Form 990 for tax year 2022

Filed by MAINE COMMUNITY HEALTH OPTIONS.

Totals

Total revenue: $240,547,158
Total expenses: $255,746,072
Contributions and grants received: $0
Grants paid: $0
Program service revenue: $237,174,514
Investment income: $1,969,083
Other revenue: $1,403,561
Total assets, end of year: $165,981,999
Total liabilities, end of year: $47,198,983
Net assets or fund balances, end of year: $118,783,016
Program services expenses (Part IX): not reported
Management and general expenses: not reported
Fundraising expenses: not reported
Program service expenses (Part III): not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

2a · Program service revenue: PREMIUM REVENUE

total $237,174,514 · related or exempt $237,174,514
3 · Investment income

total $2,211,832 · unrelated business -$3,280 · excluded $2,215,112
7a · Gross sales of assets other than inventory

securities $17,439,471
7b · Less cost or other basis and sales expenses

securities $17,682,220
7c · Gain or loss

securities -$242,749
7d · Net gain or loss

total -$242,749 · excluded -$242,749
11a · Other revenue: MISCELLANEOUS

total $1,403,561 · related or exempt $1,403,561
11e · Other revenue, total

$1,403,561

Functional expenses

Part IX, the statement of functional expenses.

4 · Benefits paid to or for members

total $218,902,782
5 · Compensation of officers, directors and key employees

total $2,458,465
7 · Other salaries and wages

total $15,192,928
8 · Pension plan contributions

total $363,767
9 · Other employee benefits

total $2,313,838
10 · Payroll taxes

total $1,067,505
11b · Fees: legal

total $98,012
11c · Fees: accounting

total $289,461
11d · Fees: lobbying

total $50,250
11f · Fees: investment management

total $262,313
11g · Fees: other

total $2,051,995
12 · Advertising and promotion

total $735,947
13 · Office expenses

total $907,212
14 · Information technology

total $4,160,050
16 · Occupancy

total $367,455
17 · Travel

total $46,703
20 · Interest

total $7,764
22 · Depreciation, depletion and amortization

total $332,378
23 · Insurance

total $480,377
24a · Other expenses: GOVERNMENT MANDATED FEE

total $5,454,574
24b · Other expenses: DUES, ASSOC. AND MEMBER

total $202,296

Balance sheet

Part X, book values.

1 · Cash, non-interest-bearing

beginning of year -$5,403,600 · end of year $4,732,913
2 · Savings and temporary cash investments

beginning of year $32,410,827 · end of year $11,632,632
3 · Pledges and grants receivable

beginning of year $4,824,418
4 · Accounts receivable

beginning of year $4,700,000 · end of year $14,960,276
11 · Investments: publicly traded securities

beginning of year $140,171,020 · end of year $123,429,471
15 · Other assets

beginning of year $7,314,127 · end of year $11,226,707
17 · Accounts payable and accrued expenses

beginning of year $47,069,442 · end of year $26,635,051
23 · Secured mortgages and notes payable

beginning of year $191,076 · end of year $49,208
25 · Other liabilities

beginning of year $16,366,357 · end of year $20,514,724
27 · Net assets without donor restrictions

beginning of year $120,389,917 · end of year $118,783,016

Mission and programs · 2022

Mission

THE ORGANIZATION WAS ESTABLISHED AND OPERATES AS A CONSUMER-OPERATED AND ORIENTED PLAN ("CO-OP") IN ACCORDANCE WITH THE PROVISIONS OF SECTION 1322 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. AS A CONSUMER-GOVERNED NONPROFIT HEALTH INSURANCE ISSUER, THE ORGANIZATION: (1) PARTNERS WITH MEMBERS, BUSINESSES, AND HEALTH PROFESSIONALS TO PROVIDE AFFORDABLE, HIGH-QUALITY BENEFITS THAT PROMOTE HEALTH AND WELLBEING, (2) CREATES AND DEVELOPS INNOVATIVE FORMS OF HEALTHCARE DELIVERY FOR THE PURPOSE OF CREATING BETTER HEALTHCARE VALUE THROUGH IMPROVED HEALTH OUTCOMES AT LOWER COST, AND (3) PROMOTES THE HEALTH OF THE PEOPLE OF MAINE AND EDUCATES THE PUBLIC ABOUT HEALTH, HEALTHCARE, AND RELATED TOPICS.FORM 990, PART V, LINE 13MCHO IS LICENSED TO ISSUE QUALIFIED HEALTH PLANS IN THE FOLLOWING STATES:ME, NHMCHO MAINTAINS AND REPORTS THE FULL AMOUNT OF RESERVES REQUIRED BY MAINE AND NEW HAMPSHIRE STATE LAW OF $100,000 AND $0, RESPECTIVELY.

