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INTERNAL MEDICINE PHYSICIAN PRACTICE SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G 433976 OF NET COMMUNITY BENEFIT RELATED TO MENTAL HEALTH SERVICES ARE INCLUDED IN PART I LINE 7G EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSE OF 10222281 WAS REMOVED FROM TOTAL EXPENSES WHEN CALCULATING THE PERCENT OF TOTAL EXPENSES IN COLUMN F COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE COSTING METHODOLOGY FOR THE AMOUNTS REPORTED IN PART I LINE 7 OF THE SCHEDULE H IS BASED ON A RATIO OF PATIENT CARE COST TO CHARGES THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES PROVIDED IN THE INSTRUCTIONS FOR SCHEDULE H COMMUNITY BUILDING ACTIVITIES PART II SOUTHERN 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 EXPLANATION PART III LINE 4 SOUTHERN 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 EXPLANATION PART III LINE 8 MEDICARE 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 EXPLANATION PART III LINE 9B PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY ONCE CHARITY CARE OR FINANCIAL ASSISTANCE HAS BEEN APPROVED FOR PATIENTS THAT DO NOT QUALIFY FOR 100 FINANCIAL ASSISTANCE THE APPROPRIATE DISCOUNT PERCENTAGE IS APPLIED AND THE REMAINING BALANCE IS BILLED TO THE APPROPRIATE PARTY MONTHLY PAYMENT ARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT BILLING DEPARTMENT NEEDS ASSESSMENT PART VI SMMCS 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 ASSISTANCE PART VI FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN THE ADMITTING OUTPATIENT AND EMERGENCY REGISTRATION LOCATIONS IN THE FOLLOWING MANNER POSTINGS INCLUDING FREE CARE MONTHLY PAYMENT PLAN AND EXPANDED FREE CARE PROGRAM HANDOUTS INTERVIEWS WITH 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 INFORMATION PART VI SOUTHERN 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 PURPOSE PART VI AS 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 INFORMATION PART VI MAINEHEALTH 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 FILED PART VI MAINE ADDITIONAL INFORMATION PART VI PART 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 11H PART V LINE 11H UPON 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 19D PART V LINE 19D SOUTHERN 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 X X X X false true false false false false false false false CARROLL MICHAEL MD 402143 25792 14806 442741 QUINN-SKILLINGS GINA MD 295392 30201 15066 340659 LAPRISE PAUL MD 285246 27102 14432 326780 O'HARE MARY MD 222105 23134 7726 252965 CUTONE STEVEN 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2009 false false true true 6506734 58540 6446910 2010 false true true true false false false false false true true false false false false false false true true false false false false false true false false false false false ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE: PHYSICIAN PRACTICES, SURGICAL SERVICES, IMAGING SERVICES, CARDIOPULMONARY SERVICES, LABORATORY, EMERGENCY SERVICES AND REHAB SERVICES CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 MAINEHEALTH, EIN 01-0431680, IS THE SOLE MEMEBER OF THE MEDICAL CENTER. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE MEMBER OF THE ORGANIZATION HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THERE ARE DECISIONS BY THE GOVERNING BODY THAT REQUIRE APPROVAL BY THE MEMBER. THESE DO INCLUDE: 1. THE REMOVAL OF A DIRECTOR FROM THE BOARD; 2. THE APPROVAL OF THE SALE, LEASE OR DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS AND PROPERTY OF THE CORPORATION; 3. THE DISSOLUTION OF THE CORPORATION OF ITS MERGER WITH OR CONSOLIDATION WITH ANOTHER CORPORATION; 4. ANY OTHER MATTER WHICH, BY A MAJORITY VOTE OF THE GOVERNING BODY, THE GOVERNING BODY DETERMINES SHOULD BE SUBMITTED TO THE MEMBER. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 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 POLICY FORM 990, PAGE 6, PART VI, LINE 12C AS 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 OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A SMMC 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 OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SMMC 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 EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII CARROLL, 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 EXPLANATION FORM 990, PART XI, LINE 5 NET EQUITY TRANSFERS FROM AFFILIATE 906,362 CHANGE IN MARKET VALUE OF INVESTMENTS 3,111,486 SMMC VISITING NURSES 72 MAIN STREET KENNEBUNK ME 04043 201620032 NURSING ME 501C3 9 SMMC true MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false MAINE MEDICAL CENTER 22 BRAMHALL STREET PORTLAND ME 04102 010238552 HOSPITAL ME 501C3 3 MEHEALTH false MAINE MENTAL HEALTH PARTNERS 123 ANDOVER ROAD WESTBROOK ME 04092 263426990 HEALTHCARE ME 501C3 11C MEHEALTH false LINCOLN COUNTY HEALTH CARE INC 6 ST ANDREWS LANE BOOTHBAY HARBOR ME 04538 261475659 HEALTHCARE ME 501C3 11C MEHEALTH false WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11C MEHEALTH false WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST ME 049150287 222864961 HEALTHCARE ME 501C3 11C MEHEALTH false HOMEHEALTH VISITING NURSES OF SO ME 15 INDUSTRIAL PARK DRIVE SACO ME 04072 222571902 HEALTHCARE ME 501C3 9 MEHEALTH false NORDX 301A US ROUTE ONE SCARBOROUGH ME 04074 010511356 LABORATORY ME 501C3 9 MEHEALTH false PEN BAY HAELTHCARE 4 WHITE STREET ROCKLAND ME 04841 222494475 ADMIN ME 501C3 9 MEHEALTH false MAINEHEALTH ACCOUNTABLE CARE ORG 110 FREE STREET PORTLAND ME 04101 452929273 ACO ME MAINEHLTH RELATED -2054 171946 false false 0.09910 SMMC PRIMECARE PHYSICIAN SERVICES PO BOX 626 BIDDEFORD ME 040050626 263345134 HEALTHCARE ME SMMC C CORP 27941893 3754165 1.00000 SYNERNET INC 110 FREE STREET PORTLAND ME 04101 010539789 ADMINSERV ME N/A MAINE PHYSICIAN HOSPITAL ORG 110 FREE STREET PORTLAND ME 04101 010527540 HEALTHCARE ME N/A true false false false false false false false false false false true false false true true false false SMMC VISITING NURSES A 18128 SMMC PRIMECARE PHYSICIAN SERVICES O 27923765 SMMC VISITING NURSES P 101488