SOUTHERN MAINE HEALTH CARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN MAINE HEALTH CARE (EIN 01-0179500)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201322259349300432
Schema version
2011v1.5
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)
Timestamp2013-08-13T08:19:10-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010179500EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE WEBBER HOSPITAL ASSOCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWEBBNameControl
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 Signed2013-08-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2013-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN MAINE MEDICAL CENTERBusinessNameLine1
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 Receipts176808957GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SMMC.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 Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1523TotalNbrEmployees
Total Nbr Volunteers214TotalNbrVolunteers
Total Gross UBI1674377TotalGrossUBI
Net Unrelated Business Txbl Income-141022NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year614501ContributionsGrantsPriorYear
Contributions Grants Current Year1326384ContributionsGrantsCurrentYear
Program Service Revenue Prior Year166857436ProgramServiceRevenuePriorYear
Program Service Revenue CY171136221ProgramServiceRevenueCY
Investment Income Prior Year619800InvestmentIncomePriorYear
Investment Income Current Year966341InvestmentIncomeCurrentYear
Other Revenue Prior Year3035038OtherRevenuePriorYear
Other Revenue Current Year3251003OtherRevenueCurrentYear
Total Revenue Prior Year171126775TotalRevenuePriorYear
Total Revenue Current Year176679949TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68620263SalariesEtcPriorYear
Salaries Etc Current Year69698675SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year178878TotalFundrsngExpCurrentYear
Other Expense Prior Year98395399OtherExpensePriorYear
Other Expenses Current Year103034218OtherExpensesCurrentYear
Total Expenses Prior Year167015662TotalExpensesPriorYear
Total Expenses Current Year172732893TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4111113RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3947056RevenuesLessExpensesCY
Total Assets BOY138842443TotalAssetsBOY
Total Assets EOY150707852TotalAssetsEOY
Total Liabilities BOY53607705TotalLiabilitiesBOY
Total Liabilities EOY57508210TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY85234738NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY93199642NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEXCELLENT HEALTH CARE PROVIDED WITH COMPASSION AND RESPECT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense44014431Expense
Revenue45262306Revenue
DescriptionINPATIENT NURSING SERVICES PROVIDED TO ADULTS/PEDIATRICS, INTENSIVE CARE, MENTAL HEALTH AND NURSERY PATIENTS WITH A TOTAL OF 21,958 PATIENT DAYS. SEE ATTACHED COPY OF THE MOST RECENT COMMUNITY BENEFIT REPORT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense44124038Expense
Revenue38571597Revenue
DescriptionPROVIDER BASED PHYSICIAN CLINICS WITH 248,481 PRIMARY CARE AND SPECIALTY VISITS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense24515254Expense
Revenue29881978Revenue
DescriptionSURGICAL SERVICES WERE PROVIDED TO A COMBINED 5,090 INPATIENTS AND OUTPATIENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense32534028Expense
Revenue60960890Revenue
DescriptionOTHER PROGRAM SERVICES INCLUDE: PHYSICIAN PRACTICES, SURGICAL SERVICES, IMAGING SERVICES, CARDIOPULMONARY SERVICES, LABORATORY, EMERGENCY SERVICES AND REHAB SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp32534028TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev60960890TotalOfOtherProgramServiceRev
Total Program Service Expense145187751TotalProgramServiceExpense
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 With109686NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1523NumberOfEmployees
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 Members18NbrVotingGoverningBodyMembers
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 Number2072837000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 MEDICAL CENTER DR PO BOX 626AddressLine1
CityBIDDEFORDCity
StateMEState
ZIP Code040050626ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CARROLL MICHAEL MD
DIRECTOR1.00X040214340598
QUINN-SKILLINGS GINA MD
PHYSICIAN40.00X029539245267
LAPRISE PAUL MD
DIRECTOR1.00X028524641534
O'HARE MARY MD
DIRECTOR1.00X022210530860
CUTONE STEVEN DO
DIRECTOR1.00X021914037110
BURGESS DONALD MD
DIRECTOR1.00X019667643233
BAUMAN ROBERT P
DIRECTOR1.00X000
DESAULNIER DONNA M
VICE CHAIRPE1.00X000X
FERRICK AUDREY C
DIRECTOR1.00X000
FINK JOAN R
DIRECTOR1.00X000
GAINES BERNARD
CHAIRPERSON1.00X000X
HULL RICHARD A III
SECRETARY1.00X000X
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
MANNING PETER MD
DIRECTOR1.00X000
MCGEACHEY EDWARD J
PRESIDENT39.00498802023595X
LAVOIE FRANK MD
EXEC VP/COO40.00342898024355X
BELAIR NORMAN
VP FINANCE39.00265952021191X
ALBAUM MICHAEL MD
EXEC VP PS1.00030532549264X
UPHAM PAUL
PHYSICIAN40.0021868109131X
CAMIRE PATRICIA
VP CLINICAL40.0018581809890X
BOUCHARD LORRAINE
VP HUMAN RES40.00175623021996X
FOURNIER MARC
VP, SUPPORT40.00172863013192X
PENE MELANI
40.00169192012808X
BROWN ANDREA MD
PHYSICIAN1.00011104034052X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2029829TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2037067TotalReportableCompFrmRltdOrgs
Total Other Compensation458076TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 SVS7639137
H P CUMMINGS CONSTRUCTION
PO BOX 29WAREMA01082CONSTRUCTION1482749
BIDDEFORD MEDICAL LLC
100 SILVER STREETPORTLANDME04101PROPERTY LEASE1031588
KENNEBUNK MEDICAL LLC
100 SILVER STREETPORTLANDME04101PROPERTY LEASE481824
COMPHEALTH MEDICAL STAFFING
PO BOX 972651DALLASTX753972651TEMP STAFFING208616
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations70550RelatedOrganizations
All Other Contributions1255834AllOtherContributions
Total Contributions1326384TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES623000169461844169461844
PATIENT SERVICES62150016743771674377
FieldValueIRS element (for citing)
Total Program Service Revenue171136221TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column676794TotalRevenueColumn
Exclusion$676,794ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities289588Securities
Other128967Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other129008Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities289588Securities
Other-41Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column289547TotalRevenueColumn
Related Or Exempt Function Income289547RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER MEDICAL SERVICES900099852834852834
PHARMACY446110852272852272
CAFETERIA722210806133806133

