitors.
Part IV, Line 2b: The organization maintains cash accounts for clients who are incapable of managing their Social Security or SSI payments. The payments are deposited into the account and a Social Secutity Representive Payee manages the account for them.
Part V, Line 4: The endowed funds support the following types of activities: Tufts scholarship program, training and education of nurses, MMC research and education programs, supporting the salary of endowed Chair of Pediatrics and free bed funding.
Part X, Line 2: The Internal Revenue Service has previously determined that the MaineHealth 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. MMP had significant net operating loss carryovers as of September 30, 2020 and 2019. A valuation allowance has been provided for the entire deferred tax benefit for the net operating losses, due to uncertainty of realization. MMP did not have material taxable income in 2020 and 2019. Accordingly, a provision for income taxes has not been made in accompanying consolidated financial statements. The MaineHealth 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 MaineHealth System did not recognize the effect of any income tax positions in either 2020 or 2019.
Schedule D (Form 990) 2019


Additional Data


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Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region		 (f) Total expenditures
for and investments
in the region
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments   112,996,052
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 112,996,052
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 112,996,052
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 11,126 Wire Transfer      
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 29,711 Wire Transfer      
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, Research 6,670 Wire Transfer      
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
3
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2019
Schedule F (Form 990) 2019
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
Part III Accounting Method:  
Part I, Line 1 All subrecipient grants listed on Part II, Line 1 were recognized on the System for Award Managment website (sam.gov) as non-profit organizations.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2019
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
The Giving Collaborative
53 Morgan Ave
 
East Haven, CT06512 		Feasibility Study   No 0 49,289 -49,289
 
Accordant Philanthropy
105 Teal Nest Court
 
Point Vedra Beach, FL320821944 		Philanthropy Capital Campaign   No 0 95,138 -95,138
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow   144,427 -144,427
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
ME, NH, FL
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

Radiothon
(event type) 		(b) Event #2

BBCH Golf Open
(event type) 		(c) Other events

11
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
343,072
307,300
574,444
1,224,816

