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Nonprofiteer
← MAINE COMMUNITY HEALTH OPTIONS

Form 990 for tax year 2023

Filed by MAINE COMMUNITY HEALTH OPTIONS.

Totals

Total revenue
$306,360,987
Total expenses
$330,991,903
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$304,268,082
Investment income
$2,030,280
Other revenue
$62,625
Total assets, end of year
$157,104,410
Total liabilities, end of year
$66,398,006
Net assets or fund balances, end of year
$90,706,404
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 $304,268,082 · related or exempt $304,268,082

  • 3 · Investment income

    total $2,230,909 · unrelated business $57,121 · excluded $2,173,788

  • 7a · Gross sales of assets other than inventory

    securities $23,872,560 · other assets $80,175

  • 7b · Less cost or other basis and sales expenses

    securities $24,153,364 · other assets $0

  • 7c · Gain or loss

    securities -$280,804 · other assets $80,175

  • 7d · Net gain or loss

    total -$200,629 · excluded -$200,629

  • 11a · Other revenue: MISCELLANEOUS

    total $62,625 · related or exempt $62,625

  • 11e · Other revenue, total

    $62,625

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $289,242,539

  • 5 · Compensation of officers, directors and key employees

    total $1,684,306

  • 7 · Other salaries and wages

    total $18,359,882

  • 8 · Pension plan contributions

    total $449,187

  • 9 · Other employee benefits

    total $2,690,258

  • 10 · Payroll taxes

    total $1,071,834

  • 11b · Fees: legal

    total $83,627

  • 11c · Fees: accounting

    total $441,755

  • 11d · Fees: lobbying

    total $60,250

  • 11f · Fees: investment management

    total $212,488

  • 11g · Fees: other

    total $2,087,289

  • 12 · Advertising and promotion

    total $843,648

  • 13 · Office expenses

    total $1,099,834

  • 14 · Information technology

    total $4,505,314

  • 16 · Occupancy

    total $182,162

  • 17 · Travel

    total $71,897

  • 20 · Interest

    total $618

  • 22 · Depreciation, depletion and amortization

    total $137,520

  • 23 · Insurance

    total $530,217

  • 24a · Other expenses: GOVERNMENT MANDATED FEE

    total $7,068,099

  • 24b · Other expenses: DUES, ASSOC. AND MEMBER

    total $169,179

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,732,913 · end of year $10,677,808

  • 2 · Savings and temporary cash investments

    beginning of year $11,632,632 · end of year $12,255,770

  • 4 · Accounts receivable

    beginning of year $14,960,276 · end of year $6,588,869

  • 11 · Investments: publicly traded securities

    beginning of year $123,429,471 · end of year $111,605,737

  • 15 · Other assets

    beginning of year $11,226,707 · end of year $15,976,226

  • 17 · Accounts payable and accrued expenses

    beginning of year $26,635,051 · end of year $39,366,091

  • 23 · Secured mortgages and notes payable

    beginning of year $49,208 · end of year $0

  • 25 · Other liabilities

    beginning of year $20,514,724 · end of year $27,031,915

  • 27 · Net assets without donor restrictions

    beginning of year $118,783,016 · end of year $90,706,404

Mission and programs · 2023

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 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Paul Andrews

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Michelle Betz

    DIRECTOR (UNTIL 12/2023)

    Total calculated
    $0
    Hours/week
    2

  • Leslie Clark

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Rebecca Swanson Conrad

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Jerod Cronkite

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Cheryl Greaney

    DIRECTOR (BEG 01/2023)

    Total calculated
    $0
    Hours/week
    2

  • Jim Harrison

    DIRECTOR (BEG 01/2023)

    Total calculated
    $0
    Hours/week
    2

  • Ralph Johnson

    DIRECTOR (BEG 01/2023)

    Total calculated
    $0
    Hours/week
    2

  • Holly Korda

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Asher Kramer

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Robert Lorenzo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Rocell Marcellino

    DIRECTOR (UNTIL 12/2023)