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column739764TotalRevenueColumn
Related Or Exempt Function Income739764RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3251003TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column176679949TotalRevenueColumn
Related Or Exempt Function Income173002394RelatedOrExemptFunctionIncome
Unrelated Business Revenue1674377UnrelatedBusinessRevenue
Exclusion$676,794ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1177293Total
Management And General1177293ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total54616349Total
Program Services45867211ProgramServices
Management And General8606126ManagementAndGeneral
Fundraising143012Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1245701Total
Program Services1044512ProgramServices
Management And General197932ManagementAndGeneral
Fundraising3257Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8738833Total
Program Services7231221ProgramServices
Management And General1485065ManagementAndGeneral
Fundraising22547Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3920499Total
Program Services3227018ProgramServices
Management And General683419ManagementAndGeneral
Fundraising10062Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total84058Total
Program Services11458ProgramServices
Management And General72600ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56793Total
Management And General56793ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14171916Total
Program Services10059222ProgramServices
Management And General4112694ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total349465Total
Program Services981ProgramServices
Management And General348484ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5778092Total
Program Services4244208ProgramServices
Management And General1533884ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2741968Total
Program Services1145426ProgramServices
Management And General1596542ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total169955Total
Program Services97858ProgramServices
Management And General72097ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1656618Total
Program Services1367094ProgramServices
Management And General289524ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8738741Total
Program Services7211489ProgramServices
Management And General1527252ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1373418Total
Program Services1133388ProgramServices
Management And General240030ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHYSICIAN FEES3021804329960186257857
MEDICAL SUPPLIES1516473715016055148682
BAD DEBT & RECOVERIES1022228110222281
MISCELLANEOUS608163226830793398553

