Primary Care Advanced Practice Provider

Overview

Job Title: Primary Care Nurse PractitionerEmployment Type: Full-TimeOrganization: Central Maine Healthcare - Topsham Family MedicineLocation: Topsham, Maine

Position SummaryCentral Maine Medical Center is seeking a dedicated and patient-focused Primary Care Nurse Practitioner (NP) to join our established outpatient primary care team. This role offers the opportunity to provide comprehensive, evidence-based care within a collaborative health system committed to improving the health of our communities.

Compensation & Benefits

Competitive compensation package
Comprehensive health, dental, and vision benefits
Malpractice coverage with tail
Retirement plan with employer contribution
Paid time off and CME allowance
Relocation assistance may be available

Why Central Maine Healthcare?At Central Maine Healthcare, you'll have the opportunity to practice meaningful, patient-centered medicine in a collaborative environment where physicians are valued and supported. Our integrated health system offers strong clinical resources, opportunities for professional growth and leadership, competitive compensation, and an exceptional quality of life in Maine. Join a team where you can build a rewarding career while making a lasting impact on the health of the communities you serve.

About the Community

Enjoy an exceptional quality of life with affordable housing, minimal commute times, highly rated schools, and access to some of the most beautiful landscapes in the Northeast. Outdoor enthusiasts can embrace all four seasons with hiking, trail running, mountain biking, boating, kayaking, fishing, golfing, skiing, snowshoeing and snowmobiling—all within a short drive of home. Just 30 minutes away, Portland offers one of the most celebrated culinary scenes in the country. From award-winning chefs and fresh Maine seafood to craft breweries, waterfront dining and vibrant farmers markets, the city has become a destination for food lovers from around the world.

Responsibilities

Provide full-scope primary care across the lifespan
Diagnose and manage acute and chronic conditions
Perform preventive care and health screenings
Develop individualized treatment plans
Collaborate with physicians and interdisciplinary care teams
Educate patients on wellness and disease management
Maintain accurate documentation within the EMR

Qualifications

Graduate of an accredited Nurse Practitioner program
Board Certified (FNP or ANP)
Active or eligible for Maine NP licensure
DEA certification (or eligible)
Strong clinical judgment and patient-centered communication skills

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Share this job

Related Jobs

Telehealth

Contract

2 months ago

Telehealth Nurse Practitioner | W2 FT

Allara Health Portland, ME

$120,000 - $130,000 / year

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women who have historically been underserved. To learn more about our mission and clinical approach, visit allarahealth.com . Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary care team to deliver the highest standards of care Complete required trainings and uphold Allara's clinical policies, standards, and best practices Educate patients on preventive care and wellness using evidence-based strategies Maintain accurate, up-to-date patient records and complete charting in a timely manner Respond to patient questions and administrative messages with clarity and care Dedicate a full-time focus to patient care, including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications Certification: Active national board certification as a (WHNP, FNP, or similar). Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity Webside Manner: A natural ability to build trust and connection with patients in a virtual setting Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools Telemedicine Experience: Prior telehealth experience is a plus State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. What Allara Offers Annual base salary range: $120,000 – $130,000, and can increase up to $172,500 - $182,500 through our incentive compensation program. Final base salary & incentive range is commensurate with years of relevant experience. Health and Wellness: Medical, dental, and vision benefits Future Planning: 401(k) plan Time Off: Annual vacation, sick days, and holidays CME: Annual stipend and dedicated PTO days Flexible Scheduling: Set your schedule within full-time hour requirements Malpractice Insurance: Comprehensive coverage provided at no cost to you Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

