SOUTHERN MAINE HEALTH CARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN MAINE HEALTH CARE (EIN 01-0179500)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-13
IRS object ID: 201922259349301707
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-13T13:22:14-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010179500	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN MAINE HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	2072837000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 626	AddressLine1Txt
City	BIDDEFORD	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04005	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Richard Olsen	PersonNm
Person Title	Senior VP & CFO	PersonTitleTxt
Phone	2072837000	PhoneNum
Signature	2019-08-12	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	63.247.60.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-08-13	IPDt
IP Tm	14:21:16	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B45CD6F9D1811B9916B2A423673B63195B36551F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B45CD6F9D1811B9916B2A423673B63195B36551F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Nathan Howell	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 626	AddressLine1Txt
City	Biddeford	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	040050626	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$305,761,659	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SMHC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	Southern Maine Health Care exists to improve the health and health care of the communities we serve.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2110	TotalEmployeeCnt
Total Volunteers	217	TotalVolunteersCnt
Total Gross UBI	$170,437	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,176,344	PYContributionsGrantsAmt
CY Contributions Grants	$2,346,795	CYContributionsGrantsAmt
PY Program Service Revenue	$273,735,838	PYProgramServiceRevenueAmt
CY Program Service Revenue	$281,812,164	CYProgramServiceRevenueAmt
PY Investment Income	$3,995,626	PYInvestmentIncomeAmt
CY Investment Income	$7,416,307	CYInvestmentIncomeAmt
PY Other Revenue	$7,176,983	PYOtherRevenueAmt
CY Other Revenue	$6,543,046	CYOtherRevenueAmt
PY Total Revenue	$287,084,791	PYTotalRevenueAmt
CY Total Revenue	$298,118,312	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$152,140,405	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$169,811,405	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$267,679	CYTotalFundraisingExpenseAmt
PY Other Expenses	$129,545,865	PYOtherExpensesAmt
CY Other Expenses	$126,599,344	CYOtherExpensesAmt
PY Total Expenses	$281,686,270	PYTotalExpensesAmt
CY Total Expenses	$296,410,749	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,398,521	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,707,563	CYRevenuesLessExpensesAmt
Total Assets BOY	$276,279,893	TotalAssetsBOYAmt
Total Assets EOY	$266,818,176	TotalAssetsEOYAmt
Total Liabilities BOY	$127,583,323	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$120,847,383	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$148,696,570	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$145,970,793	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$173,827,945	ExpenseAmt
Revenue	$208,186,443	RevenueAmt
Desc	Southern Maine Health Care operates two hospital facilites with a total of 208 beds, which strives to meet the health care needs of idividuals and families throughout York County. SMHC offers a broad range of medical, surgical, diagnostic, clinical and rehabilitation services, wellness education, support groups and other community outreach programs. SMHC had 48,975 emergency room visits, 117,750 radiological procedures, and 6,773 surgical cases. This includes patients who are underinsured or those without insurance. In addition to the charitable care services, we are continually absorbing all the costs associated with providing the community with a variety of special complimentary educational and informational services. (Continued on Schedule O) (Continuation) SMHC proudly sponsors community organizations, civic organizations and special events. SMHC airs a weekly radio program featuring SMHC physicians talking about important health topics. The radio programs are also shared through social media as podcasts. Each month, SMHC sponsors numerous free and low-cost health classes, and support groups. Each year SMHC participates in health fairs and business events, and offers special events like free screening clinics and information sessions. Assistance is also offered to patients in need of Medication assistance, help with insurance and medical issues, as well as personal issues including tax information, finances and home needs.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$69,676,342	ExpenseAmt
Revenue	$75,947,530	RevenueAmt
Desc	SMHC Physician Services consists of many physicians with multi-specialty services in different locations throughout York county. These physicians compliment the hospital in maintaining its mission to serve as a leader in improving the health and well-being of our community by serving the populous. These specialties include (but are not limited to) cardiology, ear, nose and throat, family practices, women's health, internal medicine, pediatrics, orthopedic and general surgery. SMHC Physician Services had 268,131 office visits and 49,666 walk-in care visits.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,894,022	ExpenseAmt
Revenue	$5,402,361	RevenueAmt
Desc	SMHC eldercare services provide long-term care, medical services, and daycare to our senior citizens. Eldercare had a total of 25,504 patient days. We continue to grow and adapt to the needs of our community with these services. SMHC eldercare prides themselves by creating a home-like, comfortable environment for the residents and staff. The Newton Center for Rehabilitation and Nursing Care promotes high quality care; with dedicated staff, family education and involvement make this program special.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$249,398,309	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	83	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2110	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHARD OLSEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2072837898	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 MEDICAL CENTER DRIVE	AddressLine1Txt
City	BIDDEFORD	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	040050626	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BAUMAN ROBERT P
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MANNING PETER MD