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6226501Total
Program Services4665064ProgramServices
Management And General1561437ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total172732893Total
Program Services145187751ProgramServices
Management And General27366264ManagementAndGeneral
Fundraising178878Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7038BOY
EOY6821EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19008922BOY
EOY11411211EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY130980BOY
EOY50250EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18493498BOY
EOY21572879EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1544789BOY
EOY1532519EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY889705BOY
EOY1176387EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis160538925LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec97005143LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY65416709BOY
EOY63533782EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20955148BOY
EOY24552738EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2325367BOY
EOY3787039EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10070287BOY
EOY23084226EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY138842443BOY
EOY150707852EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17661267BOY
EOY20060490EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY25200BOY
EOY43956EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY18822797BOY
EOY16899452EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1508388BOY
EOY1036724EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1663274BOY
EOY1212322EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13926779BOY
EOY18255266EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY53607705BOY
EOY57508210EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY83170257BOY
EOY91359686EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY473507BOY
EOY240576EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1590974BOY
EOY1599380EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY85234738BOY
EOY93199642EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY138842443BOY
EOY150707852EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3947056ReconcilationRevenueExpenses
Reconcilation Other Changes4017848ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$17,070OtherActivitiesAmount
Total Lobbying Expenditures IIB17070TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

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). 16.90% OR 10,625 OF THE DUES PAID TO MHA AND 24.6% OR 6,445 OF THE DUES PAID TO AHA ARE AVAILABLE FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15078471BeginningOfYearBalance
Contributions2014Contributions
Investment Earnings Or Losses3069790InvestmentEarningsOrLosses
End Of Year Balance18150275EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.95020BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.04980PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79978188OtherCostOrOtherBasis
Depreciation42933353Depreciation
Book Value37044835BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3831747OtherCostOrOtherBasis
Depreciation1558602Depreciation
Book Value2273145BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis75028633OtherCostOrOtherBasis
Depreciation52513188Depreciation
Book Value22515445BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis468190OtherCostOrOtherBasis
Book Value468190BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings63533782TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
ESTIMATED 3RD PARTY PAYOR SETTLEMENT14393999
PREPAID SHR EPIC4567589
SMMC CASH 457 PLAN2043002
OTHER RECEIVABLES1040781
BENEFICIAL INTEREST PERPETUAL TRUST630790
DEFERRED FINANCING COSTS213816
INVESTMENT IN MH ACO174000
HOSPICE OF SOUTHERN MAINE20249
FieldValueIRS element (for citing)
Total Book Value Other Assets23084226TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATION$10,939,992
ESTIMATED 3RD PARTY PAYOR SETTLEMENT$5,160,902
SMMC CASH 457 PLAN$2,043,002
BIDDEFORD FREE CLINIC$111,370
FieldValueIRS element (for citing)
Total Of Amounts18255266TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USES FOR ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4ReturnReference
ExplanationSMMC INTENDS TO USE ITS ENDOWMENT FUNDS TO GENERATE INVESTMENT EARNINGS TO FUND BOTH CAPITAL AND OPERATING EXPENDITURES FOR FACILITIES AND PROGRAMS.Explanation

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 Expense3523071TotalCommunityBenefitExpense
Net Community Benefit Expense3523071NetCommunityBenefitExpense
Percent Of Total Expense0.02170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24952189TotalCommunityBenefitExpense
Direct Offsetting Revenue20872849DirectOffsettingRevenue
Net Community Benefit Expense4079340NetCommunityBenefitExpense
Percent Of Total Expense0.02510PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28475260TotalCommunityBenefitExpense
Direct Offsetting Revenue20872849DirectOffsettingRevenue
Net Community Benefit Expense7602411NetCommunityBenefitExpense
Percent Of Total Expense0.04680PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense591013TotalCommunityBenefitExpense
Net Community Benefit Expense591013NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense151128TotalCommunityBenefitExpense
Net Community Benefit Expense151128NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4557714TotalCommunityBenefitExpense
Direct Offsetting Revenue4123738DirectOffsettingRevenue
Net Community Benefit Expense433976NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Percent Of Total Expense0.00270PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense80041TotalCommunityBenefitExpense
Net Community Benefit Expense80041NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5379896TotalCommunityBenefitExpense
Direct Offsetting Revenue4123738DirectOffsettingRevenue
Net Community Benefit Expense1256158NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33855156TotalCommunityBenefitExpense
Direct Offsetting Revenue24996587DirectOffsettingRevenue
Net Community Benefit Expense8858569NetCommunityBenefitExpense
Percent Of Total Expense0.05540PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4385TotalCommunityBuildingExpense
Net Community Building Expense4385NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense46703TotalCommunityBuildingExpense
Net Community Building Expense46703NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense2000TotalCommunityBuildingExpense
Net Community Building Expense2000NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense53088TotalCommunityBuildingExpense
Net Community Building Expense53088NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,826,000BadDebtExpenseAmount
Amount Reimbursed By Medicare52806994AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare68268972CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-15461978MedicareSurplusOrShortfall