    Total calculated
    $0
    Hours/week
    2

  • Cory McKenna

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Jeff Norris

    CHAIRMAN OF THE BOARD

    Total calculated
    $0
    Hours/week
    2

  • Sharon Reishus

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Judiann Ferretti Smith

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Rhonda Weston

    DIRECTOR (UNTIL 12/2023)

    Total calculated
    $0
    Hours/week
    2

  • Kevin Lewis

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $486,995
    From this org
    $452,345
    From related orgs
    $0
    Other
    $34,650
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $392,915
    Bonus
    $59,430
    Other
    $0
    Deferred
    $13,200
    Nontaxable benefits
    $21,450
    Filer's total
    $486,995

  • Lori W Tishler

    CHIEF MED OFFICER (BEG 01/2023)

    Total calculated
    $420,401
    From this org
    $379,042
    From related orgs
    $0
    Other
    $41,359
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $328,201
    Bonus
    $50,841
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $41,359
    Filer's total
    $420,401

  • William Kilbreth

    CHIEF INFORMATION OFFICER

    Total calculated
    $336,442
    From this org
    $286,601
    From related orgs
    $0
    Other
    $49,841
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $248,473
    Bonus
    $38,128
    Other
    $0
    Deferred
    $10,167
    Nontaxable benefits
    $39,674
    Filer's total
    $336,442

  • David L Stuart

    CHIEF OPERATING OFFICER

    Total calculated
    $315,843
    From this org
    $268,100
    From related orgs
    $0
    Other
    $47,743
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,670
    Bonus
    $36,430
    Other
    $0
    Deferred
    $9,715
    Nontaxable benefits
    $38,028
    Filer's total
    $315,843

  • Joanne Lauterbach

    CHIEF FINANCIAL OFFICER

    Total calculated
    $315,436
    From this org
    $298,218
    From related orgs
    $0
    Other
    $17,218
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,417
    Bonus
    $38,801
    Other
    $0
    Deferred
    $10,347
    Nontaxable benefits
    $6,871
    Filer's total
    $315,436

  • Kirk Miklavic

    VP OF HUMAN RESOURCES

    Total calculated
    $257,283
    From this org
    $218,008
    From related orgs
    $0
    Other
    $39,275
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,513
    Bonus
    $29,495
    Other
    $0
    Deferred
    $7,875
    Nontaxable benefits
    $31,400
    Filer's total
    $257,283

  • Heather L Bouffard

    DIRECTOR MARKETING/COMMUNICATIONS

    Total calculated
    $231,168
    From this org
    $202,500
    From related orgs
    $0
    Other
    $28,668
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,628
    Bonus
    $26,872
    Other
    $0
    Deferred
    $1,300
    Nontaxable benefits
    $27,368
    Filer's total
    $231,168

  • Daniel W Green

    DIRECTOR OF INFORMATICS

    Total calculated
    $226,680
    From this org
    $190,083
    From related orgs
    $0
    Other
    $36,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,615
    Bonus
    $25,468
    Other
    $0
    Deferred
    $6,791
    Nontaxable benefits
    $29,806
    Filer's total
    $226,680

  • Andrew Goodman

    DIR- PROV NETWORK & OPS

    Total calculated
    $205,835
    From this org
    $182,154
    From related orgs
    $0
    Other
    $23,681
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,154
    Bonus
    $24,000
    Other
    $0
    Deferred
    $6,400
    Nontaxable benefits
    $17,281
    Filer's total
    $205,835

  • Grayson Stuntz

    DIRECTOR OF INFO. TECHNOLOGY

    Total calculated
    $206,242
    From this org
    $194,427
    From related orgs
    $0
    Other
    $11,815
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,429
    Bonus
    $25,998
    Other
    $0
    Deferred
    $6,943
    Nontaxable benefits
    $4,872
    Filer's total
    $206,242

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 $30,987 · assets $67,208

    Directly controlled by MAINE COMMUNITY HEALTH OPTIONS

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202443209349314474

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