2
Less: Contributions . . . .
343,072
263,788
420,825
1,027,685
3 Gross income (line 1 minus
line 2) . . . . . .
 
43,512
153,619
197,131



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . . 1,203 6,896 250 8,349
6 Rent/facility costs . . . .   31,400 8,542 39,942
7 Food and beverages . . . 704 12,239 5,699 18,642
8 Entertainment . . . .        
9 Other direct expenses . . . 7,200 1,100 61,910 70,210
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 137,143
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 59,988
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2019
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    36,141,308   36,141,308 1.510 %
b Medicaid (from Worksheet 3, column a) . . . . .     344,868,342 275,389,989 69,478,353 2.900 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     381,009,650 275,389,989 105,619,661 4.410 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,279,933 164,957 2,114,976 0.090 %
f Health professions education (from Worksheet 5) . . .     105,186,636 12,578,252 92,608,384 3.860 %
g Subsidized health services (from Worksheet 6) . . . .     233,918,867 141,130,461 92,788,406 3.870 %
h Research (from Worksheet 7) .     34,961,495 22,581,356 12,380,139 0.520 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,523,394   3,523,394 0.150 %
j Total. Other Benefits . .     379,870,325 176,455,026 203,415,299 8.490 %
k Total. Add lines 7d and 7j .     760,879,975 451,845,015 309,034,960 12.900 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     1,800,985   1,800,985 0.080 %
4 Environmental improvements            
5 Leadership development and
training for community members		     2,811   2,811 0 %
6 Coalition building            
7 Community health improvement advocacy     20,735   20,735 0 %
8 Workforce development     2,691,400   2,691,400 0.110 %
9 Other            
10 Total     4,515,931   4,515,931 0.190 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
42,567,362
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
661,046,198
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
798,883,093
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-137,836,895
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?8Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Maine Medical Center
22 Bramhall Street
Portland,ME04102
See Part V, Section C
39252 		X X X X   X X     A
2 Southern Maine Health Care - Biddeford
One Medical Center Drive
Biddeford,ME04005
See Part V, Section C
39032 		X X         X     A
3 Penobscot Bay Medical Center
6 Glen Cove Drive
Rockport,ME04856
See Part V, Section C
39272 		X X         X     A
4 Waldo County General Hospital
118 Northport Ave
Belfast,ME04915
See Part V, Section C
39054 		X X     X   X     A
5 LincolnHealth
35 Miles Street
Damariscotta,ME04543
See Part V, Section C
39184 		X       X   X     A
6 Franklin Memorial Hospital
111 Franklin Health Commons
Farmington,ME04938
See Part V, Section C
39266 		X X         X     A
7 Spring Harbor Hospital
123 Andover Road
Westbrook,ME04092
See Part V, Section C
39254 		X                 A
8 Stephens Memorial Hospital Association
181 Main Street
Norway,ME04268
See Part V, Section C
39215 		X       X   X     A
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): See Part V, Section C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part V, Section C
b
See Part V, Section C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Part V, Section A: Facility Information, Website AddressMaine Medical Center: mainehealth.org/maine-medical-centerSouthern Maine Health Care - Biddeford: mainehealth.org/southern-maine-health-careSouthern Maine Health Care - Sanford: mainehealth.org/southern-maine-health-carePenobscot Bay Medical Center: mainehealth.org/pen-bay-medical-centerWaldo County General Hospital: mainehealth.org/waldo-county-general-hospitalLincolnHealth: mainehealth.org/lincolnhealthFranklin Memorial Hospital: mainehealth.org/franklin-community-health-networkSpring Harbor Hospital: mainehealth.org/maine-behavioral-healthcareStephens Memorial Hospital Association: mainehealth.org/western-maine-health
Part V, Section B, Line 5: MaineHealth was part of a dynamic public-private partnership that worked collaboratively to develop The Maine Shared CHNA. The Maine Shared CHNA was conducted through a collaborative effort between Central Maine Healthcare, MaineGeneral Health, MaineHealth, Northern Light Health and the Maine Center for Disease Control and Prevention. This unique public-private partnership is intended to assess the health needs of all who call Maine home. The Maine Shared CHNA was published for each Maine county to highlight current community needs for over 200 health indicators. Large community forums were then hosted across the state to obtain community input in identifying and prioritizing leading health issues. Additionally, key informant inverviews and small group discussions were conducted to gather qualitive information about how health issues are impacting vulnerable and underserved populations. MaineHealth used these forums and discussions to create each hospital's CHNA and Implementation Plans for 2019-2021.
Part V, Section B, Line 6a: Central Maine Healthcare, MaineGeneral Health and Northern Light Health
Part V, Section B, Line 11: The organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2019-2021 CHNA Implementation Plan and the FY20 Implementation Plan Update describing the organization's progress in addressing its identified needs at www.MaineHealth.org/chna for details.
Part V, Section B, Line 7a & 10a: The CHNA and Implementation Plans are posted on the following website: www.MaineHealth.org/chna
Part V, Section B, Line 16a, 16b, 16c: The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy), free care application and plain language summary are available on the following website: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?130
Name and address Type of Facility (describe)
1 1 - MMC Scarborough Campus
100 Campus Drive
Scarborough,ME04074 		General Medical and Surgical
2 2 - MMC Scarborough Surgical Center
84 Campus Drive
Scarborough,ME04074 		General Medical and Surgical
3 3 - Neurosurgery & Spine and Neurology
49 Spring Street
Scarborough,ME04074 		Neurosurgery, Spine and Neurology Care
4 4 - MMC Brighton Campus
335 Brighton Avenue
Portland,ME04102 		Emergency Care
5 5 - Cardiology
99 Campus Drive
Lewiston,ME04240 		Cardiology
6 6 - Pediatric Surgery & Specialty Care
887 Congress Street
Portland,ME04102 		Pediatrics
7 7 - MMC Falmouth Campus
5 Bucknam Road
Falmouth,ME04105 		General Medicine
8 8 - Cardiology
96 Campus Drive
Scarborough,ME04074 		Cardiology
9 9 - Mental Health Services
66 Bramhall Street
Portland,ME04102 		Mental Health Services
10 10 - MMC Sanford IV Therapy
27 Industrial Avenue
Sanford,ME04073 		IV Therapy
11 11 - Orthopedics
119 Gannett Drive
South Portland,ME04106 		Orthopedic Care
12 12 - Women's Health
489 State Street
Bangor,ME04401 		Women's Healthcare
13 13 - Cardiothoracic Surgery
818 Congress Street
Portland,ME04102 		Cardiothoracic Surgery
14 14 - Coastal Cancer Treatment Center
175 Congress Avenue
Bath,ME04350 		Cancer Treatment Center
15 15 - Otolaryngology
1250 Forest Avenue
Portland,ME04103 		Otolaryngology
16 16 - Urology
199 Main Street
Norway,ME04268 		Urology
17 17 - McGeachy Hall
216 Vaughan Street
Portland,ME04102 		Mental Health Services
18 18 - Cape Elizabeth Internal Medicine
155 Spurwink Avenue
Cape Elizabeth,ME04107 		General Medicine
19 19 - MMC Family Medicine
272 Congress Street
Portland,ME04101 		General Medicine
20 20 - MMC Biddeford IV Therapy
26 West Cole Road Suite 101
Biddeford,ME04005 		IV Therapy
21 21 - Urology
110 Brickhill Ave Suite 100
South Portland,ME04106 		Urology
22 22 - Westbrook Primary Care
1 Harnois Avenue Suite 2A
Westbrook,ME04092 		General Medicine
23 23 - MMP Surgical Care Casco Bay
10 Andover Road
Portland,ME04102 		General Medical and Surgical
24 24 - Otolaryngology
43 Baxter Boulevard
Portland,ME04101 		Otolaryngology
25 25 - Endocrinology
175 US Route One
Scarborough,ME04074 		Endocrinology and Diabetes
26 26 - Maine Transplant Program
19 West Street
Portland,ME04102 		Kidney and Pancreas Transplant
27 27 - Scarborough Internal Family Medicine
300 Professional Drive
Scarborough,ME04074 		General Medicine
28 28 - Lakes Region Primary Care
584 Roosevelt Trail
Windham,ME04062 		General Medicine
29 29 - Cardiology
35 Medical Center Parkway Suite 101
Augusta,ME04330 		Cardiology
30 30 - South Portland Primary Care
75B John Roberts Road
South Portland,ME04106 		General Medicine
31 31 - Women's Health
102 Campus Drive Unit 116
Scarborough,ME04074 		Women's Healthcare
32 32 - ME Inst for Sleep & Breathing Disorders
930 Congress Street
Portland,ME04102 		Sleep and Breathing Disorders
33 33 - Pediatric Care
1577 Congress Street
Portland,ME04102 		Pediatrics
34 34 - Cardiology
4 Glen Cove Drive Suite 108
Rockport,ME04856 		Cardiology
35 35 - Otolaryngology
30 West Cole Road
Biddeford,ME04005 		Otolaryngology
36 36 - Pediatric Surgery
46 First Park Drive
Oakland,ME04963 		Pediatrics
37 37 - Cardiology
149 North Street
Waterville,ME04901 		Cardiology
38 38 - Saco Pediatrics
4 Scamman Street Suite 51
Saco,ME04072 		Pediatrics
39 39 - Yarmouth Pediatrics
45 Forest Falls Drive Suite 1A
Yarmouth,ME04096 		Pediatrics
40 40 - Endocrinology and Diabetes Center
963 Sabattus Street
Lewiston,ME04240 		Endocrinology and Diabetes
41 41 - Ambulatory Clinic Services
48-52 Gilman Street
Portland,ME04102 		General Medicine
42 42 - Center for Tobacco Independence
315 Park Avenue Second Floor
Portland,ME04101 		Tobacco Treatment Center
43 43 - Women's Health
84 Marginal Way Suite 900
Portland,ME04103 		Women's Healthcare
44 44 - Otolaryngology
55 Main Street
Bridgton,ME04009 		Otolaryngology
45 45 - MMC Preble St Learning Collaborative
20 Portland Street
Portland,ME04101 		General Medicine
46 46 - Otolaryngology
193 Main Street
Norway,ME04268 		Otolaryngology
47 47 - Oncology
265 Western Avenue
South Portland,ME04106 		Oncology
48 48 - SMHC Billing Dept
4 Shape Drive
Kennebunk,ME04043 		Physician Services Billing
49 49 - SMHC Dermatology
26A West Cole Rd
Biddeford,ME04005 		Physician Services - Dermatology
50 50 - SMHC Newton Center
35 July Street
Sanford,ME04073 		Nursing Home
51 51 - SMHC Oncology
26 West Cole Rd
Biddeford,ME04005 		Physician Services - Oncology
52 52 - SMHC Oncology
27 Industrial Park Rd
Sanford,ME04073 		Physician Services - Oncology
53 53 - SMHC Phys Svcs
13 Industrial Park Road
Saco,ME04072 		Family Medicine Physician Services
54 54 - SMHC Phys Svcs - Anc Facility
2 Livewell Drive
Kennebunk,ME04043 		Phys Offices, Anc Svcs, Minor Procedures
55 55 - SMHC Phys Svcs - Infectious Disease
2 Medical Center Drive
Biddeford,ME04005 		Infectious Disease Physician Services
56 56 - SMHC Phys Svcs - Internal Medicine
72 Main Street
Kennebunk,ME04043 		Internal Medicine Physician Services
57 57 - SMHC Phys Svcs - Partial Hospital Pro
235 Main Street
Biddeford,ME04005 		Substance Abuse, Psychiatry
58 58 - SMHC Phys Svcs - Pediatrics
3 Shape Drive
Kennebunk,ME04043 		Pediatric Physician Services
59 59 - SMHC Phys Svcs - Sports Performance
1 Emile Levasseur Drive
Sanford,ME04073 		Physician Services - Sports Performance
60 60 - SMHC Phys Svcs & Anc Facility
9 Healthcare Drive
Biddeford,ME04005 		Physician Offices and Diagnostic Service
61 61 - SMHC Phys Svcs & Rehab Therapy
45 Barra Road
Biddeford,ME04005 		Int Med, Orth Surg, Neurology, & Rehab
62 62 - SMHC Phys Svcs & Walk in Care Fac
655 Main Street
Saco,ME04072 		Pediatrics & Osteopathic Manipulation
63 63 - SMHC Phys Svcs Goodall Med Off Bld
25 A June Street
Sanford,ME04073 		Phys. Svcs, Anc. Svcs & Minor Procedures
64 64 - SMHC Phys Svcs Anc Svcs Walk-in
10 Goodall Drive
East Waterboro,ME04030 		Family Med Phys Svcs, Anc Svcs, Walk-in
65 65 - SMHC Sports Medicine
12 Thornton Avenue
Saco,ME04072 		Sports Medicine Clinic
66 66 - SMHC Wellness Center
13 July Street
Sanford,ME04073 		Rehab Therapy & Occupational Medicine
67 67 - Pen Bay Occupational Therapy
4 Glen Cove Drive
Rockport,ME04856 		Occupational Therapy
68 68 - Pen Bay Physical Therapy
4 Glen Cove Drive
Rockport,ME04856 		Physical Therapy
69 69 - Pen Bay Physical Therapy
116 Union Street
Rockport,ME04856 		Physical Therapy
70 70 - Pen Bay Physical Therapy
40 Washington Road
Waldoboro,ME04572 		Physical Therapy
71 71 - Pen Bay Physicians & Associates
4 Glen Cove Drive
Rockport,ME04856 		Physician Practices
72 72 - The Knox Center for Long Term Care
6 White Street
Rockland,ME04841 		Long-Term Care Facility
73 73 - Arthur Jewell Community Health Ctr
55 Reynolds Rd
Brooks,ME04921 		General medical
74 74 - Donald S Walker Health Center
43 West Main Street
Liberty,ME04949 		General medical
75 75 - Lincolnville Health Center
2399 Atlantic Highway
Lincolnville,ME04849 		General medical
76 76 - Stockton Springs Reg Health Center
11 Cape Jellison Rd
Stockton Springs,ME04981 		General medical
77 77 - Lincoln Medical Partners
42 Belvedere Road
Newcastle,ME04553 		Administration
78 78 - LMP Family Medicine
230 Kalers Corner
Waldoboro,ME04572 		Outpatient Clinic
79 79 - LMP Family Medicine
49 Hooper Street
Wiscasset,ME04578 		Outpatient Clinic
80 80 - LMP General Surgery
5 Miles Center Way
Damariscotta,ME04543 		Outpatient Clinic
