Promoting Access.Improving Health. · 2019-08-20 · opinions together to address tough...

ANNUAL REPORT 2009

Promoting Access. Improving Health.

The mission of the Maine Health Access Foundation is to

promote affordable and timely access to comprehensive, quality

health care, and improve the health of every Maine resident.

As the state’s largest health care foundation, the Maine Health

Access Foundation (MeHAF) supports strategic solutions to

address Maine’s health care needs, particularly for people who

are uninsured and medically underserved.

T H E M I S S I O N

Maine Health Access Foundation

T A B L E O F C O N T E N T S

2 | Maine Health Access Foundation

4 New Tools, Technologies & Community Partners

6 Advancing Health Reform

8 Promoting Patient & Family-Centered Care

10 Strengthening Maine’s Safety Net

12 2009 Grants & Contracts

17 Statement of Financial Position

18 Board of Trustees / Community Advisory Committee

2009 Annual Report | 3

M E S S A G E F R O M T H E B O A R D C H A I R & P R E S I D E N T

In the last year we’ve heard how the collapse of Wall Street has caused jobloss and economic insecurity on Main Street. Many Maine nonprofits arebeing pushed to the brink as they face more demand for services while

funding has been curtailed or eliminated.

Philanthropy was not immune to this turmoil. Endowments, which fuelphilanthropic grantmaking and operations, fell significantly, prompting somefoundations to cease new grantmaking or trim existing programs. AlthoughMeHAF’s endowment declined, our Board affirmed that we would meet ourgrantmaking commitments, continue support for key programs, and evenoffer new funding.

The realities of this new economy have prompted us to think deeply andcreatively about how to advance our work to meet the needs of Maine people.Philanthropy does not have sufficient resources to replace shrinking publicsupport, nor can it underwrite core operations over the long-term. But there areother ways foundations can strengthen nonprofits in these challenging times.

Grantmaking is our most well-known function, yet there are other tools wecan tap to foster change. In 2009, we participated in the new “ViabilityProgram” for nonprofits, marking a new approach for MeHAF aimed atstrengthening health sector agencies.

We fielded the new Fund for the Future – employing efficient socialnetworking tools to assist community-based health solutions.

As a trusted partner, MeHAF has brought dedicated people with diverseopinions together to address tough issues.We’ve commissioned research andconducted evaluations so leaders know what works and what doesn’t.This isvital for more informed advocacy, public policy, and program improvements.

MeHAF has also been nimble enough to help leverage unexpected newopportunities. In 2009, we helped Maine leaders secure new healthinformation technology funding provided in the federal “stimulus bill.”

As the state’s largest nonprofit health foundation, Maine people expectMeHAF to keep pushing forward to promote access and improve health.We’re prepared to reach deeper into that philanthropic toolbox to go beyondgrantmaking to help our nonprofit partners meet the challenges ahead.

Cheryl L. Rust

Wendy J.Wolf

Cheryl L. RustCHAIR, BOARD OF TRUSTEES

Wendy J. Wolf, MD, MPHPRESIDENT & CEO

New Tools,Technologies & Community Partners

Building Stronger NonprofitsWorking in collaboration with the Maine CommunityFoundation, Maine Association of Nonprofits, Institute for Civic Leadership, United Ways, and Common GoodVentures, MeHAF supported a new approach to build thecapacity of our nonprofit partners through a ViabilityProgram.Working in a specific sector, a small group ofnonprofits was offered the opportunity to participate in a two-day clinic that connected them with experts inbusiness, finance, communications, board governance and nonprofit management.After conducting an internalassessment of their organization, experts and their sectorcolleagues shared strategies, helped participants developaction plans aimed at strengthening their organizations,and were offered follow-up technical assistance to beginimplementing these plans. In 2009, MeHAF sponsoredseven long-term care organizations for our first ViabilityProgram. Initial feedback from the program was positive,and the foundation will be repeating this program in 2010.

Looking to the Future Funders are constantly challenged to balance theimperative of addressing current issues with the need tolook out over the long term.As the prospect of nationalhealth reform loomed, the MeHAF Board asked how wecan learn more from our nonprofit partners about thenext iteration of issues that would be front and center ifuniversal coverage became reality.This challenge sparked

the development of MeHAF’snew pilot program called Fund for the Future. Based on feedbackfrom Maine people, we know thatpreserving and improving health is highly dependent on havingsupport and resources in thecommunities where Maine peoplelive, work and play. In 2009,MeHAF offered the first


In the current economy our nonprofit

partners are struggling to align tight

budgets with increased demand. There

are many ways to respond to tough

times, but just working harder won’t

suffice. Philanthropy does not have the

fiscal resources to fill the gaps

nonprofits face, but we can work in

partnership to tap new tools and

technologies, and think creatively about

alternative, more efficient strategies to

meet our core missions and margins.

competitive Fund for theFuture grant opportunity.Drawing on informationderived from communityneeds assessments, the Fundfor the Future was designedto help community leadersdefine and advance strategiesto improve the health of theirneighbors and colleagues.The RFP drew a diverseportfolio of projects from around the state. People wereencouraged to weigh-in on Facebook with commentsabout the proposed projects, and this process strengthenedthe final applications.The three 2009 grantees willpromote healthy food and healthy weight in theirrespective communities.The second pilot round will beissued in early 2010.

