4A (Expenses $ 2635661066 including grants of $ 2717411) (Revenue $ 2783410556)
"Patient CareMaineHealth Services (MaineHealth's parent) is the largest healthcare system in Maine, providing a full range of integrated healthcare services to patients in Maine and New Hampshire. MaineHealth provides healthcare services in a wide range of community-based settings and includes nine hospitals with 1,366 licensed beds, over 400 ambulatory sites, 8 emergency room facilities, over 1,300 employed physicians, and other ancillary services. (Continued on Schedule O)(Continued from page 2 of 990, Line 4a) MaineHealth operates the following hospitals: Maine Medical Center, Southern Maine Health Care, Penobscot Bay Medical Center, Waldo County General Hospital, LincolnHealth, Franklin Memorial Hospital, Spring Harbor Hospital, Stephens Memorial Hospital, and Mid Coast Hospital. These health system resources offer expertise in multiple disciplines including emergency medicine, surgery, radiology, oncology, behavioral health, and level one trauma. Summary operating metrics for MaineHealth from fiscal year 2022 are included in the table below: Category CountHospital I/P Discharges 51,098Hospital I/P Days 342,083Swing Bed Days 5,754Total Surgeries 57,270ED Visits 218,653The following is a summary of MaineHealth Services by hospital division:Maine Medical Center Maine Medical Center is Maine's largest referral hospital, offering various services not available elsewhere in Maine. It serves as a community hospital for Greater Portland with a present-day complex of more than one million square feet. Maine Medical Center provides a wide range of medical and surgical care, intensive and coronary care, as well as obstetrical and pediatric services. In addition, Maine Medical Center has a number of specialty services, including: The Barbara Bush Children's Hospital at Maine Medical Center (BBCH); the Cancer Institute; the Cardiovascular Institute; Emergency Medicine; the Family Birth Center; the Joint Replacement Center; the MaineHealth Institute for Research (MHIR); and the Neuroscience Institute. Maine Medical Center (including BBCH) has 700 licensed beds. Maine Medical Center is a teaching hospital affiliated with Tufts University School of Medicine. BBCH, which operates as a department of Maine Medical Center, is Maine's only full-service children's hospital facility, offering family-centered services including specialized medical and surgical treatment of complex illnesses and injuries. BBCH uses state-of-the-art technology to provide advanced specialty services and personalized care to children that is responsive to their unique needs. Southern Maine Health Care Southern Maine Health Care, the fifth largest healthcare entity in Maine with 229 licensed beds, offers a comprehensive array of medical care and services, including: emergency departments in Biddeford and Sanford, Maine; a multi-specialty physician services group providing comprehensive primary and specialty services; non-emergency walk-in care; centers for breast care, sleep disorders as well as wound and ostomy care; behavioral health; eldercare services and a wide range of diagnostic and rehabilitation services. Southern Maine Health Care has more than 20 physician offices located in Biddeford, Kennebunk, Old Orchard Beach, Saco, Sanford and Waterboro. Penobscot Bay Medical Center Penobscot Bay Medical Center, with 99 licensed beds, provides the people of Mid Coast Maine with a continuum of both routine and specialty patient-centered medical services.Waldo County General Hospital Waldo County General Hospital serves the healthcare needs of residents in Waldo County, Maine. A community hospital with 25 licensed beds, Waldo County General Hospital is designated as a Critical Access Hospital by the Federal and Maine State governments and operates five rural health centers, public health nursing, physicians' offices, and various educational programs. LincolnHealth LincolnHealth is designated as a Critical Access Hospital by the Federal and Maine State governments. LincolnHealth has two campuses with an aggregate of 25 licensed beds. The LincolnHealth - Miles Campus, serving Damariscotta and the surrounding communities, offers hospital services including: acute hospital care, intensive care, general and orthopedic surgical services, obstetrics and a broad spectrum of outpatient services. The LincolnHealth - St. Andrews Campus, serving Boothbay Harbor and the surrounding communities, offers a fully-staffed urgent care center and a broad range of outpatient services. Franklin Memorial HospitalFranklin Memorial Hospital, with 70 licensed beds, offers healthcare services including a 24-hour emergency department to 40,000 residents in and around Franklin County, Maine. Maine Behavioral Healthcare (Spring Harbor Hospital)Maine Behavioral Healthcare (Spring Harbor Hospital) provides both inpatient and outpatient mental health services. Maine Behavioral Healthcare's hospital facility, which continues to operate under the name Spring Harbor Hospital, is located in Westbrook, Maine. It is Southern Maine's only nonprofit, private psychiatric hospital and a comprehensive provider of inpatient services for individuals who experience acute mental illness or dual disorder issues. Spring Harbor Hospital consists of a licensed 100-bed facility set on 50 private acres and offers children, adolescents, and adults a comfortable and pleasant environment for psychiatric treatment. Spring Harbor Hospital provides 24-hour information and referral, voluntary and involuntary hospitalization and comprehensive discharge planning. The Maine Behavioral Healthcare network is clinically integrated with other MaineHealth mental health providers, hospitals and primary care sites to ensure easy and timely access to treatment and safe and effective transitions between services. Through a unique collaboration with Maine Medical Center, Maine Behavioral Healthcare is able to offer the most complete array of psychiatric treatment, physician training, and medical-research programs north of Boston. Stephens Memorial HospitalStephens Memorial Hospital, designated as a Critical Access Hospital by the Federal and Maine State governments, has 25 licensed beds in service. Services include: ambulance service; cancer care; diabetes care; emergency services; family birthplace; general surgery; hospitalist program; imaging services; joint replacement; laboratory; obstetrics and gynecology; orthopedics; pediatrics; physical rehabilitation; primary care; and various support groups.Mid Coast HospitalMid Coast Hospital is located in Brunswick, Maine and provides a variety of high-quality healthcare services to the Mid Coast Maine region. Mid Coast Hospital operates a 93-bed community hospital with a Level 2 trauma facility, 24-hour Emergency Department, and an in-house pharmacy.MaineHealth focused on several patient care areas throughout FY22:-Taking the Lead in Tackling COVID-19 Over two years into the COVID-19 pandemic, MaineHealth continues to be a respected leader in response efforts. Health systems in Maine have contributed to some of the highest vaccination rates in the nation. Around 81% of Mainers are fully vaccinated; 58% of those fully vaccinated have received their first booster dose. More Maine people have received their COVID-19 vaccine from MaineHealth than any other entity - nearly 600,000 doses. In addition, the volume of COVID-19 testing processed through NorDx laboratory (a related organization) is significant-over 1,250,000 COVID-19 tests to date, having reached the one millionth test mark in January of 2022.-Age-Friendly Health System Work Expands Considering Maine and New Hampshire demographics, MaineHealth has been a natural fit for the age-friendly health system model. According to the U.S. Census Bureau, Maine is the oldest state in the nation, with roughly one in five Mainers over the age of 65 (New Hampshire's population is approximately 19 percent 65 and over). That number is expected to increase to one in four by 2030. An age-friendly health system adopts four elements of high-quality care, known as the ""4Ms."" The ""4Ms"" act as a framework used to focus on the needs of older adults: What Matters, Mentation, Medication, and Mobility. By incorporating a ""What Matters"" conversation, an evidence-based practice for providing care, care team members can better understand their patient population. Within the past year, a mechanism for documenting ""What Matters"" was built into the electronic medical record so that the information travels with the patient, no matter which provider accesses their record."

