Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 01-0179500 • 501(c)3 • Biddeford, ME
Profile
Southern maine health care exists to improve the health and health care of the communities we serve.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
4th percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
47th percentile
Higher net margin than 47% of similar nonprofits.
Top Officer Pay
94th percentile
Higher top officer pay than 94% of similar nonprofits.
Top officer pay equals 2.2% of source-year revenue.
Asset Growth
1st percentile
Faster asset growth than 1% of similar nonprofits.
Revenue Growth
1st percentile
Faster revenue growth than 1% of similar nonprofits.
Assets
Down$0
Down $266,818,176 (-100%) from 2018
Liabilities
Down$0
Down $120,847,383 (-100%) from 2018
Net Assets
Down$0
Down $145,970,793 (-100%) from 2018
Revenue
Down$77,410,262
Down $220,708,050 (-74%) from 2018
Expenses
Down$74,636,852
Down $221,773,897 (-75%) from 2018
Net Income
Up$2,773,410
Up $1,065,847 (+62%) from 2018
Most recent year
2019 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2019 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.
Southern maine health care exists to improve the health and health care of the communities we serve.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $91,409,523 | $83,195,997 | ▼ $8,213,526 |
| Investments in Publicly Traded Securities | $44,277,659 | $44,752,109 | ▲ $474,450 |
| Accounts Receivable | $39,313,344 | $33,977,536 | ▼ $5,335,808 |
| Investments Other Securities | $27,338,506 | $22,633,880 | ▼ $4,704,626 |
| Savings and Temporary Cash Investments | $4,213,040 | $16,869,782 | ▲ $12,656,742 |
| Inventories for Sale or Use | $3,889,564 | $3,743,186 | ▼ $146,378 |
| Cash and Non-Interest-Bearing Accounts | $901,379 | $1,681,821 | ▲ $780,442 |
| Prepaid Expenses and Deferred Charges | $1,953,808 | $1,640,315 | ▼ $313,493 |
| Total Assets | $276,279,893 | $266,818,176 | ▼ $9,461,717 |
| Other Assets Total | $62,983,070 | $58,323,550 | ▼ $4,659,520 |
| Liabilities | |||
| Other Liabilities | $65,777,008 | $65,154,876 | ▼ $622,132 |
| Tax Exempt Bond Liabilities | $28,997,520 | $25,944,671 | ▼ $3,052,849 |
| Accounts Payable and Accrued Expenses | $21,866,915 | $20,707,739 | ▼ $1,159,176 |
| Mortgage Notes Payable Secured by Investment Property | $10,760,880 | $8,947,596 | ▼ $1,813,284 |
| Deferred Revenue | $181,000 | $92,501 | ▼ $88,499 |
| Total Liabilities | $127,583,323 | $120,847,383 | ▼ $6,735,940 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $132,323,198 | $128,266,972 | ▼ $4,056,226 |
| Permanently Rstr Net Assets | $13,480,192 | $14,269,533 | ▲ $789,341 |
| Temporarily Rstr Net Assets | $2,893,180 | $3,434,288 | ▲ $541,108 |
| Total Net Assets Fund Balance | $148,696,570 | $145,970,793 | ▼ $2,725,777 |
| Total Liabilities and Net Assets / Fund Balance | $276,279,893 | $266,818,176 | ▼ $9,461,717 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $59,978,716 | $102,534,229 | $162,512,945 |
| Equipment | $13,305,548 | $88,432,867 | $101,738,415 |
| Leasehold Improvements | $3,868,187 | $4,464,929 | $8,333,116 |
| Other Land Buildings | $1,865,239 | $5,498,833 | $7,364,072 |
| Land | $4,178,307 | - | $4,178,307 |
| Other Assets Org | $3,520,258 | - | - |
| Other Securities | $1,232,691 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2018 | $64,463,784 | $282,386 | ▲ $2,267,386 | $7,618,507 | $59,395,049 |
| 2017 | $67,209,253 | $3,517,945 | ▲ $8,556,164 | $14,819,578 | $64,463,784 |
| 2016 | $71,825,362 | $89,421 | ▲ $5,294,858 | $10,000,388 | $67,209,253 |
| 2015 | $75,050,388 | $9,587 | ▼ $3,234,613 | - | $71,825,362 |
| 2014 | $45,515,244 | $35,609,041 | ▼ $6,073,897 | - | $75,050,388 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Khan Muhammad a Md | Physician | FT | $728,094 | $191,278 | $919,372 |