SECRETARY	1.00	50.00	Yes (X)	$389,887	$0	$13,601	Yes (X)
BURGESS DONALD MD
TRUSTEE	1.00	50.00	Yes (X)	$215,983	$0	$36,288
GAINES BERNARD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
CARROLL MICHAEL MD
TRUSTEE	1.00	50.00	Yes (X)	$381,644	$0	$40,149
O'HARE MARY MD
TRUSTEE	1.00	50.00	Yes (X)	$327,830	$0	$13,246
QUENTIN ROBERT C
TREASURER	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
QUINN-SKILLINGS GINA MD
TRUSTEE	5.00	45.00	Yes (X)	$0	$292,700	$44,175
GOUDREAU FRANK DO
TRUSTEE	1.00	50.00	Yes (X)	$677,240	$0	$37,678
PERKINS MERILEE
VICE CHAIRPERSON	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
HISSONG GEORGE JR
CHAIRPERSON	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DOMINE CYNTHIA
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
BUCK STEVEN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
KOWASH PHILIP MD
TRUSTEE	1.00	50.00	Yes (X)	$280,447	$0	$35,976
ZUKE THOMAS
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
MILLS JOHN
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
APRILE PATRICIA
SENIOR VP/COO	50.00	1.00		$360,671	$0	$32,917	Yes (X)
MCGEACHEY EDWARD J
FORMER PRESIDENT	50.00	1.00		$612,918	$0	$33,770	Yes (X)
ALBAUM MICHAEL MD
SENIOR VP/CMO	1.00	50.00		$362,876	$0	$41,626	Yes (X)
OLSEN RICHARD
SENIOR VP & CFO	50.00	1.00		$319,047	$0	$27,858	Yes (X)
HOWELL NATHAN
PRESIDENT	50.00	1.00		$0	$0	$0	Yes (X)
KHAN MUHAMMAD A MD
PHYSICIAN	50.00	0.00		$880,715	$0	$38,657		Yes (X)
SHERMAN HOWARD B MD
PHYSICIAN	50.00	1.00		$779,759	$0	$35,966		Yes (X)
THOMPSON JOHN W MD
PHYSICIAN	50.00	0.00		$771,422	$0	$40,669		Yes (X)
REZA SHABBIR MD
PHYSICIAN	50.00	0.00		$764,518	$0	$41,336		Yes (X)
JOHNSON DAVID A MD
PHYSICIAN	50.00	0.00		$751,689	$0	$38,208		Yes (X)
BELAIR NORMAN
FORMER SENIOR VP & CFO	50.00	1.00		$150,888	$0	$6,293			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,027,534	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$292,700	TotReportableCompRltdOrgAmt
Total Other Compensation	$558,413	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	251	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Healthcare Excellence Inst
21045 N 9th Place Suite 205	Phoenix	AZ	85024	Billing Svcs	$3,152,864
Medicus Hospitalists LLC
22 Roulston Rd	Windham	NH	03087	Locums	$594,850
Spectrum Medical Group PA
324 Gannett Drive Suite 200	Portland	ME	04106	Med Director	$526,654
Optuminsight
3797 Momentum Place	Chicago	IL	606895337	Med Record Rev	$231,170
Maine Nephrology Associates
1600B Congress Street	Portland	ME	04102	Med Record Rev	$162,187

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Related Organizations	$192,178	RelatedOrganizationsAmt
Government Grants	$661,575	GovernmentGrantsAmt
All Other Contributions	$1,493,042	AllOtherContributionsAmt
Noncash Contributions	$117,387	NoncashContributionsAmt
Total Contributions	$2,346,795	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	623000	$281,642,926	$281,642,926
PATIENT SERVICES	621500	$169,238		$169,238

Field	Value	IRS element (for citing)
Total Program Service Revenue	$281,812,164	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,235,273	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,199	UnrelatedBusinessRevenueAmt
Exclusion	$6,234,074	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$168,922	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$338,250	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$169,328	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$169,328	TotalRevenueColumnAmt
Exclusion	-$169,328	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,478,506	SecuritiesAmt
Other	$7,625	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,243,480	SecuritiesAmt
Other	$61,617	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,235,026	SecuritiesAmt
Other	-$53,992	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,181,034	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,181,034	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER MEDICAL SERVICES	621990	$3,401,288	$3,401,288
PHARMACY	446110	$831,579	$831,579
GAIN ON INVESTMENT IN OTHERS	900099	$295,046	$295,046

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,184,461	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,184,461	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,712,374	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$298,118,312	TotalRevenueColumnAmt
Related Or Exempt Func Income	$289,536,334	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$170,437	UnrelatedBusinessRevenueAmt
Exclusion	$6,064,746	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,743,892	TotalAmt
Program Services	$2,695,602	ProgramServicesAmt
Management And General	$1,048,290	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$134,949,850	TotalAmt
Program Services	$123,567,994	ProgramServicesAmt
Management And General	$11,262,115	ManagementAndGeneralAmt
Fundraising	$119,741	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,320,494	TotalAmt
Program Services	$3,021,650	ProgramServicesAmt
Management And General	$295,524	ManagementAndGeneralAmt
Fundraising	$3,320	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,178,117	TotalAmt
Program Services	$17,452,087	ProgramServicesAmt
Management And General	$1,706,852	ManagementAndGeneralAmt
Fundraising	$19,178	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,619,052	TotalAmt
Program Services	$7,845,272	ProgramServicesAmt
Management And General	$764,896	ManagementAndGeneralAmt
Fundraising	$8,884	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$99,918	TotalAmt
Management And General	$99,918	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$108,814	TotalAmt
Management And General	$108,814	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,713,260	TotalAmt
Program Services	$29,436,542	ProgramServicesAmt
Management And General	$1,263,391	ManagementAndGeneralAmt
Fundraising	$13,327	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$553,620	TotalAmt
Program Services	$27,625	ProgramServicesAmt
Management And General	$509,862	ManagementAndGeneralAmt
Fundraising	$16,133	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,174,424	TotalAmt
Program Services	$445,474	ProgramServicesAmt
Management And General	$720,328	ManagementAndGeneralAmt
Fundraising	$8,622	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$85,230	TotalAmt
Program Services	$12,825	ProgramServicesAmt
Management And General	$72,405	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,584,790	TotalAmt
Program Services	$7,456,818	ProgramServicesAmt
Management And General	$1,127,972	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$306,415	TotalAmt
Program Services	$198,755	ProgramServicesAmt
