SOUTHERN MAINE HEALTH CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN MAINE HEALTH CARE (EIN 01-0179500)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201442269349300639
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T14:45:38-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MAINEHEALTHBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1110 FREE STAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code041013908ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010179500EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN MAINE HEALTH CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone2072837000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1
CityBIDDEFORDCity
StateMEState
ZIP Code040050626ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNORMAN BELAIRName
TitleVP OF FINANCETitle
Phone2072837000Phone
Date Signed2014-08-14DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2014-08-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDWARD J MCGEACHEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 626AddressLine1
CityBIDDEFORDCity
StateMEState
ZIP Code040050626ZIPCode
FieldValueIRS element (for citing)
Gross Receipts172011334GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1899YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionEXCELLENT HEALTH CARE PROVIDED WITH COMPASSION AND RESPECT.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1515TotalNbrEmployees
Total Nbr Volunteers248TotalNbrVolunteers
Total Gross UBI1021504TotalGrossUBI
Net Unrelated Business Txbl Income-234966NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1326384ContributionsGrantsPriorYear
Contributions Grants Current Year1696823ContributionsGrantsCurrentYear
Program Service Revenue Prior Year171136221ProgramServiceRevenuePriorYear
Program Service Revenue CY163931207ProgramServiceRevenueCY
Investment Income Prior Year966341InvestmentIncomePriorYear
Investment Income Current Year2897155InvestmentIncomeCurrentYear
Other Revenue Prior Year3251003OtherRevenuePriorYear
Other Revenue Current Year3296069OtherRevenueCurrentYear
Total Revenue Prior Year176679949TotalRevenuePriorYear
Total Revenue Current Year171821254TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year69698675SalariesEtcPriorYear
Salaries Etc Current Year70325969SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year144886TotalFundrsngExpCurrentYear
Other Expense Prior Year103034218OtherExpensePriorYear
Other Expenses Current Year96343511OtherExpensesCurrentYear
Total Expenses Prior Year172732893TotalExpensesPriorYear
Total Expenses Current Year166669480TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3947056RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5151774RevenuesLessExpensesCY
Total Assets BOY150707852TotalAssetsBOY
Total Assets EOY164432059TotalAssetsEOY
Total Liabilities BOY57508210TotalLiabilitiesBOY
Total Liabilities EOY66668280TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY93199642NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY97763779NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEXCELLENT HEALTH CARE PROVIDED WITH COMPASSION AND RESPECT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense41545351Expense
Revenue36416834Revenue
DescriptionPROVIDER BASED PHYSICIAN CLINICS WITH 251,785 PRIMARY CARE AND SPECIALTY VISITS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30718179Expense
Revenue41909873Revenue
DescriptionINPATIENT NURSING SERVICES PROVIDED TO ADULTS/PEDIATRICS, INTENSIVE CARE, MENTAL HEALTH AND NURSERY PATIENTS WITH A TOTAL OF 24,283 PATIENT DAYS. SEE ATTACHED COPY OF THE MOST RECENT COMMUNITY BENEFIT REPORT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense22243357Expense
Revenue25412347Revenue
DescriptionSURGICAL SERVICES WERE PROVIDED TO A COMBINED 5,151 INPATIENTS AND OUTPATIENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense45338725Expense
Revenue63313452Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE: PHYSICIAN PRACTICES, SURGICAL SERVICES, IMAGING SERVICES, CARDIOPULMONARY SERVICES, LABOR AND DELIVERY SERVICES, LABORATORY, EMERGENCY SERVICES AND REHAB SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp45338725TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev63313452TotalOfOtherProgramServiceRev
Total Program Service Expense139845612TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1515NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNORMAN BELAIRNamePerson
Telephone Number2072837898TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 MEDICAL CENTER DRIVEAddressLine1
CityBIDDEFORDCity
StateMEState
ZIP Code040050626ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
THOMPSON JOHN DO
DIRECTOR1.0050.00X049259624340
GOUDREAU FRANK MD
DIRECTOR1.0050.00X047446224013
MANNING PETER MD
DIRECTOR1.0050.00X036743811208
CARROLL MICHAEL MD
DIRECTOR1.0050.00X035854430832
QUINN-SKILLINGS GINA MD
DIRECTOR1.0050.00X029221525758
O'HARE MARY MD
DIRECTOR1.0050.00X026195825895
LAPRISE PAUL MD
DIRECTOR1.0050.00X025537830741
CUTONE STEVEN DO
DIRECTOR1.0050.00X022431531717
BURGESS DONALD MD
DIRECTOR1.0050.00X022130829138
BAUMAN ROBERT P
DIRECTOR1.00X000
DESAULNIER DONNA M
DIRECTOR1.00X000X
FERRICK AUDREY C
DIRECTOR1.00X000
FINK JOAN R
DIRECTOR1.00X000
GAINES BERNARD
CHAIRPERSON1.00X000X
HULL RICHARD A III
DIRECTOR1.00X000
LANDRY MARCIA G
DIRECTOR1.00X000
KANY WILLIAM S
DIRECTOR1.00X000
PAIGE BRADFORD C