81 81 - LMP Ophthalmology
71 Main Street
Newcastle,ME04553 		Outpatient Clinic
82 82 - LMP Orthopedics
5 Miles Center Way
Damariscotta,ME04543 		Outpatient Clinic
83 83 - LMP Primary Care
24 Miles Center Way
Damariscotta,ME04543 		Outpatient Clinic
84 84 - St Andrews Village
145 Emery Lane
Boothbay Harbor,ME04538 		Long-Term Care Facility
85 85 - The Family Care Center
14 St Andrews Lane
Boothbay Harbor,ME04538 		Outpatient Clinic
86 86 - The Women's Center
5 Miles Center Way
Damariscotta,ME04543 		Outpatient Clinic
87 87 - Franklin Health Behavioral Services
131 Franklin Health Commons
Farmington,ME04938 		Behavioral Health Practice
88 88 - Franklin Health Farmington Fam Practi
111 Franklin Health Commons
Farmington,ME04938 		Family Practice
89 89 - Franklin Health Internal Medicine
111 Franklin Health Commons
Farmington,ME04938 		Internal Medicine Practice
90 90 - Franklin Health Livermore Falls Fam P
21 Main Street
Livermore Falls,ME04254 		Family Practice
91 91 - Franklin Health Orthopaedics
111 Franklin Health Commons
Farmington,ME04938 		Orthopaedic Practice
92 92 - Franklin Health Pediatrics
111 Franklin Health Commons
Farmington,ME04938 		Pediatrician Practice
93 93 - Franklin Health Primary Care Practice
131 Franklin Health Commons
Farmington,ME04938 		Primary Care Practice
94 94 - Franklin Health Surgery
111 Franklin Health Commons
Farmington,ME04938 		General Surgery Practice
95 95 - Franklin Health Urology
126 Middle Street
Farmington,ME04938 		Urology Practice
96 96 - Franklin Health Women's Care
111 Franklin Health Commons
Farmington,ME04938 		OB/GYN
97 97 - NorthStar
1001 Carriage Road
Carrabasset Valley,ME04947 		Ambulance Base
98 98 - NorthStar
111 Franklin Health Commons
Farmington,ME04938 		Ambulance Base
99 99 - NorthStar
119 Federal Road
Livermore,ME04254 		Ambulance Base
100 100 - NorthStar
138C Park Street
Phillips,ME04966 		Ambulance Base
101 101 - NorthStar
15 School Street
Rangeley,ME04970 		Ambulance Base
102 102 - Outpatient Services at Livermore Fall
21 Main Street
Livermore Falls,ME04254 		Outpatient Clinic
103 105 - Administration
77-79 Atlantic Place
South Portland,ME04106 		Administration offices
104 106 - Alfred St Apartments
20 Alfred Street
Biddeford,ME04005 		Apartments with supported housing services
105 107 - Bacon Street Apartments
72 Bacon Street
Biddeford,ME04005 		Sing. room supp. housing
106 108 - Bangor Office
268 State Street
Bangor,ME04474 		Outpatient counseling offices
107 109 - Beach Street Offices & CSU
31 Beach Street
Saco,ME04072 		Res. Crisis Stabilization Unit & Admin
108 110 - Belfast Apartments
31 Midcoast Drive
Belfast,ME04915 		Apartments, 1 office and common area
109 111 - Belfast Office
15 Midcoast Drive
Belfast,ME04915 		Outpatient office
110 112 - Biddeford Recovery Center
15 York Street
Biddeford,ME04005 		Peer recovery center
111 113 - Brunswick Office
11 Medical Center Drive
Brunswick,ME04011 		Outpatient counseling offices
112 114 - CADD
236 Gannett Drive
South Portland,ME04106 		Center of Autism & Developmental Disorders
113 115 - Cedar Street
125 Cedar Street
Rockland,ME04841 		3 bed single room occupancy
114 116 - Core
66 Baribeau Drive
Brunswick,ME04086 		Assertive Community Treatment team offices
115 117 - Core
18 Beluedere Road
Damariscotta,ME04543 		Assertive Community Treatment team
116 118 - Crescent Place
15 Crescent Street
Biddeford,ME04005 		6 bed group home
117 119 - Damariscotta Miles Campus LincolnHea
35 Miles Street
Damariscotta,ME04543 		Outpatient counseling offices
118 120 - Grace Street
47 Grace Street
Rockland,ME04841 		3 bed single room occupancy
119 121 - High Street Residence
5 High Street
Sanford,ME04073 		Sing. room supp. housing & file storage
120 123 - Norway Office
193 Main Street
Norway,ME04268 		Outpatient counseling offices
121 124 - Owls Head
38 West Keag Road
Owls Head,ME04854 		7 bed single room occupancy
122 125 - Pleasant Street
407 Pleasant Street
Rockland,ME04841 		3 bed single room occupancy
123 126 - Portland Office
165 Lancaster St
Portland,ME04101 		Outpatient counseling offices
124 127 - Rockland Office
12 Union Street
Rockland,ME04841 		Outpatient office & peer recovery center
125 128 - Sanford Recovery Center
19 Washington Street
Sanford,ME04073 		Peer recovery center
126 129 - Sherry Sabo Center
2 Springbrook Drive
Biddeford,ME04005 		Outpatient counseling offices
127 130 - Springvale Office
474 Main Street
Springvale,ME04083 		Outpatient counseling offices
128 131 - The Elms
1-8 Sherry Lane
North Berwick,ME03906 		Apartments with supported housing services
129 132 - Warren Street Apartments
28 Warren Street
Rockland,ME04841 		Apartments, office & Common area for staff
130 133 - Woodbridge
19 Woodbridge Road
York,ME03909 		7 bed group home
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Part I, Line 3c: Charity Care levels are determined by a three prong test for eligibility. Residency, income level, and household size are examined to determine level of eligibility.
Part I, Line 6a: MaineHealth's community benefit data is contained in a report prepared by MaineHealth Services (EIN 01-0431680), the organization's sole member. The report can be found at the link below:https://annualreport.mainehealth.org/#community
Part I, Line 7: The costing methodology for the amounts reported in Part I, Line 7 of the Schedule H is based on a ratio of patient care cost to charges. This cost to charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges provided in the instructions for Schedule H.
Part II, Community Building Activities: Community Support- MaineHealth is deeply involved in disaster planning at the local and state levels and works closely with healthcare coalitions and emergency management partnerships. MMC has a Director of Safety/Emergency Management and two Emergency Management Project Managers to facilitate this cooperation.- MaineHealth Physician Informatics participated in the development of Epic tools and workflow to support the roll out of Covid testing facilities available to the public.- IT support of Covid Testing and Vaccine Center deployments/projects, of which there were 11- BBCH - Hannaford Gift Cards for Patients and their Families - Champlain to BBCH and Family Birth Center- Clinical Pastoral Education- MaineHealth is a dues paying member of Greater Portland Chamber of Commerce and Maine State Chamber of Commerce- NEHA Hemophilia Family Camp- Portland Family Medicine - Ask the DocLeadership Development and Training for Community Members- Healthcare Professional Pipeline Program- Inside Medicine (6 week virtual series)Community Health Improvement Advocacy- Public Service AnnouncementsWorkforce Development- APP Student Practicum- CNA Program- Genetic Counseling Clinical Rotation- Medical Assistant Externship- Medical Ethics Education- Nutrition & Food Students from Maine Colleges- Outpatient Psychiatry Training- Rehab Medicine Educational Program- Social Work Student Internship Supervision- Student Nursing Precepting- Transplant Community and Provider Education- Transplant MSW Student Placement (UNE)
Part III, Line 2: The provision for bad debts is based upon a combination of the payor source, the aging of receivables and management's assessment of historical and expected net collections, trends in health insurance coverage, and other collection indicators.Bad debt expense represents healthcare services MaineHealth has provided without compensation. As a tax-exempt organization, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services. MaineHealth cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would qualify for financial assistance under the Hospital's free care policy. In addition, bad debt expense also includes amounts for services provided to individuals experiencing difficult personal or economic circumstances related to a portion of our community based patient population. Their medical bills often place these individuals in untenable positions where they are not able to handle their personal debt and then their new medical debt. However, because of their income level, they do not qualify for free care. By providing necessary healthcare services to those individuals either who fail to apply for financial assistance or who are experiencing difficult personal or economic circumstances, MaineHealth believes that bad debt expense should be included as a community benefit.
Part III, Line 4: MaineHealth does not have a specific footnote in the financial statements that describes bad debt expense. See Part III, Line 2 for bad debt expense methodology.
Part III, Line 8: Medicare allowable costs were calculated using a cost to charge ratio. MaineHealth believes that the Medicare shortfall should be included as a community benefit because MaineHealth has a clear mission commitment to serving elderly patients and adults with disabilities through the provision of specific subsidized programs developed to help improve the health status of these patients. If these critical subsidized programs were not provided by MaineHealth, they would become the obligation of the Federal Government.
Part III, Line 9b: Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services.
Part VI, Line 2: The organization prepares a Community Health Needs Assessment (CHNA) every three years. See www.MaineHealth.org/chna for the completed CHNA.
Part VI, Line 3: Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, under insured or can't afford to pay theirhospital bill, they may receive a Financial Counseling Packet and/orreferred to financial counseling from the registration staff or ChangeHealthcare, an outside vendor who helps manage the self- pay accounts. Thepacket includes:- Information on MaineHealth's financial policies- Financial assistance information including Free Care Program, MonthlyPayment Plan Program, and Care Partners, MedAccess and other communityresource needs.- Program applications and instructions for MaineHealth's Free CareProgram, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financialconcernsSelf-pay or underinsured patients registering in person or via a phoneinterview receive financial counseling including information on ourfinancial assistance programs. Registration staff or Change Healthcareprovide forms and assist with completing financial assistance applicationsand providing follow up contact information.MaineHealth's Web site includes on line Registration and Patient Billinginformation:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed.If a patient does not respond at pre-registration, registration, or whilereceiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs.
Part VI, Line 4: The Community Health Needs Assessment describes the geographic area anddemographic constituents it services. See www.MaineHealth.org/chna for the completed CHNA.
Part VI, Line 5: MaineHealth's day-to-day operations as a tax-exempt organization include many system-wide initiatives in the state of Maine and the Northern New England region. Clinical services range fromoutpatient clinics for a diverse population to full inpatient and surgicalservices to a regional trauma center and a neuroscience institute. Many ofour services and specialties are not available elsewhere in the state or in our region. We have programs in undergraduate, graduate, post-graduate, and continuing education, engage in clinical research, and support organizations and efforts whose missions augment or complement ours. We strive to be a good "institutional citizen" of our region and state. With these programs, MaineHealth hopes to fill existing local gaps while making a positive impact in the communities we serve. These programs include: Subsidized Health Services, Community-Based Clinical Services, Community Education Services, Health Care Support Services, Community Building Activities, Medical Education and Research.MaineHealth made a net asset transfer to its wholly owned subsidiary, Maine Medical Partners, in the amount of $108,800,000 to cover the losses related to mission-critical physician practices to ensure access for the community to such specialties as trauma surgery, neurosurgery, urology, various pediatric specialties, and high-risk obstetrics.
Part VI, Line 6: MaineHealth is a not-for-profit family of leading high-quality providersand other healthcare organizations working together so their communitiesare the healthiest in America. Ranked among the nation's top 100 integrated healthcare delivery networks, MaineHealth is governed by a board of trustees consisting of community and business leaders from its southern, central and western Maine regional service areas. The collaboration of MaineHealth members makes it possible to offer an extensive range of clinical integration and community health programs, many aimed at improving access to preventive and primary care services. MaineHealth includes the following member organizations: The Memorial Hospital at North Conway, N.H., Mid Coast Hospital, MaineHealth Care at Home, NorDx and MaineHealth Accountable Care Organization. The strategic affiliates of MaineHealth are MaineGeneral Medical Center and St. Marys Regional Medical Center.
Part VI, Line 7, Reports Filed With States ME
Schedule H (Form 990) 2019
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MaineHealth
 