Management And General	$107,660	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,610,107	TotalAmt
Program Services	$28,647	ProgramServicesAmt
Management And General	$2,581,460	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,420,670	TotalAmt
Program Services	$10,943,937	ProgramServicesAmt
Management And General	$4,476,733	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,937,183	TotalAmt
Program Services	$2,291,148	ProgramServicesAmt
Management And General	$646,035	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$31,319,394	$29,850,533	$1,463,745	$5,116
Integrated Services	$17,395,412	$746,047	$16,649,365	$0
Physcian Fees	$6,671,927	$6,671,927	$0	$0
Provider Tax	$6,005,241	$6,005,241	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,612,939	TotalAmt
Program Services	$700,185	ProgramServicesAmt
Management And General	$1,839,396	ManagementAndGeneralAmt
Fundraising	$73,358	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$296,410,749	TotalAmt
Program Services	$249,398,309	ProgramServicesAmt
Management And General	$46,744,761	ManagementAndGeneralAmt
Fundraising	$267,679	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$901,379	BOYAmt
EOY	$1,681,821	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,213,040	BOYAmt
EOY	$16,869,782	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,313,344	BOYAmt
EOY	$33,977,536	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,889,564	BOYAmt
EOY	$3,743,186	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,953,808	BOYAmt
EOY	$1,640,315	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$284,126,855	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$200,930,858	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$91,409,523	BOYAmt
EOY	$83,195,997	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,277,659	BOYAmt
EOY	$44,752,109	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,338,506	BOYAmt
EOY	$22,633,880	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$62,983,070	BOYAmt
EOY	$58,323,550	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$276,279,893	BOYAmt
EOY	$266,818,176	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,866,915	BOYAmt
EOY	$20,707,739	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$181,000	BOYAmt
EOY	$92,501	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,997,520	BOYAmt
EOY	$25,944,671	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,760,880	BOYAmt
EOY	$8,947,596	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$65,777,008	BOYAmt
EOY	$65,154,876	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,583,323	BOYAmt
EOY	$120,847,383	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$132,323,198	BOYAmt
EOY	$128,266,972	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,893,180	BOYAmt
EOY	$3,434,288	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,480,192	BOYAmt
EOY	$14,269,533	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$148,696,570	BOYAmt
EOY	$145,970,793	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$276,279,893	BOYAmt
EOY	$266,818,176	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,707,563	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$4,469,285	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$35,945	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$30,360	OtherActivitiesAmt
Total Lobbying Expenditures	$30,360	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	SMHC is a member of the Maine Hospital Association (MHA), the American Hospital Association (AHA) and the Maine Health Care Association (MHCA). $16,595 of the dues paid to MHA, $10,977 of the dues paid to AHA and $2,788 of the dues paid to MHCA are available for lobbying.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$64,463,784	BeginningYearBalanceAmt
Contributions	$282,386	ContributionsAmt
Investment Earnings Or Losses	$2,267,386	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,618,507	OtherExpendituresAmt
End Year Balance	$59,395,049	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$67,209,253	BeginningYearBalanceAmt
Contributions	$3,517,945	ContributionsAmt
Investment Earnings Or Losses	$8,556,164	InvestmentEarningsOrLossesAmt
Other Expenditures	$14,819,578	OtherExpendituresAmt
End Year Balance	$64,463,784	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$71,825,362	BeginningYearBalanceAmt
Contributions	$89,421	ContributionsAmt
Investment Earnings Or Losses	$5,294,858	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,000,388	OtherExpendituresAmt
End Year Balance	$67,209,253	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,050,388	BeginningYearBalanceAmt
Contributions	$9,587	ContributionsAmt
Investment Earnings Or Losses	-$3,234,613	InvestmentEarningsOrLossesAmt
End Year Balance	$71,825,362	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,515,244	BeginningYearBalanceAmt
Contributions	$35,609,041	ContributionsAmt
Investment Earnings Or Losses	-$6,073,897	InvestmentEarningsOrLossesAmt
End Year Balance	$75,050,388	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.96110	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.03890	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,178,307	OtherCostOrOtherBasisAmt
Book Value	$4,178,307	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,512,945	OtherCostOrOtherBasisAmt
Depreciation	$102,534,229	DepreciationAmt
Book Value	$59,978,716	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,333,116	OtherCostOrOtherBasisAmt
Depreciation	$4,464,929	DepreciationAmt
Book Value	$3,868,187	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$101,738,415	OtherCostOrOtherBasisAmt
Depreciation	$88,432,867	DepreciationAmt
Book Value	$13,305,548	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,364,072	OtherCostOrOtherBasisAmt
Depreciation	$5,498,833	DepreciationAmt
Book Value	$1,865,239	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$83,195,997	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Alternative Investments	$21,401,189	F
Investment in Real Property	$1,232,691	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$22,633,880	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$2,364,675
BENEFICIAL INTEREST PERPETUAL TRUST	$12,366,948
INVESTMENT IN MH ACO	$408,518
PPD SHARED HEALTH RECORD SYSTEM COST	$38,542,765
DUE FROM RELATED PARTIES	$268,709
CSV OF LIFE INSURANCE	$851,677
DUE FROM 3rd PARTY PAYOR SETTLEMENT	$3,520,258

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$58,323,550	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LINE OF CREDIT	$4,725,000
CAPITAL LEASE OBLIGATION	$7,942,908
DUE TO AFFILIATES	$52,486,968

Field	Value	IRS element (for citing)