TREASURER1.00X000X
QUENTIN ROBERT C
DIRECTOR1.00X000
WOLFAHRT DEAN P
DIRECTOR1.00X000
BLACK LORI ANN
DIRECTOR1.00X000
CUTTS JENNIFER
DIRECTOR1.00X000
PERKINS MERILEE
SECRETARY1.00X000X
HISSONG GEORGE JR
VICE-CHAIRPE1.00X000X
FRANK WILLIAM MD
DIRECTOR1.00X000
MICKERIZ MARK
DIRECTOR1.00X000
REINKEN ROB
DIRECTOR1.00X000
MCGEACHEY EDWARD J
PRESIDENT50.001.00515387025581X
LAVOIE FRANK MD
EXEC VP/COO50.001.00358377031515X
ALBAUM MICHAEL MD
EXEC VP PS1.0050.00030947632797X
BELAIR NORMAN
VP FINANCE50.001.00278002029187X
CAMIRE PATRICIA
VP CLINICAL50.00195928018373X
FOURNIER MARC
VP, SUPPORT50.00185988015506X
HADIARIS SUSAN
SR VP & CPO50.00179420014428X
PENE MELANI
CRNA50.00173114015316X
GIBBS DIANNA
EMPLOYEE50.00170619015755X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2056835TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3257690TotalReportableCompFrmRltdOrgs
Total Other Compensation432100TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORDX
301A US ROUTE ONESCARBOROUGHME04074LABORATORY SVS7396610
BIDDEFORD MEDICAL LLC
100 SILVER STREETPORTLANDME04101PROPERTY LEASE967612
KENNEBUNK MEDICAL LLC
100 SILVER STREETPORTLANDME04101PROPERTY LEASE494608
UNIVERSITY OF NEW ENGLAND
11 HILLS BEACH RDBIDDEFORDME040059599PHYSICIAN SVCS427996
SPECTRUM MEDICAL GROUP PA
324 GANNETT DRIVE STE 200SOUTH PORTLANDME04106MEDICAL DIR SVC300943
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations77300RelatedOrganizations
All Other Contributions1619523AllOtherContributions
Total Contributions1696823TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES623000162909703162909703
PATIENT SERVICES62150010215041021504
FieldValueIRS element (for citing)
Total Program Service Revenue163931207TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3071925TotalRevenueColumn
Exclusion$3,071,925ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other15310Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other190080Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-174770Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-174770TotalRevenueColumn
Related Or Exempt Function Income-174770RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER MEDICAL SERVICES62199013666731366673
CAFETERIA722514828296828296
PHARMACY446110746383746383

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column354717TotalRevenueColumn
Related Or Exempt Function Income354717RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3296069TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column171821254TotalRevenueColumn
Related Or Exempt Function Income166031002RelatedOrExemptFunctionIncome
Unrelated Business Revenue1021504UnrelatedBusinessRevenue
Exclusion$3,071,925ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1580323Total
Program Services342273ProgramServices
Management And General1238050ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53996516Total
Program Services45506962ProgramServices
Management And General8410531ManagementAndGeneral
Fundraising79023Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1278596Total
Program Services1054804ProgramServices
Management And General221974ManagementAndGeneral
Fundraising1818Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9535954Total
Program Services7866878ProgramServices
Management And General1655517ManagementAndGeneral
Fundraising13559Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3934580Total
Program Services3245911ProgramServices
Management And General683075ManagementAndGeneral
Fundraising5594Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12323Total
Management And General12323ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28362Total
Management And General28362ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7852074Total
Program Services4740942ProgramServices
Management And General3109129ManagementAndGeneral
Fundraising2003Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total401495Total
Program Services372180ProgramServices
Management And General10816ManagementAndGeneral
Fundraising18499Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6388982Total
Program Services4923380ProgramServices
Management And General1457549ManagementAndGeneral
Fundraising8053Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2286537Total
Program Services1887116ProgramServices
Management And General399421ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total100934Total
Program Services28466ProgramServices
Management And General72468ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total157798Total
Program Services33522ProgramServices
Management And General118709ManagementAndGeneral
Fundraising5567Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1501694Total
Program Services1238853ProgramServices
Management And General262841ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8347130Total
Program Services6886133ProgramServices
Management And General1460997ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total881187Total
Program Services726953ProgramServices
Management And General154234ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHYSICIAN FEES3101743631017436
MEDICAL SUPPLIES160026601597426028400
LABORATORY SERVICES73543847354384
INTEGRATED SERVICES52781445278144

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8732371Total
Program Services6645159ProgramServices
Management And General2076442ManagementAndGeneral
