SOUTHERN MAINE HEALTH CARE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN MAINE HEALTH CARE (EIN 01-0179500)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-14
IRS object ID: 201812269349301781
Schema version: 2016v3.1
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 G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-14T15:44:25-04:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	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	2018-08-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$287,566,331	GrossReceiptsAmt
Group Return For Affiliates	false	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	2172	TotalEmployeeCnt
Total Volunteers	261	TotalVolunteersCnt
Total Gross UBI	$143,101	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$100,414	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,842,469	PYContributionsGrantsAmt
CY Contributions Grants	$2,176,344	CYContributionsGrantsAmt
PY Program Service Revenue	$255,353,822	PYProgramServiceRevenueAmt
CY Program Service Revenue	$273,735,838	CYProgramServiceRevenueAmt
PY Investment Income	$2,308,422	PYInvestmentIncomeAmt
CY Investment Income	$3,995,626	CYInvestmentIncomeAmt
PY Other Revenue	$5,880,509	PYOtherRevenueAmt
CY Other Revenue	$7,176,983	CYOtherRevenueAmt
PY Total Revenue	$266,385,222	PYTotalRevenueAmt
CY Total Revenue	$287,084,791	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$114,954,768	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$152,140,405	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$313,961	CYTotalFundraisingExpenseAmt
PY Other Expenses	$155,302,815	PYOtherExpensesAmt
CY Other Expenses	$129,545,865	CYOtherExpensesAmt
PY Total Expenses	$270,257,583	PYTotalExpensesAmt
CY Total Expenses	$281,686,270	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,872,361	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,398,521	CYRevenuesLessExpensesAmt
Total Assets BOY	$264,674,996	TotalAssetsBOYAmt
Total Assets EOY	$276,279,893	TotalAssetsEOYAmt
Total Liabilities BOY	$127,335,816	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$127,583,323	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$137,339,180	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$148,696,570	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SOUTHERN MAINE HEALTH CARE EXISTS TO IMPROVE THE HEALTH AND HEALTH CARE OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$162,863,753	ExpenseAmt
Revenue	$199,448,455	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 49,045 EMERGENCY ROOM VISITS, 111,846 RADIOLOGICAL PROCEDURES, AND 6,864 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	$69,384,172	ExpenseAmt
Revenue	$68,695,761	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 262,065 OFFICE VISITS AND 45,717 WALK-IN CARE VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,436,196	ExpenseAmt
Revenue	$12,766,851	RevenueAmt
Desc	SMHC ELDERCARE SERVICES PROVIDE LONG-TERM CARE, MEDICAL SERVICES, AND DAYCARE TO OUR SENIOR CITIZENS. ELDERCARE HAD A TOTAL OF 34,842 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	$238,684,121	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	83	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2172	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RICHARD OLSEN	PersonNm
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 (24 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
GOUDREAU FRANK MD
DIRECTOR	1.00	50.00	Yes (X)	$620,017	$0	$25,198
CARROLL MICHAEL MD
DIRECTOR	1.00	50.00	Yes (X)	$409,571	$0	$24,963
MANNING PETER MD
SECRETARY	1.00	50.00	Yes (X)	$357,151	$0	$11,203	Yes (X)
O'HARE MARY MD
DIRECTOR	1.00	50.00	Yes (X)	$347,235	$0	$10,871
QUINN-SKILLINGS GINA MD
DIRECTOR	5.00	45.00	Yes (X)	$26,855	$248,241	$29,020
BURGESS DONALD MD
DIRECTOR	1.00	50.00	Yes (X)	$230,337	$0	$23,297
BAUMAN ROBERT P
DIRECTOR	1.00		Yes (X)	$0	$0	$0
GAINES BERNARD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
PAIGE BRADFORD C
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
QUENTIN ROBERT C
TREASURER	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
PERKINS MERILEE
VICE CHAIRPE	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)
MICKERIZ MARK
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
BUCK STEVEN
DIRECTOR	1.00		Yes (X)	$0	$0	$0
MCGEACHEY EDWARD J
PRESIDENT	50.00	1.00		$598,297	$0	$26,620	Yes (X)
APRILE PATRICIA
SENIOR VP/CO	50.00	1.00		$353,855	$0	$26,914	Yes (X)
ALBAUM MICHAEL MD
SENIOR VP/CM	1.00	50.00		$327,596	$0	$28,298	Yes (X)
BELAIR NORMAN
FRMR SENIOR	50.00	1.00		$308,284	$0	$26,561	Yes (X)
RICHARD OLSEN
SENIOR VP &	50.00	1.00		$66,808	$0	$1,209	Yes (X)
HADIARISSUSAN
SR. VP & CPO	50.00	1.00		$254,130	$0	$15,592		Yes (X)
LYON DONALD MD
PHYSICIAN	50.00	0.00		$232,880	$0	$0		Yes (X)
FOURNIER MARC M
VP, SUPPORT	50.00	0.00		$201,952	$0	$14,343		Yes (X)
KEEGAN STEVE
VP ANCILLARY	50.00	0.00		$193,481	$0	$14,061		Yes (X)
SALAMONE JOANNA
SENIOR VP &	50.00	0.00		$188,117	$0	$20,828		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,716,566	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$248,241	TotReportableCompRltdOrgAmt
Total Other Compensation	$298,978	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	60	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	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	$3,123,822
MEDICUS HOSPITALISTS LLC
22 ROULSTON RD	WINDHAM	NH	03087	LOCUMS	$585,803
SPECTRUM MEDICAL GROUP PA
324 GANNETT DRIVE SUITE 200	PORTLAND	ME	04106	MED DIRECTOR	$438,888
OPTUMINSIGHT
3797 MOMENTUM PLACE	CHICAGO	IL	606895337	MED RECORD REV	$231,170
SEVIGNY'S PROPERTY MAINTENANCE
478 CLARKS MILLS ROAD	DAYTON	ME	04005	SNOW PLOWING	$115,488