Embracing New TechnologiesMeHAF is always seeking new ways to engage morepeople in our work, and widen the circle of ourcolleagues and partners. In 2009, MeHAF developed aFacebook page to spread the word about its new pilotFund for the Future program, and prompt conversationsabout what helps communities be healthy. Using socialmedia to publicize the program and initiate thesedialogues, MeHAF actively solicited ideas fromcommunity leaders and sought feedback from “fans” onvarious project ideas. Questions about the fundingopportunity were addressed through two live chatsessions that drew in a higher number of potentialapplicants than the typical face-to-face bidders’conference.These inclusive outreach strategies linkedMeHAF to new organizations and individuals who shareour commitment to health and health care, and placedMeHAF at the forefront in using Web 2.0 tools forgrantmaking.The foundation’s use of Facebook wasfeatured in a 2009 Robert Wood Johnson Foundationblog post called “What We Give: Doing PhilanthropyDifferently in a Web 2.0 World.”

Streamlining Our ProcessesIn 2009, MeHAF examined our internal processes tosee how we could streamline grantmaking andreporting for our nonprofit partners, while maintainingimportant relationships and contacts.We upgraded ourgrants management software systems, trained staff andimplemented new procedures for on-line grantmakingand timely on-line grant review.To cut down on travelcosts, we offered more webinar trainings and on-linetechnical assistance.These changes will improve theconsistency, efficiency, and standard documentation ofour grantmaking processes, and decrease paperwork,reporting requirements and administrative burdens onour grantees. MeHAF tested its first on-line grantapplication with our new Fund for the Future, and inDecember 2009, the foundation converted itsDiscretionary Grants program to an on-line application.


Advancing comprehensive health reform is a

national undertaking, but the new federal

legislation will have varying impacts on

states depending on their economy,

population demographics, existing health care

systems and previous efforts to push state-

level health reform. MeHAF sees national

reform as a key strategy to achieve our

mission. In 2009, the foundation seized the

opportunity, in a nonpartisan way, to share

with policymakers how Maine’s experiences

with state-based reform and our grantees’

practical approaches to improve care could

inform and deepen the national debate.

Tapping Maine’s ExperienceMaine’s efforts to advance health reform must becomplementary to national reform to achieve universalaccess to care. In 2009, MeHAF reached out toMaine’s Congressional delegation, spoke with localleaders and business groups, and published editorials inan effort to inform and deepen the debate on nationalhealth reform in a way that advanced our vision, valuesand experience.As a nonpartisan foundation, MeHAFis in a unique position to share policy lessons learnedfrom Maine’s health reform efforts, the work ofgrantees in the field, and knowledge generated fromfoundation-funded policy research. MeHAF’s policywork was featured at a Congressional briefing thatfocused on the role health philanthropy can play inpromoting public policy, supporting implementationand ensuring public engagement and education.

Improving Quality, Lowering CostsConcern over rapidly escalating costs has spurredbipartisan interest in national health reform. In Maine,leaders from all sectors know that rising costs threatencoverage.A diverse group of MeHAF granteescomprised of business coalitions, advocacy groups,policy organizations and others are working onachievable strategies to “bend the cost curve” so accesscan be preserved.Their projects include developingnew payment reform models; building tools for qualityand cost transparency so people can make informeddecisions about care; educating providers so that

prescribing practices are driven byobjective science rather than marketing;and evaluating peer support programs asan effective, lower cost way to improvecare. Maine’s Congressional delegationwas keenly interested in these strategies torein in costs.As policy makers continue todebate national reform, the strategiesadvanced by our grantees are practicalsteps we can take now to make Maine’shealth care system more responsive,effective, patient-centered and affordable.


Advancing Health Reform

Practical Advice from Maine People About ReformOne of MeHAF’s most important roles is to ensure thatthe experiences of Maine people inform policy changesand reform efforts. In 2009, the Department of Healthand Human Services and seven grantees joined MeHAFto identify ways to strengthen the understanding, impact

and value of MaineCare for its members.The groupresearched local and national best practices, and gatheredinput from Maine people on improvement strategiesusing surveys and focus groups. Nearly 1,000 people,including those served by public and private programsand the uninsured, shaped the final recommendations inImproving the Health of Maine People: Getting Down toBasics. The report presents practical and policy-drivenstrategies that people felt were essential for improvinghealth, such as extending office hours, offering same dayappointments, and providing help to understandprevention, treatments and medications. People alsopointed out that ensuring good health means reachingbeyond clinic or hospital walls to communities. It’s a clearreminder that for health reform to succeed, people needhelp and support in their communities to achieve betterhealth, rather than just coverage for treatment of disease.

