MaineHealth (MMC)

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.

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.

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.