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Fundraising	$3,500	FundraisingAmt
Related Organizations	$178,804	RelatedOrganizationsAmt
Government Grants	$842,246	GovernmentGrantsAmt
All Other Contributions	$1,151,794	AllOtherContributionsAmt
Total Contributions	$2,176,344	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	623000	$273,566,600	$273,566,600
PATIENT SERVICES	621500	$169,238		$169,238

Field	Value	IRS element (for citing)
Total Program Service Revenue	$273,735,838	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,018,954	TotalRevenueColumnAmt
Unrelated Business Revenue	-$26,137	UnrelatedBusinessRevenueAmt
Exclusion	$4,045,091	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$129,494	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$340,222	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$210,728	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$210,728	TotalRevenueColumnAmt
Exclusion	-$210,728	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$110,687	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$134,015	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$23,328	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$23,328	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$23,328	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$27,219	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$3,500	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$7,303	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,916	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER MEDICAL SERVICES	621990	$3,321,383	$3,321,383
GAIN ON INVESTMENT IN OTHERS	900099	$1,516,639	$1,516,639
PHARMACY	446110	$915,961	$915,961

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,613,812	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,613,812	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,367,795	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$287,084,791	TotalRevenueColumnAmt
Related Or Exempt Func Income	$280,911,067	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$143,101	UnrelatedBusinessRevenueAmt
Exclusion	$3,834,363	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	$1,337,398	TotalAmt
Program Services	$962,927	ProgramServicesAmt
Management And General	$374,471	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$121,893,576	TotalAmt
Program Services	$114,804,587	ProgramServicesAmt
Management And General	$6,960,853	ManagementAndGeneralAmt
Fundraising	$128,136	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,777,473	TotalAmt
Program Services	$2,615,943	ProgramServicesAmt
Management And General	$158,610	ManagementAndGeneralAmt
Fundraising	$2,920	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,972,939	TotalAmt
Program Services	$16,700,307	ProgramServicesAmt
Management And General	$1,247,005	ManagementAndGeneralAmt
Fundraising	$25,627	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,159,019	TotalAmt
Program Services	$7,635,744	ProgramServicesAmt
Management And General	$513,473	ManagementAndGeneralAmt
Fundraising	$9,802	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$77,820	TotalAmt
Management And General	$77,820	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$80,564	TotalAmt
Management And General	$80,564	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,260,273	TotalAmt
Program Services	$25,955,469	ProgramServicesAmt
Management And General	$5,290,620	ManagementAndGeneralAmt
Fundraising	$14,184	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$414,248	TotalAmt
Program Services	$1,194	ProgramServicesAmt
Management And General	$398,808	ManagementAndGeneralAmt
Fundraising	$14,246	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,762,316	TotalAmt
Program Services	$931,972	ProgramServicesAmt
Management And General	$823,107	ManagementAndGeneralAmt
Fundraising	$7,237	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$60,524	TotalAmt
Program Services	$12,383	ProgramServicesAmt
Management And General	$48,141	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,064,202	TotalAmt
Program Services	$6,541,278	ProgramServicesAmt
Management And General	$1,522,924	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$290,746	TotalAmt
Program Services	$183,224	ProgramServicesAmt
Management And General	$107,522	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,531,123	TotalAmt
Program Services	$45,165	ProgramServicesAmt
Management And General	$2,485,958	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,420,423	TotalAmt
Program Services	$7,319,281	ProgramServicesAmt
Management And General	$6,101,142	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,363,956	TotalAmt
Program Services	$1,729,729	ProgramServicesAmt
Management And General	$634,227	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$31,632,805	$29,576,795	$2,054,343	$1,667
INTEGRATED SERVICES	$15,020,821	$3,061,543	$11,959,278
PHYSICIAN FEES	$14,095,698	$14,095,698
PROVIDER TAX	$5,737,375	$5,737,375

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,732,971	TotalAmt
Program Services	$773,507	ProgramServicesAmt
Management And General	$1,849,322	ManagementAndGeneralAmt
Fundraising	$110,142	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$281,686,270	TotalAmt
Program Services	$238,684,121	ProgramServicesAmt
Management And General	$42,688,188	ManagementAndGeneralAmt
Fundraising	$313,961	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,682	BOYAmt
EOY	$901,379	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,716,670	BOYAmt
EOY	$4,213,040	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,582,509	BOYAmt
EOY	$39,313,344	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,969,761	BOYAmt
EOY	$3,889,564	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,189,107	BOYAmt
EOY	$1,953,808	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$289,090,686	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$197,681,163	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$95,388,769	BOYAmt
EOY	$91,409,523	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$48,237,965	BOYAmt
EOY	$44,277,659	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,855,139	BOYAmt
EOY	$27,338,506	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$45,723,394	BOYAmt
EOY	$62,983,070	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$264,674,996	BOYAmt
EOY	$276,279,893	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,965,701	BOYAmt
EOY	$21,866,915	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$166,052	BOYAmt
EOY	$181,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,924,194	BOYAmt
EOY	$28,997,520	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,344,511	BOYAmt
EOY	$10,760,880	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,935,358	BOYAmt
EOY	$65,777,008	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,335,816	BOYAmt
EOY	$127,583,323	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$122,547,714	BOYAmt
EOY	$132,323,198	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,284,471	BOYAmt
EOY	$2,893,180	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,506,995	BOYAmt
EOY	$13,480,192	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$137,339,180	BOYAmt
EOY	$148,696,570	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$264,674,996	BOYAmt
EOY	$276,279,893	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,398,521	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,719,924	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$238,945	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$27,248	OtherActivitiesAmt
Total Lobbying Expenditures	$27,248	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, 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). 14,715 OF THE DUES PAID TO MHA, 10,312 OF THE DUES PAID TO AHA AND 2,221 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,440,924	BeginningYearBalanceAmt
Contributions	$19,406,274	ContributionsAmt
Investment Earnings Or Losses	$2,668,046	InvestmentEarningsOrLossesAmt
End Year Balance	$45,515,244	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.96540	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.03460	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,120,745	OtherCostOrOtherBasisAmt
Book Value	$4,120,745	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$156,295,799	OtherCostOrOtherBasisAmt
Depreciation	$96,774,127	DepreciationAmt
Book Value	$59,521,672	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,745,156	OtherCostOrOtherBasisAmt
Depreciation	$4,020,728	DepreciationAmt
Book Value	$3,724,428	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,884,191	OtherCostOrOtherBasisAmt
Depreciation	$91,655,646	DepreciationAmt
Book Value	$21,228,545	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,044,795	OtherCostOrOtherBasisAmt
Depreciation	$5,230,662	DepreciationAmt
Book Value	$2,814,133	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$91,409,523	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ALTERNATIVE INVESTMENTS	$25,993,975	F
INVESTMENT IN REAL PROPERTY	$1,344,531	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$27,338,506	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
PPD SHARED HEALTH RECORD SYSTEM COST	$39,579,944
BENEFICIAL INTEREST PERPETUAL TRUST	$11,578,374
DUE FROM 3RD PARTY PAYOR SETTLEMENT	$4,716,441
INVESTMENT IN CCCYC	$2,856,129
OTHER RECEIVABLES	$2,020,714
CSV OF LIFE INSURANCE	$851,677
JOINT VENTURE - PINE TREE INSURANCE	$770,555
INVESTMENT IN MH ACO	$322,518
DUE FROM RELATED PARTIES	$286,718