| Sherman Howard B Md | Physician | FT | $521,796 | $293,929 | $815,725 |
| Thompson John W Md | Physician | FT | $506,602 | $305,489 | $812,091 |
| Reza Shabbir Md | Physician | FT | $466,846 | $339,008 | $805,854 |
| Johnson David a Md | Physician | FT | $550,023 | $239,874 | $789,897 |
| Goudreau Frank Do | Trustee | - | $595,542 | $119,376 | $714,918 |
| Mcgeachey Edward J | Former President | FT | $445,055 | $201,633 | $646,688 |
| Carroll Michael Md | Trustee | - | $333,267 | $88,526 | $421,793 |
| Albaum Michael Md | Senior VP/CMO | - | $312,443 | $92,059 | $404,502 |
| Manning Peter Md | Secretary | - | $373,452 | $30,036 | $403,488 |
| Aprile Patricia | Senior VP/COO | FT | $307,395 | $86,193 | $393,588 |
| Olsen Richard | Senior VP & CFO | FT | $276,985 | $69,920 | $346,905 |
| O'HARE MARY MD | Trustee | - | $312,657 | $28,419 | $341,076 |
| Kowash Philip Md | Trustee | - | $265,535 | $50,888 | $316,423 |
| Burgess Donald Md | Trustee | - | $184,452 | $67,819 | $252,271 |
| Belair Norman | Former Senior VP & CFO | FT | $126,334 | $30,847 | $157,181 |
| Name | Title |
|---|---|
| Hissong George Jr | Chairperson |
| Howell Nathan | President |
| Perkins Merilee | Vice Chairperson |
| Bauman Robert P | Trustee |
| Buck Steven | Trustee |
| Domine Cynthia | Trustee |
| Gaines Bernard | Trustee |
| Mills John | Trustee |
| Quinn-skillings Gina Md | Trustee |
| Zuke Thomas | Trustee |
| Quentin Robert C | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Healthcare Excellence Inst | Billing Svcs | 21045 N 9th Place Suite 205, Phoenix, AZ 85024 | $3,152,864 |
| Medicus Hospitalists LLC | Locums | 22 Roulston Rd, Windham, NH 03087 | $594,850 |
| Spectrum Medical Group PA | Med Director | 324 Gannett Drive Suite 200, Portland, ME 04106 | $526,654 |
| Optuminsight | Med Record Rev | 3797 Momentum Place, Chicago, IL 60689-5337 | $231,170 |
| Maine Nephrology Associates | Med Record Rev | 1600B Congress Street, Portland, ME 04102 | $162,187 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Securities Publicly Traded | 3 | $117,387 | Fair Market Value |
| Total Noncash Contributions | 3 | $117,387 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $169,811,405 |
| Other Expenses | $126,599,344 |
| Total Fundraising Expense | $267,679 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $123,567,994 | $11,262,115 | $119,741 | $134,949,850 |
| Fees for Services Other | $29,436,542 | $1,263,391 | $13,327 | $30,713,260 |
| Other Employee Benefits | $17,452,087 | $1,706,852 | $19,178 | $19,178,117 |
| Depreciation Depletion | $10,943,937 | $4,476,733 | - | $15,420,670 |
| Payroll Taxes | $7,845,272 | $764,896 | $8,884 | $8,619,052 |
| Occupancy | $7,456,818 | $1,127,972 | - | $8,584,790 |
| Other Expenses | $6,005,241 | $0 | $0 | $6,005,241 |
| Current Officers, Directors, Trustees, and Key Employees | $2,695,602 | $1,048,290 | - | $3,743,892 |
| Pension Plan Contributions | $3,021,650 | $295,524 | $3,320 | $3,320,494 |
| Insurance | $2,291,148 | $646,035 | - | $2,937,183 |
| All Other Expenses | $700,185 | $1,839,396 | $73,358 | $2,612,939 |
| Interest | $28,647 | $2,581,460 | - | $2,610,107 |
| Office Expenses | $445,474 | $720,328 | $8,622 | $1,174,424 |
| Advertising | $27,625 | $509,862 | $16,133 | $553,620 |
| Travel | $198,755 | $107,660 | - | $306,415 |
| Fees for Services Accounting | - | $108,814 | - | $108,814 |
| Fees for Services Legal | - | $99,918 | - | $99,918 |
| Information Technology | $12,825 | $72,405 | - | $85,230 |
| Total Functional Expenses | $249,398,309 | $46,744,761 | $267,679 | $296,410,749 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean | Investments | - | 0 | 0 | $13,442,629 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | See Relationship Explanation Below | Employment | No | $277,454 |
