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 1,330 licensed beds, approximately 300 ambulatory sites, 8 emergency room facilities, approximately 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 2023 are included in the table below:Category CountHospital I/P Discharges 53,516 Hospital I/P Days 337,503 Swing Bed Days 5,445 Total Surgeries 62,380 ED Visits 235,991 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 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 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. 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, 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 FY23:- Improvements to Inter-facility Transports NorthStar, a MaineHealth ambulance service that traditionally serviced Franklin County 9-1-1 and inter-facility transport needs, has worked to make transports timelier for patients facing life-threatening emergencies.NorthStar collaborated with the nurse director for Pen Bay Medical Center and Waldo County General Hospital, as well as the nursing teams in each Emergency Department, to develop an inter-facility program based in part on work NorthStar had already begun at Maine Medical Center. NorthStar quickly acquired ambulances for the Pen Bay and Waldo fleet in late 2022 and then set out to hire 29 full-time and per diem paramedics and emergency medical technicians.The new team completed its first inter-facility transport in February 2023. Since then, it has completed more than 500 transports, and the percentage of patients waiting more than three hours for a transfer out of the ED has reduced by 25%.

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 2023, MHIR had $25.6M in grant funding and received 29 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 2023, the National Institutes of Health (NIH) awarded a five-year, $12.9 million research grant renewing the institute's Center of Biomedical Research Excellence (COBRE) in Metabolic Networks. The funding will advance research infrastructure for the study of metabolic diseases, including obesity, diabetes, osteoporosis and lipid and energy imbalances. In 2023, MHIR investigators and physician scientists continued to address COVID with a number of important research efforts including a NIH funded national effort to examine whether the virus that causes COVID remains hidden in the fat tissue of patients with Long COVID, stressing their immune systems to the point of potential failure. The study is part of the nationwide RECOVER (Researching COVID to Enhance Recovery) initiative that seeks to understand, prevent and find treatments for Long COVID; investigators from MHIR are among those at more than 70 institutions across the country participating in RECOVER. Other 2023 highlights included: 159 scientific articles published and over 1,499 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 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. In undergraduate medical education, the Tufts University School of Medicine (TUSM) - Maine Medical Center 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 10 community hospital sites. 81 graduates of the Maine Track who have completed their residency programs are working in Maine as of 2023. 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, 3 rural residency tracks and 15 fellowships, all approved by the Accreditation Council for Graduate Medical Education. Currently there are approximately 320 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. 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 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 and supports learners and clinicians across MaineHealth. MaineHealth/MMC is the flagship provider for Continuing Interprofessional Development (CIPD) in Maine, and is 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 MaineHealth 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 2023 accomplishments include: Undergraduate Medical Education:-Thirteen of the TUSM-Maine Track medical students who graduated in 2023 remained in Maine to complete their residency of whom 12 will remain at MMC.-Completed an initial grant and received a second grant from the Association of American Medical Colleges and 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.Graduate Medical Education:-Four new academic tracks were developed and will be 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.-MMC 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-Maine), focused on rural and underserved learning resources for all interprofessional healthcare students and faculty across the state. Eleven (11) of the 23 new rural training sites are at MaineHealth hospitals.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.Simulation:-The simulation team collaborated with MaineHealth Nursing Academic Affairs and Workforce Development to develop a simulation instructor course for nursing workforce development in which the simulation center hosted nurse educators from MaineHealth and Southern Maine Community College. This one-day simulation instructor course is designed to support strategic partnerships with undergraduate nurse training programs.-The simulation center successfully disseminated the neonatal resuscitation program simulation training across all MaineHealth hospitals, including affiliate member Maine General Hospital, including system-wide analysis of safety findings. -The simulation center conducted more than 603 events for more than 5,100 learners in FY 23. Interprofessional Education:-359 Joint Accredited Interprofessional Education activities were conducted in CloudCME in FY23. -Joint Accreditation (JA) supports "planning by the team, for the team". The percent of interprofessional educational activities has increased from a little over 25% when we were granted JA status in 2020 to 73% in 2023. -The MaineHealth Institute for Teaching Excellence (MITE) supports an interprofessional Academy of Educators who have dedicated a part of their professional career to health professions education. The number of Academy members has steadily grown since its inception in 2016, with now over 90 members.Health Professions Education:-MaineHealth received a Health Equity Grant from the Centers for Disease Control and Prevention and the Maine Department of Health and Human Services for the Building-ME Network project. Its purpose is to increase healthcare workforce in training opportunities in rural and underserved areas for all healthcare disciplines by creating a statewide system to streamline clinical placements for trainees and preceptors in rural communities.