Telehealth

Contract

2 months ago

1099 Telemedicine Nurse Practitioner| Evenings, Fridays, and/or Weekends

Allara Health Portland, ME

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women with complex hormonal and metabolic conditions. To learn more about our mission and clinical approach, visit allarahealth.com . Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary care team to deliver the highest standards of care Complete required trainings and uphold Allara's clinical policies, standards, and best practices Educate patients on preventive care and wellness using evidence-based strategies Maintain accurate, up-to-date patient records and complete charting in a timely manner Respond to patient questions and administrative messages with clarity and care Dedicate a minimum of 10 patient-facing hours per week, including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications Board Certification: Active national board certification as a WHNP, FNP, or similar Experience: Minimum of 2 years of consecutive clinical experience as a Nurse Practitioner, with a focus on chronic and complex women's health conditions including PCOS, Endometriosis, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity Webside Manner: A natural ability to build trust and connection with patients in a virtual setting Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools Telemedicine Experience: Prior telehealth experience is a plus State License Requirements and Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. Schedule Requirements Evenings, Fridays, and/or Weekends: A minimum of 80% of weekly contracted hours must fall within the following windows: Evenings (any day): 5:00 PM – 9:00 PM Fridays: 8:00 AM – 9:00 PM Saturdays & Sundays: 8:00 AM – 6:00 PM All hours are scheduled in the time zone of your active state license(s). What Allara Offers 1099 Contract: The flexibility and autonomy of an independent contractor arrangement Competitive Compensation: Per-visit rates plus additional pay for charting, administrative tasks, and other patient-related work Fully Remote: Work from anywhere in the U.S. Malpractice Insurance: Comprehensive coverage provided at no cost to you Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

Telehealth

Contract

2 months ago

1099 Telemedicine Nurse Practitioner | Flexible Schedule

Allara Health Portland, ME

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women with complex hormonal and metabolic conditions. To learn more about our mission and clinical approach, visit allarahealth.com . Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary care team to deliver the highest standards of care Complete required trainings and uphold Allara's clinical policies, standards, and best practices Educate patients on preventive care and wellness using evidence-based strategies Maintain accurate, up-to-date patient records and complete charting in a timely manner Respond to patient questions and administrative messages with clarity and care Dedicate a minimum of 10 patient-facing hours per week , including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications Board Certification: Active national board certification as a WHNP, FNP, or similar Experience: Minimum of 2 years of consecutive clinical experience as a Nurse Practitioner, with a focus on chronic and complex women's health conditions including PCOS, Endometriosis, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity Webside Manner: A natural ability to build trust and connection with patients in a virtual setting Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools Telemedicine Experience: Prior telehealth experience is a plus State License Requirements and Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. What Allara Offers 1099 Contract: The flexibility and autonomy of an independent contractor arrangement Competitive Compensation: Per-visit rates plus additional pay for charting, administrative tasks, and other patient-related work Fully Remote: Work from anywhere in the U.S. Flexible Scheduling: Set hours that fit your life, not the other way around Malpractice Insurance: Comprehensive coverage provided at no cost to you Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

