2017-08-14T10:24:13-04:00 2016-09-30 990 2015-10-01 010179500 SOUTHERN MAINE HEALTH CARE SOUT 2072837000 PO BOX 626 BIDDEFORD ME 04005 RICHARD OLSEN SENIOR VP & CFO 2072837000 2017-08-10 2015 2021-01-29 14:40:06Z MCGEACHEY EDWARD J PO BOX 626 BIDDEFORD ME 040050626 266757616 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. 16 9 2420 242 157182 -122757 3974555 2842469 245298608 255353822 2447535 2308422 5168593 5880509 256889291 266385222 0 0 113971837 114954768 0 151880 148882331 155302815 262854168 270257583 -5964877 -3872361 264543529 264674996 127005331 127335816 137538198 137339180 X SOUTHERN MAINE HEALTH CARE EXISTS TO IMPROVE THE HEALTH AND HEALTH CARE OF THE COMMUNITIES WE SERVE. false false 149795237 195490276 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 52,360 EMERGENCY ROOM VISITS, 116,723 RADIOLOGICAL PROCEDURES, AND 7,551 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, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). SMHC SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. SMHC ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. SMHC'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS. 58849316 58242743 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 273,969 OFFICE VISITS AND 35,412 WALK-IN CARE VISITS. 6478046 7623177 SMHC ELDERCARE SERVICES PROVIDE LONG-TERM CARE, MEDICAL SERVICES, AND DAYCARE TO OUR SENIOR CITIZENS. ELDERCARE HAD A TOTAL OF 37,758 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. OTHER PROGRAM SERVICES INCLUDE: PHYSICIAN PRACTICES, SURGICAL SERVICES, IMAGING SERVICES, CARDIOPULMONARY SERVICES, LABOR AND DELIVERY SERVICES, LABORATORY, EMERGENCY SERVICES AND REHAB SERVICES. 215122599 true true false true false false false false false true true true false true true true false true false false true false false false false false true true false false true true false false false false false false false false true true false false false false false true true true false false true 90 0 true 2420 true true true false false false false false false false false false X 16 9 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 THOMPSON JOHN DO DIRECTOR 1.00 50.00 X 800883 0 25846 GOUDREAU FRANK MD DIRECTOR 1.00 50.00 X 654749 0 25466 CARROLL MICHAEL MD DIRECTOR 1.00 50.00 X 468568 0 25563 MANNING PETER MD PHYSICIAN 50.00 1.00 X 411941 0 12178 O'HARE MARY MD DIRECTOR 1.00 50.00 X 325124 0 10803 QUINN-SKILLINGS GINA MD DIRECTOR 5.00 45.00 X 49051 241861 28239 BURGESS DONALD MD DIRECTOR 1.00 50.00 X 238050 0 24820 BAUMAN ROBERT P DIRECTOR 1.00 0.00 X 0 0 0 GAINES BERNARD CHAIRPERSON 1.00 0.00 X 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 SECRETARY 1.00 0.00 X X 0 0 0 HISSONG GEORGE JR VICE-CHAIRPE 1.00 0.00 X X 0 0 0 MICKERIZ MARK DIRECTOR 1.00 0.00 X 0 0 0 REINKEN ROB DIRECTOR 1.00 0.00 X 0 0 0 BUCK STEVEN DIRECTOR 1.00 0.00 X 0 0 0 MCGEACHEY EDWARD J PRESIDENT 50.00 1.00 X 590131 0 28351 APRILE PATRICIA SENIOR VP/CO 50.00 1.00 X 356025 0 26935 BELAIR NORMAN EVP/CFO 50.00 1.00 X 335835 0 26263 ALBAUM MICHAEL MD SENIOR VP/CM 1.00 50.00 X 334278 0 28475 LYON DONALD MD PHYSICIAN 50.00 0.00 X 288352 0 0 HADIARISSUSAN SR. VP & CPO 50.00 1.00 X 269164 0 16584 CAMIREPATRICIA RN SR. VP CLINI 50.00 1.00 X 260700 0 22867 FOURNIER MARC M VP, SUPPORT 50.00 0.00 X 