| - | See Relationship Explanation Below | Employment | No | $271,854 |
| - | See Relationship Explanation Below | Employment | No | $228,281 |
| - | See Relationship Explanation Below | Employment | No | $211,356 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $52,486,968 |
| Capital Lease Obligation | $7,942,908 |
| Line of Credit | $4,725,000 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| D | Maine Health & Higher Educational Fac Auth | 2016-06-28 | $15,930,820 | To refund bonds issued 9/7/2006 |
| C | Finance Authority of Maine | 2013-07-25 | $15,742,390 | Finance buildings and equipment |
| B | Maine Health & Higher Educational Fac Auth | 2010-06-24 | $5,629,914 | To refund bonds issued 5/19/1999 |
| A | Maine Health & Higher Educational Fac Auth | 2007-07-18 | $5,622,502 | To refund bonds issued 9/5/1996 |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| D | $15,930,820 | - | $2,930,000 | $129,526 |
| C | $15,742,390 | $15,801,294 | $2,480,764 | $136,633 |
| B | $5,629,914 | $5,570,090 | $4,935,000 | $59,824 |
| A | $5,622,502 | $5,543,279 | $2,660,000 | $68,195 |
“MaineHealth, EIN #01-0431680, is the sole member of Southern Maine Health Care (SMHC).”
“The sole member of the organization, MaineHealth EIN# 01-0431680 has the responsibility for the election of the members of the governing body.”
“There are decisions by the governing body that require approval by the member, MaineHealth EIN# 01-0431680. These do include: 1. The removal of a Director from the Board; 2. The approval of the sale, lease or disposition of all, or substantially all, of the assets and property of the corporation; 3. The dissolution of the corporation of its merger with or consolidation with another corporation; 4. Any other matter which, by a majority vote of the governing body, the governing body determines should be submitted to the member.”
“The Form 990 was made available to the overall Board of Directors. The CFO also reviewed the Form 990 in detail before signing the return.”
“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.”
“Line 15a - Compensation Process for Top Official The process followed for determining compensation of the CEO and other key administrative employees of the organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of SMHC, along with other executives in the MaineHealth system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on MaineHealth's written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Line 15b - Compensation Process for Officers See process above under "Compensation Process for Top Official".”
“Documents that are required to be open for public inspection are made available upon request.”
“Prior to consolidating accounts payable operations with Maine Medical Center (EIN 01-0238552), the entity filed 83 Form 1099s for the calendar year 2017. Maine Medical Center (EIN 01-0238552), acting on behalf of MaineHealth (EIN001-0431680), filed 1,030 Form 1099s for the calendar year 2017 on behalf of the following organizations: MaineHealth, Maine Medical Center, Southern Maine Health Care, Pen Bay Medical Center, Waldo County General Hospital, Franklin Memorial Hospital, LincolnHealth Group, Memorial Hospital, Western Maine Healthcare, Maine Behavioral Healthcare, NorDx, MaineHealth Care at Home.”
“Other Consulting and Contract Labor: Program service expenses 29,436,542. Management and general expenses 1,263,391. Fundraising expenses 13,327. Total expenses 30,713,260.”
“Change in Value of Perpetual Trust 788,214. Equity Transfer to Affiliates -692,401. Net Assets Released from Restriction for Operations -59,868.”