Employer identification number
01-0238552
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston,MA022155491 		04-2103881 501(c)(3) 99,286 0     Research
(2) DiMagi Inc
585 Massachusetts Ave Suite 4
Cambridge,MA02139 		83-0343298   42,435 0     Research
(3) Harvard Pilgrim Health Care Inc
93 Worcester Street
Wellesley,MA024819181 		04-2452600 501(c)(3) 48,592 0     Research
(4) Maine Dartmouth Family Medicine Residency
15 East Chestnut Street
Augusta,ME04330 		01-0369195 501(c)(3) 13,323 0     Research
(5) MaineGeneral Medical Center
35 Medical Center Parkway
Augusta,ME04330 		04-3369653 501(c)(3) 78,141 0     Research
(6) Massachusetts General Hospital
55 Fruit Street
Boston,MA02114 		04-2697983 501(c)(3) 427,287 0     Research
(7) Regents of the University of Michigan
500 S State Street
Ann Arbor,MI48109 		38-6006309 501(c)(3) 347,010 0     Research
(8) Research Corporation of the University of Hawaii
2800 Woodlawn Dr
Honolulu,HI96822 		99-0115254 501(c)(3) 75,592 0     Research
(9) University of Maine System acting through the University of Maine
5717 Corbett Hall
Orono,ME044695717 		01-6000769 501(c)(3) 40,997 0     Research
(10) University of New England
11 Hills Beach Road
Biddeford,ME04005 		01-0211810 501(c)(3) 45,929 0     Research
(11) University of Southern Maine
5703 Alumni Hall Ste 101
Orono,ME04469 		01-6000769 501(c)(3) 260,863 0     Research
(12) University of Texas Southwestern Medical Center
5323 Harry Hines Blvd
Dallas,TX75390 		75-2556007 501(c)(3) 19,980 0     Research
(13) University of Vermont
85 S Prospect St Rm 333
Burlington,VT05405 		03-0179440 501(c)(3) 1,887,953 0     Research
(14) Yale University
PO Box 208239
New Haven,CT065208239 		06-0646973 501(c)(3) 309,675 0     Research
(15) Center for Grieving Children
PO Box 1438
Portland,ME04104 		01-0431501 501(C)(3) 16,000 0     Fundraising Sponsor
(16) American Heart Association Inc
7272 Greenville Ave
Dallas,TX752314596 		13-5613797 501(C)(3) 12,500 0     Program Support
(17) Children's Museum of Maine
142 Free St
Portland,ME04101 		01-0352258 501(C)(3) 30,000 0     Museum & Theatre Capital Campaign
(18) Points North Institute
PO Box 836
Camden,ME04843 		45-1622247 501(C)(3) 6,000 0     Program Support
(19) Rippleffect Inc
PO Box 441
Portland,ME04112 		01-0521260 501(C)(3) 5,000 0     Fundraising Sponsor
(20) Foundation for a Strong Maine Economy
125 Community Dr Ste 101
Augusta,ME04330 		30-0036992 501(C)(3) 25,000 0     Program Support
(21) Maine 200
323 State St
Augusta,ME04330 		83-1535865 501(C)(3) 15,000 0     Program Support
(22) Sanford Springvale Chamber of Commerce
917 Main Street No B
Sanford,ME04073 		01-0226245 501(C)(6) 6,000 0     Annual Sponsorship
(23) Biddeford Saco Chamber of Commerce
28 Water St 1
Biddeford,ME04005 		01-0029480 501(C)(6) 5,000 0     Annual Sponsorship
(24) Thornton Academy
6 Boothby Ln
Saco,ME04072 		81-3897366 501(C)(3) 10,000 0     Athletic Complex Campaign
(25) Hospice of Southern Maine
180 US Route 1
Scarborough,ME04074 		01-0540180 501(C)(3) 5,000 0     Fundraising Sponsor
(26) Sugarloaf
5092 Access Rd
Carrabassett Valley,ME04947 		01-0232195   9,000 0     Cancer Charity Summit Sponsor
(27) Regional School District #20
6 Mortland Rd
Searsport,ME04974 		26-3807266   5,000 0     Grant To Address Tobacco Use
(28) Portland Maine Baseball Inc
PO Box 636
Portland,ME04102 		01-0478171   5,000 0     Maine Children's Cancer Program Benefit Sponsor
(29) First Universalist Church
479 Main St
Norway,ME04268 		04-2103733 501(C)(3) 5,000 0     Program Support
(30) The Progress Center
35 Cottage St
Norway,ME04268 		01-0368153 501(C)(3) 7,500 0     Feel Better Food Program
(31) Western Foothills Land Trust
PO Box 107
Norway,ME04268 		01-6083123 501(C)(3) 5,000 0     Fundraising Sponsor
(32) Susan L Curtis Foundation
1321 Washington Ave Suite 104
Portland,ME04103 		01-0324705 501(C)(3) 6,500 0     Fundraising Sponsor
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
26
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
6
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) Scholarship 269 2,343,375      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Part I, Line 2: For the Research Grants to Organizations, these represent subrecipient grants. A subrecipient agreement is signed by both MMC and the subrecipient stating the amount of the award, the award name, the name of the Federal Agency, requirements imposed by laws, regulations and the provisions of the grant agreement. The monthly subrecipient invoices are reviewed and approved by the Principal Investigator prior to payment to verify the Federal funds are used for authorized purposes and are included in the award budget. Other contributions are reviewed by Senior Management and are granted to organizations within our community that promote our shared values. For the Nursing and Healthcare Scholarships, as an application requirement, each scholarship applicant must provide confirmation of enrollment in a Nursing or healthcare related program. For the Medical Education Scholarships for students in the Maine Track of the MMC. TUSM Medical School Program, MMC transfers the scholarship funds to the Tufts School of Medicine (Tufts) financial aid department for distribution to the students. Tufts handles any oversignt to ensure that the funds are used as intended. MMC's role is limited to matching eligible students with scholarship selection criteria and determining who receives each scholarship award.
Schedule I (Form 990) 2019