4B (Expenses $ 109670419 including grants of $ 0) (Revenue $ 16700759)
"Teaching (Medical and Interprofessional Education Program)Educating and training healthcare professionals is vital to MaineHealth's mission. This is a critical component to the delivery of quality health care. To that end we have established a number of robust training and education programs. MaineHealth's flagship hospital, Maine Medical Center (MMC), has a long history of educating medical students, residents, interprofessional providers and faculty. (Continued on Schedule O)(Continued from page 2 of 990, Line 4b) The Department of Medical Education, with a staff of 80, manages 16 residency programs, 3 rural residency tracks and 14 fellowships, all approved by the Accreditation Council for Graduate Medical Education, as well as a residency program in dentistry and a critical care advanced practice provider residency. Currently there are approximately 300 physician 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. 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. Maine Medical Center developed a unique 9-month Longitudinal Integrated Clerkship offered at MMC and in 10 community hospital sites. 63 graduates of the Maine Track who have completed their residency programs are working in Maine as of 2022. Additionally clerkship students from the University of New England College of Osteopathic Medicine rotate through Maine Medical Center 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. Maine Medical Center 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 MITE Academy (component of MITE) seek to support, nurture and promote all clinician educators in the State of Maine. Significant FY 2022 accomplishments include: -Third year of teaching the second year curriculum of the Maine Track years in Maine -Thirteen of the TUSM-Maine Track medical students who graduated in 2022 remained in Maine to complete their residency-Fourth year of the Interprofessional Partnership to Advance Patient Care and Education (iPACE) grant from the American Medical Association. Efforts have spread to multiple MMC inpatient units, an outpatient practice, and a rural site and are now planned to be extended across the health system over the coming years.-In CloudCME, 511 Joint Accredited Interprofessional Education activities were conducted in FY22. -The Advanced Practice Provider Critical Care Residency program (APP) was initiated in October 2021 and the first class of two APPs graduated in 2022, of which one joined MaineHealth. -The first two rural Psychiatry track residents began in July 2022. -Received a grant from the Association of American Medical Colleges and the Centers for Disease Control and Prevention to develop the project, Interprofessional Education and Collaborative Learning: A Novel Training Tool for Addressing COVID-19 Health Misinformation in which training videos are developed to support clinicians in learning how to discuss misinformation with patients and colleagues."