Total Liability	$65,154,876	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	SMHC and the Cancer Care Center of York County are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$13,442,629	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$13,442,629	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$13,442,629	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 3: Activities per Region	FormAndLineReferenceDesc
Explanation	Central America and the Caribbean: Expenditures - $ 0 Investments - $13,442,629	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,826,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,826,041	NetCommunityBenefitExpnsAmt
Total Expense	0.02300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,608,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,806,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,802,503	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,434,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,806,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,628,544	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$976,919	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$976,919	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$593,234	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$593,234	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,429,900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,811,424	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,618,476	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$186,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$186,177	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,186,230	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,811,424	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,374,806	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,620,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,617,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,003,350	NetCommunityBenefitExpnsAmt
Total Expense	0.05730	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$15,138,636	BadDebtExpenseAmt
Reimbursed By Medicare	$114,506,593	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$135,339,588	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,832,995	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
Southern Maine Health Care - Biddeford
1	One Medical Center Drive	Biddeford	ME	04005	www.smhc.org	38882	Yes (X)	Yes (X)	Yes (X)
Southern Maine Health Care - Sanford
2	25 June Street	Sanford	ME	04073	www.smhc.org	38882	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Southern Maine Health Care	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.000000000000	FPGFamilyIncmLmtFreeCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Southern Maine Health Care	Part V, Section B, Line 5: Local community input and engagement was an integral part of the CHNA process and this included community forums, focus groups, electronic surveys and group presentations. These groups were comprised of local community members, healthcare providers, disparate populations and those with knowledge of public health. The local advisory group consisted of groups from Southern Maine Health Care, York Hospital, Community Health Coalitions, United Way, York County Community College, local FQHC, Rotary Club, Visiting Nurses, University of New England and the District Public Health Liaison.
Southern Maine Health Care	Part V, Section B, Line 6a: The CHNA was conducted through a partnership between MaineHealth, Eastern Maine Healthcare Systems, MaineGeneral Health, and the Maine Department of Health and Human Services.
Southern Maine Health Care	Part V, Section B, Line 11: For the 2016-2018 CHNA, the organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2016-2018 Community Health NeedsAssessment and Annual Implementation Report Update FY18 at:https://mainehealth.org/healthy-cmmunities/community-health-needs-assessment for details of the activities undertaken by the organization.
Southern Maine Health Care:	Part V, Section B, Lines 7a and 10a:The CHNA and implementation strategy are posted on the following website:https://mainehealth.org/healthy-communities/community-health-needs-assessment
Southern Maine Health Care:	Part V, Section B, Lines 16a, 16b, and 16c:The Financial Assistance Policy (FAP) and plain language summary areavailable on the following website:https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance. The FAP Application Form is available on the followingwebsite: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SMHC Phys Svcs & Anc Facility
9 Healthcare Drive	Biddeford	ME	04005	Physician Offices and Diagnostic Service
2 - SMHC Phys Svcs & Rehab Therapy
45 Barra Road	Biddeford	ME	04005	Int Med, Orth Surg, Neurology, & Rehab
3 - SMHC Phys Svcs - Infectious Disease
2 Medical Center Drive	Biddeford	ME	04005	Infectious Disease Physician Services
4 - SMHC Phys Svcs - Anc Facility
2 Livewell Drive	Kennebunk	ME	04043	Phys Offices, Anc Svcs, Minor Procedures
5 - SMHC Phys Svcs - Internal Medicine
72 Main Street	Kennebunk	ME	04043	Internal Medicine Physician Services
6 - SMHC Phys Svcs - Pediatrics
3 Shape Drive	Kennebunk	ME	04043	Pediatric Physician Services
7 - SMHC Phys Svcs
13 Industrial Park Road	Saco	ME	04072	Family Medicine Physician Services
8 - SMHC Phys Svcs & Walk in Care Fac
655 Main Street	Saco	ME	04072	Pediatrics & Osteopathic Manipulation
9 - SMHC Phys Svcs Anc Svcs Walk-in
10 Goodall Drive	East Waterboro	ME	04030	Family Med Phys Svcs, Anc Svcs, Walk-in
10 - SMHC Phys Svcs Goodall Med Off Bld
25 A June Street	Sanford	ME	04073	Phys. Svcs, Anc. Svcs & Minor Procedures
11 - SMHC Newton Center
35 July Street	Sanford	ME	04073	Nursing Home
12 - SMHC Wellness Center
13 July Street	Sanford	ME	04073	Rehab Therapy & Occupational Medicine
13 - SMHC Oncology
26 West Cole Rd	Biddeford	ME	04005	Physician Services - Oncology
14 - SMHC Oncology
27 Industrial Park Rd	Sanford	ME	04073	Physician Services - Oncology
15 - SMHC Dermatology
26A West Cole Rd	Biddeford	ME	04005	Physician Services - Dermatology
16 - SMHC Phys Svcs - Sports Performance
1 Emile Levasseur Drive	Sanford	ME	04073	Physician Services - Sports Performance
17 - SMHC Sports Medicine
12 Thornton Avenue	Saco	ME	04072	Sports Medicine Clinic
18 - SMHC Phys Svcs - Partial Hospital Prog
235 Main Street	Biddeford	ME	04005	Substance Abuse, Psychiatry
19 - SMHC Billing Dept
4 Shape Drive	Kennebunk	ME	04043	Physician Services Billing

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7g - Subsidized Health Services Explanation	$1,618,476 of net community benefit related to Subsidized Health Services is included in Part I, Line 7g. This amount includes: Mental Health Services - $1,128,005, and Oncology Services - $490,471.
