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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lee Woodward Jr</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cornelius Yetman DO</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>357047</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38880</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Benjamin Mailloux MD</PersonNm>
        <TitleTxt>Frmr Medical Staff President - WCGH</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>36751</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stephanie Lash MD</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>287088</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25910</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Connolly DO</PersonNm>
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        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>443350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31840</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Fourre MD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>429171</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30594</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Linda Drinkwater</PersonNm>
        <TitleTxt>Regional CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35179</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Owen Nelson MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20751</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Hebert MD</PersonNm>
        <TitleTxt>Orthopedics</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>32075</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Miller MD</PersonNm>
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        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>32470</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Ferguson MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33552</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shane Lydon MD</PersonNm>
        <TitleTxt>Surgeon</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>457112</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36110</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Biscone</PersonNm>
        <TitleTxt>Former CEO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>112151</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>129927</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2928</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3935076</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1519572</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>433958</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>75</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Rodney Voisine MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 John Roberts Rd B-10</AddressLine1Txt>
            <CityNm>South Portland</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04106</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Service</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Parenteaus Floor Covering</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>218 E Main Street</AddressLine1Txt>
            <CityNm>Searsport</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04974</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Flooring Contractor</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Weatherby Locums</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 972633</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972633</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>25273</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1761572</AllOtherContributionsAmt>
      <TotalContributionsAmt>1786845</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>95994726</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95994726</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>733310</BusinessCd>
        <TotalRevenueColumnAmt>337483</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>337483</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>96332209</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>2142031</TotalRevenueColumnAmt>
        <ExclusionAmt>2142031</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>176904</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>176904</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>176904</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>176904</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>12063605</SecuritiesAmt>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>9599249</SecuritiesAmt>
        <OtherAmt>62014</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2464356</SecuritiesAmt>
        <OtherAmt>-21473</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2442883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2442883</RelatedOrExemptFuncIncomeAmt>
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        <Desc>Affiliate Revenue</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>3022149</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3022149</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Pharmacy Sales</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>1955464</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1955464</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Meaningful Use Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>960858</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>960858</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>366190</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>366190</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>15562</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>251944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>965176</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>42420822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>323331</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1143024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9582</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>6597374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157549</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2755932</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>61633</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>19337</TotalAmt>
        <ManagementAndGeneralAmt>19337</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>6575</TotalAmt>
        <ManagementAndGeneralAmt>6575</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>8967798</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>20110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>581</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>2455153</TotalAmt>
        <ProgramServicesAmt>2328092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127061</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1216908</TotalAmt>
        <ProgramServicesAmt>1182748</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34160</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>177682</TotalAmt>
        <ProgramServicesAmt>172694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4988</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>197143</TotalAmt>
        <ProgramServicesAmt>193693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3450</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>283259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8181</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5120983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147904</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>728443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107911</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
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        <ProgramServicesAmt>11366400</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Affiliate Services</Desc>
        <TotalAmt>9833260</TotalAmt>
        <ProgramServicesAmt>4676797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5156463</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>State of ME Hospital Ta</Desc>
        <TotalAmt>1736476</TotalAmt>
        <ProgramServicesAmt>1736476</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Miscellaneous Expenses</Desc>
        <TotalAmt>992309</TotalAmt>
        <ProgramServicesAmt>959045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33264</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>90921196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7359681</ManagementAndGeneralAmt>
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        <BOYAmt>5955430</BOYAmt>
        <EOYAmt>3188796</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7071634</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>8999940</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>1369482</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>205410</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>87287470</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>52669281</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>34618189</EOYAmt>
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        <EOYAmt>68099803</EOYAmt>
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        <EOYAmt>44346858</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>167900112</EOYAmt>
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        <EOYAmt>7804301</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>40200</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>4542702</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>16906357</BOYAmt>
        <EOYAmt>13183543</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>28514302</BOYAmt>
        <EOYAmt>25570746</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>105798415</BOYAmt>
        <EOYAmt>117541376</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>2177538</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>20638882</BOYAmt>
        <EOYAmt>22610452</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>142329366</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>156987635</BOYAmt>
        <EOYAmt>167900112</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>10904656</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1739484</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1211893</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>6575</OtherActivitiesAmt>
