$3.1B in expenses

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 1,330 licensed beds, 136 ambulatory sites, 8 emergency room facilities, approximately 1,400 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 2024 are included in the table below:Category CountHospital I/P Discharges 57,717 Hospital I/P Days 355,557 Swing Bed Days 3,979 Total Surgeries 65,943 ED Visits 244,416 The 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 750 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. On June 1, 2024, Southern Maine Health Care was combined under Maine Medical Center's hospital license and the two facilities became one hospital operating as MaineHealth Maine Medical Center.Southern Maine Health Care Southern Maine Health Care, the fifth largest healthcare entity in Maine with 179 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 and a wide range of diagnostic and rehabilitation services. Southern Maine Health Care has approximately 27 physician practices located in Biddeford, Kennebunk, Saco and Sanford. On June 1, 2024, Southern Maine Health Care was combined under Maine Medical Center's hospital license and the two facilities became one hospital operating as MaineHealth Maine Medical Center.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. Hospital services include an emergency department, obstetrics and infant care, cardiac care, cancer care, behavioral health, and a wide array of medical and specialty 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. Hospital services include an emergency department, cardiac care, cancer care, and a wide array of medical and specialty services. The hospital also operates five rural health centers, public health nursing 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, including Rural Health Clinics. 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 25 licensed beds, serves the rural community of Greater Franklin County, boasting a population of 40,000. Franklin Memorial Hospital is able to offer care in more than 25 specialty areas, including emergency care, primary care, obstetrics & gynecology, cardiology and many others.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, located in Norway, Maine, is 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 offers a full continuum of high-quality healthcare services to the Mid Coast Maine region. Mid Coast Hospital operates a 93-bed community hospital with inpatient services for medical and surgical acute care, intensive care, women and infant services and psychiatric services. Mid Coast provides a broad spectrum of outpatient services to the community and has a Level 2 trauma facility and a 24-hour emergency department.MaineHealth focused on several patient care areas throughout FY24:- The Malone Family Tower at Maine Medical Center Opens The Malone Family Tower is Maine Medical Center's new home of cardiac and cardiovascular clinical excellence. It features 96 private, universal patient rooms, a 40-bed pre/post operation area, 19 new OR and procedure rooms and a significantly expanded sterile processing department facility. The 300,000 square foot, eight-story tower represents the modernization and expansion of the Maine Medical Center's campus. Patients enter through the tower's dedicated Congress Street entrance, welcomed by a seven-story atrium designed to bring in natural light. The enhanced clinical space supports care innovation, quality, and safety, while the intuitive layout and private rooms make a difference in patient comfort and healing.