Fundraising10770Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total166669480Total
Program Services139845612ProgramServices
Management And General26678982ManagementAndGeneral
Fundraising144886Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6821BOY
EOY6667EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11411211BOY
EOY4350595EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY50250BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY21572879BOY
EOY22091945EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1532519BOY
EOY1661686EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1176387BOY
EOY1097007EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis168592640LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec104873981LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY63533782BOY
EOY63718659EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY24552738BOY
EOY51559671EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3787039BOY
EOY4212039EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23084226BOY
EOY15733790EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY150707852BOY
EOY164432059EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20060490BOY
EOY11523029EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY43956BOY
EOY115195EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16899452BOY
EOY16868050EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1036724BOY
EOY2221597EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1212322BOY
EOY741830EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18255266BOY
EOY35198579EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY57508210BOY
EOY66668280EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY91359686BOY
EOY95824952EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY240576BOY
EOY280709EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1599380BOY
EOY1658118EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93199642BOY
EOY97763779EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY150707852BOY
EOY164432059EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5151774ReconcilationRevenueExpenses
Reconcilation Other Changes-587637ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$18,016OtherActivitiesAmount
Total Lobbying Expenditures IIB18016TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationSMMC IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION (MHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). 18.8% OR 11,819 OF THE DUES PAID TO MHA AND 23.65% OR 6,197 OF THE DUES PAID TO AHA ARE AVAILABLE FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance23440924BeginningOfYearBalance
Contributions19406274Contributions
Investment Earnings Or Losses2668046InvestmentEarningsOrLosses
End Of Year Balance45515244EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance19464355BeginningOfYearBalance
Contributions11991Contributions
Investment Earnings Or Losses3964578InvestmentEarningsOrLosses
End Of Year Balance23440924EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20007122BeginningOfYearBalance
Contributions10006Contributions
Investment Earnings Or Losses-552773InvestmentEarningsOrLosses
End Of Year Balance19464355EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18150275BeginningOfYearBalance
Contributions9468Contributions
Investment Earnings Or Losses1847379InvestmentEarningsOrLosses
End Of Year Balance20007122EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15078471BeginningOfYearBalance
Contributions2014Contributions
Investment Earnings Or Losses3069790InvestmentEarningsOrLosses
End Of Year Balance18150275EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.95740BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.03640PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00620TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1232167OtherCostOrOtherBasis
Book Value1232167BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79377813OtherCostOrOtherBasis
Depreciation44611254Depreciation
Book Value34766559BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5051577OtherCostOrOtherBasis
Depreciation2006801Depreciation
Book Value3044776BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis78378888OtherCostOrOtherBasis
Depreciation56681010Depreciation
Book Value21697878BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4552195OtherCostOrOtherBasis
Depreciation1574916Depreciation
Book Value2977279BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings63718659TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
PREPAID SHR EPIC10933013
SMMC CASH 457 PLAN2394176
DUE FROM RELATED PARTIES815113
BENEFICIAL INTEREST PERPETUAL TRUST689528
DEFERRED FINANCING COSTS335956
OTHER RECEIVABLES295004
INVESTMENT IN MH ACO271000
HOSPICE OF SOUTHERN MAINE
ESTIMATED 3RD PARTY PAYOR SETTLEMENT
FieldValueIRS element (for citing)
Total Book Value Other Assets15733790TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
ESTIMATED 3RD PARTY PAYOR SETTLEMENT$12,692,503
CAPITAL LEASE OBLIGATION$10,381,949
DUE TO AFFILIATES$9,618,581
SMMC CASH 457 PLAN$2,394,176
BIDDEFORD FREE CLINIC$111,370
FieldValueIRS element (for citing)
Total Of Amounts35198579TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4SOUTHERN MAINE HEALTH CARE INTENDS TO USE ITS ENDOWMENT FUNDS TO GENERATE INVESTMENT EARNINGS TO FUND BOTH CAPITAL AND OPERATING EXPENDITURES FOR FACILITIES AND PROGRAMS.