4C (Expenses $ 38113388 including grants of $ 2861200) (Revenue $ 27165376)
"ResearchResearch is a core component of the MaineHealth mission and essential to the delivery of quality health care in the future. MaineHealth Institute for Research (MHIR) is the research arm of MaineHealth. MHIR supports and encourages a broad spectrum of research, ranging from basic laboratory-based research to translational and clinical research, to health services, population, and community-engaged research. The institute has four scientific centers: the Center for Applied Science & Technology, the Center for Clinical & Translational Science, (Continued on Schedule O)(Continued from page 2 of 990, Line 4c) the Center for Interdisciplinary Population & Health Research, and the Center for Molecular Medicine. In 2022, MHIR had more than $20.6M in grant funding and received 39 new grants, allowing the institute's clinical and biomedical researchers to contribute to nationally and internationally recognized scientific research. In addition, over 250 clinical trial studies took place with the top areas of focus in Oncology, Neurology, and Cardiology. Notably in 2022, the National Institutes of Health (NIH) awarded a five-year, $20 million research grant to MHIR and its partnering institutions, the University of Vermont and the University of Southern Maine, to continue and expand the transformative work of the Northern New England Clinical and Translational Research Network in improving community health through biomedical research in rural New England. In 2022, MHIR investigators and physician scientists continued to address COVID with a number of important research efforts including increasing access to COVID testing in high-risk populations in community settings and the study of the long-term effects of COVID investigators from MHIR are among those at more than 70 institutions across the country participating in the ""NIH Researching COVID to Enhance Recovery (RECOVER) Initiative"" to better understand long-term effects of COVID. Other 2022 highlights included: 275 scientific articles were published and over 3,751 biospecimens were distributed by the institute's BioBank Tissue Repository."

Part V, Section A:
Facility Information, Website AddressMaine Medical Center: mainehealth.org/maine-medical-centerSouthern Maine Health Care: 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/Spring-Harbor-HospitalStephens Memorial Hospital Association: mainehealth.org/Western-Maine-HealthMid Coast Hospital: mainehealth.org/midcoast

Part V, Section B, Line 5:
The Maine Shared CHNA is a collaboration between Central Maine Healthcare (CMHC), Maine Center for Disease Control and Prevention (Maine CDC), MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH). The vision of the Maine Shared CHNA is to turn health data into action so that Maine will become the healthiest state in the U.S. The 2022 MaineHealth CHNA reports include county level data, input from community forums and an in-depth look at key priority areas. This year, additional forums were held to amplify the voices of Black/African Americans, deaf/hard of hearing communities, federally qualified health centers, people with disabilities, the LGBTQ+ community, people experiencing homelessness, people with a mental health diagnosis, older adults and youth. One thousand oral surveys were also conducted for non-English speaking individuals-identifying some unique priority areas for these populations. Please see the 2022 MaineHealth CHNA reports and the 2022-2024 Implementation Plans at www.mainehealth.org/chna for details.

Part V, Section B, Line 6a:
Northern Light Health, Central Maine Healthcare and MaineGeneral Health

Part V, Section B, Line 6b:
Maine Centers for Disease Control and Prevention

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 11:
For the 2022 CHNA, the organization has identified priorities, 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 2022 Community Health Needs Assessment and the 2022-2024 Implementation Plan at www.MaineHealth.org/chna for details.

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.

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 1, Line 7 of the Schedule H is based on a ratio of patient care cost to charges. With the exception of Line 7b, Medicaid, this cost to charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost to Charges provided in the instructions for Schedule H. Line 7b, Medicaid, utilizes the cost to charge ratio from the Medicare cost report Worksheet S-10 that is consistent with how Medicare evaluates facilities for uncompensated care.

Part II, Community Building Activities:
Community Support-Disaster Preparation - MaineHealth is deeply involved in disaster planning at the local and state levels. One of three state Regional Resource Centers for Emergency Preparedness is located at MMC, and the hospital has a full-time Director of Emergency Preparedness.-Climate Change Action - MaineHealth is in a unique position to address climate change by minimizing our carbon footprint, and addressing the health effects linked to climate change by providing the highest quality preventative and acute care. MaineHealth has taken a stance on reducing the organization's carbon footprint, and it is putting in place measures to help prepare the community for climate change and climate change induced natural disasters. Examples of how MaineHealth invested in improving community health through environmental sustainability in 2022 include: LEED certification for the new Malone Family tower, electric car chargers, maintaining a smoke free campus, food and trash composting, local food sourcing, and solar panel installations. In addition, the organization continues to conduct educational programs related to climate and health, the importance of clean air, the benefits of reusable resources, and the health implications of environmental exposure and how to manage exposure. MaineHealth recognizes its role in tackling climate change and continues to step up its efforts in 2022. -Clinical Pastoral Education - The Clinical Pastoral Education (CPE) Program at MMC enrolls approximately 20-25 students per year in an accredited training program where they serve as Chaplain Interns on clinical inpatient medical units, including Critical Care/Special Care Units and the Emergency Department. These students are local clergy in training or have earned their theological credentials, and represent a variety of faith traditions. They come to MMC to learn the art and skill of providing interfaith spiritual care in an acute care hospital setting. Their experiences visiting patients at MMC will assist them in the future as community leaders who provide compassionate care for people experiencing distress, hospitalization, or serious illness.-MaineHealth Community Resources - MaineHealth is committed to better health for all people we serve. We support programs and services aimed at not just making our patients healthier, but whole communities too. MaineHealth Community Resources, powered by Aunt Bertha, is MaineHealth's vision in action, providing an online directory of free or reduced cost services like medical care, food, housing, and more. -Health Care Support Services - We provide programmatic support and mentoring to our new system Community Health Workers, as well as participate in the Maine CHW Collaborative meeting and grant writing. We also provide supervision/mentoring for Khmer Maine Executive Director.-Chaplain to BBCH and Family Birth Center-Neuro-Trauma Lecture - Discussing the actual damage that different types of ammunition can inflict on the human body. -Active members in the Greater Portland Chamber of CommerceLeadership Development for Community Members-Inside Medicine - 6-week virtual series that connects medical students, healthcare providers and high school students. Once a week, high school students learn about various healthcare and medicine topics in an interactive and collaborative format.-Healthcare Professional Pipeline Program - Doc 4 A Day, Medical Explorers, Family Medicine Night, 3rd Grade Human Body Fair, 8th Grade Career Fair, 8th Grade Shadow Day, Upward Bound Community Health Improvement Advocacy-Public Service Announcements - As the children's hospital for Maine kids, we strive to ensure kids are safe and healthy and aim to keep kids out of the hospital or doctor's offices whenever possible. The Barbara Bush Children's Hospital pays for twelve 60-sec. Public Service Announcements (one per month) to provide the community important children's safety messages to prevent potential trauma that would require medical attention.Workforce Development-Student Nursing Precepting - In FY 2022, 210 senior nursing students were placed with MMC employed RN staff as one-on-one preceptors. These placements culminated in 31,037 clinical hours of RN staff oversight of students in patient care settings throughout the organization. Oversight occurs during RN MMC employee work time with full patient assignments.