Building Informed LeadersState-based and national healthreforms are complicated processesthat require our best thinking.The foundation sponsors an arrayof learning opportunities forpeople drawn from all sectorsacross Maine to ensure thatleaders have the fundamentalknowledge and skills required tomeet the challenges of reforming

Maine’s health care system.Working with the MaineDevelopment Foundation, MeHAF sponsors a biennialPolicy Leaders Academy conference on health care forthe new legislature. Foundation funding also helpedLeadership Maine expand its experiential curriculum soleaders have an understanding of how health careimpacts Maine’s economy.Annually, the legislativeleadership is invited to select a bipartisan group oflegislators to attend the annual National Academy forState Health Policy meeting with MeHAF support.Thefoundation also provides scholarship underwriting to theHanley Health Leadership Development program as wellas Leadership Maine so leaders from nonprofits servingMaine’s uninsured and underserved can participate inthese important programs.


The foundation continually seeks opportuni-

ties to make the health care system work

better for those it serves. This focus lies at

the heart of our work to promote patient and

family-centered care. Many providers see

the office practice or hospital as the center

of care. Yet Maine people are clear that

community resources are key elements of

what it takes to preserve and improve

health. In 2009, MeHAF expanded its work

to promote care integration to ensure that

community support is a core component of

patient and family-centered care.

Promoting Patient & Family-Centered Care

Expanding Care Integration Across Maine Promoting patient and family-centered care is a long-term strategy. In 2009, the foundation awarded $1.4million to the final cadre of six new grantees to advancethe integration of mental and behavioral health withprimary health care services.The insights and practicaladvice of 43 integration grantees and their 150 partnerorganizations are guiding our collective efforts toreshape the structure, payment and culture of day-to-daypractice, so patients receive more timely, seamless andcoordinated care from physicians, nurses, psychologists,social workers and other health professionals. Movingforward, this initiative will more fully integratecommunity resources by reaching beyond the officesetting.A new grant to the Maine Department ofHealth and Human Services, Center for Disease Controland Prevention will promote public messages aboutways to improve mental health, publicize communityresources, and build local support for Maine people sothey can get help in their communities.

Learning TogetherHealth care organizations and foundations across thenation are deeply engaged in promoting coordinated,seamless, patient and family-centered care. Quarterly,MeHAF invites local and national experts and leaders in

the field to learning sessions with our 43integration grantees and their collaborativepartners.This has improved grantees’ day-to-day practice, offered new perspectives andstrategies to overcome barriers to integratedcare and spurred greater synergy andcoordination of their work.The learningsessions raise awareness of other Maine-basedinitiatives and studies, such as the Patient-Centered Medical Home pilot and theEmergency Department Utilization study,where support for integrated care can bestrengthened and expanded. MeHAF alsoparticipates in New England and national

affinity groups of foundations focused on integrated careand improving mental health.


Improving Policy and Aligning Incentives Doctors, nurses, mental and behavioral health specialistsand other providers across Maine are working hard tooffer more patient and family-centered care in theirpractices.Yet sustaining this approach requires overcomingan array of system-level barriers. MeHAF has convened astatewide Integration Initiative Policy Committeecomprised of visionary health care leaders and consumeradvocates who are guiding our efforts to advance policy.Drawing on information from policy experts across thecountry, recommendations from the commissioned MaineBarriers to Integration Study, as well as the on-the-groundexperiences of the Integration Initiative grantees, thisgroup is identifying specific regulatory, licensure,reimbursement and other changes that must occur tosupport and sustain integrated care moving forward.Tohelp align incentives and reimbursement practice,MeHAF sponsored an integration reimbursement trainingmeeting attended by 71 participants to highlight currentpayment strategies that support care integration.

Listening to Our CommunitiesIn May 2009, the foundation’s Community AdvisoryCommittee partnered with Grantmakers in Health toco-sponsor a National Meeting on CommunityEngagement.This meeting, which was held in Portland,Maine, raised important issues on how foundationsengage, listen to and meet the needs of variouscommunities. Over the course of the two-day meeting,participants shared strategies on how funders andnonprofits can actively seek input from new andemerging constituencies to deepen their work.As part ofthe conference, Grantmakers in Health conducted asurvey of health foundations from across the nation todetermine how they seek formal and informal communityinput. Following the conference, Grantmakers in Health

published a View from the Fieldauthored by MeHAF staff thatsummarized the meeting’s keyfindings and messages.Thispublication has been cited byseveral national philanthropies,including a new Council onFoundation guide: 10 Ways forIndependent Foundations to ConsiderDiversity and Inclusive Practices.


