2019-08-13T13:22:14-05:00 2018-09-30 990 2017-10-01 010179500 SOUTHERN MAINE HEALTH CARE SOUT 2072837000 PO BOX 626 BIDDEFORD ME 04005 Richard Olsen Senior VP & CFO 2072837000 2019-08-12 63.247.60.254 2019-08-13 14:21:16 ED P B45CD6F9D1811B9916B2A423673B63195B36551F B45CD6F9D1811B9916B2A423673B63195B36551F 2017 2019-02-21 02:37:17Z Nathan Howell PO Box 626 Biddeford ME 040050626 305761659 0 X WWW.SMHC.ORG X 1899 ME Southern Maine Health Care exists to improve the health and health care of the communities we serve. 16 9 2110 217 170437 0 2176344 2346795 273735838 281812164 3995626 7416307 7176983 6543046 287084791 298118312 0 0 0 0 152140405 169811405 0 0 267679 129545865 126599344 281686270 296410749 5398521 1707563 276279893 266818176 127583323 120847383 148696570 145970793 X See Schedule O 0 0 173827945 208186443 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. 69676342 75947530 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. 5894022 5402361 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. 249398309 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 X 83 0 1 2110 1 1 1 0 0 0 0 0 0 0 0 0 X 16 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X RICHARD OLSEN 2072837898 1 MEDICAL CENTER DRIVE BIDDEFORD ME 040050626 BAUMAN ROBERT P TRUSTEE 1.00 0.00 X 0 0 0 MANNING PETER MD SECRETARY 1.00 50.00 X X 389887 0 13601 BURGESS DONALD MD TRUSTEE 1.00 50.00 X 215983 0 36288 GAINES BERNARD TRUSTEE 1.00 0.00 X 0 0 0 CARROLL MICHAEL MD TRUSTEE 1.00 50.00 X 381644 0 40149 O'HARE MARY MD TRUSTEE 1.00 50.00 X 327830 0 13246 QUENTIN ROBERT C TREASURER 1.00 0.00 X X 0 0 0 QUINN-SKILLINGS GINA MD TRUSTEE 5.00 45.00 X 0 292700 44175 GOUDREAU FRANK DO TRUSTEE 1.00 50.00 X 677240 0 37678 PERKINS MERILEE VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 HISSONG GEORGE JR CHAIRPERSON 1.00 0.00 X X 0 0 0 DOMINE CYNTHIA TRUSTEE 1.00 0.00 X 0 0 0 BUCK STEVEN TRUSTEE 1.00 0.00 X 0 0 0 KOWASH PHILIP MD TRUSTEE 1.00 50.00 X 280447 0 35976 ZUKE THOMAS TRUSTEE 1.00 0.00 X 0 0 0 MILLS JOHN TRUSTEE 1.00 0.00 X 0 0 0 APRILE PATRICIA SENIOR VP/COO 50.00 1.00 X 360671 0 32917 MCGEACHEY EDWARD J FORMER PRESIDENT 50.00 1.00 X 612918 0 33770 ALBAUM MICHAEL MD SENIOR VP/CMO 1.00 50.00 X 362876 0 41626 OLSEN RICHARD SENIOR VP & CFO 50.00 1.00 X 319047 0 27858 HOWELL NATHAN PRESIDENT 50.00 1.00 X 0 0 0 KHAN MUHAMMAD A MD PHYSICIAN 50.00 0.00 X 880715 0 38657 SHERMAN HOWARD B MD PHYSICIAN 50.00 1.00 X 779759 0 35966 THOMPSON JOHN W MD PHYSICIAN 50.00 0.00 X 771422 0 40669 REZA SHABBIR MD PHYSICIAN 50.00 0.00 X 764518 0 41336 JOHNSON DAVID A MD PHYSICIAN 50.00 0.00 X 751689 0 38208 BELAIR NORMAN FORMER SENIOR VP & CFO 50.00 1.00 X 150888 0 6293 8027534 292700 558413 251 1 1 0 Healthcare Excellence Inst 21045 N 9th Place Suite 205 Phoenix AZ 85024 Billing Svcs 3152864 Medicus Hospitalists LLC 22 Roulston Rd Windham NH 03087 Locums 594850 Spectrum Medical Group PA 324 Gannett Drive Suite 200 Portland ME 04106 Med Director 526654 Optuminsight 3797 Momentum Place Chicago IL 606895337 Med Record Rev 231170 Maine Nephrology Associates 1600B Congress Street Portland ME 04102 Med Record Rev 162187 12 192178 661575 1493042 117387 2346795 PATIENT SERVICES 623000 281642926 281642926 PATIENT SERVICES 621500 169238 169238 281812164 6235273 1199 6234074 168922 338250 -169328 -169328 -169328 8478506 7625 7243480 61617 1235026 -53992 1181034 1181034 OTHER MEDICAL SERVICES 621990 3401288 3401288 PHARMACY 446110 831579 831579 GAIN ON INVESTMENT IN OTHERS 900099 295046 295046 2184461 2184461 6712374 