Additional Data


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1Brett Loffredo MD
Trustee 		(i)

(ii)		 251,230
-------------
0 		0
-------------
0 		10,805
-------------
0 		29,900
-------------
0 		23,061
-------------
0 		314,996
-------------
0 		0
-------------
0
2David Kumaki MD FACP
Trustee 		(i)

(ii)		 247,281
-------------
0 		9,608
-------------
0 		32,664
-------------
0 		5,600
-------------
0 		27,498
-------------
0 		322,651
-------------
0 		0
-------------
0
3Kate Herlihy MD MHP
Trustee 		(i)

(ii)		 225,369
-------------
0 		9,180
-------------
0 		23,034
-------------
0 		5,267
-------------
0 		27,294
-------------
0 		290,144
-------------
0 		0
-------------
0
4Lisa Beaule MD
Trustee 		(i)

(ii)		 526,971
-------------
0 		10,859
-------------
0 		10,920
-------------
0 		39,471
-------------
0 		34,301
-------------
0 		622,522
-------------
0 		0
-------------
0
5Peter Manning MD
Trustee 		(i)

(ii)		 387,593
-------------
0 		0
-------------
0 		11,714
-------------
0 		9,800
-------------
0 		3,979
-------------
0 		413,086
-------------
0 		0
-------------
0
6Thomas J Ryan Jr MD FACC
Trustee 		(i)

(ii)		 526,238
-------------
0 		0
-------------
0 		6,341
-------------
0 		42,387
-------------
0 		24,104
-------------
0 		599,070
-------------
0 		0
-------------
0
7William L Caron Jr
CEO 		(i)

(ii)		 1,159,241
-------------
0 		332,000
-------------
0 		370,891
-------------
0 		90,291
-------------
0 		39,621
-------------
0 		1,992,044
-------------
0 		0
-------------
0
8Albert G Swallow III
Treasurer 		(i)

(ii)		 613,535
-------------
0 		116,000
-------------
0 		96,934
-------------
0 		80,100
-------------
0 		30,334
-------------
0 		936,903
-------------
0 		0
-------------
0
9Robert Frank
Secretary 		(i)

(ii)		 467,772
-------------
0 		125,668
-------------
0 		30,182
-------------
0 		60,134
-------------
0 		18,072
-------------
0 		701,828
-------------
0 		0
-------------
0
10Beth Kelsch
Asst Secretary 		(i)

(ii)		 220,011
-------------
0 		70,440
-------------
0 		1,342
-------------
0 		51,340
-------------
0 		29,714
-------------
0 		372,847
-------------
0 		0
-------------
0
11Richard W Petersen
President 		(i)

(ii)		 927,273
-------------
0 		270,000
-------------
0 		613,589
-------------
0 		81,636
-------------
0 		31,603
-------------
0 		1,924,101
-------------
0 		0
-------------
0
12Matthew R Sanborn MD
Surgeon 		(i)

(ii)		 1,301,774
-------------
0 		159,588
-------------
0 		24,790
-------------
0 		11,200
-------------
0 		39,083
-------------
0 		1,536,435
-------------
0 		0
-------------
0
13Robert Ecker MD
Surgeon 		(i)

(ii)		 1,302,085
-------------
0 		159,588
-------------
0 		3,587
-------------
0 		38,646
-------------
0 		38,771
-------------
0 		1,542,677
-------------
0 		0
-------------
0
14Joseph T Alexander MD
Surgeon 		(i)

(ii)		 1,091,316
-------------
0 		139,531
-------------
0 		80,876
-------------
0 		60,792
-------------
0 		32,696
-------------
0 		1,405,211
-------------
0 		0
-------------
0
15Konrad Barth MD
Surgeon 		(i)

(ii)		 1,085,393
-------------
0 		139,531
-------------
0 		69,411
-------------
0 		61,313
-------------
0 		38,868
-------------
0 		1,394,516
-------------
0 		0
-------------
0
16Rajiv D Desai MD
Surgeon 		(i)

(ii)		 1,085,393
-------------
0 		139,531
-------------
0 		63,104
-------------
0 		52,096
-------------
0 		38,868
-------------
0 		1,378,992
-------------
0 		0
-------------
0
17Jeffrey Sanders
(Frmr Officer) EVP & COO 		(i)

(ii)		 620,353
-------------
0 		179,000
-------------
0 		28,330
-------------
0 		39,386
-------------
0 		37,038
-------------
0 		904,107
-------------
0 		0
-------------
0
18Lugene Inzana
(Frmr Officer) Sr VP of Finance/CFO 		(i)

(ii)		 485,228
-------------
0 		78,000
-------------
0 		23,026
-------------
0 		12,991
-------------
0 		35,072
-------------
0 		634,317
-------------
0 		0
-------------
0
19Joel Botler MD
(Frmr Officer) CMO 		(i)

(ii)		 509,448
-------------
0 		76,404
-------------
0 		149,161
-------------
0 		98,049
-------------
0 		35,227
-------------
0 		868,289
-------------
0 		0
-------------
0
20Marjorie Wiggins
(Frmr Officer) SVP of Nursing & CNO 		(i)

(ii)		 365,367
-------------
0 		59,433
-------------
0 		144,882
-------------
0 		78,726
-------------
0 		21,602
-------------
0 		670,010
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part III - Other Additional Information Top management officials that are compensated by related organizations used one or more of the methods at Part I, Line 3 to establish the compensation of top management.
Schedule J (Form 990) 2019

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MaineHealth
 
Employer identification number
01-0238552
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Finance Authority of Maine
  		01-0392006 000000000 07-25-2013 15,742,390 To finance buildings and equipment   X   X   X
B Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 03-31-2014 4,800,000 Buildings and structures   X   X   X
C Maine Health & Higher Ed Facilities Authority
  		01-0314384 560427W77 07-24-2014 14,201,632 See Part VI   X   X X  
D Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 09-25-2014 3,125,535 Acquisition of equipment   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 560427Y75 01-07-2015 92,042,726 See Part VI   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042REW8 06-28-2016 29,639,759 Refund bonds issued 9/7/2006   X   X X  
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RQL9 12-28-2017 8,909,963 See Part VI   X   X X  
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RQW5 07-18-2018 183,854,035 See Part VI   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 08-01-2018 36,735,000 Refund bonds issued 5/22/2008   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RYJ5 07-29-2020 252,172,695 Construct hospital facility   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 3,946,795 3,001,581 6,300,000 2,271,438
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,742,390 4,800,000 14,201,632 3,138,285
4 Gross proceeds in reserve funds ............. 1,075,509 3,941,617 1,995,428 1,995,954
5 Capitalized interest from proceeds .............       15,556,812
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 136,633 53,225 161,557 47,000
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 15,605,757 4,746,775   3,091,285
11 Other spent proceeds ............. 42,754,483 29,372,213 14,040,075  
12 Other unspent proceeds .............   231,912,158   12,411,431
13 Year of substantial completion ............. 2014 2014 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........ 		  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X     X X  
c No rebate due? .........   X   X X     X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... See Part VI
  		 