211014 0 18363 KEEGAN STEVE VP ANCILLARY 50.00 0.00 X 204816 0 14281 5798681 241861 335034 59 false true false HEALTHCARE EXCELLENCE INST 21045 N 9TH PLACE SUITE 205 PHOENIX AZ 85024 BILLING SVCS 986886 SPECTRUM MEDICAL GROUP PA 324 GANNETT DRIVE SUITE 200 PORTLAND ME 04106 MED DIRECTOR 581967 NATIONWIDE ANESTHESIA SERVICES PO BOX 490968 LAWRENCEVILLE GA 30049 ANESTHESIA SVCS 433859 EXECUTIVE HEALTH RESOURCES INC 3797 MOMENTUM PLACE CHICAGO IL 606895337 MED REC REVIEW 334228 MAINE COAST ANESTHESIA ASSOCIATES PO BOX 446 WELLS ME 04090 ANESTHESIA SVCS 200215 9 144249 813971 1884249 2842469 PATIENT SERVICES 623000 255186057 255186057 PATIENT SERVICES 621500 167765 167765 255353822 2132531 -10583 2143114 256776 370515 -113739 -113739 -113739 177770 1879 175891 175891 175891 OTHER MEDICAL SERVICES 621990 2366437 2366437 OTHER 722514 1228170 1228170 PHARMACY 446110 809687 809687 1589954 1589954 5994248 266385222 261356196 157182 2029375 X 1258648 906227 352421 89604937 80687738 8843406 73793 1770087 1569364 199288 1435 15795471 14063363 1717349 14759 6525625 5812836 707144 5645 69308 69308 92402 92402 33335784 22362589 10963854 9341 435578 2577 414923 18078 3536217 954053 2576450 5714 6951782 4670992 2280016 774 267934 146259 121675 2559314 57264 2502050 11827021 486130 11340891 1515193 234982 1280211 PHYSICIAN FEES 47976349 47280700 695649 MEDICAL SUPPLIES 29242146 28940263 294848 7035 INTEGRATED SERVICES 8700896 427482 8273414 PROVIDER TAX 5989824 5989824 2803067 529956 2257805 15306 270257583 215122599 54983104 151880 11732 11682 1917607 4716670 39502187 36582509 4069680 3969761 1917968 2189107 281204501 185815732 99024846 95388769 52484450 48237965 27748866 27855139 37866193 45723394 264543529 264674996 21127162 16965701 208740 166052 34460745 31924194 8256401 7344511 62952283 70935358 127005331 127335816 X 123284036 122547714 2075869 2284471 12178293 12506995 137538198 137339180 264543529 264674996 X -3872361 4107641 -434298 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27532 27532 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). 18.00% OR 14,427 OF THE DUES PAID TO MHA, 22.12% OR 10,267 OF THE DUES PAID TO AHA AND 36.04% OR 2,838 OF THE DUES PAID TO MHCA ARE AVAILABLE FOR LOBBYING. 71825362 89421 5294858 -10000388 67209253 75050388 9587 -3234613 71825362 45515244 35609041 -6073897 75050388 23440924 19406274 2668046 45515244 19464355 11991 3964578 23440924 0.97090 0.02910 false false 4251503 4251503 154601237 91249138 63352099 7640235 3553081 4087154 105678611 86115672 19562939 9032915 4897841 4135074 95388769 ALTERNATIVE INVESTMENTS 26398765 F INVESTMENT IN REAL PROPERTY 1456374 F 27855139 PPD SHARED HEALTH RECORD SYSTEM COST 29934489 BENEFICIAL INTEREST PERPETUAL TRUST 10606757 INVESTMENT IN CCCYC 2167629 OTHER RECEIVABLES 1009309 DUE FROM RELATED PARTIES 852342 CSV OF LIFE INSURANCE 851677 INVESTMENT IN MH ACO 301191 JOINT VENTURE - PINE TREE INSURANCE 45723394 DUE TO AFFILIATES 48915178 LINE OF CREDIT 10000000 CAPITAL LEASE OBLIGATION 8913416 ESTIMATED 3RD PARTY PAYOR SETTLEMENT 2690831 NOTE PAYABLE - THE MEDICAL GROUP 415933 BIDDEFORD FREE CLINIC 70935358 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 17554689 17554689 17554689 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 17,554,689 true true true