Civic Intelligence

Mainhealth Services

990 • Fiscal year 2017 • EIN 01-0431680

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 09, 2018

Refreshing map…

110 Free StreetPortland, ME 04101

(207) 661-7001

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

95th percentile

1.04x

Higher debt load relative to assets than 95% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

96th percentile

7.59x

Higher debt load relative to revenue than 96% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

3rd percentile

-43%

Higher net margin than 3% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

70th percentile

$1,335,834

Higher top officer pay than 70% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

71st percentile

11%

Faster asset growth than 71% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

60th percentile

7.6%

Faster revenue growth than 60% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$456,454,482

Up $46,147,861 (+11%) from 2016

Net Assets

Down

-$18,800,608

Down $21,837,070 (-719%) from 2016

Liabilities

Up

$475,255,090

Up $67,984,931 (+17%) from 2016

Revenue

Up

$62,652,046

Up $4,442,663 (+7.6%) from 2016

Expenses

Up

$89,385,318

Up $14,097,957 (+19%) from 2016

Net Income

Down

-$26,733,272

Down $9,655,294 (-57%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0-$200MAssets 2010: $101,714,116Liabilities 2010: $56,800,104Net Assets 2010: $44,914,0122010Assets 2011: $141,079,113Liabilities 2011: $100,038,049Net Assets 2011: $41,041,0642011Assets 2012: $182,088,123Liabilities 2012: $138,488,468Net Assets 2012: $43,599,6552012Assets 2013: $231,494,847Liabilities 2013: $179,534,996Net Assets 2013: $51,959,8512013Assets 2014: $314,880,680Liabilities 2014: $260,819,455Net Assets 2014: $54,061,2252014Assets 2015: $359,744,739Liabilities 2015: $299,811,950Net Assets 2015: $59,932,7882015Assets 2016: $410,306,621Liabilities 2016: $407,270,159Net Assets 2016: $3,036,4622016Assets 2017: $456,454,482Liabilities 2017: $475,255,090Net Assets 2017: -$18,800,6082017Assets 2018: $449,460,710Liabilities 2018: $476,563,700Net Assets 2018: -$27,102,9902018Assets 2019: $429,735,815Liabilities 2019: $470,074,584Net Assets 2019: -$40,338,7692019Assets 2020: $412,699,584Liabilities 2020: $457,609,291Net Assets 2020: -$44,909,7072020Assets 2021: $425,575,263Liabilities 2021: $472,011,843Net Assets 2021: -$46,436,5802021Assets 2022: $339,045,135Liabilities 2022: $395,592,438Net Assets 2022: -$56,547,3032022Assets 2023: $292,459,755Liabilities 2023: $343,666,814Net Assets 2023: -$51,207,0592023Assets 2024: $365,813,522Liabilities 2024: $399,666,583Net Assets 2024: -$33,853,0612024

Highlighted filing

2017

Assets$456,454,482
Liabilities$475,255,090
Net Assets-$18,800,608

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $29,777,9602010Expenses 2011: $36,105,6022011Expenses 2012: $41,263,7922012Revenue 2013: $59,435,828Expenses 2013: $54,328,525Net Income 2013: $5,107,3032013Revenue 2014: $50,534,785Expenses 2014: $47,364,182Net Income 2014: $3,170,6032014Revenue 2015: $53,790,510Expenses 2015: $51,619,626Net Income 2015: $2,170,8842015Revenue 2016: $58,209,383Expenses 2016: $75,287,361Net Income 2016: -$17,077,9782016Revenue 2017: $62,652,046Expenses 2017: $89,385,318Net Income 2017: -$26,733,2722017Revenue 2018: $66,828,560Expenses 2018: $77,593,319Net Income 2018: -$10,764,7592018Revenue 2019: $35,923,808Expenses 2019: $42,897,516Net Income 2019: -$6,973,7082019Revenue 2020: $36,404,238Expenses 2020: $41,169,965Net Income 2020: -$4,765,7272020Revenue 2021: $32,444,301Expenses 2021: $33,052,950Net Income 2021: -$608,6492021Revenue 2022: $28,757,169Expenses 2022: $25,798,897Net Income 2022: $2,958,2722022Revenue 2023: $26,094,398Expenses 2023: $13,315,625Net Income 2023: $12,778,7732023Revenue 2024: $26,309,702Expenses 2024: $10,230,206Net Income 2024: $16,079,4962024