Outpatient

Full-time

3 weeks ago

Gastroenterology Advanced Practice Provider

Prime Healthcare Lewiston, ME

Bonus Amount Up to $10,000 Sign-On Bonus Bonus Information Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process. Overview Job Title: Gastroenterology Advanced Practice Provider (NP/PA) Employment Type: Full-Time Organization: Central Maine Healthcare Location: Lewiston, Maine Position Overview Central Maine Healthcare is seeking a Gastroenterology Advanced Practice Provider (NP/PA) to join its team serving the Central Maine region. The Gastroenterology APP provides high-quality, patient-centered care for individuals with acute and chronic gastrointestinal, pancreatic, and hepatobiliary conditions. Responsibilities include evaluating patients, developing treatment plans, ordering and interpreting diagnostic tests, coordinating care, providing patient education, and collaborating with physicians and the multidisciplinary healthcare team. Compensation & Benefits Competitive compensation package Comprehensive health, dental, and vision benefits Malpractice coverage with tail Retirement plan with employer contribution Paid time off and CME allowance Relocation assistance may be available Potential for sign on bonus with options for relocation assistance and loan repayment Why Central Maine Healthcare? At Central Maine Healthcare, you'll have the opportunity to practice meaningful, patient-centered medicine in a collaborative environment where physicians are valued and supported. Our integrated health system offers strong clinical resources, opportunities for professional growth and leadership, competitive compensation, and an exceptional quality of life in Maine. As Maine's second-largest metropolitan area, the Twin Cities provide access to a diverse patient population, a collaborative medical community, and the ability to make a meaningful impact on the health of the region. Join a team where you can build a rewarding career while making a lasting impact on the health of the communities you serve. About the Community Located along the Androscoggin River, Lewiston-Auburn offers the perfect blend of professional opportunity, outdoor adventure, and New England charm. Lewiston-Auburn is also home to a thriving arts and culture scene, community festivals, performing arts venues, and the nationally recognized Bates College. Enjoy an exceptional quality of life with affordable housing, minimal commute times, highly rated schools, and access to some of the most beautiful landscapes in the Northeast. Outdoor enthusiasts can embrace all four seasons with hiking, trail running, mountain biking, boating, kayaking, fishing, golfing, skiing, snowshoeing and snowmobiling—all within a short drive of home. Just 40 minutes away, Portland offers one of the most celebrated culinary scenes in the country. From award-winning chefs and fresh Maine seafood to craft breweries, waterfront dining and vibrant farmers markets, the city has become a destination for food lovers from around the world. Responsibilities Perform comprehensive patient assessments, including medical histories and physical examinations. Diagnose and manage common gastrointestinal conditions such as: Gastroesophageal reflux disease (GERD) Inflammatory bowel disease (IBD) Irritable bowel syndrome (IBS) Peptic ulcer disease Chronic liver disease Viral hepatitis Pancreatic disorders Constipation and diarrhea Gastrointestinal bleeding (as appropriate) Order, interpret, and communicate laboratory, imaging, and pathology results. Develop and implement evidence-based treatment plans. Prescribe medications and monitor therapeutic response in accordance with state regulations. Provide pre- and post-procedure evaluation for endoscopic procedures. Educate patients and families regarding disease management, medications, nutrition, and preventive care. Coordinate referrals and collaborate with primary care providers, surgeons, oncology, radiology, nutrition, and other specialists. Document clinical encounters accurately and promptly in the electronic medical record (EMR). Participate in quality improvement initiatives and maintain compliance with regulatory standards. May assist with inpatient consults, hospital rounding, or procedural support depending on practice needs. Qualifications Required Master's or Doctoral degree from an accredited Nurse Practitioner or Physician Assistant program Current state licensure as an NP or PA National board certification (AANP, ANCC, NCCPA, or equivalent) DEA registration and prescriptive authority Current Basic Life Support (BLS) certification Strong clinical assessment and diagnostic skills Knowledge of gastrointestinal diseases and current treatment guidelines Excellent communication and patient education abilities Ability to manage multiple priorities in a fast-paced clinical environment Strong collaboration and interdisciplinary teamwork skills Commitment to evidence-based practice and continuous professional development Preferred 1–3 years of experience in gastroenterology, internal medicine, hospital medicine, or primary care Experience with EMR systems Employment Status Full Time Shift Variable Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Outpatient