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 MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1ONE MEDICAL CENTER DRIVEAddressLine1
CityBIDDEFORDCity
StateMEState
ZIP Code04005ZIPCode
FieldValueIRS element (for citing)
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 MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
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 (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATIONPART I LINE 7G433976 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 FBAD DEBT EXPENSE OF 10222281 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 MEDICAL CENTER 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 MEDICAL CENTER DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE SOUTHERN MAINE MEDICAL CENTER 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 MEDICAL CENTER HAS PROVIDED WITHOUT COMPENSATION AS A TAXEXEMPT HOSPITAL SOUTHERN MAINE MEDICAL CENTER PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THE SERVICES A PORTION OF SOUTHERN MAINE MEDICAL CENTERS 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 MEDICAL CENTER 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 MEDICAL CENTERS 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 MEDICAL CENTER 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 MEDICAL CENTER BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE SOUTHERN MAINE MEDICAL CENTER 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 MEDICAL CENTER 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 VISMMCS 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 SMMCS 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 SMMCS PATIENT FINANCIAL COUNSELOR SMMCS WEBSITE INCLUDES THE FOLLOWING PATIENT INFORMATION BILLING INFORMATION PAYMENT OPTIONS FINANCIAL ASSISTANCE INFORMATION CONTACT US AND BILLING FAQS COMMUNICATION BETWEEN SMMCS 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
COMMUNITY INFORMATIONPART VISOUTHERN MAINE MEDICAL CENTER SMMC 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 SMMC 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 KENNEBUNK AND SACO MAINE 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 MEDICAL CENTER SUPPORTS THE COMMUNITY WITH VARIOUS INITIATIVES OTHER PROGRAMS PROVIDED BY SOUTHERN MAINE MEDICAL CENTER 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 MEDICAL CENTER SMMC HAS PROVIDED OPEN ACCESS TO ALL PATIENTS IN THE FALL OF 2008 SMMC 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 SMMCS 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 MEDICAL CENTER 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 MEDICAL CENTER 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 AN AVERAGE RATE OF 200 IS USED IN PART I LINE 3B
SOUTHERN MAINE MEDICAL CENTER LINE NUMBER 1 PART V LINE 11HPART V LINE 11HUPON RECEIPT OF AN APPLICATION SOUTHERN MAINE MEDICAL CENTER SHALL DETERMINE THAT AN INDIVIDUAL SEEKING FREE CARE QUALIFIES FOR SUCH CARE IF SERVICES RENDERED WERE MEDICALLY NECESSARY
SOUTHERN MAINE MEDICAL CENTER LINE NUMBER 1 PART V LINE 19DPART V LINE 19DSOUTHERN MAINE MEDICAL CENTER SMMC CHARGES FAPELIGIBLE PATIENTS A DISCOUNTED AMOUNT BASED ON A BLEND OF SMMCS DISCOUNTS WITH ITS LARGEST PAYERS CURRENTLY THE DISCOUNT PROVIDED IS 25 SO THE RATE CHARGED TO FAPELIGIBLE PATIENTS IS 75 OF LISTED CHARGES

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 (16 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
CARROLL MICHAEL MD
4021432579214806442741
QUINN-SKILLINGS GINA MD
2953923020115066340659
LAPRISE PAUL MD
2852462710214432326780
O'HARE MARY MD
222105231347726252965
CUTONE STEVEN DO
2191402146715643256250
BURGESS DONALD MD
1966762861914614239909
MCGEACHEY EDWARD J
43722961573857515020522397
LAVOIE FRANK MD
3380604838857515780367253
BELAIR NORMAN
2621033849612515066287143
ALBAUM MICHAEL MD
3053253348415780354589
UPHAM PAUL
21868176851446227812
CAMIRE PATRICIA
183547227164913399195708
BOUCHARD LORRAINE
1733502273634415652197619
FOURNIER MARC
170769209460967096186055
PENE MELANI
16919259616847182000
BROWN ANDREA MD
1110401951614536145092