Highlighted filing

2017

Revenue$62,652,046
Expenses$89,385,318
Net Income-$26,733,272
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 9, 2018
Return Version
2016v3.1
Gross Receipts
$62,652,046
Mission and Program Overview

Mission

Mainehealth will lead the development of the premier community care network that provides a broad range of integrated health care services in maine and northern new england. Through mainehealth's affiliated organizations, the network will organize services along the full continuum of care necessary to improve the health status of the populations it serves in a cost effective manner.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$156,174,740$144,475,110▼ $11,699,630
Investments in Publicly Traded Securities$22,855,775$28,965,194▲ $6,109,419
Savings and Temporary Cash Investments$20,408,730$15,895,032▼ $4,513,698
Pledges and Grants Receivable$938,897$1,135,534▲ $196,637
Prepaid Expenses and Deferred Charges$185,120$205,715▲ $20,595
Total Assets$410,306,621$456,454,482▲ $46,147,861
Other Assets Total$209,743,359$265,777,897▲ $56,034,538
Liabilities
Deferred Revenue$158,918,566$175,103,561▲ $16,184,995
Tax Exempt Bond Liabilities$94,220,903$126,580,958▲ $32,360,055
Other Liabilities$87,575,322$107,477,658▲ $19,902,336
Accounts Payable and Accrued Expenses$37,785,587$36,721,375▼ $1,064,212
Mortgage Notes Payable Secured by Investment Property$28,769,781$29,371,538▲ $601,757
Total Liabilities$407,270,159$475,255,090▲ $67,984,931
Net Assets / Fund Balance
Temporarily Rstr Net Assets-$2,400,057-
Unrestricted Net Assets$3,036,462$-21,200,665▼ $24,237,127
Total Net Assets Fund Balance$3,036,462$-18,800,608▼ $21,837,070
Total Liabilities and Net Assets / Fund Balance$410,306,621$456,454,482▲ $46,147,861

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$106,989,270$168,859,533$275,848,803
Buildings$16,367,327$6,289,523$22,656,850
Other Land Buildings$15,144,513-$15,144,513
Land$5,974,000-$5,974,000
Other Assets Org$20,519--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William L Caron JrEx-officio,FT$1,174,972$160,862$1,335,834
William L Caron JrEx-officio, Mh Pres.-$841,603$494,231$1,335,834
Albert Swallow IiiEvp, TreasurFT$600,824$112,175$712,999
David Kumaki MdTrustee-$460,192$252,807$712,999
Joan Boomsma MdCMOFT$304,008$238,258$542,266
Thomas J Ryan MdTrustee, Mmp-$468,883$50,761$519,644
Thomas J Ryan MdTrustee, Mmp Phys-$449,343$70,301$519,644
Jeffrey Aalberg MdDir, Quality Improve-$317,447$103,948$515,119
Robert Frank EsqSVP, GeneralFT$422,591$68,766$491,357
Albert Swallow IiiEvp, Treasurer-$359,428$131,929$491,357
Jacquelyn Cawley MdFrmr CIOFT$301,399$110,044$462,443
Robert Frank EsqSVP, General Counsel-$236,949$157,009$393,958
Jeffrey Aalberg MdDir, QualityFT$295,203$81,106$376,309
Dennis P KingVP, Bhav Hlth-$282,071$145,238$376,309
Elizabeth JohnsonPres & CEO M-$332,355$38,080$370,435
Trudi ChasePhysician-$273,313$79,388$370,435
William S SchofieldPres - Nordx-$341,655$79,525$363,446
Deborah DeatrickSVP CommunitFT$243,471$89,639$333,110
Mark HarrisSVP PlanningFT$189,191$143,919$333,110
Dennis P KingVP, Bhav HltFT$309,658$14,306$323,964
Elizabeth JohnsonPres & CEO Mhaco-$212,794$164,894$323,964
Robert Mcartor MdFrmr CMOPT$194,127$103,411$297,538
Francis G McgintyFrmr Exec VP-$233,021$64,517$297,538
Deborah DeatrickSVP Community Hlth-$147,855$105,967$253,822
Mary DunnCIOFT$85,854$25,570$111,424