298118312 289536334 170437 6064746 X 3743892 2695602 1048290 134949850 123567994 11262115 119741 3320494 3021650 295524 3320 19178117 17452087 1706852 19178 8619052 7845272 764896 8884 99918 99918 108814 108814 30713260 29436542 1263391 13327 553620 27625 509862 16133 1174424 445474 720328 8622 85230 12825 72405 8584790 7456818 1127972 306415 198755 107660 2610107 28647 2581460 15420670 10943937 4476733 2937183 2291148 646035 Medical Supplies 31319394 29850533 1463745 5116 Integrated Services 17395412 746047 16649365 0 Physcian Fees 6671927 6671927 0 0 Provider Tax 6005241 6005241 0 0 2612939 700185 1839396 73358 296410749 249398309 46744761 267679 901379 1681821 4213040 16869782 39313344 33977536 3889564 3743186 1953808 1640315 284126855 200930858 91409523 83195997 44277659 44752109 27338506 22633880 62983070 58323550 276279893 266818176 21866915 20707739 181000 92501 28997520 25944671 10760880 8947596 65777008 65154876 127583323 120847383 X 132323198 128266972 2893180 3434288 13480192 14269533 148696570 145970793 276279893 266818176 X 1707563 -4469285 35945 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 30360 30360 0 Part II-B, Line 1: 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. 64463784 282386 2267386 7618507 59395049 67209253 3517945 8556164 14819578 64463784 71825362 89421 5294858 10000388 67209253 75050388 9587 -3234613 71825362 45515244 35609041 -6073897 75050388 0.96110 0.03890 0.00000 0 0 4178307 4178307 162512945 102534229 59978716 8333116 4464929 3868187 101738415 88432867 13305548 7364072 5498833 1865239 83195997 Alternative Investments 21401189 F Investment in Real Property 1232691 F 22633880 OTHER RECEIVABLES 2364675 BENEFICIAL INTEREST PERPETUAL TRUST 12366948 INVESTMENT IN MH ACO 408518 PPD SHARED HEALTH RECORD SYSTEM COST 38542765 DUE FROM RELATED PARTIES 268709 CSV OF LIFE INSURANCE 851677 DUE FROM 3rd PARTY PAYOR SETTLEMENT 3520258 58323550 LINE OF CREDIT 4725000 CAPITAL LEASE OBLIGATION 7942908 DUE TO AFFILIATES 52486968 65154876 X Part X, Line 2: SMHC and the Cancer Care Center of York County are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code. Central America and the Caribbean 0 0 Investments 13442629 0 0 0 0 0 0 13442629 0 13442629 0 0 0 0 0 0 Part I, Line 3: Activities per Region Central America and the Caribbean: Expenditures - $ 0 Investments - $13,442,629 1 1 X 1 X 175.000000000000 0 1 1 1 0 1 1 6826041 6826041 0.02300 36608595 29806092 6802503 0.02290 43434636 29806092 13628544 0.04590 976919 976919 0.00330 593234 593234 0.00200 9429900 7811424 1618476 0.00550 186177 186177 0.00060 11186230 7811424 3374806 0.01140 54620866 37617516 17003350 0.05730 1000 1000 0.00000 22400 22400 0.00010 23400 23400 0.00010 0 15138636 114506593 135339588 -20832995 X 1 1 2 1 Southern Maine Health Care - Biddeford One Medical Center Drive Biddeford ME 04005 www.smhc.org 38882 X X X 2 Southern Maine Health Care - Sanford 25 June Street Sanford ME 04073 www.smhc.org 38882 X X X Southern Maine Health Care 0 0 1 X X X X X X X X X 16 1 1 0 1 X See Part V, Section C 1 16 1 See Part V, Section C 0 1 X 175.000000000000 X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X 1 X 0 X X X X 1 X 0 0 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 19 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 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 0 0 0 0 0 0 0 0 0 MANNING PETER MD SECRETARY 373452 0 0 0 16435 0 9450 0 4151 0 403488 0 0 0 BURGESS DONALD MD TRUSTEE 184452 0 0 0 31531 0 7903 0 28385 0 252271 0 0 0 CARROLL MICHAEL MD TRUSTEE 