Part I, Line 7, Column (f) - Exclusions from Percent of Total Expense	State of Maine Provider Taxes of of $6,005,241 was removed from total expenses when calculating the percent of total expenses in Column (f).
Part I, Line 7 - Costing Methodology Explanation	The costing methodology for the amounts reported in Part I, Line 7 of the Schedule H is based on a ratio of patient care cost to charges. This cost to charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges provided in the instructions for Schedule H.
Part II - Community Building Activities	Southern Maine Health Care supports and assists with the local emergency preparedness training on an annual basis, and provides support to local community organizations and to local community economic development.
Part III, Line 2 - Bad Debt Expense Methodology	Southern Maine Health Care does not have a specific footnote in the financial statements that describes "Bad Debt Expense". Southern Maine Health Care reports accounts receivable for services rendered net of allowances for contractual adjustments, third party reimbursing agencies, free care and bad debts. A bad debt allowance is established for accounts the hospital believes will become uncollectible. The allowance is established by examining historical data, aging trends of accounts receivable balances and economic trends. The offset to the allowance account is to Bad Debt Expense on the Statement of Operations. Recoveries on accounts previously written off are accounted for on a cash basis and are applied directly to the Provision for Bad Debts on the Statement of Operations. Accounts written off or recovered from Bad Debts during the year are charged against the allowance account on the Balance Sheet. Bad debt expense represents healthcare services Southern Maine Health Care has provided without compensation. As a tax-exempt hospital, Southern Maine Health Care provides necessary patient care regardless of the patient's ability to pay for the services. A portion of Southern Maine Health Care's bad debt expense is attributable to patients eligible for financial assistance that, for a variety of reasons, do not complete the financial assistance application process. Southern Maine Health Care cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would qualify under the Southern Maine Health Care's free care policy. In addition, bad debt expense also includes amounts for services provided to individuals experiencing difficult personal or economic circumstances related to a portion of our community based patient population. Their medical bills often place these individuals in untenable positions where they are not able to handle their personal debt and then their new medical debt. However, because of their income level, they do not qualify for free care. By providing necessary healthcare services to those individuals either who fail to apply for free care or who are experiencing difficult personal or economic circumstances, Southern Maine Health Care believes that bad debt expense should be included as a community benefit.
Part III, Line 4 - Bad Debt Expense Footnote to Financial Statements	Please see explanation for footnote under Part III, Line 2 - Bad Debt Expense Methodology.
Part III, Line 8 - Medicare Explanation	Medicare allowable costs were calculated using a cost to charge ratio. Southern Maine Health Care believes that the Medicare shortfall should be included as a community benefit because Southern Maine Health Care has a clear mission commitment to serving elderly patients and adults with disabilities through the provision of specific subsidized programs developed to help improve the health status of these patients. If these critical subsidized programs were not provided by Southern Maine Health Care, they would become the obligation of the Federal Government.
Part III, Line 9b - Collection Practices Explanation	Patients who qualify for financial assistance have their account balance adjusted accordingly once financial assistance has been approved. Monthly payment arrangements can be established by the responsible party by contacting the Patient Financial Services Customer Service department. As a tax-exempt hospital, Southern Maine Health Care provides necessary patient care regardless of the patient's ability to pay for the services.
Part VI, Line 2 - Needs Assessment	SMHC's Board is made up of a diverse set of community members. The Board requires a thorough Community Needs Assessment on behalf of the organization, and directs the organization to analyze and respond to the current needs assessment. MaineHealth also participates in various initiatives to help support and provide updates to community needs assessment planning. Some of these initiatives include:- Clinical Strategic Planning- Financial Strategic Planning- Facility Planning- Manpower Planning- Physician Recruitment Strategic Planning- Emergency Preparedness PlanningAlong with the internal assessments, most member organizations also review and act on many of the recommendations provided by external groups such as the Maine Center for Disease Control and Prevention and the "State Health Plan created by the Advisory Committee for Health Systems Development.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	Financial assistance information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsPatients receive MaineHealth's Free Care Guidelines and Financial Policies brochure explaining our billing policies and contact information upon request. If the patient is self-pay, under insured or can't afford to pay their hospital bill, they may receive a Financial Counseling Packet and/or referred to financial counseling from the registration staff or Change Healthcare, an outside vendor who helps manage the self- pay accounts. The packet includes:- Information on MaineHealth's financial policies- Financial assistance information including Free Care Program, Monthly Payment Plan Program, and Care Partners, MedAccess and other community resource needs.- Program applications and instructions for MaineHealth's Free Care Program, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financial concernsSelf-pay or underinsured patients registering in person or via a phone interview receive financial counseling including information on our financial assistance programs. Registration staff or Change Healthcare provide forms and assist with completing financial assistance applications and providing follow up contact information. MaineHealth's Web site includes on line Registration and Patient Billing information:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed.If a patient does not respond at pre-registration, registration, or while receiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs.