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Benefit Strategies LLCBenefits AdminPO BOX 1660, Manchester, NH 03105-1660$4,466,786
Kpmg LLCConsulting3 CHESTNUT RIDGE RD, Montvale, NJ 07645-0435$981,041
Bswift LLCBenefits Portal10 S RIVERSIDE PLAZA 1100, Chicago, IL 60606$650,722
Accenture LLPProgramming1255 TREAT BLVD 250, Walnut Creek, CA 94597$387,525
Wittkieffer Ford HadelmanRecruiting2015 SPRING ROAD 510, Oak Brook, IL 60523$327,166
Revenue and Support

Revenue Composition

Contributions and Grants
$8,196,424
Program Service Revenue
$47,195,136
Investment Income
$313,359
Other Revenue
$6,947,127
All Other Contributions
$2,454,110
Change in Net Assets
$-26,733,272
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$67,667,351
Salaries, Compensation, and Employee Benefits$21,178,164
Grants and Similar Amounts Paid$539,803
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$41,645,696$424,246-$42,069,942
Other Salaries and Wages$12,528,638$813,122-$13,341,760
Fees for Services Other$7,539,470$404,138-$7,943,608
Current Officers, Directors, Trustees, and Key Employees$3,474,310$598,426-$4,072,736
Interest$3,520,894--$3,520,894
Occupancy$3,011,365$41,373-$3,052,738
Other Employee Benefits$2,509,634$280,170-$2,789,804
Office Expenses$1,814,125$125,221-$1,939,346
Payroll Taxes$922,446$51,418-$973,864
Fees for Services Accounting-$612,043-$612,043
Grants to Domestic Orgs$539,803--$539,803
Other Expenses$399,989$133,330-$533,319
Advertising$390,745$7,025-$397,770
Travel$318,477$19,583-$338,060
Insurance$76,611$25,537-$102,148
Conferences and Meetings$62,542$14,583-$77,125
Fees for Services Lobbying-$44,400-$44,400
Fees for Services Legal$10,281$11,130-$21,411
Fees for Service Investment Mgmnt Fees$14,583--$14,583
Total Functional Expenses$85,735,274$3,650,044$0$89,385,318
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
University of New EnglandPortland, ME501c3Osteopathic Educ$239,605
Venture HallPortland, ME-Donation$100,000
Coastal Enterprises IncBrunswick, ME501c3Support Initiative$25,000
Center for Grieving ChildrenPortland, ME501c3Sponsorship$20,000
United Way of Greater PortlandPortland, ME501c3LET'S GO, WMN UNITED$20,000
Mas Community HealthBangor, ME501c3Mehaf Grant$18,738
American Heart AssociationDallas, TX501c3Program Support$15,000
Educate MainePortland, ME501c3Program Support$10,000
Td Beach to BeaconPortland, ME501c3Sponsor$10,000
Hospice of Southern MaineScarborough, ME501c3Sponsor$6,250
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Daniel MorinSee Part VSee Part VNo$98,380
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
457b Plan Liability$57,848,180
Self Insurance Reserves$38,966,843
Due to Affiliates$6,613,974
Dsrf Held for Members$3,530,215
Hedge Instrument Liability$518,446

Bond Issues

BondIssuerIssuedIssue PricePurpose
AFinance Authority of Maine2014-09-18$94,854,570IT SOFTWARE
BFinance Authority of Maine2017-02-15$55,528,003IT SOFTWARE

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$94,845,570-$3,448,276$657,248
B$55,528,003--$480,399

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

The organization has members who serve on a board of corporators.