Activities or mission (Part I)

TO PARTNER WITH MAINE PEOPLE, BUSINESSES, AND HEALTH PROFESSIONALS TO PROVIDE AFFORDABLE, HIGH-QUALITY BENEFITS THAT PROMOTE HEALTH AND WELLBEING.

THE ORGANIZATION WAS ESTABLISHED AND OPERATES AS A CONSUMER-OPERATED AND ORIENTED PLAN ("CO-OP") IN ACCORDANCE WITH THE PROVISIONS OF SECTION 1322 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. AS A CONSUMER-GOVERNED NONPROFIT HEALTH INSURANCE ISSUER, THE ORGANIZATION: (1) PARTNERS WITH MEMBERS, BUSINESSES, AND HEALTH PROFESSIONALS TO PROVIDE AFFORDABLE, HIGH-QUALITY BENEFITS THAT PROMOTE HEALTH AND WELLBEING, (2) CREATES AND DEVELOPS INNOVATIVE FORMS OF HEALTHCARE DELIVERY FOR THE PURPOSE OF CREATING BETTER HEALTHCARE VALUE THROUGH IMPROVED HEALTH OUTCOMES AT LOWER COST, AND (3) PROMOTES THE HEALTH OF THE PEOPLE OF MAINE AND EDUCATES THE PUBLIC ABOUT HEALTH, HEALTHCARE, AND RELATED TOPICS.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Rebecca ConradREBECCA CONRAD

DIRECTOR

Total calculated

$0

Hours/week

2
Michelle BetzMICHELLE BETZ

DIRECTOR

Total calculated

$0

Hours/week

2
Judiann Ferretti SmithJUDIANN FERRETTI SMITH

VICE CHAIR

Total calculated

$0

Hours/week

2
Holly KordaHOLLY KORDA

DIRECTOR

Total calculated

$0

Hours/week

2
Asher KramerASHER KRAMER

DIRECTOR

Total calculated

$0

Hours/week

2
Robert LorenzoROBERT LORENZO

DIRECTOR

Total calculated

$0

Hours/week

2
Rocell MarcellinoROCELL MARCELLINO

DIRECTOR

Total calculated

$0

Hours/week

2
Jeff NorrisJEFF NORRIS

CHAIRMAN OF THE BOARD

Total calculated

$0

Hours/week

2
Sharon ReishusSHARON REISHUS

DIRECTOR

Total calculated

$0

Hours/week

2
Mitchell SteinMITCHELL STEIN

DIRECTOR

Total calculated

$0

Hours/week

2
Rhonda WestonRHONDA WESTON

DIRECTOR

Total calculated

$0

Hours/week

2
Leslie ClarkLESLIE CLARK

DIRECTOR (BEG 01/2022)

Total calculated

$0

Hours/week

2
Jerod CronkiteJEROD CRONKITE

DIRECTOR (BEG 01/2022)

Total calculated

$0

Hours/week

2
Paul AndrewsPAUL ANDREWS

DIRECTOR (BEG 01/2022)

Total calculated

$0

Hours/week

2
Cory McKennaCORY MCKENNA

DIRECTOR (BEG 01/2022)

Total calculated

$0

Hours/week

2
David L StuartDAVID L STUART

CHIEF OPERATING OFFICER(BEG 10/2022)

Total calculated

$214,875

From this org

$174,276

From related orgs

$0

Other

$40,599

Hours/week

40

Schedule J breakdown matched by us

Base

$157,670

Bonus

$16,606

Other

$0

Deferred

$6,643

Nontaxable benefits

$33,956

Filer's total

$214,875
Joanne LauterbachJOANNE LAUTERBACH

CHIEF FINANCIAL OFFICER

Total calculated

$263,672

From this org

$248,460

From related orgs

$0

Other

$15,212

Hours/week

40

Schedule J breakdown matched by us

Base

$225,928

Bonus

$22,532

Other

$0

Deferred

$9,013

Nontaxable benefits

$6,199

Filer's total

$263,672
Kevin LewisKEVIN LEWIS

CHIEF EXECUTIVE OFFICER

Total calculated

$452,499

From this org

$420,298

From related orgs

$0

Other

$32,201

Hours/week

40

Schedule J breakdown matched by us

Base

$381,832

Bonus

$38,466

Other

$0

Deferred

$12,200

Nontaxable benefits

$20,001

Filer's total

$452,499
Robert HillmanROBERT HILLMAN

CHIEF OPERATING OFF (UNTIL 10/2022)