SUPPLEMENTAL FINANCIAL INFORMATIONSCHEDULE D, PAGE 4, PART XIIISCHEDULE D, PART V, LINE 1B - ENDOWMENT FUNDS CONTRIBUTIONS UNRESTRCITED FUNDS WERE DESIGNATED BY THE BOARD DURING THE YEAR FOR SPECIFIC PURPOSES.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage1.75000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage2.25000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4493953TotalCommunityBenefitExpense
Net Community Benefit Expense4493953NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24009506TotalCommunityBenefitExpense
Direct Offsetting Revenue19442822DirectOffsettingRevenue
Net Community Benefit Expense4566684NetCommunityBenefitExpense
Percent Of Total Expense0.02790PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28503459TotalCommunityBenefitExpense
Direct Offsetting Revenue19442822DirectOffsettingRevenue
Net Community Benefit Expense9060637NetCommunityBenefitExpense
Percent Of Total Expense0.05530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense732811TotalCommunityBenefitExpense
Net Community Benefit Expense732811NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense139563TotalCommunityBenefitExpense
Net Community Benefit Expense139563NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4691425TotalCommunityBenefitExpense
Direct Offsetting Revenue2302556DirectOffsettingRevenue
Net Community Benefit Expense2388869NetCommunityBenefitExpense
Percent Of Total Expense0.01460PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense137475TotalCommunityBenefitExpense
Net Community Benefit Expense137475NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5701274TotalCommunityBenefitExpense
Direct Offsetting Revenue2302556DirectOffsettingRevenue
Net Community Benefit Expense3398718NetCommunityBenefitExpense
Percent Of Total Expense0.02080PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense34204733TotalCommunityBenefitExpense
Direct Offsetting Revenue21745378DirectOffsettingRevenue
Net Community Benefit Expense12459355NetCommunityBenefitExpense
Percent Of Total Expense0.07610PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1500TotalCommunityBuildingExpense
Net Community Building Expense1500NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense13857TotalCommunityBuildingExpense
Net Community Building Expense13857NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense1699TotalCommunityBuildingExpense
Net Community Building Expense1699NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense17056TotalCommunityBuildingExpense
Net Community Building Expense17056NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,176,000BadDebtExpenseAmount
Amount Reimbursed By Medicare59971237AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare71595100CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11623863MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN MAINE HEALTH CAREBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1
CityBIDDEFORDCity
StateMEState
ZIP Code04005ZIPCode
FieldValueIRS element (for citing)
Website AddressWWWSMHCORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN MAINE HEALTH CAREBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
OtherXOther
Needs Assessment Conducted13NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent175.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent225.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities13NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