Part VI, Line 4 - Community Information	The Community Health Needs Assessment describes the geographic area and demographic constituents it services. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA.
Part VI, Line 5 - Promotion of Community Health	As a fully integrated tax-exempt healthcare system, Southern Maine Health Care (SMHC) has provided open access to all patients. In 2008, SMHC purchased a large multidisciplinary private physician practice located in its service area as a means of assuring that access. In Fiscal Year 2018 the Medicaid population served by those physicians represented approximately 11% of the practice - an increase from 8% in 2008. In addition, the Self-Pay population represented 6% of the practice. Prior to the purchase, this amount was less than 1% of the practice. Today, In conjunction with consulting, courtesy, honorary physicians and health professionals, more than 200 SMHC active physicians provide care in the following specialties and sub-specialties: family medicine; internal medicine; pediatrics; obstetrics and gynecology; cardiology; dermatology; pulmonology; oncology/hematology; neurology; gastroenterology; urology; allergy/immunology; general surgery; orthopedic surgery; otorhinolaryngology; ophthalmology; oral surgery and general dentistry; psychiatry; pathology; podiatry; anesthesiology; radiology; emergency medicine and occupational medicine. As a result of SMHC's running these practices, access has been expanded to the at-risk population (Medicaid and Self-Pay population) so that they are provided continuity of care in a physician practice.
Part VI, Line 6 - Affiliated Health Care System	MaineHealth is a not-for-profit family of leading high-quality providers and other healthcare organizations working together so their communities are the healthiest in America. Ranked among the nation's top 100 integrated healthcare delivery networks, MaineHealth is governed by a board of trustees consisting of community and business leaders from its southern, central and western Maine regional service areas. The collaboration of MaineHealth members makes it possible to offer an extensive range of clinical integration and community health programs, many aimed at improving access to preventive and primary care services. MaineHealth includes the following member organizations: LincolnHealth Group, Maine Medical Center, Maine Behavioral Healthcare (Spring Harbor Hospital), Coastal Healthcare Alliance (Pen Bay Medical Center and Waldo County General Hospital), Southern Maine Health Care (Southern Maine Medical Center and Goodall campuses), Western Maine Health Care (Stephens Memorial Hospital), The Memorial Hospital at North Conway, N.H., MaineHealth Care at Home, Maine Physician Hospital Organization, NorDx, Synernet and MaineHealth Accountable Care Organization. The strategic affiliates of MaineHealth are MaineGeneral Medical Center, Mid Coast Hospital and St. Mary's Regional Medical Center.
Part VI, Line 7 - State Filing of Community Benefit Report	Maine

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MANNING PETER MD
SECRETARY	$373,452	$0	$0	$0	$16,435	$0	$9,450	$0	$4,151	$0	$403,488	$0	$0	$0
BURGESS DONALD MD
TRUSTEE	$184,452	$0	$0	$0	$31,531	$0	$7,903	$0	$28,385	$0	$252,271	$0	$0	$0
CARROLL MICHAEL MD
TRUSTEE	$333,267	$0	$0	$0	$48,377	$0	$9,450	$0	$30,699	$0	$421,793	$0	$0	$0
O'HARE MARY MD
TRUSTEE	$312,657	$0	$0	$0	$15,173	$0	$9,450	$0	$3,796	$0	$341,076	$0	$0	$0
QUINN-SKILLINGS GINA MD
TRUSTEE	$0	$291,966	$0	$0	$0	$734	$0	$15,436	$0	$28,739	$0	$336,875	$0	$0
GOUDREAU FRANK DO
TRUSTEE	$595,542	$0	$0	$0	$81,698	$0	$9,450	$0	$28,228	$0	$714,918	$0	$0	$0
KOWASH PHILIP MD
TRUSTEE	$265,535	$0	$0	$0	$14,912	$0	$9,450	$0	$26,526	$0	$316,423	$0	$0	$0
APRILE PATRICIA
SENIOR VP/COO	$307,395	$0	$27,193	$0	$26,083	$0	$9,450	$0	$23,467	$0	$393,588	$0	$0	$0
MCGEACHEY EDWARD J
FORMER PRESIDENT	$445,055	$0	$83,500	$0	$84,363	$0	$9,450	$0	$24,320	$0	$646,688	$0	$0	$0
ALBAUM MICHAEL MD
SENIOR VP/CMO	$312,443	$0	$28,402	$0	$22,031	$0	$9,450	$0	$32,176	$0	$404,502	$0	$0	$0
OLSEN RICHARD
SENIOR VP & CFO	$276,985	$0	$36,975	$0	$5,087	$0	$9,450	$0	$18,408	$0	$346,905	$0	$0	$0
KHAN MUHAMMAD A MD
PHYSICIAN	$728,094	$0	$0	$0	$152,621	$0	$9,450	$0	$29,207	$0	$919,372	$0	$0	$0
SHERMAN HOWARD B MD
PHYSICIAN	$521,796	$0	$0	$0	$257,963	$0	$9,450	$0	$26,516	$0	$815,725	$0	$0	$0
THOMPSON JOHN W MD
PHYSICIAN	$506,602	$0	$0	$0	$264,820	$0	$9,450	$0	$31,219	$0	$812,091	$0	$0	$0
REZA SHABBIR MD
PHYSICIAN	$466,846	$0	$0	$0	$297,672	$0	$10,012	$0	$31,324	$0	$805,854	$0	$0	$0
JOHNSON DAVID A MD
PHYSICIAN	$550,023	$0	$0	$0	$201,666	$0	$9,450	$0	$28,758	$0	$789,897	$0	$0	$0
BELAIR NORMAN
FORMER SENIOR VP & CFO	$126,334	$0	$5,120	$0	$19,434	$0	$5,289	$0	$1,004	$0	$157,181	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 3: Related Org Methods Used for Compensation Explanation	FormAndLineReferenceDesc