The economic downturn has strained health

care safety net organizations as they strug-

gle to provide care for more people who are

uninsured and underserved. In 2009, the

American Recovery and Reinvestment Act

infused new funding into community health

centers, but many other vital safety net

providers were untouched by this infusion of

new dollars. In response, MeHAF focused its

safety net grantmaking on key organiza-

tions that did not receive stimulus funds to

help boost their capacity to meet the needs

of low-income people and the uninsured.

Strengthening Maine’s Safety Net

Expanding Access to Oral Health A new emergency department (ED) analysis found theleading cause of preventable ED visits for Maine adultsages 15 to 44 was seeking relief from untreated dentalpain and disease. Good oral health is critical to overallhealth, yet many people face significant barriers gettingcare. Maine’s oral health safety net provides affordable,high quality care, yet these providers often face fiscal andworkforce recruitment challenges as they strive to meetdemand. In 2009, MeHAF provided funding to eightoral health safety net providers to expand operatories,purchase state-of-the-art equipment, and install newclinical software.These grants help meet short-termchallenges, but MeHAF is also focused on longer-termsolutions.As part of our sustained commitment toimprove oral health, the University of New England wasawarded a planning grant to develop a comprehensivestrategy for recruitment and outplacement training thatwill be vital components of building Maine’s dentalworkforce through the new College of Dental Medicine.

Small Rural Hospitals Strengthen MedicationSafety PracticesAbout 40% of Maine’s hospitals are small “critical access”hospitals (CAHs) that serve rural communities. Since2008, fourteen CAHs have joined forces with theQuality Forum, Maine Office of Rural Health andPrimary Care, and MeHAF to strengthen medicationsafety and management.Working with USM Muskie

School of Public Service faculty, the CAHsparticipate in facilitated learning sessions tolearn from national best practices and eachother, and get technical assistance to advancemedication safety in their institutions. Projectsfocus on improving communication aboutmedications; using personal health folders sopatients have up-to-date medication lists; andusing new technology like bar code scanning,electronic medication dispensing machines andcomputer systems for reconciling medications.


The CAHs work garnered the 2009 President’s Awardfor Excellence from the New England Rural HealthRoundtable, and was featured in a poster presentationand session at the Institute for Healthcare ImprovementAnnual National Forum on Quality Improvement inHealthcare.

Accessing and Managing Medications toImprove HealthHelping Maine’s increasing number of uninsured orunderinsured access free or low-cost medication is vitalin treating illness and preserving health. For three years,MeHAF has partnered with 10 organizations to providefree or low-cost medications and improve the ability ofpatients and providers to manage medications.Throughthe work of these grantees over 4,000 new patientsaccessed more than $12 million in free and low-costmedicines through pharmaceutical patient assistanceprograms. Patients also received assistance applying forother important public programs for which they wereeligible.At the start of these projects, more than 40% ofthe people receiving assistance reported being in fair orpoor health, but with better access and management ofmedications nearly half these patients reported improvedhealth with fewer doctor visits, less need to visit theemergency rooms, and fewer hospitalizations.

Charting the Health Needs of People in Maine’sTribal NationsVery little data exists on the current health status andquality of care for enrolled members of the state’s fourfederally recognized tribes in five tribal communities:The Aroostook Band of Micmac Indians,The HoultonBand of Maliseet Indians,The Passamaquoddy TribeIndian Township,The Passamaquoddy Tribe PleasantPoint, and The Penobscot Indian Nation.Tribal healthdirectors have been working together to plan andimplement a comprehensive community healthassessment.A new MeHAF grant will help support theassessment that will gather aggregate and tribal specifichealth information from all five Maine Tribalcommunities.Tribal health directors will use thisinformation to guide program planning, development,implementation and evaluation.



ORGANIZATION PROJECT TITLE 2009 AMOUNT TOTAL AWARD

Cost ContainmentNEW PROJECTS

Consumers for Affordable Health Building Consumer Confidence in and Understanding of Health $60,000.00 $120,000.00Care Foundation Cost and Quality Reforms in Maine

Maine Center for Economic Policy Constraining Cost and Sustaining Access: Policy Prescriptions $60,000.00 $120,000.00

Maine Equal Justice Partners Continuity of Coverage for MaineCare Members: Policies to Improve $59,925.00 $118,018.00Care and Achieve Cost Savings

Maine Health Management Coalition Developing a Value-Based Payment Model: Creating Incentives for $60,000.00 $120,000.00Foundation Coordinating Patient-Centered Care

Maine Primary Care Association Cost Containment through Creation of a Risk Based MCO $60,000.00 $120,000.00

Medical Care Development, Division Promoting Strategic Cost Containment Policies to Preserve and $60,000.00 $120,000.00of Health Improvement Expand Access - Incorporating Oral Health into ROI Studies: Building

a Resource and Methodology

NAMI-Maine Peer and Family Support Project $59,920.00 $119,840.00

Prescription Policy Choices The Initiative to Promote Evidence-Based Prescribing Policies as a $59,998.00 $119,997.00Cost Containment Strategy to Preserve and Expand Health Care Access

TOTAL COST CONTAINMENT GRANTS AND CONTRACTS (8) $479,843.00 $957,855.00

Policy & Leadership DevelopmentNEW PROJECTS

Blue Cross and Blue Shield of 2010 Health Coverage Fellowship $17,000.00 $17,000.00Massachusetts Foundation, Inc.