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$62,983,070	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$52,086,785
CAPITAL LEASE OBLIGATION	$8,486,369
LINE OF CREDIT	$5,000,000
NOTE PAYABLE - THE MEDICAL GROUP	$203,854

Field	Value	IRS element (for citing)
Total Liability	$65,777,008	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	SMHC AND THE CANCER CENTER ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. SMHC PHYSICIAN SERVICES IS A TAXABLE ENTITY, AND SMHC HAS LIMITED LIABILITY CORPORATION SUBSIDIARIES, WHICH ARE TREATED AS DISREGARDED ENTITIES BY THE INTERNAL REVENUE SERVICE.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$17,414,484	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$17,414,484	SubtotalSpentAmt
Total Spent	$17,414,484	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 17,414,484	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SHIPYARD COAST	Event1Nm
Gross Receipts Event1	$30,719	GrossReceiptsEvent1Amt
Charitable Contri Event1	$3,500	CharitableContriEvent1Amt
Gross Revenue Event1	$27,219	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$345	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$6,958	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$30,719	GrossReceiptsTotalAmt
Charitable Contributions Tot	$3,500	CharitableContributionsTotAmt
Gross Revenue Total Events	$27,219	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$345	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$6,958	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$7,303	DirectExpenseSummaryEventsAmt
Net Income Summary	$19,916	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	1.750000000000	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,950,848	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,950,848	NetCommunityBenefitExpnsAmt
Total Expense	0.02520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,608,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,312,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,295,650	NetCommunityBenefitExpnsAmt
Total Expense	0.03370	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,559,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,312,821	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,246,498	NetCommunityBenefitExpnsAmt
Total Expense	0.05890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$992,290	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$992,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$662,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$662,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,517,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,111,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,406,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$222,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$222,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,394,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,111,228	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,283,621	NetCommunityBenefitExpnsAmt
Total Expense	0.01530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,954,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,424,049	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,530,119	NetCommunityBenefitExpnsAmt
Total Expense	0.07420	TotalExpensePct

Economic Development EconomicDevelopmentGrp

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

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	0.00080	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	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$9,781,687	BadDebtExpenseAmt
Reimbursed By Medicare	$100,843,293	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$128,179,400	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$27,336,107	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Business Name Line2BusinessName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
SOUTHERN MAINE HEALTH CARE
1	BIDDEFORD CAMPUS	ONE MEDICAL CENTER DRIVE	BIDDEFORD	ME	04005	WWW.SMHC.ORG	38645	Yes (X)	Yes (X)	Yes (X)	A
SOUTHERN MAINE HEALTH CARE
2	SANFORD CAMPUS	25 JUNE STREET	SANFORD	ME	04073	WWW.SMHC.ORG	38645	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	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 (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, 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.
GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, 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.
GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 7D	THE CHNA AND IMPLEMENTATION STRATEGY ARE POSTED ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH- NEEDS-ASSESSMENT
GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, 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 NEEDS ASSESSMENT AND ANNUAL IMPLEMENTATION REPORT UPDATE FY17 AT HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS- ASSESSMENT FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION.
GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 16J	THE FINANCIAL ASSISTANCE POLICY (FAP) AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE. THE FAP APPLICATION FORM IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING- INSURANCE/FINANCIAL-ASSISTANCE/FREE-CARE FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 16I THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY WERE TRANSLATED INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS AND MADE AVAILABLE AS OF JULY 2018.

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SMHC PHYS SVCS & ANC FACILITY
9 HEALTHCARE DRIVE	BIDDEFORD	ME	04005	PHYSICIAN OFFICES AND DIAGNOSTIC SERVICE
SMHC PHYS SVCS & REHAB THERAPY
45 BARRA ROAD	BIDDEFORD	ME	04005	INT MED, ORTH SURG, NEUROLOGY, & REHAB
SMHC PHYS SVCS - INFECTIOUS DISEASE
2 MEDICAL CENTER DRIVE	BIDDEFORD	ME	04005	INFECTIOUS DISEASE PHYSICIAN SERVICES
SMHC PHYS SVCS - ANC FACILITY
2 LIVEWELL DRIVE	KENNEBUNK	ME	04043	PHYS OFFICES, ANC SVCS, MINOR PROCEDURES
SMHC PHYS SVCS - INTERNAL MEDICINE
72 MAIN STREET	KENNEBUNK	ME	04043	INTERNAL MEDICINE PHYSICIAN SERVICES
SMHC PHYS SVCS - PEDIATRICS
3 SHAPE DRIVE	KENNEBUNK	ME	04043	PEDIATRIC PHYSICIAN SERVICES
SMHC PHYS SVCS
13 INDUSTRIAL PARK ROAD	SACO	ME	04072	FAMILY MEDICINE PHYSICIAN SERVICES
SMHC PHYS SVCS & WALK IN CARE FAC
655 MAIN STREET	SACO	ME	04072	PEDIATRICS & OSTEOPATHIC MANIPULATION
SMHC PHYS SVCS ANC SVCS WALK-IN
10 GOODALL DRIVE	EAST WATERBORO	ME	04030	FAMILY MED PHYS SVCS, ANC SVCS, WALK-IN
SMHC PHYS SVCS GOODALL MED OFF BLD
25 A JUNE STREET	SANFORD	ME	04073	PHYS. SVCS, ANC. SVCS & MINOR PROCEDURES
SMHC NEWTON CENTER
35 JULY STREET	SANFORD	ME	04073	NURSING HOME
SMHC WELLNESS CENTER
13 JULY STREET	SANFORD	ME	04073	REHAB THERAPY & OCCUPATIONAL MEDICINE
SMHC ONCOLOGY
26 WEST COLE RD	BIDDEFORD	ME	04005	PHYSICIAN SERVICES - ONCOLOGY
SMHC ONCOLOGY
27 INDUSTRIAL PARK RD	SANFORD	ME	04073	PHYSICIAN SERVICES - ONCOLOGY
SMHC DERMATOLOGY
26A WEST COLE RD	BIDDEFORD	ME	04005	PHYSICIAN SERVICES - DERMATOLOGY
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	2,406,091 OF NET COMMUNITY BENEFIT RELATED TO SUBSIDIZED HEALTH SERVICES IS INCLUDED IN PART I, LINE 7G. THIS AMOUNT INCLUDES: MENTAL HEALTH SERVICES - 1,917,335, AND ONCOLOGY SERVICES - 488,756.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	STATE OF MAINE PROVIDER TAXES OF OF 5,737,375 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.
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 PLANNING ALONG 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 - INTERVIEWS PATIENTS 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 CONCERNS SELF-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 QUESTIONS PRIMARY 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	SOUTHERN MAINE HEALTH CARE (SMHC) IS A NATIONALLY ACCREDITED, AWARD-WINNING NOT-FOR-PROFIT HEALTHCARE SYSTEM OFFERING A COMPREHENSIVE ARRAY OF MEDICAL CARE AND SERVICES INCLUDING A FULL-SERVICE MEDICAL CENTER IN BIDDEFORD, AND EMERGENCY DEPARTMENTS IN BIDDEFORD AND IN SANFORD. PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES INCLUDE A MULTI-SPECIALTY PHYSICIAN SERVICES GROUP, SMHC PHYSICIANS, WHICH IS COMPRISED OF MORE THAN 125 PHYSICIANS PROVIDING COMPREHENSIVE PRIMARY AND SPECIALTY SERVICES; NON-EMERGENCY WALK-IN CARE; CENTERS FOR BREAST CARE, SLEEP DISORDERS AND WOUND AND OSTOMY CARE; BEHAVIORAL HEALTH; ELDERCARE SERVICES AND A WIDE RANGE OF DIAGNOSTIC AND REHABILITATION SERVICES. SMHC HAS MORE THAN 20 OFFICES LOCATED IN BIDDEFORD, KENNEBUNK, SACO, SANFORD, NORTH BERWICK AND WATERBORO, AND MAINTAINS YORK COUNTY'S ONLY INPATIENT MENTAL HEALTH UNIT, AND ONLY MENTAL HEALTH CRISIS UNIT. ALL SERVICES ARE PROVIDED WITHOUT REGARD FOR THE PATIENT'S ABILITY TO PAY. A JOINT VENTURE WITH MAINE MEDICAL CENTER, THE CANCER CARE CENTER OF YORK COUNTY IS LOCATED IN SANFORD, MAINE. IN ADDITION TO GENERAL HEALTHCARE SERVICES, SOUTHERN MAINE HEALTH CARE SUPPORTS THE COMMUNITY WITH VARIOUS INITIATIVES. OTHER PROGRAMS PROVIDED BY SOUTHERN MAINE HEALTH CARE INCLUDE: SUBSIDIZED HEALTH SERVICES, COMMUNITY EDUCATION SERVICES, HEALTH CARE SUPPORT SERVICES AND COMMUNITY BUILDING ACTIVITIES.
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 2017 THE MEDICAID POPULATION SERVED BY THOSE PHYSICIANS REPRESENTED APPROXIMATELY 12% OF THE PRACTICE - AN INCREASE FROM 8% IN 2008. IN ADDITION, THE SELF-PAY POPULATION REPRESENTED 4% 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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
GOUDREAU FRANK MD
DIRECTOR	$619,157	$860	$10,600	$14,598	$645,215
CARROLL MICHAEL MD
DIRECTOR	$408,329	$1,242	$10,600	$14,363	$434,534
MANNING PETER MD
SECRETARY	$356,411	$740	$9,757	$1,446	$368,354
O'HARE MARY MD
DIRECTOR	$344,863	$2,372	$9,438	$1,433	$358,106
QUINN-SKILLINGS GINA MD
DIRECTOR	$26,855				$26,855	$246,874	$1,367	$12,971	$16,049	$277,261
BURGESS DONALD MD
DIRECTOR	$229,072	$1,265	$8,137	$15,160	$253,634
MCGEACHEY EDWARD J
PRESIDENT	$443,613	$70,684	$9,275	$17,345	$624,917						$84,000
APRILE PATRICIA
SENIOR VP/COO	$303,652	$24,473	$9,275	$17,639	$380,769						$25,730
ALBAUM MICHAEL MD
SENIOR VP/CMO	$298,401	$2,322	$10,600	$17,698	$355,894						$26,873
BELAIR NORMAN
FRMR SENIOR VP & CFO	$271,057	$21,867	$9,275	$17,286	$334,845						$15,360
HADIARISSUSAN
SR. VP & CPO	$218,396	$16,651	$8,695	$6,897	$269,722						$19,083
LYON DONALD MD
PHYSICIAN	$232,880				$232,880
FOURNIER MARC M
VP, SUPPORT SERVICES	$174,279	$13,265	$7,216	$7,127	$216,295						$14,408
KEEGAN STEVE
VP ANCILLARY SVCS	$166,608	$12,355	$6,838	$7,223	$207,542						$14,518
SALAMONE JOANNA
SENIOR VP & CNO	$185,509	$2,608	$6,475	$14,353	$208,945

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PAGE 1, PART I, LINE 3	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, LINE 15A - COMPENSATION FOR TOP OFFICIAL.	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
MHHEFA - 2010B
A	010314384	560427JA5	2010-06-24	$5,629,914	TO REFUND BONDS ISSUED 5/19/1999	false	false	Yes (true)
FAME - TD BANK
B	010392006		2013-07-25	$15,742,390	BUILDINGS AND EQUIPMENT	false	false	false
MHHEFA - 2007A
C	010314384	560425L40	2007-07-18	$5,622,502	TO REFUND BONDS ISSUED 9/5/1996	false	false	Yes (true)
MHHEFA - 2016A
D	010314384	56042REW8	2016-06-28	$15,930,820	TO REFUND BONDS ISSUED 9/7/2006	false	false	Yes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Credit EnhancementCreditEnhancementAmt
A	$4,640,000	$5,629,914	$376,238	$59,824	$5,570,090	Yes (true)	false	Yes (true)	Yes (true)
B	$1,774,533	$15,742,390		$136,633		false	false	Yes (true)	Yes (true)	$15,605,757	2014
C	$2,365,000	$5,622,502	$451,093	$68,195	$5,543,279	Yes (true)	false	Yes (true)	Yes (true)			$11,028
D	$1,425,000	$15,930,820	$2,100,250	$129,526	$15,801,294	Yes (true)	false	Yes (true)	Yes (true)

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	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	Yes (true)	false
B	false	Yes (true)	false	false	Yes (true)	false	false	false	false
C	false	false	false	Yes (true)	false	false	false	false	false
D	false	Yes (true)	false	false	false	false	false	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K - DATE REBATE COMPUTATION PERFORMED

MHHEFA - 2010B 06/24/18 MHHEFA - 2007A 07/18/18

SCHEDULE K - ADDITIONAL INFORMATION

MHHEFA - 2010B BOND ISSUES A, C, 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 B - 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 IV, LINES 1 AND 2C, BOND ISSUES A AND C - THESE ARE POOLED FINANCINGS, AND THE REBATE COMPLIANCE IS MANAGED BY THE AUTHORITY, NOT BY SMHC. PLEASE SEE ABOVE FOR DATES THE REBATE CALCULATIONS WERE PERFORMED. PART IV, LINE 6, BOND ISSUES A 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. THE AUTHORITY APPROPRIATELY RESTRICTS THE INVESTMENT YIELD ON THE EXCESS AMOUNTS. A TAX EXEMPT BOND POLICY WAS ENDORSED BY THE MAINEHEALTH FINANCE COUNCIL IN JULY, 2018. THIS POLICY IS EXPECTED TO BE ADOPTED BY ALL INDIVIDUAL MEMBER ORGANIZATIONS BEFORE 9/30/18.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CHRISTINA MANNING MD
SEE PART V	$174,493	EMPLOYMENT	false
GREGORY LEACH MD
SEE PART V	$281,260	EMPLOYMENT	false
ANNA M SCOPELLITO-OLSEN MD
SEE PART V	$32,825	EMPLOYMENT	false
TAMMI BITTLER MD
SEE PART V	$264,937	EMPLOYMENT	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	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, A SMHC TRUSTEE AND OFFICER. SHE IS EMPLOYED BY SMHC AS A PHYSICIAN.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 2	IN FY17, SMHC BEGAN OFFERING UROLOGY SERVICES IN BIDDEFORD, AND IMAT (INTEGRATED MEDICATION ASSISTANCE TREATMENT) IN SACO. IN ADDITION TO THESE NEW SERVICES, SMHC BEGAN OFFERING 3-D MAMMOGRAPHY IN BIDDEFORD & SANFORD.
FORM 990, PAGE 2, PART III, LINE 4A	(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.
FORM 990, PAGE 6, PART VI, LINE 6	MAINEHEALTH, EIN 01-0431680, IS THE SOLE MEMBER OF SOUTHERN MAINE HEALTH CARE (SMHC).
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 12C	AS INDICATED IN 12B, 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, PAGE 6, PART VI, LINE 15A	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.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE EXPLANATION ABOVE UNDER FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL.
FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING AND CONTRACT LABOR 25,955,469 5,290,620 14,184
FORM 990, PART XI, LINE 9	CHANGE IN FAIR VALUE OF PERPETUAL TRUST 971,977 EQUITY TRANSFER TO AFFILIATES -698,000 NET ASSETS RELEASED FROM REST. FOR OPERATIONS -35,032 TOTAL 238,945

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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
MAINEHEALTH
110 FREE STREET	PORTLAND	ME	04101	010431680	HEALTHCARE	ME	501C3	12C	NA	false
MANOR AT PHILLIPSTOWN PLACE INC
25 JUNE STREET	SANFORD	ME	04073	010473857	ELDER CARE	ME	501C3	10	01-0179500	false
MAINE MEDICAL CENTER
22 BRAMHALL STREET	PORTLAND	ME	04102	010238552	HOSPITAL	ME	501C3	3	01-0431680	false
MAINE BEHAVIORAL HEALTHCARE
78 ATLANTIC PLACE	SOUTH PORTLAND	ME	04106	010524834	HOSPITAL	ME	501C3	3	01-0431680	false
LINCOLNHEALTH GROUP
6 ST ADNREWS LANE	BOOTHBAY HARBOR	ME	04538	261475629	HEALTHCARE	ME	501C3	12B	01-0431680	false
WESTERN MAINE HEALTH CARE CORP
181 MAIN STREET	NORWAY	ME	04268	010411788	HEALTHCARE	ME	501C3	12B	01-0431680	false
GERIATRIC RESOURCE NETWORK
110 FREE STREET	PORTLAND	ME	04101	010542842	HEALTHCARE	ME	501C3	7	01-0431680	false
MAINEHEALTH CARE AT HOME
15 INDUSTRIAL PARK	SACO	ME	04072	222571902	HEALTHCARE	ME	501C3	10	01-0431680	false
NORDX
301A US ROUTE ONE	SCARBOROUGH	ME	04074	010511356	LABORATORY	ME	501C3	10	01-0431680	false
COASTAL HEALTHCARE ALLIANCE
4 WHITE STREET	ROCKLAND	ME	04841	222494475	HEALTHCARE	ME	501C3	12B	01-0431680	false
MAINEHEALTH CARDIOLOGY
110 FREE STREET	PORTLAND	ME	04101	452525629	HEALTHCARE	ME	501C3	10	01-0431680	false
THE MEMORIAL HOSPITAL
3073 WHITE MOUNTAIN HIGHWAY	NORTH CONWAY	NH	03860	020222156	HOSPITAL	NH	501C3	3	01-0431680	false
CANCER CARE CENTER OF YORK COUNTY
22 BRAMHALL STREET	PORTLAND	ME	04102	201600381	MED SVCS	ME	501C3	3	01-0179500	Yes (true)
FRANKLIN COMMUNITY HEALTH NETWORK
111 FRANKLIN HEALTH COMMONS	FARMINGTON	ME	04938	223209406	HEALTHCARE	ME	501C3	12B	01-0431680	false

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
MAINEHEALTH ACCOUNTABLE CARE ORG
110 FREE STREET	PORTLAND	ME	04101	452929273	ACO	ME	01-0238552	RELATED	$32,548	$827,405	false	false	0.09360
GSM REALTY LLC
22 BRAMHALL STREET	PORTLAND	ME	04102	204582952	REAL EST.	ME	01-0179500	RELATED	$20,576	$788,777	false	false	0.66670

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct
SMHC PHYSICIAN SERVICES
PO BOX 626	BIDDEFORD	ME	040050626	263345134	HEALTHCARE	ME	N/A	Yes (true)
JUNE STREET PHARMACY
25 JUNE STREET	SANFORD	ME	04073	020765952	PHARMACY	ME		Yes (true)	01-0179500	C CORP	1.00000

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SMHC PHYSICIAN SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	P	TransactionTypeTxt
Involved	$10,201,887	InvolvedAmt
Method Of Amount Determination	COSTS INCURRED	MethodOfAmountDeterminationTxt