333267 0 0 0 48377 0 9450 0 30699 0 421793 0 0 0 O'HARE MARY MD TRUSTEE 312657 0 0 0 15173 0 9450 0 3796 0 341076 0 0 0 QUINN-SKILLINGS GINA MD TRUSTEE 0 291966 0 0 0 734 0 15436 0 28739 0 336875 0 0 GOUDREAU FRANK DO TRUSTEE 595542 0 0 0 81698 0 9450 0 28228 0 714918 0 0 0 KOWASH PHILIP MD TRUSTEE 265535 0 0 0 14912 0 9450 0 26526 0 316423 0 0 0 APRILE PATRICIA SENIOR VP/COO 307395 0 27193 0 26083 0 9450 0 23467 0 393588 0 0 0 MCGEACHEY EDWARD J FORMER PRESIDENT 445055 0 83500 0 84363 0 9450 0 24320 0 646688 0 0 0 ALBAUM MICHAEL MD SENIOR VP/CMO 312443 0 28402 0 22031 0 9450 0 32176 0 404502 0 0 0 OLSEN RICHARD SENIOR VP & CFO 276985 0 36975 0 5087 0 9450 0 18408 0 346905 0 0 0 KHAN MUHAMMAD A MD PHYSICIAN 728094 0 0 0 152621 0 9450 0 29207 0 919372 0 0 0 SHERMAN HOWARD B MD PHYSICIAN 521796 0 0 0 257963 0 9450 0 26516 0 815725 0 0 0 THOMPSON JOHN W MD PHYSICIAN 506602 0 0 0 264820 0 9450 0 31219 0 812091 0 0 0 REZA SHABBIR MD PHYSICIAN 466846 0 0 0 297672 0 10012 0 31324 0 805854 0 0 0 JOHNSON DAVID A MD PHYSICIAN 550023 0 0 0 201666 0 9450 0 28758 0 789897 0 0 0 BELAIR NORMAN FORMER SENIOR VP & CFO 126334 0 5120 0 19434 0 5289 0 1004 0 157181 0 0 0 Part I, Line 3: Related Org Methods Used for Compensation 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 A Maine Health & Higher Educational Fac Auth 010314384 560425L40 2007-07-18 5622502 To refund bonds issued 9/5/1996 0 0 1 B Maine Health & Higher Educational Fac Auth 010314384 560427JA5 2010-06-24 5629914 To refund bonds issued 5/19/1999 0 0 1 C Finance Authority of Maine 010392006 000000000 2013-07-25 15742390 Finance buildings and equipment 0 0 0 D Maine Health & Higher Educational Fac Auth 010314384 56042REW8 2016-06-28 15930820 To refund bonds issued 9/7/2006 0 0 1 A 2660000 5622502 558444 68195 11028 5543279 1 0 1 1 B 4935000 5629914 378448 59824 5570090 1 0 1 1 C 2480764 15742390 136633 15605757 2014 0 0 1 1 D 2930000 15930820 2618161 129526 15801294 1 0 1 1 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 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 1 0 C 0 0 1 0 1 0 0 0 0 D 0 1 0 0 0 0 0 1 0 A 0 B 0 C 0 D 0 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. Christina Manning MD See Relationship Explanation Below 211356 Employment 0 Gregory Leach MD See Relationship Explanation Below 277454 Employment 0 Anna M Scopellito-Olsen MD See Relationship Explanation Below 228281 Employment 0 Tammi Bittler MD See Relationship Explanation Below 271854 Employment 0 Schedule L, Part V: Additional Information 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. X 3 117387 Fair Market Value 0 1 0 Part I, Column (b): 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 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. Cancer Care Center of York County 22 Bramhall Street Portland ME 04102 201600381 Medical services ME 501(c)(3) Line 3 Maine Medical Center 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 N/A 0 GSM Realty LLC 22 Bramhall Street Portland ME 04102 204582952 Real Estate ME Southern Maine Health Care Related 24586 759229 0 0 0.66670 MaineHealth ACO 110 Free Street Portland ME 04101 452929273 ACO ME Maine Medical Center Related 99791 888449 0 0 0.09360 SMHC Physician Services PA PO Box 626 Biddeford ME 04005 263345134 Healthcare ME Southern Maine Health Care C 1.00000 1 June Street Pharmacy 25 June Street Sanford ME 04073 020765952 Pharmacy ME Southern Maine Health Care C 1.00000 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 SMHC Physician Services PA P 0 Costs Incurred