  		 
  		 
 
c Term of hedge ......... 1790.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Additional Information (Bonds 1-4) "Entity 1" - 7/24/2014 issue - This issue is a pooled financing, and the portion allocable to MaineHealth entities constituted less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of the issue. - Part I, column (e), 7/25/2013 issue - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. - Part I, column (f), 7/24/2014 issue - Refund bonds issued 12/10/1998, 10/16/2003, and 6/3/2004. - 9/25/2014 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. - Part II, line 4, 7/24/2014 issue - The amount shown here consists of $1,661,647 in a debt service reserve fund, plus $333,781 of debt service fund deposits. - Part IV, line 2c, 7/24/2014 issue - This issue was a pooled financing, and the arbitrage calculations are managed by the Authority, not MaineHealth; MaineHealth does not know the date of the pertinent calculation.
Additional Information (Bonds 5-8) "Entity 2" - 6/28/2016 and 12/28/2017 issues - These issues are pooled financings, and the portions allocable to MaineHealth entities constitute less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of each issue. - Part I, column (f), 1/7/2015 issue - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility and medical office building. - Part I, column (f), 12/28/2017 issue - Refund bonds issued 11/1/2007 and 6/19/2008. - Part I, column (f), 7/18/2018 issue - Build, renovate, and equip hospital facility. - 1/7/2015 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). - 7/18/2018 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 6/28/2016 issue - The amount shown here consists of $3,165,600 in a debt service reserve fund, plus $776,017 of debt service fund deposits. - Part II, line 4, 12/28/2017 issue - The amount shown here consists of $782,100 in a debt service reserve fund, plus $190,667 of debt service fund deposits. - Part II, line 4, 1/7/2015 and 7/18/2018 issues - The amounts shown here consist of debt service fund deposits. - Part IV, line 2c, 1/7/2015 issue - The date of the calculation was 2/6/2020. - Part IV, line 6, 6/28/2016 issue - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the MaineHealth entities' portions plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 9-10) "Entity 3" - 7/29/2020 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 8/1/2018 and 7/29/2020 issues - The amounts shown here consist of debt service fund deposits. - Part IV, lines 4b and 4c, 8/1/2018 issue - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC.
Schedule K (Form 990) 2019

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MaineHealth
 
Employer identification number
01-0238552
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Finance Authority of Maine
  		01-0392006 000000000 07-25-2013 15,742,390 To finance buildings and equipment   X   X   X
B Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 03-31-2014 4,800,000 Buildings and structures   X   X   X
C Maine Health & Higher Ed Facilities Authority
  		01-0314384 560427W77 07-24-2014 14,201,632 See Part VI   X   X X  
D Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 09-25-2014 3,125,535 Acquisition of equipment   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 560427Y75 01-07-2015 92,042,726 See Part VI   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042REW8 06-28-2016 29,639,759 Refund bonds issued 9/7/2006   X   X X  
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RQL9 12-28-2017 8,909,963 See Part VI   X   X X  
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RQW5 07-18-2018 183,854,035 See Part VI   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 08-01-2018 36,735,000 Refund bonds issued 5/22/2008   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RYJ5 07-29-2020 252,172,695 Construct hospital facility   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 3,946,795 3,001,581 6,300,000 2,271,438
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,742,390 4,800,000 14,201,632 3,138,285
4 Gross proceeds in reserve funds ............. 1,075,509 3,941,617 1,995,428 1,995,954
5 Capitalized interest from proceeds .............       15,556,812
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 136,633 53,225 161,557 47,000
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 15,605,757 4,746,775   3,091,285
11 Other spent proceeds ............. 42,754,483 29,372,213 14,040,075  
12 Other unspent proceeds .............   231,912,158   12,411,431
13 Year of substantial completion ............. 2014 2014 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........ 		  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X     X X  
c No rebate due? .........   X   X X     X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... See Part VI
  		 
  		 
  		 
 
c Term of hedge ......... 1790.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Additional Information (Bonds 1-4) "Entity 1" - 7/24/2014 issue - This issue is a pooled financing, and the portion allocable to MaineHealth entities constituted less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of the issue. - Part I, column (e), 7/25/2013 issue - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. - Part I, column (f), 7/24/2014 issue - Refund bonds issued 12/10/1998, 10/16/2003, and 6/3/2004. - 9/25/2014 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. - Part II, line 4, 7/24/2014 issue - The amount shown here consists of $1,661,647 in a debt service reserve fund, plus $333,781 of debt service fund deposits. - Part IV, line 2c, 7/24/2014 issue - This issue was a pooled financing, and the arbitrage calculations are managed by the Authority, not MaineHealth; MaineHealth does not know the date of the pertinent calculation.
Additional Information (Bonds 5-8) "Entity 2" - 6/28/2016 and 12/28/2017 issues - These issues are pooled financings, and the portions allocable to MaineHealth entities constitute less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of each issue. - Part I, column (f), 1/7/2015 issue - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility and medical office building. - Part I, column (f), 12/28/2017 issue - Refund bonds issued 11/1/2007 and 6/19/2008. - Part I, column (f), 7/18/2018 issue - Build, renovate, and equip hospital facility. - 1/7/2015 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). - 7/18/2018 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 6/28/2016 issue - The amount shown here consists of $3,165,600 in a debt service reserve fund, plus $776,017 of debt service fund deposits. - Part II, line 4, 12/28/2017 issue - The amount shown here consists of $782,100 in a debt service reserve fund, plus $190,667 of debt service fund deposits. - Part II, line 4, 1/7/2015 and 7/18/2018 issues - The amounts shown here consist of debt service fund deposits. - Part IV, line 2c, 1/7/2015 issue - The date of the calculation was 2/6/2020. - Part IV, line 6, 6/28/2016 issue - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the MaineHealth entities' portions plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 9-10) "Entity 3" - 7/29/2020 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 8/1/2018 and 7/29/2020 issues - The amounts shown here consist of debt service fund deposits. - Part IV, lines 4b and 4c, 8/1/2018 issue - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC.
Schedule K (Form 990) 2019

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MaineHealth
 
Employer identification number
01-0238552
Part Ⅰ
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A Finance Authority of Maine
  		01-0392006 000000000 07-25-2013 15,742,390 To finance buildings and equipment   X   X   X
B Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 03-31-2014 4,800,000 Buildings and structures   X   X   X
C Maine Health & Higher Ed Facilities Authority
  		01-0314384 560427W77 07-24-2014 14,201,632 See Part VI   X   X X  
D Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 09-25-2014 3,125,535 Acquisition of equipment   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 560427Y75 01-07-2015 92,042,726 See Part VI   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042REW8 06-28-2016 29,639,759 Refund bonds issued 9/7/2006   X   X X  
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RQL9 12-28-2017 8,909,963 See Part VI   X   X X  
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RQW5 07-18-2018 183,854,035 See Part VI   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 000000000 08-01-2018 36,735,000 Refund bonds issued 5/22/2008   X   X   X
Maine Health & Higher Ed Facilities Authority
  		01-0314384 56042RYJ5 07-29-2020 252,172,695 Construct hospital facility   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 3,946,795 3,001,581 6,300,000 2,271,438
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 15,742,390 4,800,000 14,201,632 3,138,285
4 Gross proceeds in reserve funds ............. 1,075,509 3,941,617 1,995,428 1,995,954
5 Capitalized interest from proceeds .............       15,556,812
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 136,633 53,225 161,557 47,000
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 15,605,757 4,746,775   3,091,285
11 Other spent proceeds ............. 42,754,483 29,372,213 14,040,075  
12 Other unspent proceeds .............   231,912,158   12,411,431
13 Year of substantial completion ............. 2014 2014 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2018, a current refunding issue)? ........ 		  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2018, an advance refunding issue)? ........ 		  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part Ⅲ
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 2
Part Ⅲ
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X     X X  
c No rebate due? .........   X   X X     X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... See Part VI
  		 