Form 990, Page 6, Part VI, Line 7A

The organization's board of corporators has the ability to elect trustees, except for "transitional trustees", at an annual or a special meeting.

Form 990, Page 6, Part VI, Line 7B

As stated in the organization's bylaws, the board of corporators shall act on any matters brought to it by the board of trustees.

Form 990, Page 6, Part VI, Line 11B

The 990 was reviewed in detail by the executive committee of the board of trustees. The executive vice president & treasurer also reviewed the 990 in detail prior to signing the return. The form 990 was provided to the full board of trustees prior to filing the return.

Form 990, Page 6, Part VI, Line 12C

Conflict of interest statments are obtained annually. The organization reviews the responses to these documents and addresses any issues immediately.

Form 990, Page 6, Part VI, Line 15A

The process followed for determining compensation of the ceo and other key administrative employees compensated by this or other related organization is a formal process performed annually by the executive committee of the board of directors. A related organization uses an outside firm, sullivan cotter, to perform an independent benchmark analysis for the ceo of mainehealth, along with other executives in the mainehealth system. The firm meets with the executive committee to review each executive's benchmark report. The committee then deliberates on mainehealth's 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, Page 6, Part VI, Line 15B

See explanation above under form 990, part vi, line 15a - compensation for top official.

Form 990, Page 6, Part VI, Line 19

Documents that are required to be open for public inspection are made available upon request.

Form 990, Part VII

Amounts included in part vii, section b. Independent contractors may include payments that are made by mainehealth on behalf of its member organizations. Refer to part v, line 1a - additional information response.

Filing and Contact Details

Filer

Filer Name
Mainehealth
EIN
01-0431680
Phone
2076617001
Address
110 FREE STREET, PORTLAND, ME 04101

Signing Officer

Name
Albert Swallow Iii
Title
Evp, Treasurer
Phone
2076617001
Signed
2018-08-09

Organization Details

Principal Officer
William L Caron Jr
Formed
1987
Legal Domicile
Me
Voting Board Members
17
Independent Board Members
13
Employees
0
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Mainehealth will lead the development of the premier community care network that provides a broad range of integrated health care services in maine and northern new england. Through mainehealth's affiliated organizations, the network will organize services along the full continuum of care necessary to improve the health status of the populations it serves in a cost effective manner.

Form 990, Page 2, Part III, Line 4C

(continued from page 2 of 990, line 4b) programs in inpatient care focus on surgical quality improvement, antimicrobial stewardship, informatics and pharmacy and therapeutics. We have programs that focus on transitions of care such as emergency medicine, reducing readmissions, copd and heart failure. In addition, there are programs that cut across the continuum such as telehealth, elder care services, education services and other programs more broadly focused on improving quality and value.

Form 990, Page 2, Part III, Line 4D

Mainehealth's other programs include access to care programs (carepartners and medaccess), community education programs (mainehealth learning resource centers, northern new england poison center, and cancer resource center) and subsidized health services.

Form 990, Part V

Maine medical center (ein 01-0238552) filed form w-3, reporting 11,746 employees, for the calendar year 2016 on behalf of the following organizations: mainehealth, maine medical center, mmc realty, maine medical partners, nordx, mainehealth care at home and mainehealth cardiology.