Center for Health Policy Development 22nd Annual NASHP Conference - All Aboard! Destination: Health Reform $13,334.00 $13,334.00

Daniel Hanley Center for Health Health Leadership Scholarship Program $20,000.00 $52,000.00Leadership, Health Leadership Development Partnership

Maine Development Foundation Raising Statewide Awareness of Health Care as an Economic Driver for $24,950.00 $123,949.00Leadership Maine Participants, including Alumni

TOTAL POLICY & LEADERSHIP GRANTS AND CONTRACTS (4) $75,284.00 $206,283.00

Public Education/Consensus BuildingNEW PROJECTS

Community Concepts, Inc., Family MaineCare Western Maine $20,000.00 $20,000.00Services Dept.

Co-Occurring Collaborative Serving ME Collaborative Strategies to Strengthen the Understanding, Impact, and $19,171.00 $19,171.00Value of MaineCare for its Members

Maine Equal Justice Partners Collaborative Strategies to Strengthen the Understanding, Impact, and $19,280.00 $19,280.00Value of MaineCare for its Members

Maine Primary Care Association Navigating Improvement from the Front Lines $20,000.00 $20,000.00

Medical Care Development, Maine The Strategic Value of School-Based Health Centers in Strengthening $16,347.00 $16,347.00Assembly on School-Based Health Care MaineCare for its Members

NAMI-Maine Collaborative Strategies to Strengthen the Understanding, Impact, and $16,675.00 $16,675.00Value of MaineCare for its Members

Pivot Point, Inc. Facilitation of Collaborative Strategies to Strengthen the Understanding, $22,856.00 $28,000.00Impact, and Value of MaineCare for its Members

Sacopee Valley Health Center Strengthening MaineCare for its Members $20,000.00 $20,000.00

Anita Teague Ruff, MPH Focus Groups $698.00 $698.00

USM/Edmund S. Muskie School of Focus Groups $2,160.00 $2,160.00Public Service, Institute for Public Sector Innovation

TOTAL PUBLIC EDUCATION/CONSENSUS BUILDING GRANTS AND CONTRACTS (10) $157,187.00 $162,331.00

Advancing Health ReformGrants &Contracts



Other Health Reform GrantsNEW PROJECTS

University of New England Planning and Preparation for a College of Dental Medicine in Maine $82,444.00 $82,444.00

USM/Edmund S. Muskie School of Emergency Department Use Study - Phase II $60,000.00 $60,000.00Public Service, Cutler Institute for Health & Social Policy

TOTAL OTHER HEALTH REFORM GRANTS AND CONTRACTS (2) $142,444.00 $142,444.00

TOTAL GRANTS AND CONTRACTS: ADVANCING HEALTH REFORM (24) $854,758.00

Advancing Health ReformGrants &Contracts



Integration InitiativeNEW PROJECTS

Eastern Maine Medical Center, Center Integrating Behavioral Healthcare and Primary Care Services for $80,000 $220,770for Family Medicine Substance Abuse Affected Families

HealthReach Community Health Centers HealthReach Integrated Behavioral Health Initiative $80,000 $230,000

Mercy Hospital P-CCM Integrated Clinical Services $80,000 $230,000

Quality Counts Behavioral Health Integration Metrics System $76,787 $229,955

Maine DHHS, Maine Center for Systems Transformation Grant/Integration of Mental Health into $79,999 $229,999Disease Control and Prevention Public Health Systems

Tri-County Mental Health Services TCMHS Integrated Health in the Bridgton Region $80,000 $230,000

Barbara Shaw, JD “Overview of Medical and Behavioral Health Ethics in the Integrated $885 $885Setting” Presentation

Emily Hill & Associates, Inc. “Integration Reimbursement Strategies Training” Presentation $2,146 $2,146

Holly Korda Consultant Services to Support MeHAF Program Evaluation $842 $3,600

Javitch Associates Speaker for MeHAF Integration Initiative grantee learning collaborative $1,847 $1,847meeting

Jeff Matranga, Ph.D., ABPP “Evidence-based Mental and Behavioral Health Care for Adults” $400 $400Presentation

John Snow, Inc. (JSI) Evaluation of Integration Initiative $160,000 $197,455

Mary Talen, Ph.D. Presentation on “Mental and Behavioral Health Care in the Primary $1,493 $1,493Care Setting”

Public Health Consulting, LLC Support for MeHAF's Patient-Centered Care Integration Initiative $36,080 $36,080Grantee Learning Community

Scheirer Consulting Evaluation Planning and Support for MeHAF's Integration Initiative - 2009 $21,772 $24,600