Total calculated

$344,127

From this org

$305,416

From related orgs

$0

Other

$38,711

Hours/week

40

Schedule J breakdown matched by us

Base

$305,416

Bonus

$0

Other

$0

Deferred

$12,200

Nontaxable benefits

$26,511

Filer's total

$344,127
William KilbrethWILLIAM KILBRETH

CHIEF INFORMATION OFFICER

Total calculated

$297,423

From this org

$252,433

From related orgs

$0

Other

$44,990

Hours/week

40

Schedule J breakdown matched by us

Base

$229,082

Bonus

$23,351

Other

$0

Deferred

$9,349

Nontaxable benefits

$35,641

Filer's total

$297,423
Grayson StuntzGRAYSON STUNTZ

DIRECTOR OF INFO. TECHNOLOGY

Total calculated

$215,810

From this org

$175,006

From related orgs

$0

Other

$40,804

Hours/week

40

Schedule J breakdown matched by us

Base

$158,488

Bonus

$16,518

Other

$0

Deferred

$6,617

Nontaxable benefits

$34,187

Filer's total

$215,810
Heather L BouffardHEATHER L BOUFFARD

DIRECTOR MARKETING/COMMUNICATION

Total calculated

$196,756

From this org

$165,901

From related orgs

$0

Other

$30,855

Hours/week

40

Schedule J breakdown matched by us

Base

$150,535

Bonus

$15,366

Other

$0

Deferred

$6,146

Nontaxable benefits

$24,709

Filer's total

$196,756
Kirk MiklavicKIRK MIKLAVIC

VP OF HUMAN RESOURCES

Total calculated

$217,155

From this org

$182,050

From related orgs

$0

Other

$35,105

Hours/week

40

Schedule J breakdown matched by us

Base

$164,824

Bonus

$17,226

Other

$0

Deferred

$6,900

Nontaxable benefits

$28,205

Filer's total

$217,155
Margaret KelleyMARGARET KELLEY

AVP OF MEDICAL SERVICES

Total calculated

$198,817

From this org

$172,774

From related orgs

$0

Other

$26,043

Hours/week

40

Schedule J breakdown matched by us

Base

$172,774

Bonus

$0

Other

$0

Deferred

$7,085

Nontaxable benefits

$18,958

Filer's total

$198,817
Michael TakachMICHAEL TAKACH

PHARMACY DIRECTOR

Total calculated

$185,140

From this org

$163,202

From related orgs

$0

Other

$21,938

Hours/week

40

Schedule J breakdown matched by us

Base

$148,334

Bonus

$14,868

Other

$0

Deferred

$5,957

Nontaxable benefits

$15,981

Filer's total

$185,140

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

3 · Written employment contract
3 · Compensation survey or study
3 · Approval by the board or compensation committee
7 · Other non-fixed payments

Answered no

4a · Severance or change-of-control payment
4b · Supplemental nonqualified retirement plan
4c · Equity-based compensation arrangement
5a · Pay contingent on this organization's revenues
5b · Pay contingent on a related organization's revenues
6a · Pay contingent on this organization's net earnings
6b · Pay contingent on a related organization's net earnings
8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7: CERTAIN INDIVIDUALS RECEIVED A NON-FIXED BONUS PAYMENT. THESE PAYMENTS WERE DISCRETIONARY AND REQUIRED BOARD APPROVAL.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

COMMUNITY OPTIONS LLC

LICENSED RESIDENT PRODUCER AGENCY · ME · income $18,558 · assets $36,220

Directly controlled by MAINE COMMUNITY HEALTH OPTIONS

Provenance

Return type: form_990
Tax year: 2022
Filed: 14 November 2023
IRS schema version: 2022v5.0
Source object: 202333199349309493

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.