2024-08-14T12:41:41-05:00 2023-09-30 990 2022-10-01 222571902 MAINEHEALTH CARE AT HOME MAIN 2072844566 15 INDUSTRIAL PARK DRIVE SACO ME 04072 Elaine Collins CFO 2072844566 2024-06-27 1 2022 2024-08-08 14:25:15Z PATRICIA APRILE 15 INDUSTRIAL PARK DRIVE SACO ME 04072 28715473 0 X WWW.HOMEHEALTH.ORG X 1972 ME HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. 11 7 0 0 0 0 1324606 661506 26203941 24905893 -175998 385450 185501 168359 27538050 26121208 0 0 0 0 23355924 22084741 0 0 337888 10951953 11063719 34307877 33148460 -6769827 -7027252 14780555 14792252 14038902 4862603 741653 9929649 X HELPING PEOPLE TO BE AS HEALTHY AND INDEPENDENT AS POSSIBLE AT HOME AND IN THE COMMUNITY. 0 0 23440050 19878317 HOMECARE: TO PROVIDE AND ASSURE EQUAL AND TIMELY ACCESS TO A COMPREHENSIVE ARRAY OF CLIENT-DIRECTED QUALITY HOME HEALTH CARE. THESE SERVICES INCLUDE VISITS FROM REGISTERED NURSES, REHABILITATIVE THERAPISTS, SOCIAL WORKERS, HOME HEALTH AIDES AND REGISTERED NUTRITIONISTS. THESE SERVICES INCLUDED 6,574 ADMISSIONS, 108,795 HOME VISITS AND FREE CARE TOTALING $87,884 DURING THE TAX YEAR. 4486050 0 3804391 VISITING HOSPICE: THE HOSPICE PROGRAM PROVIDED HEALTHCARE AND COMFORT FOR 390 TERMINALLY ILL PATIENTS WITHIN THE COMMUNITY. 1483105 1257746 RESIDENTAL HOSPICE - SUSSMAN HOUSE: THE SUSSMAN HOUSE IS A 7 BED HOSPICE FACILITY. THIS HOUSE ENHANCES THE VISITING HOSPICE PROGRAM BY GIVING PATIENTS A PLACE TO GO FOR GENERAL INPATIENT CARE WHICH IS PART OF OUR CONTINUUM OF CARE. THE SUSSMAN HOUSE ALSO OFFERS A PLACE FOR PATIENTS TO GO FOR RESPITE CARE. DURING THE TAX YEAR, A TOTAL OF 280 PATIENTS WERE PROVIDED CARE. 460983 390936 PCH GRANT: NEWBORNS AND MOTHERS GOT A HEALTHY START WITH HOME NURSING VISITS OFFERED AT NO CHARGE THROUGH A HEALTH PROMOTION GRANT FROM THE DIVISION OF FAMILY HEALTH OF THE STATE OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. SERVICES INCLUDED 17 ADMISSIONS AND 207 HOME VISITS. 460983 390936 29870188 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ELAINE COLLINS 2072844566 15 INDUSTRIAL PARK DRIVE SACO ME 04072 JENNIFER MCCARTHY COO, MMC/FORMER TRUSTEE 1.00 50.00 X 0 822214 31600 PATRICIA APRILE PRESIDENT/FMR BOARD CHAIR 50.00 0.00 X X 0 409976 41218 THOMAS MORRIONE MEDICAL DIRECTOR, MMP/TRUSTEE 1.00 50.00 X 0 282222 117310 KATHRYN COPE COO, SMHC/TRUSTEE 1.00 50.00 X 0 271157 84533 HELEN TROY VP - QUAL SAFETY, MH/BOARD SEC. 1.00 50.00 X X 0 217485 53864 KARY FRANCHETTI SR DIR, MHMG/BOARD CHAIR 1.00 50.00 X X 0 139674 53924 DANIEL FORGUES FRMR CONSULTANT/TRUSTEE 1.00 0.00 X 0 74770 0 CHAD A BOUCHER TRUSTEE 1.00 0.00 X 0 0 0 PATRICIA CAMIRE TRUSTEE 1.00 0.00 X 0 0 0 JANE CONRAD TRUSTEE 1.00 0.00 X 0 0 0 JEAN A DYER FORMER TRUSTEE 1.00 0.00 X 0 0 0 BARBARA GRILLO TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER MORTON TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY T PLANTE BOARD TREASURER 1.00 0.00 X X 0 0 0 RANDEE REYNOLDS FORMER PRESIDENT 50.00 0.00 X 350495 0 17621 ELAINE COLLINS CHIEF FINANCIAL OFFICER 1.00 50.00 X 0 209604 36181 HEATHER LOMAX CHIEF NURSING OFFICER 50.00 0.00 X 154996 0 4867 KEITH ELLSMORE FORMER PHYSICAL THERAPIST 50.00 0.00 X 125208 0 32325 JENNIFER MORIN DIRECTOR-NURSING 50.00 0.00 X 120331 0 31865 JILL MITCHELL FRMR