Explanation	Top management officials are compensated by this or other related organizations. These organizations used one or more of the methods shown at Part I, Line 3 to establish the compensation of top management. For additional information see Schedule O - Form 990, Part VI, Section B, Line 15: Process for Determining Compensation	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Maine Health & Higher Educational Fac Auth
A	010314384	560425L40	2007-07-18	$5,622,502	To refund bonds issued 9/5/1996	0	0	Yes (1)
Maine Health & Higher Educational Fac Auth
B	010314384	560427JA5	2010-06-24	$5,629,914	To refund bonds issued 5/19/1999	0	0	Yes (1)
Finance Authority of Maine
C	010392006	000000000	2013-07-25	$15,742,390	Finance buildings and equipment	0	0	0
Maine Health & Higher Educational Fac Auth
D	010314384	56042REW8	2016-06-28	$15,930,820	To refund bonds issued 9/7/2006	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$2,660,000	$5,622,502	$558,444	$68,195	$11,028	$5,543,279	Yes (1)	Yes (1)	Yes (1)
B	$4,935,000	$5,629,914	$378,448	$59,824		$5,570,090	Yes (1)	Yes (1)	Yes (1)
C	$2,480,764	$15,742,390		$136,633			0	Yes (1)	Yes (1)	$15,605,757	2014
D	$2,930,000	$15,930,820	$2,618,161	$129,526		$15,801,294	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Gross Proceeds InvestedGrossProceedsInvestedInd
A	0	0	Yes (1)	0	0
B	0	0	Yes (1)	0	Yes (1)
C	0	Yes (1)	0	Yes (1)	0
D	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Bond issues A, B, and D:	These issues are all pooled financings, and SMHC's portion constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to SMHC's share of such pooled financings, not with respect to 100% of each issue.
Part I, column (e), bond issue C:	The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed.
Part II, line 4, column A:	The amount shown here consists of a debt service reserve fund balance of $451,093 plus debt service fund deposits of $107,351.
Part II, line 4, column B:	The amount shown here consists of a debt service reserve fund balance of $376,238 plus debt service fund deposits of $2,210.
Part II, line 4, column D:	The amount shown here consists of a debt service reserve fund balance of $2,100,250 plus debt service fund deposits of $517,911.
Part IV, line 2c, bond issues A and B:	These are pooled financings, and the rebate compliance is managed by the Authority, not by SMHC. Accordingly, SMHC does not know the dates the calculations were performed.
Part IV, line 6, bond issues B and D:	The "yes" answers here refer to debt service reserve funds that (in the aggregate for the entire issue, including the SMHC portion plus all other participating institutions) exceed the amount qualifying as reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Part III line 9, Part IV line 7, Part V:	During this fiscal year, the institution was in the process of implementing written compliance procedures.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Christina Manning MD
See Relationship Explanation Below	$211,356	Employment	0
Gregory Leach MD
See Relationship Explanation Below	$277,454	Employment	0
Anna M Scopellito-Olsen MD
See Relationship Explanation Below	$228,281	Employment	0
Tammi Bittler MD
See Relationship Explanation Below	$271,854	Employment	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V: Additional Information	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:Line 1: Christina Manning, MD is the spouse of Peter Manning, MD, a SMHC Trustee. She is employed by SMHC as a physician.Line 2: Gregory Leach, MD is the spouse of Mary O'Hare, MD, a SMHC Trustee. He is employed by SMHC as a physician.Line 3: Anna M. Scopellito-Olsen, MD is the spouse of Richard Olsen, Senior VP & CFO of SMHC. She is employed by SMHC as a physician.Line 4: Tammi Bittler, MD is the spouse of Michael Albaum, MD, aSMHC Trustee and Officer. She is employed by SMHC as a physician.	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$117,387	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Column (b):	FormAndLineReferenceDesc
Explanation	Line 9, Securities - Publicly Traded - 1,080 shares Coca-Cola Stock; sale proceeds = $49,809 - 225 shares 3M Stock; sale proceeds = $52,594 - 125 shares United Technologies; sale proceeds = $14,984	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part V, Line 1a	Prior to consolidating accounts payable operations with Maine Medical Center (EIN 01-0238552), the entity filed 83 Form 1099s for the calendar year 2017. Maine Medical Center (EIN 01-0238552), acting on behalf of MaineHealth (EIN001-0431680), filed 1,030 Form 1099s for the calendar year 2017 on behalf of the following organizations: MaineHealth, Maine Medical Center, Southern Maine Health Care, Pen Bay Medical Center, Waldo County General Hospital, Franklin Memorial Hospital, LincolnHealth Group, Memorial Hospital, Western Maine Healthcare, Maine Behavioral Healthcare, NorDx, MaineHealth Care at Home.