SMMC PRIMECARE & ANC FACILITY
9 HEALTHCARE DRIVEBIDDEFORDME04005PHYSICIAN OFFICES AND DIAGNOSTIC SERVICE
SMMC PRIMECARE INTERNAL MEDICINE
30 WEST COLE ROADBIDDEFORDME04005INTERNAL MEDICINE PHYSICIAN PRACTICE
SMMC PRIMECARE COASTAL SURGERY
3 MEDICAL CENTER DRIVEBIDDEFORDME04005GENERAL SURGERY PHYSICIAN PRACTICE
SMMC PRIMECARE INFECTIOUS DISEASE
2 MEDICAL CENTER DRIVEBIDDEFORDME04005INFECTIOUS DISEASE PHYSICIAN PRACTICE
SMMC PRIMECARE NEUROLOGY
26 WEST COLE ROADBIDDEFORDME04005NEUROLOGY PHYSICIAN PRACTICE
SMMC PRIMECARE ORTHOPEDICS
10 WELLSPRING ROADBIDDEFORDME04005ORTHOPEDIC SURGERY PHYSICIAN PRACTICE
SMMC PRIMECARE & ANC FACILITY
4 SHAPE DRIVEKENNEBUNKME04043PHYSICIAN OFFICES AND DIAGNOSTIC SERVICE
SMMC PRIMECARE PEDIATRICS
3 SHAPE DRIVEKENNEBUNKME04043PEDIATRIC PHYSICIAN PRACTICE
SMMC INTERNAL MEDICINE
72 MAIN STREETKENNEBUNKME04043INTERNAL MEDICINE PHYSICIAN PRACTICE
SMMC SLEEP LAB
45 BARRA ROADBIDDEFORDME04005SLEEP LAB SERVICES
SMMC REHAB THERAPY
41 SPRINGHILL ROADSACOME04072PHYSICAL AND OCCUPATIONAL THERAPY SERVIC
SMMC PRIMECARE & ANC FACILITY
13 INDUSTRIAL PARK ROADSACOME04072PHYSICIAN OFFICES AND DIAGNOSTIC SERVICE
SMMC PRIMECARE INTERNAL MEDICINE
1 GRANNY SMITH ROADOLD ORCHARD BEACHME04064INTERNAL MEDICINE PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7G2388869 OF NET COMMUNITY BENEFIT RELATED TO MENTAL HEALTH SERVICES ARE INCLUDED IN PART I LINE 7G
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FSTATE OF MAINE PROVIDER TAXES OF OF 2940440 WAS REMOVED FROM TOTAL EXPENSES WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES IN COLUMN F
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE 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 COSTTOCHARGES PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H
COMMUNITY BUILDING ACTIVITIESPART IISOUTHERN 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
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4SOUTHERN 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 TAXEXEMPT HOSPITAL SOUTHERN MAINE HEALTH CARE PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF SOUTHERN MAINE HEALTH CARES 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 CARES 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
MEDICARE EXPLANATIONPART III LINE 8MEDICARE 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
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BPATIENTS 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
NEEDS ASSESSMENTPART VISMHCS 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 THE CURRENT COMMUNITY NEEDS ASSESSMENT WAS OBTAINED THROUGH PARTICIPATING WITH MAINEHEALTH SMHCS PARENT COMPANY AND ITS PARTNERS IN THE ONEMAINE HEALTH COLLABORATIVE EASTERN MAINE HEALTH SYSTEM AND MAINEGENERAL HEALTH THE ONEMAINE HEALTH COMMUNITY NEEDS ASSESSMENT REPORT WAS RELEASED IN MARCH 2011 THE REPORT IS A COMPREHENSIVE COMPILATION AND ANALYSIS CONTAINING PRIMARY AND SECONDARY HEALTH DATA SOURCES THE REPORT CONTAINS A HEALTH STATUS PROFILE FOR THE STATE AS A WHOLE AND FOR EACH OF MAINES SIXTEEN COUNTIES THE PRIMARY DATA SOURCE WAS A RANDOMIZED TELEPHONE SURVEY THE SAMPLING METHODOLOGY WAS DESIGNED TO PERMIT COMPARISONS AT THE COUNTY LEVEL SECONDARY DATA SOURCES INCLUDE NUMEROUS STATE AND FEDERAL SOURCES THIS REPORT PROVIDES BASELINE DATA ON HUNDREDS OF HEALTH INDICATORS THAT ARE RELEVANT TO HOSPITALS AND COMMUNITIES TO