$155.6M in expenses

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 and developing the health care workforce. 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 multiple educational programs and resources. Education programs span undergraduate medical education, graduate medical education, and interprofessional provider education. Education services include the Hannaford Center for Safety, Innovation and Simulation, Library and Learning Commons, and the Journal of Maine Medical Center.In undergraduate medical education, the Tufts University School of Medicine (TUSM) - MaineHealth Maine Track Program, known as the "Maine Track", was established in 2008 and 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 the 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 9 community hospital sites. 86 graduates of the Maine Track who have completed their residency programs are working in Maine as of 2024. Additionally, clerkship students from the University of New England College of Osteopathic Medicine rotate through MMC and MaineHealth sites annually. In graduate medical education, MMC has 15 residency programs, 2 rural residency tracks, 1 rural concentration and 17 fellowships, all approved by the Accreditation Council for Graduate Medical Education. Currently there are approximately 333 physician residents and fellows. Historically, about 40% of MMC's residency graduates have stayed in Maine to practice. Our graduates also go on to outstanding fellowship programs. In addition to physician postgraduate education, MMC and Tufts University School of Dental Medicine sponsor an Advanced Education in General Dentistry residency program. In addition, MMC established a critical care advanced practice provider residency program in 2021.The Hannaford Center for Safety, Innovation and Simulation is a hub for interprofessional training at MaineHealth. Simulation advances patient safety by leveraging advanced technology as well as our simulated patient program to realistically recreate clinical scenarios to enable teams to practice and test and improve their clinical systems. Events occur both at our state-of-the-art 15,000 square-foot training center and "in situ" in clinical settings across Maine.Significant FY24 accomplishments include: Undergraduate Medical Education-Twelve of the TUSM-MaineHealth Maine Track medical students who graduated in 2024 remained in Maine to complete their residency.-Completed a second grant sponsored by the Centers for Disease Control and Prevention and the Association of American Medical Colleges to expand the education of the training curricula, "Interprofessional Education and Collaborative Learning: A Novel Training Tool for Addressing COVID-19 Health Misinformation".-Initiated an Art in Medicine elective class for medical students in partnership with Portland Museum of Art to emphasize practicing perspective, curiosity and stress tolerance that was highly successful and highlighted in the local newspaper.-Successful continuation of a medical education pathway program, Inside Medicine, hosted 124 high school students across Maine over the course of the school year through monthly virtual sessions.Graduate Medical Education-Four new academic tracks were developed and launched in Spring 2024. The four tracks are: Clinician-Educator and Leadership Track (CELT) for Residents, CELT for Fellows, Research Track for Residents, and Clinical Informatics Track Residents and Fellows.-Maine Medical Center Graduate Medical Education (GME) was the founding grant member of the new state-wide Maine Rural GME Education (MERGE) Collaborative, funded by the State of Maine, to increase the number of rural GME electives across the State and create a de novo learning platform, the "Interprofessional Healthcare Learning Platform" (iHELP-ME), focused on rural and underserved learning resources for all interprofessional healthcare students and faculty across the state. 35 new rural GME electives were established across the State of which thirteen are at MaineHealth hospitals.-GME received a $750,000 HRSA grant to support the development of MaineHealth's first rural FM residency program at Franklin Memorial Hospital. The residency will train two residents/year and is scheduled to launch in July 2027. Advanced Practice Provider Residency Program-The Advanced Practice Provider Critical Care Residency program (APP) was initiated in October 2021 with two APP residents. In 2023 the class expanded to four and it became the first accredited APP residency in Maine and the 10th in the nation to be accredited with the Advanced Practice Provider Fellowship Association (APPFA) through the American Nurses Credentialing Center. To date, eight APP residents have successfully completed the program. Six of the eight (75%) have been hired to Maine Medical Center ICU positions. The cohort that began in April 2024 will complete their residency in March 2025.-April 2025 will mark the start of the 7th cohort of APP residents. This will bring the total to 14 APP residents who have committed to the 12-month program. Of this total, seven are Nurse Practitioners and seven are Physician Assistants. -In FY24, the APP Education Office facilitated approximately 216 APP student placements within MaineHealth. Students from 28 institutions of higher education rotated through the MaineHealth system in FY24.Simulation-In collaboration with the HRSA-funded Rural Maternity and Obstetrics Management Strategies (RMOMS) program, the Hannaford Center for Safety, Innovation and Simulation (Sim Center) launched Maine Obstetric Medical Simulation (MOMSim 2.0), a telesim supported, locally driven, on-going obstetrical emergency simulation program at 12 hospitals across Maine.-In partnership with Emergency Medicine, the Sim Center hosted Paramedics and EMTs from across Maine at two immersive workshops emphasizing prehospital care for pediatric, neonatal and obstetrical emergencies.-The Sim Center expanded annual faculty development offerings with an Advanced Debriefing workshop, 3-day Simulation Instructor Course, and Simulation Instructor Course designed specifically to support nurse educators.-The simulation center conducted more than 568 events for more than 5892 participants in FY24.

$42.6M in expenses

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 2024, MHIR had $26.1M in grant funding and received 37 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 2024, MHIR investigators and physician scientists secured several significant grants to advance research on cardiovascular disease, cancer, metabolic disorders, Lyme disease, and PFAS. Other 2024 highlights included: 188 scientific articles published and over 1,505 biospecimens were distributed by the institute's BioBank Tissue Repository.