DIRECTOR-CLINICAL 50.00 0.00 X 128067 0 22518 CHERYL MITCHELL WEEKEND CLINICAL MGR 50.00 0.00 X 124293 0 16930 HEIDI WIERMAN MD ASSO MED DIR, MMP/FMR BOARD SEC. 0.00 50.00 X 0 251121 94353 1003390 2678223 639109 29 1 1 0 Simitree Acquisition LLC PO Box 186859 Hamden CT 06518 Consulting 491735 1 519745 141761 661506 Home health care srvc 623000 24905893 24905893 24905893 128312 128312 2851403 2594265 257138 257138 257138 Other revenue 900099 168359 168359 0 168359 26121208 25331390 0 128312 X 1006783 1006783 16285650 15433426 599271 252953 567239 538794 28445 2984949 2713422 226988 44539 1240120 1109797 112107 18216 90250 90250 6008 6008 3661631 3341333 320298 2578 1110 233 1235 304086 267408 27489 9189 42105 38299 3806 756397 688019 68378 919987 826609 83167 10211 30650 27597 2771 282 12586 11448 1138 535055 486686 48369 44915 40855 4060 Integrated services 3350492 3047608 302884 Medical supplies 1218658 1218658 Member dues 74736 67217 6756 763 Provider relations 500 500 13085 11902 1183 33148460 29870188 2940384 337888 1449048 723596 503470 112854 3351452 4472849 44457 32859 8456184 7562460 906663 893724 2833083 3290911 2462760 2688106 3229622 2577353 14780555 14792252 2961944 2625523 52413 47076 11024545 2190004 14038902 4862603 X -1457040 7482747 2198693 2446902 741653 9929649 14780555 14792252 X -7027252 370669 15844579 X 0 1 X 1 1 1 X 901235 2042108 3217274 1324606 661506 8146729 32126966 28627786 32238916 26389442 25074252 144457362 33028201 30669894 35456190 27714048 25735758 152604091 0 0 0 152604091 69956 88732 67580 91653 128312 446233 69956 88732 67580 91653 128312 446233 33098157 30758626 35523770 27805701 25864070 153050324 0.99710 0.99750 0.00290 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2198693 290898 42689 2446902 2895720 -626894 70000 133 2198693 2288549 149343 492155 34327 2895720 1914346 3375 394846 24018 2288549 1966485 5507 8842 66488 1914346 0.72000 0.28000 1 1 1 122000 122000 1842969 1567528 275441 525914 388176 137738 5965301 5606756 358545 893724 Hedge and other 2688106 F 2688106 Right of use assets 1069109 Beneficial interest in perpetual trust 1508244 2577353 Due to affiliate - current 1112488 Due to affiliate - long term 1074979 Other liabilities 2537 2190004 X 42336456 370669 15844579 16215248 26121208 0 26121208 33148460 0 33148460 0 33148460 Part X, Line 2: FIN 48 FOOTNOTE THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX-EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. Part XI, Line 2d - Other Adjustments: Change in value of beneficial int 179,171. Equity transfer from affiliate 15,665,408. PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE INCOME FROM THE ENDOWMENT FUND IS USED TO PROVIDE CHARITY AND UNCOMPENSATED CARE TO THE RESIDENTS SERVED BY THE ORGANIZATION. X 0 1 1 1 0 0 0 0 0 1 0 JENNIFER MCCARTHY COO, MMC/FORMER TRUSTEE 0 539142 0 108554 0 174518 0 12200 0 19400 0 853814 0 0 PATRICIA APRILE PRESIDENT/FMR BOARD CHAIR 0 305079 0 41622 0 63275 0 10675 0 30543 0 451194 0 0 THOMAS MORRIONE MEDICAL DIRECTOR, MMP/TRUSTEE 0 238914 0 0 0 43308 0 80466 0 36844 0 399532 0 0 RANDEE REYNOLDS FORMER PRESIDENT 269240 0 44100 0 37155 0 2842 0 14779 0 368116 0 0 0 KATHRYN COPE COO, SMHC/TRUSTEE 0 234382 0 34547 0 2228 0 