Section 590-300-2 - Format and content of financial data to be filed with the MHDOA. Every parent entity shall file with the MHDO individually and for its Maine hospital(s), subsidiaries and/or affiliated health care facilities the following: (1) An electronic copy of its annual audited consolidated financial statements that include a balance sheet, income statement, statement of changes in net assets, and cash flow statements with accompanying supplemental information in PDF format and submitted via the MHDO Hospital Data Portal(2) An electronic copy of its consolidating schedules for all entities to include a consolidating balance sheet, income statement, changes of net assets, and cash flow statements in PDF format and submitted via the MHDO Hospital Data Portal.(3) An electronic copy of its individual hospital(s) audited financial statements with additional accompanying supplemental information including details/schedule of revenue by inpatient and outpatient charges; and the deductions from revenue in PDF format and submitted via the MHDO Hospital Data Portal.B. Every parent entity and hospital shall annually complete a MHDO Standardized Accounting Template, as presented in Appendix A, for its unconsolidated and consolidated functions. The data contained in the electronic standardized accounting template shall be derived from the parent entity or hospital's most recently completed fiscal year. The templates shall be available for completion via an online form on the MHDO's web site Hospital Data Portal (https://mhdo.maine.gov/hospital_portal).Access to the template portal shall be restricted via a user name and password assigned to the person designated for certification under Section 5.
C. Every multi-health system and hospital shall review and update annually an online form on the MHDO's web site Hospital Data Portal at https://mhdo.maine.gov/hospital_portal. The organizational chart will include the following information: Multi Health System Name |
Hospital Name | NPI |
Physician Practice Name | NPI |
Name of Employed/Affiliated Physician | Start Date | End Date | NPI |
Specialty Care Practice Name | NPI |
Name of Employed/Affiliated Physician | Start Date | End Date | NPI |
Primary Care Practice Name | NPI |
Name of Employed/Affiliated Physician | Start Date | End Date | NPI |
The MHDO will prepopulate the baseline organizational information with existing data by 1/31/2020 and the health system will update the chart by April 30 of each year. The chart will be available at MHDO's Hospital Data Portal (https://mhdo.maine.gov/hospital_portal).
90-590 C.M.R. ch. 300, § 2