  		 
  		 
 
c Term of hedge ......... 1790.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2019

Schedule K (Form 990) 2019
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
  		 
  		 
  		 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Additional Information (Bonds 1-4) "Entity 1" - 7/24/2014 issue - This issue is a pooled financing, and the portion allocable to MaineHealth entities constituted less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of the issue. - Part I, column (e), 7/25/2013 issue - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. - Part I, column (f), 7/24/2014 issue - Refund bonds issued 12/10/1998, 10/16/2003, and 6/3/2004. - 9/25/2014 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. - Part II, line 4, 7/24/2014 issue - The amount shown here consists of $1,661,647 in a debt service reserve fund, plus $333,781 of debt service fund deposits. - Part IV, line 2c, 7/24/2014 issue - This issue was a pooled financing, and the arbitrage calculations are managed by the Authority, not MaineHealth; MaineHealth does not know the date of the pertinent calculation.
Additional Information (Bonds 5-8) "Entity 2" - 6/28/2016 and 12/28/2017 issues - These issues are pooled financings, and the portions allocable to MaineHealth entities constitute less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the MaineHealth entities' share of such pooled financings, not with respect to 100% of each issue. - Part I, column (f), 1/7/2015 issue - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility and medical office building. - Part I, column (f), 12/28/2017 issue - Refund bonds issued 11/1/2007 and 6/19/2008. - Part I, column (f), 7/18/2018 issue - Build, renovate, and equip hospital facility. - 1/7/2015 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). - 7/18/2018 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 6/28/2016 issue - The amount shown here consists of $3,165,600 in a debt service reserve fund, plus $776,017 of debt service fund deposits. - Part II, line 4, 12/28/2017 issue - The amount shown here consists of $782,100 in a debt service reserve fund, plus $190,667 of debt service fund deposits. - Part II, line 4, 1/7/2015 and 7/18/2018 issues - The amounts shown here consist of debt service fund deposits. - Part IV, line 2c, 1/7/2015 issue - The date of the calculation was 2/6/2020. - Part IV, line 6, 6/28/2016 issue - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the MaineHealth entities' portions plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 9-10) "Entity 3" - 7/29/2020 issue - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. - Part II, line 4, 8/1/2018 and 7/29/2020 issues - The amounts shown here consist of debt service fund deposits. - Part IV, lines 4b and 4c, 8/1/2018 issue - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC.
Schedule K (Form 990) 2019

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2019
Schedule L (Form 990 or 990-EZ) 2019
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Abigail Abbott See Part V 112,055 See Part V   No
(2) Alexander Abbott See Part V 240,672 See Part V   No
(3) Gwendolyn Anderson See Part V 38,496 See Part V   No
(4) Christina Manning See Part V 280,173 See Part V   No
(5) Jessika Morin See Part V 276,727 See Part V   No
(6) Mary Hourihan See Part V 95,264 See Part V   No
(7) Jennifer Caron See Part V 99,038 See Part V   No
(8) Judith Fisher See Part V 87,765 See Part V   No
(9) Sophia Emmons See Part V 18,262 See Part V   No
(10) Meredith Watson See Part V 52,014 See Part V   No
(11) Anthony Inzana See Part V 57,973 See Part V   No
(12) Substantial Contributor Sub. Contributor 992,652 Employment   No
(13) Substantial Contributor Sub. Contributor 744,665 Employment   No
(14) Substantial Contributor Sub. Contributor 954,801 Employment   No
(15) Substantial Contributor Sub. Contributor 676,952 Employment   No
(16) Substantial Contributor Sub. Contributor 308,771 Employment   No
(17) Substantial Contributor Sub. Contributor 948,660 Employment   No
(18) Substantial Contributor Sub. Contributor 447,359 Employment   No
(19) Substantial Contributor Sub. Contributor 956,443 Employment   No
(20) Substantial Contributor Sub. Contributor 957,523 Employment   No
(21) Substantial Contributor Sub. Contributor 954,801 Employment   No
(22) Substantial Contributor Sub. Contributor 997,197 Employment   No
(23) Substantial Contributor Sub. Contributor 957,523 Employment   No
(24) Substantial Contributor Sub. Contributor 950,080 Employment   No
(25) Substantial Contributor Sub. Contributor 1,069,259 Employment   No
(26) Substantial Contributor Sub. Contributor 940,432 Employment   No
(27) Substantial Contributor Sub. Contributor 1,824,874 Employment   No
(28) Substantial Contributor Sub. Contributor 527,359 Employment   No
(29) Substantial Contributor Sub. Contributor 1,546,597 Employment   No
(30) Substantial Contributor Sub. Contributor 935,593 Employment   No
(31) Substantial Contributor Sub. Contributor 958,728 Employment   No
(32) Substantial Contributor Sub. Contributor 997,075 Employment   No
(33) Substantial Contributor Sub. Contributor 997,379 Employment   No
(34) Substantial Contributor Sub. Contributor 1,851,252 Employment   No
(35) Substantial Contributor Sub. Contributor 1,357,982 Employment   No
(36) Substantial Contributor Sub. Contributor 312,353 Employment   No
(37) Substantial Contributor
  		Sub. Contributor 169,180 Vendor   No
(38) Substantial Contributor
  		Sub. Contributor 183,555 Vendor   No
(39) Substantial Contributor
  		Sub. Contributor 188,778,811 Vendor   No
(40) Substantial Contributor
  		Sub. Contributor 570,470 Vendor   No
(41) Substantial Contributor
  		Sub. Contributor 866,446 Vendor   No
(42) Substantial Contributor
  		Sub. Contributor 589,455 Vendor   No
(43) Substantial Contributor
  		Sub. Contributor 145,016 Vendor   No
(44) Substantial Contributor
  		Sub. Contributor 100,856 Vendor   No
(45) Substantial Contributor
  		Sub. Contributor 3,208,852 Vendor   No
(46) Substantial Contributor
  		Sub. Contributor 325,455 Vendor   No
(47) Substantial Contributor
  		Sub. Contributor 4,859,986 Vendor   No
(48) Substantial Contributor
  		Sub. Contributor 115,708 Vendor   No
(49) Substantial Contributor
  		Sub. Contributor 1,219,558 Vendor   No
(50) Substantial Contributor
  		Sub. Contributor 781,339 Vendor   No
(51) Substantial Contributor
  		Sub. Contributor 1,534,113 Vendor   No
(52) Substantial Contributor
  		Sub. Contributor 757,497 Vendor   No
(53) Substantial Contributor
  		Sub. Contributor 1,130,886 Vendor   No
(54) Substantial Contributor
  		Sub. Contributor 13,103,204 Vendor   No
(55) Substantial Contributor
  		Sub. Contributor 5,454,978 Vendor   No
(56) Substantial Contributor
  		Sub. Contributor 429,303 Vendor   No
(57) Substantial Contributor
  		Sub. Contributor 17,877,312 Vendor   No
(58) Substantial Contributor
  		Sub. Contributor 2,476,511 Vendor   No
(59) Substantial Contributor
  		Sub. Contributor 401,803 Vendor   No
(60) Substantial Contributor
  		Sub. Contributor 136,022 Vendor   No
(61) Substantial Contributor
  		Sub. Contributor 14,202,414 Vendor   No
(62) Substantial Contributor
  		Sub. Contributor 1,076,573 Vendor   No
(63) Substantial Contributor
  		Sub. Contributor 2,443,073 Vendor   No
(64) Substantial Contributor
  		Sub. Contributor 185,650 Vendor   No
(65) Substantial Contributor
  		Sub. Contributor 5,778,430 Vendor   No
(66) Substantial Contributor
  		Sub. Contributor 10,906,920 Vendor   No
(67) Substantial Contributor
  		Sub. Contributor 103,737 Vendor   No
(68) Substantial Contributor
  		Sub. Contributor 312,145 Vendor   No
(69) Substantial Contributor
  		Sub. Contributor 358,573 Vendor   No
(70) Substantial Contributor
  		Sub. Contributor 154,781 Vendor   No
(71) Substantial Contributor
  		Sub. Contributor 1,918,491 Vendor   No
(72) Substantial Contributor
  		Sub. Contributor 3,397,547 Vendor   No
(73) Substantial Contributor
  		Sub. Contributor 138,713 Vendor   No
(74) Substantial Contributor
  		Sub. Contributor 825,817 Vendor   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV, Column (b) and (d) George Isaacson is a member of the Board of Trustees. His daughter, Abigail Abbott, is employed by the organization as a Senior Director. His son in law, Alexander Abbott, is also employed by the organization as a Vice President.Nancy Hasenfus, MD is a member of the Board of Trustees. Her daughter, Gwendolyn Anderson, is employed by the organization as a Psych Technician.Peter Manning, MD is a member of the Board of Trustees. His wife, Christina Manning, MD is a physician employed by the organization.Susannah Swihart is a member of the Board of Trustees. Her stepdaughter, Jessika Morin is a physician employed by the organization.Thomas J. Ryan, MD is a member of the Board of Trustees. His wife, Mary Hourihan, MD is a physician employed by the organization.William Caron is an officer of the Corporation. His daughter in law, Jennifer Caron, is a Research Associate employed by the organization.Morris Fisher is a member of the Board of Trustees. His wife, Judith Fisher, is employed by the organization.Christopher W. Emmons is a member of the Board of Trustees. His daughter, Sophia Emmons is employed by the organization.Stuart Watson is a member of the Board of Trustees. His daughter, Meredith Watson is a manager employed by the organization.Lugene Inzana is a former officer of the Corporation. His son, Anthony Inzana is a Surgical Tech employed by the organization.
Schedule L (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 10 2,176,034 Fair Market Value
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2019)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Return Reference Explanation
Form 990, Part V, Line 1a MaineHealth (EIN: 01-0238552), acting on behalf of the MaineHealth System filed 1,687 Form 1099s for the calendar year 2019.
Form 990, Part V, Line 2a MaineHealth (EIN: 01-0238552), acting on behalf of the MaineHealth System filed Form W-3, reporting 22,661 employees for the calendar year 2019.
Form 990, Part VI, Section A, line 2 Katherine Coster and Jere Michelson were board members of MaineHealth and Gorham Savings Bank.
Form 990, Part VI, Section A, line 4 On March 1, 2020, the MaineHealth Articles of Incorporation were amended to allow for a director to be appointed by a new nonprofit member of the MaineHealth system, Mid Coast-Parkview Health, and corresponding changes were made to the MaineHealth Bylaws.
Form 990, Part VI, Section A, line 6 MaineHealth Services (EIN: 01-0431680) is the sole Member of the organization.
Form 990, Part VI, Section A, line 7a The sole Member of the organization has the responsibility for the election of the members of the governing body.
Form 990, Part VI, Section A, line 7b There are decisions by the governing body that require the approval of its sole member. They include: 1. The amendment of the Articles of Incorporation 2. The merger or consolidation with an unrelated entity 3. The sale or other disposition of all or substantially all the assets of the Corporation 4. The dissolution of the Corporation
Form 990, Part VI, Section B, line 11b The MaineHealth CFO and Associate CFO reviewed the 990 in detail. The 990 was also made available to the full Board of Trustees prior to filing.
Form 990, Part VI, Section B, line 12c Conflicts of Interest statements are obtained annually. MaineHealth Services' Audit & Compliance Services Department collects and reviews the responses to these documents and addresses any issues immediately. The results are shared with Board leadership.
Form 990, Part VI, Section B, line 15 Compensation for Top Official & Officers MaineHealth uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO and other key administrative employees. The firm meets with the Executive Committee of the Board of Directors to review each executive's benchmark report. The Executive Committee then deliberates on MaineHealth Services' written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels.
Form 990, Part VI, Section C, line 19 Documents that are required to be open for public inspection are made available upon request.
Form 990, Part XI, line 9: Equity Transfers to Affiliates -82,253,513. Retirement Benefit Plan Adjustments 17,092,135.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MaineHealth
 