CONTINUING PROJECTS

Acadia Hospital Integration of Primary Care and Addiction Specialist Treatment $148,940 $325,000

Amistad , Inc. Peer Patient Navigator Project $114,713 $324,577

Aroostook Mental Health Services, Inc. Behavioral and Physical Health Integration $125,000 $325,000

Community Counseling Center School-based Health Center Care Coordination Project $105,208 $317,110

Community Dental Western Maine Health Access and Integration Initiative $22,050 $325,000

DFD Russell Medical Center Mental Health Access at the Center of Health Project: Matching $77,798 $286,926Community Needs with Access and Advancing Patient Centered Care in our Communities through Integration

Hitchcock Foundation Integrated Care for Veterans: Community and VA Partnerships $110,637 $324,958

Maine Children's Alliance Data for Decision Making: Developing a System for Annual Reporting $59,992 $179,955of Mental Health Data for Maine's Children

Maine Migrant Health Program Integration Planning Project $13,782 $73,332

Maine-Dartmouth Family Medicine Transitioning Families $84,082 $232,777Residency

Northeast Health Foundation, Mid-Coast Mental Health Center Integrated Care Project $100,000 $325,000Mid-Coast Mental Health Center

Penobscot Community Health Center The Capehart Community Clinic Project $100,000 $325,000

Sacopee Valley Health Center Integrated Primary Care $98,477 $324,999

Spring Harbor Hospital Improving Patient Care Through Mental Health/Primary Care Integration $127,227 $324,697

St. Mary's Health System Great Falls Integrated Care Initiative $109,913 $325,000

University of New England Population-Specific, Patient-Centered Care for Low-Income People with $108,135 $214,816Multimorbidities

York County Community Action Seeking High Level Wellness: Providing an Integrated Model of Clinical $134,000 $324,000Corporation Practice that Responds to the Needs of Vulnerable Populations

Scheirer Consulting Evaluation of MeHAF's 2007A Integration Initiative $5,200 $35,854

TOTAL INTEGRATION INITIATIVE GRANTS AND CONTRACTS (33) $2,347,405 $6,553,231

TOTAL GRANTS AND CONTRACTS: PROMOTING PATIENT & FAMILY-CENTERED CARE (33) $2,347,405

Promoting Patient & Family-Centered CareGrants &Contracts



Medication Assistance & ManagementCONTINUING PROJECTS

USM/Edmund S. Muskie School of Evaluation of MeHAF's “Promoting Medication Assistance: $77,517.00 $374,086.00Public Service, Cutler Institute for Strengthening and Expanding Maine's Safety Net” InitiativeHealth & Social Policy

USM/Edmund S. Muskie School of Critical Access Hospital Medication Safety Technical Assistance $25,000.00 $142,584.00Public Service, Cutler Institute for & Promoting Medication Assistance Technical AssistanceHealth & Social Policy

TOTAL MEDICATION ASSISTANCE & MANAGEMENT GRANTS AND CONTRACTS (2) $102,517.00 $516,670.00

Oral HealthNEW PROJECTS

Community Dental Biddeford Dental Health Center $50,000.00 $50,000.00

Downeast Health Services, Inc. Integrating Oral Health Services and Expanding Portable Capacity $19,950.00 $19,950.00

Kennebec Valley Dental Coalition, Inc. Phase 2 Expansion: Completion of Two Operatories through the $39,620.00 $39,620.00d/b/a Community Dental Center Purchase and Installation of Necessary Equipment

Penobscot Indian Nation/Penobscot Expanding On-Site Dental Services $31,340.00 $31,340.00Nation Health Department

Pleasant Point Passamaquoddy Panoramic X-ray $15,000.00 $15,000.00

St. Andrews Hospital & Healthcare Center Lincoln County CarePartners Plus Dental Community Partnership $20,205.00 $20,205.00

Waldo Community Action Partners Waldo County Dental Program $4,694.00 $4,694.00

Washington County Children's Program WCCP Welcomes Dentrix Guru $39,725.00 $39,725.00

CONTINUING PROJECTS

Dala Consulting Oral Health Consultant $38,045.00 $38,045.00

DentaQuest Foundation Oral Health Funders Policy Group $7,300.00 $7,300.00

TOTAL ORAL HEALTH GRANTS AND CONTRACTS (10) $265,879.00 $265,879.00

Other Safety Net GrantsNEW PROJECTS

Maine Community Foundation, Inc. Nonprofit Assistance Collaborative Planning $2,500.00 $2,500.00

Maine Community Foundation, Inc., Maine Nonprofit Viability Program $28,450.00 $28,450.00Nonprofit Sector Viability Collaboration

Penobscot Indian Nation/Penobscot Maine Tribal Community Health Assessment $150,000.00 $150,000.00Nation Health Department

