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        <Desc>Maine Veterans' Homes Augusta operates 150 beds, providing skilled nursing, physical/occupational/speech therapy and rehabilitation, long-term care, memory care, and assisted living services. During FY20, we provided 48,708 days of care to 261 residents. In Fy19, MVH Augusta achieved Silver Level Award for Achievement in Quality - a distinction held by less than four percent of facilities nationwide! Efforts to protect our residents from the coronavirus were all consuming in the latter part of the fiscal year. These efforts were effective as Augusta avoided any residents or staff testing positive for the virus.</Desc>
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        <Desc>We operate three additional facilities in Maine, one in South Paris (90 beds), Caribou (70 beds) and Machias (30 beds). During FY20, we provided a combined total of 64,812 days of care to 258 residents. in FY19, each facility achieved at least the Silver Level Award for Achievement in Quality, while Machias has achieved Gold Level status. MVH Pharmacies provides medication and consulting services to all six MVH facilities and external nursing homes.</Desc>
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          </BusinessName>
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            <CityNm>Franklin</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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            <StateAbbreviationCd>WI</StateAbbreviationCd>
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          <BusinessName>
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        <DepreciationAmt>26621</DepreciationAmt>
        <BookValueAmt>105693</BookValueAmt>
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        <BookValueAmt>55860646</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Net Pension liability</Desc>
        <Amt>18380629</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred inflows of resources</Desc>
        <Amt>5509417</Amt>
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        <Amt>1031662</Amt>
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      <TotalRevEtcAuditedFinclStmtAmt>114346790</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1245983</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <RecoveriesPriorYearGrantsAmt>0</RecoveriesPriorYearGrantsAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>1245983</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>113100807</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>0</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>13222774</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>13222774</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>126323581</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>88151171</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>0</DonatedServicesUseFcltsAmt>
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      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
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      <ExpensesSubtotalAmt>88151171</ExpensesSubtotalAmt>
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      <OtherExpensesNotIncludedAmt>13222774</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>13222774</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>101373945</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual allowances of $17,528,062 were added to revenue for this schedule to show gross, but net is used on the audited financial statements. Pharmacy cost of goods sold of $ 4,340,095 is an expense on the financial statements, but is on the 990 form under cost of goods sold. Advisory fees of $ 38,928 are netted out of interest and dividend income on the financial statements, but are added back to this schedule as it appears as an expense on the 990. Rental loss of $4121 shows as a net amount on the financial statements but is subtracted to revenue on the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual allowances of $17,528,062 were added to revenue for this schedule to show gross, but net is used on the audited financial statements. Pharmacy cost of goods sold of $ 4,340,095 is an expense on the financial statements, but is on the 990 form under cost of goods sold. Advisory fees of $ 38,928 are netted out of interest and dividend income on the financial statements, but are added back to this schedule as it appears as an expense on the 990. Rental loss of $4121 shows as a net amount on the financial statements but is subtracted from revenue on the 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kelley Kash</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>30943</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James McQuaid</PersonNm>
        <TitleTxt>Chief Pharmacy Officer</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Debra Fournier</PersonNm>
        <TitleTxt>Chief Operations Officer</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin Brooks</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Neil Thurlow</PersonNm>
        <TitleTxt>Assistant Director of Pharmacy</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Church</PersonNm>
        <TitleTxt>Pharmacist</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kevin Veilleux</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lewanne Hughes</PersonNm>
        <TitleTxt>Pharmacist</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189735</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="R000007" softwareId="19009572" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The first draft of the 990 return will be completed by the MVH Finance staff using the information from the audited financial statements. The return is then reviewed by the CEO, CFO, Controller and Assistant Controller prior to the March Board meeting. The draft of the 990 is presented to the full Board at the March Board meeting. If the return needs any changes, MVH staff will research changes and adjust the 990 in accordance to the Board's recommendations. After the Board review is complete, the return is submitted electronically with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Maine Veterans' Homes regularly and consistently monitors the compliance program through a variety of mechanisms, including internal and external audits, two party approval for purchasing and payments, and a compliance hotline reporting tool. Recurring internal audits are performed throughout the year. An external audit is conducted by an independent auditor annually, including looking at areas of conflict of interest (COI). MVH's Compliance Officer maintains a list of employees whose jobs may subject them to COI. The Compliance Officer conducts annual compliance trainings to explain and educate on COI. These will be investigated by the Compliance Officer, who reports directly to the Board on such matters. For Board business that involves COI, the member is required to recuse him/herself from the decision making process and this is documented in the Board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>When hiring officers, Maine Veterans' Homes determines salaries for these positions based on market demands for similar positions within the long term care industry.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial Statements are contained in form 990 and are available to the public on the "Guidestar" website and available upon request. In regards to the Governing documents, Maine Veterans' Homes was established by State statute and this statute is available to the public through various means, including the State of Maine's website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>The majority of this number makes up Ancillary Expenses, Contract Labor costs as well as Medical Director and Professional Services costs.</ExplanationTxt>
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      <ExplanationTxt>An extension was filed and granted by the IRS. Audited financial statements are not prepared in time to meet the deadline of November to file the 990 report.</ExplanationTxt>
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