Employer identification number

01-0238552
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)MaineHealth Services
110 Free Street

Portland,ME04101
01-0431680 		Healthcare ME 501(c)(3) Line 12c, III-FI N/A
 
No
(2)Maine Medical Center Realty Corp
22 Bramhall Street

Portland,ME04102
01-0434215 		Property management ME 501(c)(3) Line 12a, I MaineHealth
 
Yes
 
(3)MaineHealth Care at Home
15 Industrial Park

Saco,ME04072
22-2571902 		Home health ME 501(c)(3) Line 10 MaineHealth Services
 
 
No
(4)NorDx
301A US Route One

Scarborough,ME04074
01-0511356 		Lab ME 501(c)(3) Line 10 MaineHealth Services
 
 
No
(5)The Memorial Hospital
3073 White Mountain Highway

North Conway,NH03860
02-0222156 		Hospital NH 501(c)(3) Line 3 MaineHealth Services
 
 
No
(6)St Joseph's Rehab & Residence
1133 Washington Avenue

Portland,ME04103
01-0339489 		Nursing home ME 501(c)(3) Line 10 MaineHealth
 
 
No
(7)LincolnHealth Cove's Edge
35 Miles Street

Damariscotta,ME04543
01-0382340 		Healthcare ME 501(c)(3) Line 3 MaineHealth
 
Yes
 
(8)Quarry Hill
PO Box 287

Belfast,ME04915
01-0213976 		Long term care ME 501(c)(3) Line 10 MaineHealth
 
Yes
 
(9)Penobscot Bay Physicians & Associates
PO Box 287

Belfast,ME04915
01-0530517 		Physician services ME 501(c)(3) Line 12b, II MaineHealth
 
Yes
 
(10)LincolnHealth Medical Partners Inc
35 Miles Street

Damariscotta,ME04543
26-3878235 		Physician practices ME 501(c)(3) Line 7 MaineHealth
 
Yes
 
(11)Western Maine Multi-Medical Specialists
181 Main Street

Norway,ME04268
01-0489824 		Physician practices ME 501(c)(3) Line 10 MaineHealth
 
Yes
 
(12)Evergreen Behavioral Services
131 Franklin Health Commons

Farmington,ME04938
01-0492747 		Mental Health ME 501(c)(3) Line 10 MaineHealth
 
Yes
 
(13)Healthy Community Coalition
105 Mt Blue Circle

Farmington,ME04938
22-3305743 		Community services ME 501(c)(3) Line 7 MaineHealth
 
Yes
 
(14)Mid Coast Parkview Health
123 Medical Center Drive

Brunswick,ME04011
01-0430069 		Healthcare ME 501(c)(3) Line 12b, II MaineHealth Services
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Maine Medical Partners

22 Bramhall Street
Portland,ME04102
01-0442142 		Healthcare ME MaineHealth
  		C 213,658,926 17,047,644 100.000 % Yes  
(2) Waldo County Healthcare Mgmt Co

PO Box 287
Belfast,ME04915
01-0485133 		Management Services ME MaineHealth
  		C 1,418,455 2,267,980 100.000 % Yes  
(3) PBH Management Company

PO Box 287
Belfast,ME04915
01-0537278 		Management Services ME MaineHealth
  		C 131,971 437,297 100.000 % Yes  








Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Maine Medical Partners

 J 65,175,168 Fair Market Value
(2) Maine Medical Partners

 O 206,816,791 Fair Market Value
(3) Maine Medical Partners

 P 756,003 Fair Market Value
(4) Maine Medical Partners

 Q 49,135,395 Fair Market Value
(5) Maine Medical Partners

 R 206,668,624 Fair Market Value
(6) Maine Medical Center Realty Corp

 K 2,642,201 Fair Market Value
(7) Maine Medical Center Realty Corp

 Q 1,486,842 Fair Market Value
(8) Maine Medical Center Realty Corp

 O 185,019 Fair Market Value
(9) Maine Medical Center Realty Corp

 P 3,162,337 Fair Market Value
(10) Saint Joseph's Rehabilitation and Residence

 S 108,855 Fair Market Value
(11) Saint Joseph's Rehabilitation and Residence

 R 1,150,000 Fair Market Value
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID:  
Software Version: