Hospice of Southern Maine

What it reported doing in 2025

Hospice of Southern Maine's (HSM) Mission is to provide compassion, care, and comfort through end-of-life for patients with life-limiting illnesses and support for their families. Our stated vision is as follows: "As a leading provider of Hospice and Palliative Care in Southern Maine, our focus is quality and excellence in patient and family centered care. Striving to be the hospice provider of choice for patients and families, and the hospice employer of choice for healthcare professionals, we endeavor to positively shift societal attitudes concerning death and dying, grief and loss."To meet our Mission, HSM offers comprehensive hospice care to patients in York and Cumberland Counties by an interdisciplinary team of physicians, nurses, hospice aides, social workers, chaplains, grief counselors, and volunteers. Our patients have life-limiting illnesses with a prognosis of six months or less. In addition to providing medical, emotional, social and spiritual support to our patients, we also provide care before and after the death for their loved ones. Our core vision includes a focus on shifting societal attitudes concerning death and dying. To fulfill this vision, HSM organizes an annual regional conference on end-of-life topics; provides education to clinical staff in area hospitals; nursing homes; assisted living facilities; colleges and universities; businesses; churches; and the community. Our bereavement program, which is an important part of our mission, offers support for 13 months following the death of a loved one. Our program is unique in that it offers one-on-one counseling at no cost. We also offer eight-week group sessions for people who are interested in connecting with others in a similar situation. Additionally, we provide counseling and group support to anyone in the community who is grieving, whether or not their loved one died while under our care.Formed through a collaborative effort among York and Cumberland County community leaders and health care providers, HSM began providing direct patient services in 2004. In 2007, HSM opened the area's first inpatient hospice facility - the Gosnell Memorial Hospice House. Today, HSM is the only free-standing, state licensed, Medicare-certified nonprofit in Maine that is solely focused on providing professional and volunteer direct hospice services to dying patients and their families, regardless of their ability to pay. Demand for our services continues to grow; HSM provides hospice care to 2,100 patients and their families. We employ approximately 157 staff and engage approximately 138 direct care volunteers and 11 admin/event volunteers. Our highly skilled, multidisciplinary team includes physicians, nurses, social workers, home health aides, chaplains, occupational and physical therapists and grief counselors. This team works together to provide direct patient care in alignment with our mission to provide compassion, care and comfort through the end of life.

Financial Efficiency

• Mission deployment rate: 69.8%; rating input score 70
• Program expense ratio: 77.3%; rating input score 77
• Fundraising efficiency: $5.21 raised per $1 spent on fundraising; rating input score 14; 14th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 9.3%; rating input score 56; 56th percentile among comparable filings
• Total-asset coverage ratio: 1.44; rating input score 40; 40th percentile among comparable filings
• Liabilities to assets ratio: 0.07; rating input score 73; 73rd percentile among comparable filings
• Officer compensation ratio: 5.5%; rating input score 54; 54th percentile among comparable filings

Growth

• Program expense growth: 5.6% per year; rating input score 100; 44th percentile among comparable filings
• Revenue growth: 6.3% per year; rating input score 100; 52nd percentile among comparable filings
• Asset growth: 8.7% per year; rating input score 100; 61st percentile among comparable filings