X 1.750000000000 true X 2.250000000000 true true false true true 7074133 7074133 0.02680 35167705 23257511 11910194 0.04500 42241838 23257511 18984327 0.07180 1580583 1580583 0.00600 596835 596835 0.00230 6886285 3619264 3267021 0.01230 183191 183191 0.00070 9246894 3619264 5627630 0.02130 51488732 26876775 24611957 0.09310 1000 1000 33000 33000 0.00010 400 400 34400 34400 0.00010 false 8449793 94795586 115944662 -21149076 X true true 2 1 SOUTHERN MAINE HEALTH CARE BIDDEFORD CAMPUS ONE MEDICAL CENTER DRIVE BIDDEFORD ME 04005 WWW.SMHC.ORG 38427 X X X A 2 SOUTHERN MAINE HEALTH CARE SANFORD CAMPUS 25 JUNE STREET SANFORD ME 04073 WWW.SMHC.ORG 38427 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 X true 16 true SEE PART V, SECTION C false true X 175.000000000000 225.000000000000 X X X X true true X 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 true X true X X X X true X false false GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 3J ALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED, AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THOSE NEEDS. 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, AND MAINE GENERAL HEALTH. GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 7D THE CHNA, WHICH INCLUDES THE IMPLEMENTATION PLAN, IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/SOUTHERN-MAINE-HEALTH-CARE/HEALTHY-COMMUNITIES GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 11 THE ORGANIZATION HAS COMPLETED ITS WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2013-2015 CHNA AND IMPLEMENTATION PLAN. PLEASE SEE THE ATTACHED 2013-2015 IMPLEMENTATION PLAN UPDATE FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION TO MEET THE IDENTIFIED NEEDS OF ITS COMMUNITY. 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. SEE HTTPS://MAINEHEALTH.ORG/SOUTHERN-MAINE-HEALTH- CARE/HEALTHY-COMMUNITIES FOR DETAILS. GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 13H UPON RECEIPT OF AN APPLICATION, SOUTHERN MAINE HEALTH CARE SHALL MAKE A DETERMINATION THAT AN INDIVIDUAL SEEKING FREE CARE QUALIFIES FOR SUCH CARE IF SERVICES RENDERED WERE MEDICALLY NECESSARY. GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 16I THE FAP IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-CARE THE FAP APPLICATION FORM IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-MEDICAL-CARE-APPLICATION THE PLAIN LANGUAGE SUMMARY IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-CARE GROUP A, FACILITY 1, SOUTHERN MAINE HEALTH CARE - PART V, LINE 22D SOUTHERN MAINE HEALTH CARE (SMHC) USES A 25% DISCOUNT ON FAP-ELIGIBLE INDIVIDUALS WHO HAVE NO OTHER INSURANCE COVERAGE. HOWEVER, SHOULD AN INDIVIDUAL ALSO HAVE HEALTH INSURANCE, THE DISCOUNT ALREADY PROVIDED TO THE INSURER IS TAKEN INTO ACCOUNT SO AS NOT TO EXCEED THE AS 25% DISCOUNT. 13 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 - INTERNAL MEDICINE 1 GRANNY SMITH ROAD OLD ORCHARD BEACH ME 04064 INTERNAL 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 PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION 3,267,021 OF NET COMMUNITY BENEFIT RELATED TO SUBSIDIZED HEALTH SERVICES IS INCLUDED IN PART I, LINE 7G. THIS AMOUNT INCLUDES: MENTAL HEALTH SERVICES - 1,861,687, AND ONCOLOGY SERVICES - 1,405,334. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE STATE OF MAINE PROVIDER TAXES OF OF 5,989,824 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 FOR FINANCIAL ASSISTANCE 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 FINANCIAL ASSISTANCE 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 CHARITY CARE OR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY ONCE CHARITY CARE OR FINANCIAL ASSISTANCE HAS BEEN APPROVED. FOR PATIENTS THAT DO NOT QUALIFY FOR 100% FINANCIAL ASSISTANCE, THE APPROPRIATE DISCOUNT PERCENTAGE IS APPLIED AND THE REMAINING BALANCE IS BILLED TO THE APPROPRIATE PARTY. MONTHLY PAYMENT ARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT BILLING DEPARTMENT. 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, OUTPATIENT, AND EMERGENCY REGISTRATION LOCATIONS IN THE FOLLOWING MANNER: -POSTINGS INCLUDING FREE CARE, MONTHLY PAYMENT PLAN AND EXPANDED FREE CARE PROGRAM -HANDOUTS -INTERVIEWS WITH SMHC'S PATIENT FINANCIAL COUNSELOR SMHC'S WEBSITE INCLUDES THE FOLLOWING PATIENT INFORMATION: - BILLING INFORMATION - PAYMENT OPTIONS - FINANCIAL ASSISTANCE INFORMATION - CONTACT US AND BILLING "FAQ'S" COMMUNICATION BETWEEN SMHC'S PATIENT REGISTRATION AND PATIENT BILLING STAFF IS A KEY COMPONENT IN IDENTIFYING PAYMENT PROGRAMS TO THOSE IN NEED. EMPLOYEES DOCUMENT INTERVIEWS WITH PATIENTS AND FORWARD ALL PERTINENT INFORMATION BETWEEN DEPARTMENTS IN AN EFFORT TO ASSIST THOSE IN NEED. INPATIENTS WHO ARE UNINSURED, UNDER INSURED OR ANY PATIENTS WHO MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILLS ARE VISITED BY A FINANCIAL COUNSELOR TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS AND ASSIST WITH APPLICATIONS. THESE PATIENTS ARE ALSO ASSISTED WITH MAINECARE APPLICATIONS IF APPROPRIATE. PRIMARY LANGUAGE, DEAF AND HARD OF HEARING AND INTERPRETER NEEDS ARE ASSESSED EARLY ON IN THE PATIENT CARE PROCESS AND APPROPRIATE SERVICES ARE PROVIDED AS NEEDED. IF A PATIENT DOES NOT RESPOND OR MISSES THE INFORMATION DISCUSSED ABOVE, THEN THE PATIENT BILLING STAFF WILL ASSIST THE PATIENT WITH THE PROCESS AFTER THE INITIAL BILL HAS BEEN SENT OUT. THE INTENT IS TO HAVE INFORMATION AVAILABLE BY SEVERAL MEANS OF ACCESS SO THAT THE PATIENT IS FULLY INFORMED AND CAN TAKE ADVANTAGE OF THE FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 4 - COMMUNITY INFORMATION SOUTHERN MAINE HEALTH CARE (SMHC) IS A FULLY INTEGRATED HEALTHCARE SYSTEM PROVIDING PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES WITHIN BIDDEFORD, KENNEBUNK, SANFORD, WATERBORO, OLD ORCHARD BEACH, AND SACO, MAINE. ALL OF THESE COMMUNITIES ARE LOCATED IN NORTHERN AND WESTERN YORK COUNTY. SMHC INCLUDES TWO FULL SERVICE ACUTE CARE HOSPITALS EACH LOCATED IN BIDDEFORD AND SANFORD AND MAINTAINS YORK COUNTY'S ONLY INPATIENT MENTAL HEALTH UNIT, ONLY MENTAL HEALTH CRISIS UNIT, AND ONLY INPATIENT PEDIATRIC UNIT ON THE BIDDEFORD CAMPUS. 