TOTAL OTHER SAFETY NET GRANTS AND CONTRACTS (3) $180,950.00 $180,950.00

TOTAL GRANTS AND CONTRACTS: STRENGTHENING MAINE’S SAFETY NET (15) $549,346.00

Strengthening Maine’s Safety NetGrants &Contracts


Other Funding


Fund for the FutureAOS 93 AOS#93 FARMS Equals Healthy Kids $24,559.00 $49,473.00

Child and Family Opportunities, Inc., Good Food: Community Based Support for Healthy Eating $25,000.00 $50,000.00Healthy Peninsula

Rangeley Lakes Heritage Trust Inc., EcoVenture Partnership to Address Childhood Obesity in the $25,000.00 $50,000.00EcoVenture Rangeley Region

TOTAL FUND FOR THE FUTURE (3) $74,559.00 $149,473.00

Discretionary GrantsAcadia Hospital Regional Prodrome Conference $2,000.00 $2,000.00

Aroostook County Action Program, Inc. Aroostook Partnership Extravaganza Youth Summit $1,000.00 $1,000.00Healthy Aroostook

Division of Public Health, HHS Dept., Sex Ed for Multicultural Parents $3,500.00 $3,500.00City of Portland

Division of Public Health, HHS Dept., Improving Physical Activities Among Portland Latinos Through $1,765.00 $1,765.00City of Portland - Health Promotion/ Soccer & Health Promotion: The 6th Annual Latino Soccer ChampionshipMinority Health Program (MHP)

HealthInfoNet Health Information Technology Strategic Plan for Maine $10,000.00 $10,000.00

HealthReach Network, HealthReach Maine Hospice Education Day $2,350.00 $2,350.00HomeCare and Hospice

Kennebec Valley Dental Center Dental Chair Purchase $10,000.00 $10,000.00

Maine Boys to Men Annual Boys to Men Conference: Standing Up for Substance Abuse $1,500.00 $1,500.00Prevention and Wellness Promotion

Maine Center for Public Health Incorporating Environmental Public Health Practice into Maine Existing $9,333.00 $9,333.00Public Health Frameworks: Phase 1

Maine Center on Deafness ASL Health Fair (ASL=American Sign Language) $1,500.00 $1,500.00

Maine Public Health Association Preparedness Messaging Campaign $9,780.00 $9,780.00

MaineGeneral Medical Center, Drug Overdose DVD - Proper Prescription Drug Use $6,324.00 $6,324.00Prevention Center

Mobius, Inc. Identifying Health Goals in Maine Developmental Services $9,837.00 $9,837.00

USM/Edmund S. Muskie School of Safety Net Program Evaluation: Comparing CarePartners to MaineCare $9,784.00 $9,784.00Public Service, Cutler Institute for Health & Social Policy

Welcoming Light, Inc. New England Regional Minority Health Conference $5,000.00 $5,000.00

TOTAL DISCRETIONARY GIFTS (15) $83,673.00 $83,673.00

Charitable GiftsAlzheimer's Disease & Related Disorders Charitable Gift for Board Service $1,200.00 $1,200.00Association, Inc - Maine Chapter

Aroostook Mental Health Services, Inc. Charitable Gift for Board Service $1,600.00 $1,600.00

Aroostook Mental Health Services, Inc., Wesley R. Davidson Endowment Fund $8,000.00 $8,000.00Wesley R. Davidson Endowment Fund

Association of Small Foundations General Support/Membership $1,500.00 $1,500.00

Family Violence Project Charitable Gift for Board Service $800.00 $800.00

Hearing Loss Association of America, Charitable Gift for Committee Service $800.00 $800.00Rochester Chapter

Maine Initiatives Watering Can Awards Night 2009 $5,000.00 $5,000.00

Natural Resources Council, Inc. Charitable Gift for Board Service $800.00 $800.00

St. Mary's Health System, St. Marguerite Charitable Gift for Board Service $1,600.00 $1,600.00D'Youville Fund for the Needy

TOTAL CHARITABLE GIFTS (9) $21,300.00 $21,300.00

TOTAL GRANTS, CONTRACTS AND GIFTS (99) $3,931,041.00

Grants &Contracts


Statement of Financial Position

Unaudited 2009 Audited 2008

AssetsGeneral fund cash and cash equivalents $87,663 $138,526

General fund investments, fair value 102,987,521 88,713,163

Program-related investments 750,000 750,000

Prepaid income taxes 100,000 114,000

Prepaid expenses and deposits 25,492 14,045

Deferred tax asset — 265,000

Property and equipment - net 35,994 50,323

Total Assets $103,986,670 $90,045,057

Liabilities and Net AssetsLIABILITIES

Grants payable $4,248,564 $5,441,227

Accounts payable and accrued liabilities 58,641 70,579

Deferred tax liability 225,000 —

Total Liabilities 4,532,205 5,511,806

NET ASSETS

Unreserved Fund Balance 99,454,465 84,533,251

Total Net Assets 99,454,465 84,533,251

Total Liabilities & Net Assets $103,986,670 $90,045,057

Statement of Activities and Changes in Net Assets

Support and RevenuesNet realized and unrealized (losses) gains on investments $18,384,149 $(40,074,004)