“SMHC and the Cancer Care Center of York County are exempt from income taxes under Section 501 (c)(3) of the Internal Revenue Code.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 21866915 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 20707739 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 39313344 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 33977536 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Southern Maine Health Care exists to improve the health and health care of the communities we serve. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 16133 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 509862 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 27625 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 553620 |
| IRS990/AllOtherContributionsAmt | 0 | 1493042 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 73358 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1839396 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 700185 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2612939 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | RICHARD OLSEN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2072837898 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1 MEDICAL CENTER DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BIDDEFORD |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ME |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 040050626 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 901379 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1681821 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 12 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1048290 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 2695602 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3743892 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 3152864 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 594850 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 526654 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 231170 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 162187 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 21045 N 9th Place Suite 205 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 22 Roulston Rd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 324 Gannett Drive Suite 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3797 Momentum Place |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1600B Congress Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Phoenix |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Windham |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Portland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Portland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | AZ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | ME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | ME |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 85024 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 03087 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 04106 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 606895337 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 04102 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | Healthcare Excellence Inst |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | Medicus Hospitalists LLC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | Spectrum Medical Group PA |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | Optuminsight |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | Maine Nephrology Associates |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Billing Svcs |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Locums |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Med Director |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Med Record Rev |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Med Record Rev |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2346795 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 7416307 |
| IRS990/CYOtherExpensesAmt | 0 | 126599344 |
| IRS990/CYOtherRevenueAmt | 0 | 6543046 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 281812164 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1707563 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 169811405 |
| IRS990/CYTotalExpensesAmt | 0 | 296410749 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 267679 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 298118312 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 181000 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 92501 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4476733 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 10943937 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 15420670 |
| IRS990/Desc | 0 | Southern Maine Health Care operates two hospital facilites with a total of 208 beds, which strives to meet the health care needs of idividuals and families throughout York County. SMHC offers a broad range of medical, surgical, diagnostic, clinical and rehabilitation services, wellness education, support groups and other community outreach programs. SMHC had 48,975 emergency room visits, 117,750 radiological procedures, and 6,773 surgical cases. This includes patients who are underinsured or those without insurance. In addition to the charitable care services, we are continually absorbing all the costs associated with providing the community with a variety of special complimentary educational and informational services. (Continued on Schedule O) (Continuation) SMHC proudly sponsors community organizations, civic organizations and special events. SMHC airs a weekly radio program featuring SMHC physicians talking about important health topics. The radio programs are also shared through social media as podcasts. Each month, SMHC sponsors numerous free and low-cost health classes, and support groups. Each year SMHC participates in health fairs and business events, and offers special events like free screening clinics and information sessions. Assistance is also offered to patients in need of Medication assistance, help with insurance and medical issues, as well as personal issues including tax information, finances and home needs. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 2110 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 173827945 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 108814 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 108814 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 99918 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 99918 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 13327 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1263391 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 29436542 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 30713260 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 13601 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 36288 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 40149 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 13246 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 44175 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 37678 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 35976 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 32917 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 33770 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 41626 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 27858 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 38657 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 35966 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 40669 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 41336 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 38208 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 6293 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BAUMAN ROBERT P |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MANNING PETER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BURGESS DONALD MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | GAINES BERNARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | CARROLL MICHAEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | O'HARE MARY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | QUENTIN ROBERT C |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | QUINN-SKILLINGS GINA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | GOUDREAU FRANK DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PERKINS MERILEE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | HISSONG GEORGE JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DOMINE CYNTHIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BUCK STEVEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KOWASH PHILIP MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ZUKE THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | MILLS JOHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | APRILE PATRICIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MCGEACHEY EDWARD J |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | ALBAUM MICHAEL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | OLSEN RICHARD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | HOWELL NATHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | KHAN MUHAMMAD A MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | SHERMAN HOWARD B MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | THOMPSON JOHN W MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | REZA SHABBIR MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JOHNSON DAVID A MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | BELAIR NORMAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 389887 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 215983 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 381644 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 327830 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 677240 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 280447 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 360671 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 612918 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 362876 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 319047 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 880715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 779759 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 771422 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 764518 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 751689 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 150888 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 292700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VICE CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SENIOR VP/COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | FORMER PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | SENIOR VP/CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | SENIOR VP & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | FORMER SENIOR VP & CFO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1899 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -53992 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 1235026 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GovernmentGrantsAmt | 0 | 661575 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 7625 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 8478506 |
| IRS990/GrossReceiptsAmt | 0 | 305761659 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 168922 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 251 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 72405 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 12825 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 85230 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 646035 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2291148 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2937183 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 2581460 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 28647 |
| IRS990/InterestGrp/TotalAmt | 0 | 2610107 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 3889564 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 3743186 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 6234074 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 6235273 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 1199 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 27338506 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 22633880 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 44277659 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 44752109 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 83 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 200930858 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 91409523 |
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