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 THE FALL OF 2008, SMHC PURCHASED A LARGE MULTIDISCIPLINARY PRIVATE PHYSICIAN PRACTIVE LOCATED IN ITS SERVICE AREA AS A MEANS OF ASSURING THAT ACCESS. IN FISCAL YEAR 2016 THE MEDICAID POPULATION SERVED BY THOSE PHYSICIANS REPRESENTED APPROXIMATELY 19% OF THE PRACTICE - AN INCREASE FROM 8% IN THE LATE 2008. IN ADDITION, THE SELF-PAY POPULATION REPRESENTED 3.7% OF THE PRACTICE. PRIOR TO THE PURCHASE, THIS AMOUNT WAS LESS THAN 1% OF THE PRACTICE. THESE PHYSICIAN PRACTICES PROVIDE PRIMARY CARE SERVICES (INTERNAL MEDICINE, FAMILY PRACTICE & PEDIATRICS) AS WELL AS GENERAL SURGERY, CARDIOLOGY, ORTHOPEDIC SURGERY, NEUROLOGY, GASTROENTEROLOGY, PULMONARY SERVICES, INFECTIOUS DISEASE, ONCOLOGY AND OSTEOPATHIC MANIPULATIVE SERVICES. AS MENTIONED BEFORE, 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 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 PREVENTATIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: LINCOLNHEALTH GROUP, MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE, COASTAL HEALTHCARE ALLIANCE, SOUTHERN MAINE HEALTH CARE, WESTERN MAINE HEALTHCARE, MAINEHEALTH CARE AT HOME, FRANKLIN COMMUNITY HEALTH NETWORK, THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., MAINE PHYSICIAN HOSPITAL ORGANIZATION, NORDX, SYNERNET, MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION, MAINEHEALTH CARDIOLOGY, AND GERIATRIC RESOURCE NETWORK. AFFILIATES OF MAINEHEALTH INCLUDE: MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL, NEW ENGLAND REHABILITATION HOSPITAL AND ST. MARY'S REGIONAL HOSPITAL. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE ADDITIONAL INFORMATION PART I, LINE 3B SOUTHERN MAINE HEALTH CARE USES FEDERAL POVERTY GUIDELINES (FPG) FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. THE FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE IS 175% - 225%. false false false false false false false false false THOMPSON JOHN DO DIRECTOR 797319 3564 10600 15246 826729 GOUDREAU FRANK MD DIRECTOR 653699 1050 10600 14866 680215 CARROLL MICHAEL MD DIRECTOR 467326 1242 10600 14963 494131 MANNING PETER MD PHYSICIAN 411153 788 10600 1578 424119 O'HARE MARY MD DIRECTOR 323049 2075 9340 1463 335927 QUINN-SKILLINGS GINA MD DIRECTOR 49051 241051 810 12672 15567 49051 270100 BURGESS DONALD MD DIRECTOR 237227 823 9126 15694 262870 MCGEACHEY EDWARD J PRESIDENT 452404 57375 80352 9275 19076 618482 APRILE PATRICIA SENIOR VP/COO 309752 21700 24573 9275 17660 382960 BELAIR NORMAN EVP/CFO 276665 19908 39262 9275 16988 362098 ALBAUM MICHAEL MD SENIOR VP/CMO 312650 20236 1392 10600 17875 362753 LYON DONALD MD PHYSICIAN 288352 288352 HADIARISSUSAN SR. VP & CPO 222723 17062 29379 9275 7309 285748 CAMIREPATRICIA RN SR. VP CLINICAL SVCS 214209 14276 32215 8993 13874 283567 FOURNIER MARC M VP, SUPPORT SERVICES 175402 12427 23185 6574 11789 229377 KEEGAN STEVE VP ANCILLARY SVCS 170641 12639 21536 7231 7050 219097 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-SERIES 2010B AND 2010C ISSUE 010314384 560427JA5 2010-06-24 6447296 REFINANCE BONDS false false false B FAME - TD BANK 010392006 2013-07-25 13806882 CAPITAL EQUIPMENT AND NEW MEDICAL OFFICE BUILDING false false false C MHHEFA - 2007A SERIES 010314384 560425H37 2007-07-18 5108908 REFI MHHEFA BD 1996A false false false D MHHEFA - SERIES 2016A 010314384 56042REN8 2016-06-28 14287321 REFINANCE BONDS, RENOVATIONS, & EQUIPMENT false false false A 6255000 7580622 1073888 6446910 58540 1284 2010 true false true true B 13806882 133798 13673084 2014 false false true true C 2226042 5108908 451093 56115 2335658 2009 false true true true D 12345000 14287321 1549200 12647304 90817 2016 true false true true A false false false false true false false B false false false