Full-time

1 month ago

Vascular Surgery Advanced Practice Provider

Prime Healthcare Lewiston, ME

Bonus Amount Up to $10,000 Sign-On Bonus Bonus Information Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process. Overview Job Title: Vascular Surgery Advanced Practice Provider Employment Type: Full-Time Organization: Central Maine Healthcare Location: Lewiston, Maine Position Overview Central Maine Healthcare is seeking a Full-Time Vascular Surgery PA/NP to join its growing vascular surgery team serving the Central Maine region. The PA/NP will work collaboratively with vascular surgeons and multidisciplinary healthcare professionals to provide comprehensive care for patients with arterial, venous, and lymphatic disorders. Responsibilities include outpatient clinic management, inpatient care, perioperative support, and first-assist duties in the operating room. Compensation & Benefits Competitive compensation package Comprehensive health, dental, and vision benefits Malpractice coverage with tail Retirement plan with employer contribution Paid time off and CME allowance Potential for sign on bonus with options for loan repayment and relocation assistance Why Central Maine Healthcare? At Central Maine Healthcare, you'll have the opportunity to practice meaningful, patient-centered medicine in a collaborative environment where physicians are valued and supported. Our integrated health system offers strong clinical resources, opportunities for professional growth and leadership, competitive compensation, and an exceptional quality of life in Maine. As Maine's second-largest metropolitan area, the Twin Cities provide access to a diverse patient population, a collaborative medical community, and the ability to make a meaningful impact on the health of the region. Join a team where you can build a rewarding career while making a lasting impact on the health of the communities you serve. About the Community Located along the Androscoggin River, Lewiston-Auburn offers the perfect blend of professional opportunity, outdoor adventure, and New England charm. Lewiston-Auburn is also home to a thriving arts and culture scene, community festivals, performing arts venues, and the nationally recognized Bates College. Enjoy an exceptional quality of life with affordable housing, minimal commute times, highly rated schools, and access to some of the most beautiful landscapes in the Northeast. Outdoor enthusiasts can embrace all four seasons with hiking, trail running, mountain biking, boating, kayaking, fishing, golfing, skiing, snowshoeing and snowmobiling—all within a short drive of home. Just 40 minutes away, Portland offers one of the most celebrated culinary scenes in the country. From award-winning chefs and fresh Maine seafood to craft breweries, waterfront dining and vibrant farmers markets, the city has become a destination for food lovers from around the world. About Us Central Maine Healthcare (CMH), a member of Prime Healthcare Foundation, is an integrated healthcare delivery system serving approximately 400,000 residents across central, western, and midcoast Maine through a network of more than 40 primary and specialty care locations. The system includes Central Maine Medical Center (CMMC) in Lewiston, a 250-bed, not-for-profit regional referral hospital that is home to the region's only Cancer Care Center, an orthopedic ambulatory surgery center, and the Central Maine Heart and Vascular Institute. CMMC also serves as the central Maine base for LifeFlight of Maine, the state's only medical helicopter service. CMH also includes Bridgton Hospital and Rumford Hospital, two 25-bed critical access hospitals that provide essential care to Maine's rural communities. As part of its commitment to healthcare education and workforce development, CMH is home to the Maine College of Health Professions, Maine's first nursing and medical imaging school. The private, not-for-profit institution is accredited by the New England Commission of Higher Education and plays an important role in training the next generation of healthcare professionals. To learn more, visit www.cmhc.org. Responsibilities Clinical Care Conduct comprehensive patient evaluations, including medical history reviews and physical examinations. Develop and implement treatment plans in collaboration with supervising vascular surgeons. Order, interpret, and communicate diagnostic studies, including vascular ultrasounds, CT angiography, laboratory tests, and other relevant imaging. Manage preoperative and postoperative patient care. Perform hospital rounds and coordinate inpatient management plans. Provide patient and family education regarding diagnoses, treatment options, procedures, and postoperative care. Surgical Support Function as first assist during vascular surgical procedures, including open and endovascular interventions. Assist with vein harvesting, wound closure, vascular exposure, and other operative responsibilities as delegated. Participate in perioperative assessment and management of surgical patients. Procedures Perform office-based and bedside procedures within scope of practice, which may include: Wound debridement and wound care management Suture and staple removal Incision and drainage procedures Central and arterial line management Vascular access procedures Ultrasound-guided interventions as credentialed Care Coordination Collaborate with physicians, nurses, radiology staff, rehabilitation specialists, and primary care providers to ensure continuity of care. Coordinate referrals, consultations, and follow-up appointments. Participate in quality improvement initiatives and clinical pathway development. Documentation and Compliance Maintain accurate and timely documentation in the electronic medical record (EMR). Ensure compliance with hospital policies, regulatory standards, and evidence-based clinical practices. Participate in departmental meetings, continuing education, and professional development activities. Qualifications Graduate of an accredited Physician Assistant or Nurse Practitioner program. Current certification. Active state PA/NP license or eligibility for licensure. Current Basic Life Support (BLS). Ability to obtain hospital privileges and credentialing. Previous experience in vascular surgery, cardiovascular surgery, general surgery, or related surgical specialty. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf