2018-08-14T15:44:25-04:00 2017-09-30 990 2016-10-01 010179500 SOUTHERN MAINE HEALTH CARE SOUT 2072837000 PO BOX 626 BIDDEFORD ME 04005 RICHARD OLSEN SENIOR VP & CFO 2072837000 2018-08-13 2016 2022-09-23 18:48:47Z NATHAN HOWELL PO BOX 626 BIDDEFORD ME 040050626 287566331 false X WWW.SMHC.ORG X 1899 ME SOUTHERN MAINE HEALTH CARE EXISTS TO IMPROVE THE HEALTH AND HEALTH CARE OF THE COMMUNITIES WE SERVE. 14 8 2172 261 143101 -100414 2842469 2176344 255353822 273735838 2308422 3995626 5880509 7176983 266385222 287084791 0 0 114954768 152140405 0 313961 155302815 129545865 270257583 281686270 -3872361 5398521 264674996 276279893 127335816 127583323 137339180 148696570 X SOUTHERN MAINE HEALTH CARE EXISTS TO IMPROVE THE HEALTH AND HEALTH CARE OF THE COMMUNITIES WE SERVE. false false 162863753 199448455 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. 69384172 68695761 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. 6436196 12766851 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. 238684121 true true false true false false false false false true true true false true true true false true false false true false false false true false true true false false true true false false false false false false false false true false false false false false false true true true false false true 83 0 true 2172 true true true false false false false false false false false false X 14 8 false false false false true true true true true false false true true true true true true true true false ME X RICHARD OLSEN 2072837898 1 MEDICAL CENTER DRIVE BIDDEFORD ME 040050626 GOUDREAU FRANK MD DIRECTOR 1.00 50.00 X 620017 0 25198 CARROLL MICHAEL MD DIRECTOR 1.00 50.00 X 409571 0 24963 MANNING PETER MD SECRETARY 1.00 50.00 X X 357151 0 11203 O'HARE MARY MD DIRECTOR 1.00 50.00 X 347235 0 10871 QUINN-SKILLINGS GINA MD DIRECTOR 5.00 45.00 X 26855 248241 29020 BURGESS DONALD MD DIRECTOR 1.00 50.00 X 230337 0 23297 BAUMAN ROBERT P DIRECTOR 1.00 X 0 0 0 GAINES BERNARD DIRECTOR 1.00 0.00 X 0 0 0 PAIGE BRADFORD C DIRECTOR 1.00 0.00 X 0 0 0 QUENTIN ROBERT C TREASURER 1.00 0.00 X X 0 0 0 PERKINS MERILEE VICE CHAIRPE 1.00 0.00 X X 0 0 0 HISSONG GEORGE JR CHAIRPERSON 1.00 0.00 X X 0 0 0 MICKERIZ MARK DIRECTOR 1.00 0.00 X 0 0 0 BUCK STEVEN DIRECTOR 1.00 X 0 0 0 MCGEACHEY EDWARD J PRESIDENT 50.00 1.00 X 598297 0 26620 APRILE PATRICIA SENIOR VP/CO 50.00 1.00 X 353855 0 26914 ALBAUM MICHAEL MD SENIOR VP/CM 1.00 50.00 X 327596 0 28298 BELAIR NORMAN FRMR SENIOR 50.00 1.00 X 308284 0 26561 RICHARD OLSEN SENIOR VP & 50.00 1.00 X 66808 0 1209 HADIARISSUSAN SR. VP & CPO 50.00 1.00 X 254130 0 15592 LYON DONALD MD PHYSICIAN 50.00 0.00 X 232880 0 0 FOURNIER MARC M VP, SUPPORT 50.00 0.00 X 201952 0 14343 KEEGAN STEVE VP ANCILLARY 50.00 0.00 X 193481 0 14061 SALAMONE JOANNA SENIOR VP & 50.00 0.00 X 188117 0 20828 4716566 248241 298978 60 false true false HEALTHCARE EXCELLENCE INST 21045 N 9TH PLACE SUITE 205 PHOENIX AZ 85024 BILLING SVCS 3123822 MEDICUS HOSPITALISTS LLC 22 ROULSTON RD WINDHAM NH 03087 LOCUMS 585803 SPECTRUM MEDICAL GROUP PA 324 GANNETT DRIVE SUITE 200 PORTLAND ME 04106 MED DIRECTOR 438888 OPTUMINSIGHT 3797 MOMENTUM PLACE CHICAGO IL 606895337 MED RECORD REV 231170 SEVIGNY'S PROPERTY MAINTENANCE 478 CLARKS MILLS ROAD DAYTON ME 04005 SNOW PLOWING 115488 6 3500 178804 842246 1151794 2176344 PATIENT SERVICES 623000 273566600 273566600 PATIENT SERVICES 621500 169238 169238 273735838 4018954 -26137 4045091 129494 340222 -210728 -210728 -210728 110687 134015 -23328 -23328 -23328 27219 3500 7303 19916 OTHER MEDICAL SERVICES 621990 3321383 3321383 GAIN ON INVESTMENT IN OTHERS 900099 1516639 1516639 PHARMACY 446110 915961 915961 1613812 1613812 7367795 287084791 280911067 143101 3834363 X 1337398 962927 374471 121893576 114804587 6960853 128136 2777473 2615943 158610 2920 17972939 16700307 1247005 25627 8159019 7635744 513473 9802 77820 77820 80564 80564 31260273 25955469 5290620 14184 414248 1194 398808 14246 1762316 931972 823107 7237 60524 12383 48141 8064202 6541278 1522924 290746 183224 107522 2531123 45165 2485958 13420423 7319281 6101142 2363956 1729729 634227 MEDICAL SUPPLIES 31632805 29576795 2054343 1667 INTEGRATED SERVICES 15020821 3061543 11959278 PHYSICIAN FEES 14095698 14095698 PROVIDER TAX 5737375 5737375 2732971 773507 1849322 110142 281686270 238684121 42688188 313961 11682 901379 4716670 4213040 36582509 39313344 3969761 3889564 2189107 1953808 289090686 197681163 95388769 91409523 48237965 44277659 27855139 27338506 45723394 62983070 264674996 276279893 16965701 21866915 166052 181000 31924194 28997520 7344511 10760880 70935358 65777008 127335816 127583323 X 122547714 132323198 2284471 2893180 12506995 13480192 137339180 148696570 264674996 276279893 5398521 5719924 238945 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27248 27248 false SCHEDULE C, 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). 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. 67209253 3517945 8556164 -14819578 64463784 71825362 89421 5294858 -10000388 67209253 75050388 9587 -3234613 71825362 45515244 35609041 -6073897 75050388 23440924 19406274 2668046 45515244 0.96540 0.03460 false false 4120745 4120745 156295799 96774127 59521672 7745156 4020728 3724428 112884191 91655646 21228545 8044795 5230662 2814133 91409523 ALTERNATIVE INVESTMENTS 25993975 F INVESTMENT IN REAL PROPERTY 1344531 F 27338506 PPD SHARED HEALTH RECORD SYSTEM COST 39579944 BENEFICIAL INTEREST PERPETUAL TRUST 11578374 DUE FROM 3RD PARTY PAYOR SETTLEMENT 4716441 INVESTMENT IN CCCYC 2856129 OTHER RECEIVABLES 2020714 CSV OF LIFE INSURANCE 851677 JOINT VENTURE - PINE TREE INSURANCE 770555 INVESTMENT IN MH ACO 322518 DUE FROM RELATED PARTIES 286718 62983070 DUE TO AFFILIATES 52086785 CAPITAL LEASE OBLIGATION 8486369 LINE OF CREDIT 5000000 NOTE PAYABLE - THE MEDICAL GROUP 203854 65777008 X SCHEDULE D, PAGE 3, PART X 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. false CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 17414484 17414484 17414484 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 17,414,484 SHIPYARD COAST 30719 3500 27219 345 6958 30719 3500 27219 345 6958 7303 19916 true true true X 1.750000000000 false true true false true true 6950848 6950848 0.02520 36608471 27312821 9295650 0.03370 43559319 27312821 16246498 0.05890 992290 992290 0.00340 662750 662750 0.00240 8517319 6111228 2406091 0.00870 222490 222490 0.00080 10394849 6111228 4283621 0.01530 53954168 33424049 20530119 0.07420 1000 1000 22400 22400 0.00080 23400 23400 0.00080 false 9781687 100843293 128179400 -27336107 X true true 2 1 SOUTHERN MAINE HEALTH CARE BIDDEFORD CAMPUS ONE MEDICAL CENTER DRIVE BIDDEFORD ME 04005 WWW.SMHC.ORG 38645 X X X A 2 SOUTHERN MAINE HEALTH CARE SANFORD CAMPUS 25 JUNE STREET SANFORD ME 04073 WWW.SMHC.ORG 38645 X X X A A 12 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C true 16 true SEE PART V, SECTION C false false true X 175.000000000000 X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false 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. 16 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 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 false false false false false false false false false GOUDREAU FRANK MD DIRECTOR 619157 860 10600 14598 645215 CARROLL MICHAEL MD DIRECTOR 408329 1242 10600 14363 434534 MANNING PETER MD SECRETARY 356411 740 9757 1446 368354 O'HARE MARY MD DIRECTOR 344863 2372 9438 1433 358106 QUINN-SKILLINGS GINA MD DIRECTOR 26855 246874 1367 12971 16049 26855 277261 BURGESS DONALD MD DIRECTOR 229072 1265 8137 15160 253634 MCGEACHEY EDWARD J PRESIDENT 443613 84000 70684 9275 17345 624917 APRILE PATRICIA SENIOR VP/COO 303652 25730 24473 9275 17639 380769 ALBAUM MICHAEL MD SENIOR VP/CMO 298401 26873 2322 10600 17698 355894 BELAIR NORMAN FRMR SENIOR VP & CFO 271057 15360 21867 9275 17286 334845 HADIARISSUSAN SR. VP & CPO 218396 19083 16651 8695 6897 269722 LYON DONALD MD PHYSICIAN 232880 232880 FOURNIER MARC M VP, SUPPORT SERVICES 174279 14408 13265 7216 7127 216295 KEEGAN STEVE VP ANCILLARY SVCS 166608 14518 12355 6838 7223 207542 SALAMONE JOANNA SENIOR VP & CNO 185509 2608 6475 14353 208945 SCHEDULE J, PAGE 1, PART I, LINE 3 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. A MHHEFA - 2010B 010314384 560427JA5 2010-06-24 5629914 TO REFUND BONDS ISSUED 5/19/1999 false false true B FAME - TD BANK 010392006 2013-07-25 15742390 BUILDINGS AND EQUIPMENT false false false C MHHEFA - 2007A 010314384 560425L40 2007-07-18 5622502 TO REFUND BONDS ISSUED 9/5/1996 false false true D MHHEFA - 2016A 010314384 56042REW8 2016-06-28 15930820 TO REFUND BONDS ISSUED 9/7/2006 false false true A 4640000 5629914 376238 59824 5570090 true false true true B 1774533 15742390 136633 15605757 2014 false false true true C 2365000 5622502 451093 68195 11028 5543279 true false true true D 1425000 15930820 2100250 129526 15801294 true false true true 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 A false false false true false false false true false B false true false false true false false false false C false false false true false false false false false D false true false false false false false true false A false B false C false D false 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. CHRISTINA MANNING MD SEE PART V 174493 EMPLOYMENT false GREGORY LEACH MD SEE PART V 281260 EMPLOYMENT false ANNA M SCOPELLITO-OLSEN MD SEE PART V 32825 EMPLOYMENT false TAMMI BITTLER MD SEE PART V 264937 EMPLOYMENT false SCHEDULE L, PART V 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. 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 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 true FRANKLIN COMMUNITY HEALTH NETWORK 111 FRANKLIN HEALTH COMMONS FARMINGTON ME 04938 223209406 HEALTHCARE ME 501C3 12B 01-0431680 false MAINEHEALTH ACCOUNTABLE CARE ORG 110 FREE STREET PORTLAND ME 04101 452929273 ACO ME 01-0238552 RELATED 32548 827405 false false 0.09360 GSM REALTY LLC 22 BRAMHALL STREET PORTLAND ME 04102 204582952 REAL EST. ME 01-0179500 RELATED 20576 788777 false false 0.66670 SMHC PHYSICIAN SERVICES PO BOX 626 BIDDEFORD ME 040050626 263345134 HEALTHCARE ME N/A true JUNE STREET PHARMACY 25 JUNE STREET SANFORD ME 04073 020765952 PHARMACY ME 01-0179500 C CORP 1.00000 true false false false false true false false false false false false false false false false true false false false SMHC PHYSICIAN SERVICES P 10201887 COSTS INCURRED