INFORM PLANNING AND EVALUATION ACTIVITIES PLANS CALL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT TO BE REPLICATED EVERY THREE YEARS MAINEHEALTH WILL HOLD COMMUNITY FORUMS IN PARTNERSHIP WITH EACH MEMBER AND AFFILIATE HOSPITAL IN ORDER TO INCREASE UNDERSTANDING AND USE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO INFORM IDENTIFICATION AND ACTION ON LOCAL COMMUNITYBASED HEALTH PRIORITIES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIFINANCIAL 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 SMHCS PATIENT FINANCIAL COUNSELOR SMHCS WEBSITE INCLUDES THE FOLLOWING PATIENT INFORMATION BILLING INFORMATION PAYMENT OPTIONS FINANCIAL ASSISTANCE INFORMATION CONTACT US AND BILLING FAQS COMMUNICATION BETWEEN SMHCS 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
COMMUNITY INFORMATIONPART VISOUTHERN MAINE HEALTH CARE SMHC IS A FULLY INTEGRATED HEALTHCARE SYSTEM PROVIDING PRIMARY CARE AND SPECIALTY PHYSICIAN SERVICES WITHIN BIDDEFORD KENNEBUNK OLD ORCHARD BEACH AND SACO MAINE ALL OF THESE COMMUNITIES ARE LOCATED ON THE COAST IN YORK COUNTY SMHC INCLUDES A FULL SERVICE ACUTE CARE HOSPITAL INCLUDING YORK COUNTYS ONLY INPATIENT MENTAL HEALTH UNIT ONLY MENTAL HEALTH CRISIS UNIT AND ONLY INPATIENT PEDIATRIC UNIT LOCATED IN BIDDEFORD ALL SERVICES ARE PROVIDED WITHOUT REGARD FOR THE PATIENTS ABILITY TO PAY A JOINT VENTURE WITH MAINE MEDICAL CENTER AND GOODALL HOSPITAL 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
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIAS A FULLY INTEGRATED TAXEXEMPT 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 PRACTICE LOCATED IN ITS SERVICE AREA AS A MEANS OF ASSURING THAT ACCESS 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 AND OSTEOPATHIC MANIPULATIVE SERVICES AS MENTIONED BEFORE AS A RESULT OF SMHCS RUNNING THESE PRACTICES ACCESS HAS BEEN EXPANDED TO THE ATRISK POPULATION MEDICAID AND SELFPAY POPULATION SO THAT THEY ARE GETTING CONTINUITY OF CARE IN A PHYSICIAN PRACTICE
AFFILIATED HEALTH CARE INFORMATIONPART VIMAINEHEALTH IS A NOTFORPROFIT FAMILY OF LEADING HIGHQUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA RANKED AMONG THE NATIONS 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 LINCOLN COUNTY HEALTHCARE MAINE MEDICAL CENTER MAINE MENTAL HEALTH PARTNERS PEN BAY HEALTHCARE SOUTHERN MAINE HEALTH CARE SOUTHERN MAINE MEDICAL CENTER AND GOODALL HOSPITAL WALDO COUNTY HEALTHCARE WESTERN MAINE HEALTH HOMEHEALTH VISITING NURSES MAINE PHYSICIAN HOSPITAL ORGANIZATION NORDX LABS SYNERNET MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION AND MAINEHEALTH CARDIOLOGY AFFILIATES OF MAINEHEALTH INCLUDE MAINEGENERAL MEDICAL CENTER MID COAST HOSPITAL NEW ENGLAND REHABILITATION HOSPITAL AND ST MARYS REGIONAL HOSPITAL
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIMAINE
ADDITIONAL INFORMATIONPART VIPART 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 PART V SECTION B LINE 5A HOSPITAL FACILITYS WEBSITE HTTPWWWMAINEHEALTHORGMHBODYCFMID7301
SOUTHERN MAINE HEALTH CARE LINE NUMBER 1 PART V LINE 1JPART V LINE 1JALSO INCLUDED IN THE CHNA WAS A PRIORITIZED LIST OF HEALTH NEEDS IDENTIFIED AS WELL AS THE IMPLEMENTATION PLANS RELATED TO THOSE NEEDS