-Maine Medical Center's Certified Nursing Assistant (CNA) Program, in affiliation with Portland Adult Education completed its 23nd year in FY 2022 with approximately 2,273 graduates to date. The CNA program serves a critical need for MaineHealth and for the community. Offered at no charge to students, this state-approved 180-hour, seven-week course incorporates experienced MMC nursing staff as faculty/mentors within classroom presentations, skills labs, and supervised clinical experiences. Clinical nurses and others throughout MMC instruct and mentor these student team members, highlighting MaineHealth's belief in CNAs as integral to the fundamentals of comfort, care, and outcomes of our patients and services.-Rehab Medicine Education Program - The Rehab Medicine Educational Program allows students from NE area schools (e.g. UNE, UNH, USM) to learn from Rehab Medicine staff at no cost to them or their school. The staff supervise the students as they learn.-Advance Practice Providers (APP) Student Practicum - Practicums are based on the student's field of interest and available preceptors, and satisfactory number of hours must be obtained to graduate from the program.-Nurse Practitioners and Physician Assistant Clinical Internship Site -Social Work Student Internship Supervision - Provided oversight of internship hours - students worked directly with LCSWs.-Genetic Counseling Clinical Rotation - We hosted two UNE undergraduate interns one day weekly, one each during the Fall 2021 and Spring 2022 semesters. Supervision activities included onboarding, educating on cancer genetics topics, identifying cases for shadowing, mentorship during clinic observation and debrief time, overseeing clinic tasks and projects such as family history and research data entry, and completing internship evaluations. We hosted three genetic counseling graduate students from the MGH Institute of Health Professions and Brandeis Genetic Counseling Programs, one each during the Winter 2022, Summer 2022, and Fall 2022 blocks. Supervision activities included onboarding, managing clinic schedules, active supervision and mentoring of the students' genetic counseling skills before, during, and after clinical encounters, educatimg on complex cancer genetics topics, and evaluation of student progress.-MA Externship - Prior to successful completion of the Medical Assistant course, students must complete a 160-hour externship to validate skills that are taught throughout the program.-Provide medical ethics education to a statewide healthcare professional leadership program. -MITE Clinical Teaching Certificate - MMC Institute for Teaching Excellence (MITE) is a fully asynchronous series of modules that aims at providing a basic knowledge of teaching in the clinical environment. This primer is available for all faculty at MaineHealth.-MITE Medical Education Grand Rounds - MITE Medical Education Grand Rounds is a curriculum of regularly scheduled lectures that offer development to the faculty of MaineHealth. The program consists of roughly 9 sessions over the academic year.-MITE Mentor Guide - The MITE Mentor Guide is an online resource aimed at supporting faculty who wish to hone their mentorship skills or learn more about mentoring or being mentored. This guide has six (6) areas of resources for faculty to review asynchronously.-MITE Peer Review Online Courses - MITE Peer Review Course is an online course offered annually during the Fall on our Learning Management System (LMS) system Canvas. This course aims to teach learners how to critically review academic manuscripts for publication and subsequently improve their own writing through the process.-MMC Rehabilitation Medicine Department Job Shadowing - Students and staff from other hospitals and community members shadow staff to get exposure to the role in this setting.

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 relating to payments is based on facility expenses and charges only and uses the cost to charge ratio from the Medicare cost report Worksheet S-10 that is consistent with how Medicare evaluates facilities for uncompensated care. 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 cannot 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, 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 7, Reports Filed With States
ME

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 from outpatient clinics for a diverse population to full inpatient and surgical services to a regional trauma center and a neuroscience institute. Many of our 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 $119,400,000 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., 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.