47759 0 36774 0 355690 0 0 HEIDI WIERMAN MD ASSO MED DIR, MMP/FMR BOARD SEC. 0 228999 0 0 0 22122 0 57448 0 36905 0 345474 0 0 HELEN TROY VP - QUAL SAFETY, MH/BOARD SEC. 0 153554 0 17637 0 46294 0 18400 0 35464 0 271349 0 0 ELAINE COLLINS CHIEF FINANCIAL OFFICER 0 158147 0 16366 0 35091 0 4899 0 31282 0 245785 0 0 KARY FRANCHETTI SR DIR, MHMG/BOARD CHAIR 0 138823 0 0 0 851 0 23011 0 30913 0 193598 0 0 HEATHER LOMAX CHIEF NURSING OFFICER 140241 0 11597 0 3158 0 3090 0 1777 0 159863 0 0 0 KEITH ELLSMORE FORMER PHYSICAL THERAPIST 93356 0 3850 0 28002 0 2634 0 29691 0 157533 0 0 0 JENNIFER MORIN DIRECTOR-NURSING 106015 0 0 0 14316 0 2556 0 29309 0 152196 0 0 0 JILL MITCHELL FRMR DIRECTOR-CLINICAL 105872 0 0 0 22195 0 2542 0 19976 0 150585 0 0 0 Part I, Line 1a THE FORMER PRESIDENT RECEIVED AN AUTO ALLOWANCE OF $12,000 THAT WAS TREATED AS TAXABLE COMPENSATION. Part I, Line 1b THE AUTO ALLOWANCE HAS HISTORICALLY BEEN PROVIDED TO THE MAINEHEALTH CARE AT HOME PRESIDENT AND IS PART OF THEIR OFFER LETTER. THIS IS REVIEWED AS PART OF AN ANNUAL INDEPENDENT COMPENSATION BENCHMARK ANALYSIS PERFORMED BY AN OUTSIDE FIRM, SULLIVAN COTTER. THE COMPENSATION DECISIONS FOR THIS EMPLOYEE ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. Part I, Lines 4a-b Line 4a - JILL MITCHELL, FORMER DIRECTOR - CLINICAL, RECEIVED SEVERANCE PAYMENTS TOTALING $6,920 DURING CALENDAR YEAR 2022 FROM MAINEHEALTH CARE AT HOME. Line 4b - MID COAST HEALTH MANAGEMENT CORP AND ITS RELATED ORGANIZATIONS HAVE A DEFERRED COMPENSATION ARRANGEMENT UNDER A NON-QUALIFIED DEFINED CONTRIBUTION PLAN TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES. RANDEE REYNOLDS PARTICIPATED IN THIS PLAN AND RECEIVED $21,591 FROM MID COAST HEALTH MANAGEMENT CORP & SUBS. THIS INDIVIDUAL'S NON-QUALIFIED PLAN CONTRIBUTIONS ARE INCLUDED IN THE FIGURES REPORTED ON SCHEDULE J, PART II, COLUMN (B)(iii). Part I, Line 7 MAINEHEALTH ESTABLISHED A PERFORMANCE INCENTIVE PLAN (THE PLAN) TO ENCOURAGE AND REWARD PLAN PARTICIPANTS FOR ACHIEVING DEFINED PERFORMANCE GOALS THAT ARE SUPPORTIVE OF MAINEHEALTH'S MISSION, STRATEGIC INITIATIVES, AND OPERATING OBJECTIVES. THE PLAN IS ADMINISTERED BY THE MAINEHEALTH COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. FORM 990, PART V - ADDITIONAL INFORMATION LINE 2a: MAINEHEALTH (EIN 01-0238552), ACTING ON BEHALF OF THE MAINEHEALTH SYSTEM FILED FORM W-3, REPORTING 26,427 EMPLOYEES FOR THE CALENDAR YEAR 2022. FORM 990, PART V - ADDITIONAL INFORMATION LINE 1a: MAINEHEALTH (EIN 01-0238552), ACTING ON BEHALF OF THE MAINEHEALTH SYSTEM FILED 1,684 FORM 1099S FOR THE CALENDAR YEAR 2022. Form 990, Part VI, Section A, line 6 MAINEHEALTH SERVICES (EIN# 01-0431680) IS THE ORGANIZATION'S SOLE MEMBER. Form 990, Part VI, Section A, line 7a THE MEMBER ELECTS THE BOARD MEMBERS ANNUALLY. OFFICERS OF THE CORPORATION ARE ELECTED OR APPOINTED BY THE BOARD. Form 990, Part VI, Section A, line 7b THE MEMBER ELECTS THE BOARD OF DIRECTORS. THE MEMBER ALSO WOULD HAVE SOLE AUTHORITY TO APPROVE OF ANY SALE OR DISPOSITION OF CORPORATE ASSETS GREATER THAN $100,000, TO APPROVE OF ANY CORPORATE MERGER, ACQUISITION, DISSOLUTION OR LIQUIDATION, OR ANY OTHER ACTIONS REQUIRED OF MEMBERS BY LAW. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE GOVERNANCE AND MANAGEMENT OF THE CORPORATION. Form 990, Part VI, Section B, line 11b A DETAILED REVIEW OF THE 990 WAS PERFORMED BY THE EXECUTIVE COMMITTEE AND PROVIDED TO THE BOARD OF DIRECTORS. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A DETAILED REVIEW OF THE ENTIRE FORM 990 BEFORE SIGNING AND PRIOR TO FILING. Form 990, Part VI, Section B, line 12c MAINEHEALTH'S AUDIT & COMPLIANCE SERVICES SENDS CONFLICT OF INTEREST (COI) DISCLOSURE FORM REQUESTS TO OVER 3,000 CARE TEAM MEMBERS (INCLUDING ALL BOARD MEMBERS, OFFICERS, AND OTHER SENIOR LEADERS) EACH YEAR. AUDIT & COMPLIANCE SERVICES COLLECTS THE DISCLOSURE FORMS AND REVIEWS EACH SUBMISSION FOR POSSIBLE REPORTED CONFLICTS TO DETERMINE IF A MANAGEMENT MITIGATION PLAN IS REQUIRED. THE RESULTS OF THE ANNUAL COI PROCESS ARE REPORTED TO THE MAINEHEALTH EXECUTIVE COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, LOCAL HEALTH SYSTEM PRESIDENTS, AND THE BOARD OF TRUSTEES CHAIRPERSONS. Form 990, Part VI, Section B, line 15 COMPENSATION PROCESS FOR PRESIDENTS (LINE 15a) MAINEHEALTH, A RELATED ORGANIZATION USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS ANNUALLY FOR THE PRESIDENT OF MAINEHEALTH CARE AT HOME. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MAINEHEALTH TO REVIEW THE EXECUTIVE COMPENSATION REPORT. THE EXECUTIVE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY BEFORE MAKING A FINAL DECISION. ALL MEETING DECISIONS ARE CAPTURED IN MINUTES WITH APPROPRIATE APPROVALS AT ALL LEVELS. COMPENSATION PROCESS FOR OFFICERS (LINE 15b) COMPENSATION FOR OFFICERS OF MAINEHEALTH CARE AT HOME IS PART OF THE INDEPENDENT BENCHMARK ANALYSIS PERFORMED ANNUALLY BY SULLIVAN COTTER. ALL COMPENSATION DECISIONS ARE REVIEWED AND APPROVED BY THE MAINEHEALTH CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF PEOPLE OFFICER. Form 990, Part VI, Section C, line 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g Temporary personnel: Program service expenses 2,622,737. Management and general expenses 260,659. Fundraising expenses 0. Total expenses 2,883,396. Contract labor: Program service expenses 271,243. Management and general expenses 26,957. Fundraising expenses 0. Total expenses 298,200. Contract services: Program service expenses 236,053. Management and general expenses 23,460. Fundraising expenses 0. Total expenses 259,513. Purchased services - medical: Program service expenses 153,994. Management and general expenses 0. Fundraising expenses 0. Total expenses 153,994. Interpreter: Program service expenses 57,306. Management and general expenses 5,695. Fundraising expenses 0. Total expenses 63,001. Purchased services - admin: Program service expenses 0. Management and general expenses 3,527. Fundraising expenses 0. Total expenses 3,527. Form 990, Part XI, line 9: Change in value of BIPT 179,171. Equity transfer from affiliate 15,665,408. MaineHealth 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 MaineHealth Services 0 NorDx 301A US Route One Scarborough ME 04074 010511356 Lab ME 501(c)(3) Line 10 MaineHealth Services 0 The Memorial Hospital 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital NH 501(c)(3) Line 3 MaineHealth Services 0 MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 1 0