SOUTHERN MAINE HEALTH CARE LINE NUMBER 1 PART V LINE 3PART V LINE 3COMMUNITY INPUT WAS TAKEN INTO ACCOUNT WHEN CONDUCTING THE CHNA INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH THIS INCLUDED INDIVIDUALS FROM THE FOLLOWING FACILITIES YORK PUBLIC HEALTH COUNCIL CHOOSE TO BE HEALTHY DIRECOTR PARTNERS FOR HEALTHIER COMMUNITIES COASTAL HEALTHY COMMUNITIES COALITION HOMEHEALTH VISITING NURSES OF SOUTHERN MAINE SOUTHERN MAINE HEALTH CARE AND UNITED WAY OF YORK COUNTY
SOUTHERN MAINE HEALTH CARE LINE NUMBER 1 PART V LINE 4PART V LINE 4THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MAINEHEALTH EASTERN MAINE HEALTHCARE SYSTEMS AND MAINE GENERAL HEALTH
SOUTHERN MAINE HEALTH CARE LINE NUMBER 1 PART V LINE 7PART V LINE 7THE FOLLOWING IDENTIFIED COMMUNITY HEALTH NEEDS WERE NOT ADDRESSED DEVELOPMENTAL DELAYDISABILITY MENTAL HEALTH AND YOUTH ISSUES THESE PRIORITIES WERE NOT ADDRESSED DUE TO THE LACK OF CONSENSUS FROM COMMUNITY PARTNERS REGARDING THE IMPORTANCE OF THE ISSUE ANDOR A LACK OF RESOURCES TO ADDRESS THE ISSUE
SOUTHERN MAINE HEALTH CARE LINE NUMBER 1 PART V LINE 12HPART V LINE 12HUPON RECEIPT OF AN APPLICATION SOUTHERN MAINE HEALTH CARE SHALL DETERMINE THAT AN INDIVIDUAL SEEKING FREE CARE QUALIFIES FOR SUCH CARE IF SERVICES RENDERED WERE MEDICALLY NECESSARY
SOUTHERN MAINE HEALTH CARE LINE NUMBER 1 PART V LINE 20DPART V LINE 20DSOUTHERN MAINE HEALTH CARE SMHC USES A 25 DISCOUNT ON FAPELIGIBLE INDIVIDUALS WHO HAVE NO OTHER INSURANCE COVERAGE HOWEVER SHOULD AN INDIVIDUAL ALSO HAVE HEALTH INSURANCE THE DISCOUNT ALREADY PROVIDED TO THE INSURER IS TAKEN IN TO ACCOUNT SO AS NOT TO EXCEED THE AS 25 DISCOUNT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Related OrgsBonusRelatedOrgs
THOMPSON JOHN DO
DIRECTOR4913061290250021840516936
GOUDREAU FRANK MD
DIRECTOR474162300250021513498475
MANNING PETER MD
DIRECTOR367030408100001208378646
CARROLL MICHAEL MD
DIRECTOR3575839611000020832389376
QUINN-SKILLINGS GINA MD
DIRECTOR2914787371000015758317973
O'HARE MARY MD
DIRECTOR261311647954816347287853
LAPRISE PAUL MD
DIRECTOR25385115271000020741286119
CUTONE STEVEN DO
DIRECTOR223683632942022297256032
BURGESS DONALD MD
DIRECTOR220999309918419954250446
MCGEACHEY EDWARD J
PRESIDENT4196894031555383875016831540968
LAVOIE FRANK MD
EXEC VPCOO3274611485816058875022765389892
ALBAUM MICHAEL MD
EXEC VP PS2951961124100002279734227313156
BELAIR NORMAN
VP FINANCE2534861147513041875020437307189
CAMIRE PATRICIA
VP CLINICAL SERVICES17898879738967685311520214301
FOURNIER MARC
VP SUPPORT SEVICES1706078335704665648942201494
HADIARIS SUSAN
SR VP & CPO1638328324726463048124193848
PENE MELANI
CRNA17251460060999217188430
GIBBS DIANNA
EMPLOYEE17020241760379718186374

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4ReturnReference
ExplanationMCGEACHEY, EDWARD J. 0 52,254 0 LAVOIE, FRANK, M.D. 0 14,804 0 BELAIR, NORMAN 0 11,974 0 CAMIRE, PATRICIA 0 6,880 0 FOURNIER, MARC 0 6,302 0 HADIARIS, SUSAN 0 5,885 0Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHHEFA - SERIES 2006F ISSUE
A010314384560425G202006-09-0716666864HOSPITAL EXPANSIONfalsefalsefalse
MHHEFA-SERIES 2010B AND 2010C ISSUE
B010314384560427JA52010-06-246447296REFINANCE BONDSfalsefalsefalse
FAME - TD BANK PURCHASER
C0103920062013-07-2517500000CAPITAL EQUIPMENT AND NEW MEDICAL OFFICE BUILDINGfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A430906116860339193475166668642009falsefalsetruetrue
B496092165067345854064469102010falsetruetruetrue
C1750000013379819790742014falsefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalsetruefalsefalsefalse
Bfalsefalsefalsefalsetruefalsefalsefalse
Cfalsefalsefalsefalsetruefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
Afalsefalsefalsefalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsefalsefalsefalse
Cfalsefalsefalsefalsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DOTHER PROGRAM SERVICES INCLUDE: PHYSICIAN PRACTICES, SURGICAL SERVICES, IMAGING SERVICES, CARDIOPULMONARY SERVICES, LABOR AND DELIVERY SERVICES, LABORATORY, EMERGENCY SERVICES AND REHAB SERVICES
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MAINEHEALTH, EIN 01-0431680, IS THE SOLE MEMEBER OF SOUTHERN MAINE HEALTH CARE (SMHC).
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE MEMBER OF THE ORGANIZATION HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHERE 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 WAS REVIEWED IN DETAIL BY THE SMHC FINANCE COMMITTEE PRIOR TO BEING FILED. THIS IS A COMMITTEE OF THE BOARD OF DIRECTORS. THE FORM 990 WAS ALSO MADE AVAILABLE TO THE OVERALL BOARD OF DIRECTORS. THE VP OF FINANCE ALSO REVIEWED THE FORM 990 IN DETAIL BEFORE SIGNING THE RETURN.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CAS 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ASMHC USES VARIOUS RESOURCES TO DETERMINE COMPENSATION, INCLUDING BUT NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANTS AND COMPENSATION SURVEYS. THESE ARE THEN PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD WITH A RECOMMENDATION. THE COMMITTEE REVIEWS THE DATA AND THEN ACTS UPON ANY RECOMMENDATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSMHC USES VARIOUS RESOURCES TO DETERMINE COMPENSATION, INCLUDING BUT NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANTS AND COMPENSATION SURVEYS. THESE ARE THEN PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD WITH A RECOMMENDATION. THE COMMITTEE REVIEWS THE DATA AND THEN ACTS UPON ANY RECOMMENDATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9CHANGE IN FAIR VALUE OF PERPETUAL TRUST 58,738 EQUITY TRANSFER TO AFFILIATES -642,500 NET ASSETS RELEASED FROM RESTRICTION -3,875

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MAINEHEALTH
110 FREE STREETPORTLANDME04101010431680HEALTHCAREME501C311CNAfalse
MANOR AT PHILLIPSTOWN PLACE INC
25 JUNE STREETSANFORDME04073010473857ELDER CAREME501C39HD GOODALLfalse
HENRIETTA D GOODALL HOSPITAL
25 JUNE STREETSANFORDME04073010078060HOSPITALME501C33SMHPfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MAINEHEALTH ACCOUNTABLE CARE ORGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1110 FREE STREETAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04101ZIPCode
FieldValueIRS element (for citing)
EIN452929273EIN
Primary ActivityACOPrimaryActivity
Legal Domicile StateMELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MAINEHLTHBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-3086ShareOfTotalIncome
Share Of EOY Assets271395ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.09910PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
SMMC PRIMECARE PHYSICIAN SERVICES
PO BOX 626BIDDEFORDME040050626263345134HEALTHCAREMESMMCC CORP2917371146975091.00000false
SOUTHERN MAINE HOSPITAL PARENT
PO BOX 626BIDDEFORDME04005461211705HEALTHCAREMEfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SMMC PRIMECARE PHYSICIAN SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved29173711AmountInvolved
Method Of Amt DeterminationCOSTS INCURREDMethodOfAmtDetermination

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