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 61,573 0 LAVOIE, FRANK, M.D. 0 4,838 0 BELAIR, NORMAN 0 3,849 0 CAMIRE, PATRICIA 0 2,271 0 BOUCHARD, LORRAINE 0 2,273 0 FOURNIER, MARC 0 2,094 0Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHHEFA - SERIES 2006F ISSUE
010314384560425G202006-09-0716666864HOSPITAL EXPANSIONfalsefalsefalse
MHHEFA-SERIES 2010B AND 2010C ISSUE
010314384560427JA52010-06-246447296REFINANCE BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount Bond DefeasedAmountBondDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
16860339193475166668642009falsefalsetruetrue
65067345854064469102010falsetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsetruetrue
falsefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
truefalsefalsefalsefalsefalse
truefalsefalsefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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, 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 THE MEDICAL CENTER.
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 SMMC 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, SMMC 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 15ASMMC 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 15BSMMC 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.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIICARROLL, MICHAEL, M.D. 39.00 HOURS LAPRISE, PAUL, M.D. 39.00 HOURS MEADOWS, PAUL G., M.D. 39.00 HOURS O'HARE, MARY, M.D. 39.00 HOURS CUTONE, STEVEN, D.O. 39.00 HOURS BURGESS, DONALD, M.D. 39.00 HOURS BROWN, ANDREAS, M.D. 39.00 HOURS ALBAUM, MICHAEL, M.D. 40.00 HOURS BELAIR, NORMAN 1.00 HOUR MCGEACHEY, EDWARD J. 1.00 HOUR
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5NET EQUITY TRANSFERS FROM AFFILIATE 906,362 CHANGE IN MARKET VALUE OF INVESTMENTS 3,111,486

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SMMC VISITING NURSES
72 MAIN STREETKENNEBUNKME04043201620032NURSINGME501C39SMMCtrue
MAINEHEALTH
110 FREE STREETPORTLANDME04101010431680HEALTHCAREME501C311CNAfalse
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102010238552HOSPITALME501C33MEHEALTHfalse
MAINE MENTAL HEALTH PARTNERS
123 ANDOVER ROADWESTBROOKME04092263426990HEALTHCAREME501C311CMEHEALTHfalse
LINCOLN COUNTY HEALTH CARE INC
6 ST ANDREWS LANEBOOTHBAY HARBORME04538261475659HEALTHCAREME501C311CMEHEALTHfalse
WESTERN MAINE HEALTH CARE CORP
181 MAIN STREETNORWAYME04268010411788HEALTHCAREME501C311CMEHEALTHfalse
WALDO COUNTY HEALTHCARE INC
PO BOX 287BELFASTME049150287222864961HEALTHCAREME501C311CMEHEALTHfalse
HOMEHEALTH VISITING NURSES OF SO ME
15 INDUSTRIAL PARK DRIVESACOME04072222571902HEALTHCAREME501C39MEHEALTHfalse
NORDX
301A US ROUTE ONESCARBOROUGHME04074010511356LABORATORYME501C39MEHEALTHfalse
PEN BAY HAELTHCARE
4 WHITE STREETROCKLANDME04841222494475ADMINME501C39MEHEALTHfalse

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-2054ShareOfTotalIncome
Share Of EOY Assets171946ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.09910PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
SMMC PRIMECARE PHYSICIAN SERVICES
PO BOX 626BIDDEFORDME040050626263345134HEALTHCAREMESMMCC CORP2794189337541651.00000
SYNERNET INC
110 FREE STREETPORTLANDME04101010539789ADMINSERVMEN/A
MAINE PHYSICIAN HOSPITAL ORG
110 FREE STREETPORTLANDME04101010527540HEALTHCAREMEN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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
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 OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SMMC VISITING NURSES
A18128
SMMC PRIMECARE PHYSICIAN SERVICES
O27923765
SMMC VISITING NURSES
P101488

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.