Investment income, net of fees 778,300 2,742,895

Contribution 12,500 5,994,039

Other income 562 35,330

Total Support & Revenue 19,175,511 (31,301,740)

ExpensesGrants and program expenses, net of refunds of unspent amounts 2,745,260 6,093,209

Administrative expenses 985,656 894,163

Depreciation 19,381 20,189

Excise tax expense (benefit) 504,000 (449,558)

Total Expenses 4,254,297 6,558,003

Change in net assets 14,921,214 (37,859,743)

MeHAF Net Assets, January 1 84,533,251 122,392,994

MeHAF Net Assets, December 31 99,454,465 84,533,251

Consultants

GENERAL COUNSEL

Elizabeth M. Sellers, Esq.Bernstein Shur

TAX ACCOUNTANT

Drew Cheney, CPABaker Newman & Noyes, LLC

ACCOUNTANT

Margo BelandMaine Development Foundation

AUDITORS

Linda Roberts, CPA, PrincipalSarah Belliveau, CPABerry Dunn McNeil & Parker

INVESTMENT ADVISORS

Greg JohnsonMichael SoaresPrime, Buchholz & Associates, Inc.

Note: The Board of Trusteesengaged the firm Berry DunnMcNeil & Parker of Portland,Maine to perform the annual audit.To obtain a copy of the 2008 auditreport, contact the MeHAF office.


Board of TrusteesSince its inception, MeHAF has been guidedby a highly experienced state-wide Boardthat represents the professional, philosophicaland demographic diversity of Maine. In addi-tion, the foundation’s by-laws specify that atleast three Board members represent “theinterests of the medically uninsured andunderserved.” The Board is comprised ofdistinguished leaders with recognized expert-ise in health policy and advocacy, the clinicaldelivery of health care, public health, busi-ness, finance, and philanthropy. Two of thefifteen Board members are founding Trusteeswho have guided MeHAF since theirappointment by the Attorney General in2001. Over half of the Board have previouslyserved on the foundation’s CommunityAdvisory Committee. In 2009, MeHAF wel-comed Sara Gagné-Holmes, Frank McGintyand Constance Sandstrom to the Board.

Cheryl Lee Rust, ChairWISCASSET

Jeff Wahlstrom, Vice ChairBANGOR

Ken Hews, FHFMA, FACHE, Treasurer BOWERBANK

Diana Scully, MSW, SecretaryHALLOWELL

Laurie Eddy, MSN, FNP, NP-C* HAMPDEN

Sara Gagné-Holmes, Esq. AUGUSTA

Maroulla Gleaton, MD PALERMO

Richard MarstonST. AGATHA

Francis (Frank) McGinty CUMBERLAND

Lisa Miller, MPH*SOMERVILLE

Wayne Myers, MDWALDOBORO

Karen O’Rourke, MPHFREEPORT

Neil RoldeYORK

Constance Sandstrom, MPAPRESQUE ISLE

Lee Webb UNION

* Founding Board Member

The foundation’s work is also informed bytwenty individuals who serve on MeHAF’sstate-wide Community Advisory Committee.Members represent many sectors and geo-graphic areas across Maine, and they provideguidance and professional expertise to thefoundation’s operations. MeHAF’s by-lawsstipulate that two-thirds of the CAC mem-bership be reserved for individuals who rep-resent the interests of the medically under-served and uninsured populations within thestate. At least one-third of the members musthave established expertise in health care withrespect to access for medically underservedand uninsured persons. In 2009, the CACwelcomed four new members: JohnEdwards, Carter Friend, Margaret Pinkham,and Shawn Yardley.

Community Advisory CommitteeLisa Sockabasin, BSN, Chair HALLOWELL

Carrie Horne, Vice-ChairAPPLETON

Kolawole Bankole, MD, MSPORTLAND

Julia Bell NORTH YARMOUTH

Edmund Cervone HALLOWELL

John Edwards, PhD* MACHIAS

Carter Friend, JD* PORTLAND

Ruth Frydman, MDCUMBERLAND

Sophia GliddenPALERMO

Megan Hannan BATH

Lisa Kavanaugh WINTHROP

Evelyn Kieltyka, MSN, FNPWINTHROP

L. Berell Kornreich, PhD PENOBSCOT

Victoria Kuhn, MBA FALMOUTH

Simonne MalineSOUTH PORTLAND

Robin Mayo, MPH, RNMILO

Edward Miller HALLOWELL

Peggy Pinkham* EAST BOOTHBAY

David White BAR HARBOR

C. Shawn Yardley*BANGOR

* New members elected in 2009

www.mehaf.org

150 Capitol Street, Suite 4

Augusta, Maine 04330

207.620.8266

www.mehaf.org

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