Form 990, Part XI

Mainehealth has established an information systems project, known as the shared electronic health record (sehr), to implement a system-wide integrated electronic health record system and financial system. In 2014, funding for a portion of the sehr project was acquired by mainehealth through the issuance of a tax exempt revenue bond through the finance authority of maine in the amount of 94,800,000. Section 168 of the internal revenue code requires that projects funded by tax-exempt sources of financing be depreciated using the alternative depreciation system (ads). The ads system requires that computer technology systems be depreciated over a period of 60 months. For generally accepted accounting principles (gaap), mainehealth is using between 120 and 144 month useful lives for the sehr system, as management believes that these periods better reflect the useful life given the amount invested and the complexity of implementation. The fiscal year 2017 book to tax depreciation adjustment of 20,651,848 was recorded as an increase to current year depreciation expense. Had the current year book to tax difference not been recorded, mainehealth would have reported a net loss for fy 2016 of 6,171,426.

Form 990, Part XI, Line 9

Equity transfer from affiliates 2,500,000 contributions 2,138,205 investment income 10,152 released for operations -30,021 total 4,618,336

Financial Statement Notes

Schedule D, Page 3, Part X

The internal revenue service has previously determined that mainehealth and its subsidiaries (except maine medical partners (mmp)(a subsidiary of mmc) and mpho) 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 at september 30, 2017 and 2016. A valuation allowance has been provided for the entire deferred tax benefit for the net operating losses, due to uncertainty of realization. Mmp and mpho did not have material taxable income in 2017 and 2016. Synernet, a for profit organization, recorded income tax expense for the year ended september 30, 2017. Accordingly, a provision for income taxes has been made in the accompanying consolidated financial statements. Mainehealth 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. Mainehealth did not recognize the effect of any income tax positions in either 2017 or 2016.

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IRS990/Desc0THE MAINEHEALTH SYSTEM DEVELOPMENT DIVISION SERVES AS A CORPORATE SUPPORT INFRASTRUCTURE FOR MAINEHEALTH'S MEMBER ORGANIZATIONS. SYSTEM DEVELOPMENT INCLUDES THE FUNCTION OF CORPORATE AFFAIRS, FINANCE, PLANNING, AUDIT & COMPLIANCE SERVICES, LEGAL, MARKETING & COMMUNICATIONS, GOVERNMENT & EMPLOYER RELATIONS AND PAYOR CONTRACTING. SYSTEM DEVLOPMENT STAFF ASSIST MEMBER ORGANIZATIONS IN THE ABOVE FUNCTIONS AND OFTEN AUGMENTS MEMBER ORGANIZATIONS' STAFF TO COMPLETE THESE NECESSARY, AND OTHER REQUIRED, ACTIVITIES. THE SYSTEM DEVELOPMENT BUDGET IS SUPPORTED LARGELY BY DUES ASSESSMENTS TO MAINEHEALTH MEMBER ORGANIZATION, PROGRAM INCOME AND OTHER FORMS OF EXPENSE RECOVERY. SEE COMMUNITY BENEFITS REPORT ATTACHED.
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$366$400$33.9$26.3$10.2$16.1
2023Detailed filing. Detailed filing data is available for this year.$292$344$51.2$26.1$13.3$12.8
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$339$396$56.5$28.8$25.8$2.96
2021Detailed filing. Detailed filing data is available for this year.$426$472$46.4$32.4$33.1$0.61
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$413$458$44.9$36.4$41.2$4.77
2019Summary only. Only limited summary data is available for this year.$430$470$40.3$35.9$42.9$6.97
2018Detailed filing. Detailed filing data is available for this year.$449$477$27.1$66.8$77.6$10.8
2017Detailed filing. Detailed filing data is available for this year.$456$475$18.8$62.7$89.4$26.7
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$410$407$3.04$58.2$75.3$17.1
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$360$300$59.9$53.8$51.6$2.17
2014Detailed filing. Detailed filing data is available for this year.$315$261$54.1$50.5$47.4$3.17
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$231$180$52.0$59.4$54.3$5.11
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$182$138$43.6$41.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$141$100$41.0$36.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$102$56.8$44.9$29.8