false true false false C false false false false true false false D false false false false true false false A false false false false false false false false false B false false false false false false false false false C false false false false false false false false false D false false false false false false false false false A false B false C false D false SANFORD INSTITUTE FOR SAVINGS SEE BELOW 1761883 HOLDS DEPOSITS/LOANS false LINDSEY BELAIR FAMILY MEMBER 49258 EMPLOYMENT false SCHEDULE L, PART V SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: LINE 1: MARK MIKERIZ IS AN SMHC BOARD MEMBER AND THE PRESIDENT OF SANFORD INSTITUTE FOR SAVINGS AT WHICH SMHC HOLDS DEPOSIT ACCOUNTS AND FOUR SECURED LOANS WITH AN OUSTANDING BALANCE OF 1,761,883 AT 9/30/2016. LINE 2: LINDSEY BELAIR IS THE DAUGHTER OF NORMAN BELAIR, CFO OF SMHC, WHO IS EMPLOYED BY SMHC AS A RN. FORM 990, PAGE 2, PART III, LINE 4A (CONTINUATION) SMHC PROUDLY SPONSORS COMMUNITY ORGANIZATIONS, SCHOOL GROUPS, CIVIC ORGANIZATIONS AND SPECIAL EVENTS (LIKE THE LOCAL BASEBALL TEAM). SMHC SPONSORS TWO TO FOUR FREE EDUCATION EVENTS EACH MONTH OF THE YEAR ALONG WITH DOZENS OF SUPPORT GROUPS. SMHC ALSO ROUTINELY PARTICIPATES IN HEALTH FAIRS AND BUSINESS EVENTS, PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL SCREENINGS AND CPR TRAINING. SMHC'S SENIOR ADVOCATE PROVIDES FREE ADVICE AND SERVICES TO ELDERLY MEMBERS OF THE COMMUNITY. SERVICES INCLUDE HELP WITH INSURANCE AND MEDICAL ISSUES, AS WELL AS PERSONAL ISSUES INCLUDING TAX INFORMATION, FINANCES AND HOME NEEDS. FORM 990, PAGE 2, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE: PHYSICIAN PRACTICES, SURGICAL SERVICES, IMAGING SERVICES, CARDIOPULMONARY SERVICES, LABOR AND DELIVERY SERVICES, LABORATORY, EMERGENCY SERVICES AND REHAB SERVICES. 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 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. 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 22,362,589 10,963,854 9,341 FORM 990, PART XI, LINE 9 CHANGE IN FAIR VALUE OF PERPETUAL TRUST 328,702 EQUITY TRANSFER TO AFFILIATES -763,000 TOTAL -434,298 MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false MANOR AT PHILLIPSTOWN PLACE INC 25 JUNE STREET SANFORD ME 04073 010473857 ELDER CARE ME 501C3 9 01-0179500 false WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 04915 222864961 HEALTHCARE ME 501C3 11B 01-0431680 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 11B 01-0431680 false WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11B 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 9 01-0431680 false NORDX 301A US ROUTE ONE SCARBOROUGH ME 04074 010511356 LABORATORY ME 501C3 9 01-0431680 false COASTAL HEALTHCARE ALLIANCE 4 WHITE STREET ROCKLAND ME 04841 222494475 HEALTHCARE ME 501C3 11B 01-0431680 false MAINEHEALTH CARDIOLOGY 110 FREE STREET PORTLAND ME 04101 452525629 HEALTHCARE ME 501C3 9 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 11B 01-0431680 false MAINEHEALTH ACCOUNTABLE CARE ORG 110 FREE STREET PORTLAND ME 04101 452929273 ACO ME 01-0238552 RELATED 138684 830308 false false 0.10400 GSM REALTY LLC 22 BRAMHALL STREET PORTLAND ME 04102 204582952 REAL EST. ME 01-0179500 RELATED -6223 803488 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 44859906 COSTS INCURRED