Form 990, Part VI, Section A, line 6	MaineHealth, EIN #01-0431680, is the sole member of Southern Maine Health Care (SMHC).
Form 990, Part VI, Section A, line 7a	The sole member of the organization, MaineHealth EIN# 01-0431680 has the responsibility for the election of the members of the governing body.
Form 990, Part VI, Section A, line 7b	There are decisions by the governing body that require approval by the member, MaineHealth EIN# 01-0431680. These do include: 1. The removal of a Director from the Board; 2. The approval of the sale, lease or disposition of all, or substantially all, of the assets and property of the corporation; 3. The dissolution of the corporation of its merger with or consolidation with another corporation; 4. Any other matter which, by a majority vote of the governing body, the governing body determines should be submitted to the member.
Form 990, Part VI, Section B, line 11b	The Form 990 was made available to the overall Board of Directors. The CFO also reviewed the Form 990 in detail before signing the return.
Form 990, Part VI, Section B, line 12c	SMHC requires current and former officers, directors, trustees, and key employees to complete an annual questionnaire concerning any potential conflicts of interests. The organization reviews the responses to these documents and addresses any issues immediately. In addition, we have added another questionnaire that specifically addresses the concerns regarding transactions involving current or former officers, directors, trustees, and key employees and certain parties that are related to these individuals.
Form 990, Part VI, Section B, line 15	Line 15a - Compensation Process for Top Official The process followed for determining compensation of the CEO and other key administrative employees of the organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of SMHC, along with other executives in the MaineHealth system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on MaineHealth's written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Line 15b - Compensation Process for Officers See process above under "Compensation Process for Top Official".
Form 990, Part VI, Section C, line 19	Documents that are required to be open for public inspection are made available upon request.
Form 990, Part IX, line 11g	Other Consulting and Contract Labor: Program service expenses 29,436,542. Management and general expenses 1,263,391. Fundraising expenses 13,327. Total expenses 30,713,260.
Form 990, Part XI, line 9:	Change in Value of Perpetual Trust 788,214. Equity Transfer to Affiliates -692,401. Net Assets Released from Restriction for Operations -59,868.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Cancer Care Center of York County
22 Bramhall Street	Portland	ME	04102	201600381	Medical services	ME	501(c)(3)	Line 3	Maine Medical Center	Yes (1)
Coastal Healthcare Alliance
PO Box 287	Belfast	ME	04915	222494475	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth	0
Franklin Community Health Network
111 Franklin Health Commons	Farmington	ME	04938	223209406	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth	0
Geriatric Resource Network
110 Free Street	Portland	ME	04101	010542842	Healthcare	ME	501(c)(3)	Line 7	MaineHealth	0
LincolnHealth Group
6 St Andrews Lane	Boothbay Harbor	ME	04538	261475629	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth	0
Maine Behavioral Healthcare
78 Atlantic Place	South Portland	ME	04106	010524834	Hospital	ME	501(c)(3)	Line 3	MaineHealth	0
Maine Medical Center
22 Bramhall Street	Portland	ME	04102	010238552	Hospital	ME	501(c)(3)	Line 3	MaineHealth	0
MaineHealth Cardiology
110 Free Street	Portland	ME	04101	452525629	Healthcare	ME	501(c)(3)	Line 10	MaineHealth	0
MaineHealth Care at Home
15 Industrial Park	Saco	ME	04072	222571902	Home health	ME	501(c)(3)	Line 10	MaineHealth	0
NorDx
301A US Route One	Scarborough	ME	04074	010511356	Lab	ME	501(c)(3)	Line 10	MaineHealth	0
The Memorial Hospital
3073 White Mountain Highway	North Conway	NH	03860	020222156	Hospital	NH	501(c)(3)	Line 3	MaineHealth	0
Western Maine Health Care Corp
181 Main Street	Norway	ME	04268	010411788	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth	0
MaineHealth
110 Free Street	Portland	ME	04101	010431680	Healthcare	ME	501(c)(3)	Line 12c, III-FI		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GSM Realty LLC
22 Bramhall Street	Portland	ME	04102	204582952	Real Estate	ME	Southern Maine Health Care	Related	$24,586	$759,229	0	0	0.66670
MaineHealth ACO
110 Free Street	Portland	ME	04101	452929273	ACO	ME	Maine Medical Center	Related	$99,791	$888,449	0	0	0.09360

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SMHC Physician Services PA
PO Box 626	Biddeford	ME	04005	263345134	Healthcare	ME	Southern Maine Health Care	C	1.00000	Yes (1)
June Street Pharmacy
25 June Street	Sanford	ME	04073	020765952	Pharmacy	ME	Southern Maine Health Care	C	1.00000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SMHC Physician Services PA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	P	TransactionTypeTxt
Involved	$0	InvolvedAmt
Method Of Amount Determination	Costs Incurred	MethodOfAmountDeterminationTxt