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        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization pays dues to the Maine Hospital Association. Maine Hospital Association used 20.3% of their dues revenue for lobbying activity.</ExplanationTxt>
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        <BookValueAmt>22197901</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Beneficial Interest in Charitable Remainder Trusts</Desc>
        <BookValueAmt>1150143</BookValueAmt>
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        <Desc>Prepaid Capital Costs</Desc>
        <BookValueAmt>7618368</BookValueAmt>
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        <Desc>Insurance Receivable</Desc>
        <BookValueAmt>1408197</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Escrow for Debt Service - SeHR Loan</Desc>
        <BookValueAmt>166676</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Other Receivables</Desc>
        <BookValueAmt>2495192</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Due from Affiliates</Desc>
        <BookValueAmt>9310381</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Third Party Payor Settlements</Desc>
        <Amt>1664276</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Insurance Reserve Payable</Desc>
        <Amt>2530738</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>8988529</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>13183543</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Two of the endowment funds are intended for the earnings to be used in the general operations of the hospital. Others are intended for the emergency department, inpatient hospice, cancer patients, crippled children and needy residents.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Corporation and its subsidiaries are not-for-profit corporations and have been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Corporation has evaluated the position taken on its filed tax returns. The Corporation has concluded no uncertain income tax positions exist at September 30, 2018. The Corporation's tax years from 2015 through 2018 may be subject to examination.</ExplanationTxt>
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        <TotalExpensePct>0.03200</TotalExpensePct>
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      <ReimbursedByMedicareAmt>30338339</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>30806149</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-467810</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
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        <BusinessName>
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        </BusinessName>
        <USAddress>
          <AddressLine1Txt>118 Northport Ave</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
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        <WebsiteAddressTxt>www.wcgh.org</WebsiteAddressTxt>
        <StateLicenseNum>38905</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Waldo County General Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Section C</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Section C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>175.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Section C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Section C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Section C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Waldo County General Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: The organization convened a planning group made up of people representing the broad interests of the community prior to holding the forums. The organizations, individual experts and individual leaders/representatives involved in the planning group for Waldo included: Program Manager, Community Health Improvement, MaineHealth; Midcoast District Public Health Liaison, Maine CDC; Manager, Community Health &amp; Wellness, Waldo County General Hospital; Regional Director of Community Health &amp; Wellness, Pen Bay Medical Center &amp; Waldo County General Hospital; Manager, Population Health, Waldo County General Hospital; and Program Administrator, Healthy Waldo County.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Waldo County General Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 6a: The CHNA was conducted through a partnership between MaineHealth, Central Maine Healthcare, Eastern Maine Healthcare Systems, MaineGeneral Health and the Maine Department of Health and Human Services.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Waldo County General Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: For the 2016-2018 CHNA, the organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2016-2018 CHNA and Annual Implementation Report Update FY18 at https://mainehealth.org/healthy-communities/community-health-needs-assessment for details of the activities undertaken by the organization.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Waldo County general Hospital - Part V, Section B, Line 7a and 10a</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA and implementation strategy are posted on the following website:https://mainehealth.org/healthy-communities/community-health-needs-assessment</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Waldo County General Hospital - Part V, Section B, Lines 16a, 16b, 16c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy), free care application and plain language summary are available on the following website: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care</ExplanationTxt>
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      <FacilityNum>4</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - Arthur Jewell Community Health Ctr</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>55 Reynolds Rd</AddressLine1Txt>
            <CityNm>Brooks</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04921</ZIPCd>
          </USAddress>
          <FacilityTxt>General medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - Donald S Walker Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>43 West Main Street</AddressLine1Txt>
            <CityNm>Liberty</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04949</ZIPCd>
          </USAddress>
          <FacilityTxt>General medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - Lincolnville Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2399 Atlantic Highway</AddressLine1Txt>
            <CityNm>Lincolnville</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04849</ZIPCd>
          </USAddress>
          <FacilityTxt>General medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - Stockton Springs Reg Health Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11 Cape Jellison Rd</AddressLine1Txt>
            <CityNm>Stockton Springs</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04981</ZIPCd>
          </USAddress>
          <FacilityTxt>General medical</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>The amounts reported in the table were calculated using the worksheets provided in the Schedule H instructions. The cost-to-charge ratio was used as the costing methodology and was also calculated using Worksheet 2 of the Schedule H instructions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Physician clinic costs were included as subsidized health services in the amount of $9,187,921.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>See Part III, Line 4 - Bad Debt Expense Footnote to Financial Statements</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Waldo County General Hospital(WCGH) does not have a specific footnote in the financial statements that describes "bad debt expense." However, reference is made within the footnotes to a bad debt policy in a couple of instances. Within the footnote describing "Net Patient Service Revenue", the following explains the Provision for Bad Debts: "For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Corporation records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or eligible) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts." The amount of expense associated with the provision of services, ultimately written off as bad debt at WCGH, has been calculated at $3,233,648 for the current fiscal year. This amount was calculated using a cost to charge ratio. Bad debt expense represents healthcare services WCGH has provided without compensation. As a tax-exempt organization, WCGH provides necessary patient care regardless of the patient's ability to pay for the services. WCGH cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would qualify for financial assistance under the WCGH 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, WCGH believes that bad debt expense should be included as a community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to determine the Medicare allowable costs reported in the hospital's Medicare Cost Report is the Medicare cost-to-charge ratio, which incorporates Medicare allowable cost. Medicare did not reimburse $467,810 of the allowed costs. The hospital has made a clear mission commitment to serving elderly patients: therefore this amount should be considered as a community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients who qualify for free care have their account balance adjusted accordingly once financial assistance has been approved. As a tax-exempt hospital, Waldo County General Hospital provides necessary patient care regardless of the patient's ability to pay for the services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2 - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization prepares a Community Health Needs Assessment (CHNA) every three years. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3 - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Free care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, underinsured or can't afford to pay their hospital bill, they may receive a Financial Counseling Packet and/or referred to financial counseling from the registration staff or Change Healthcare, an outside vendor who helps manage the self-pay accounts. The packet includes: - Information on MaineHealth's financial policies- Information on MaineHealth's Free Care Program, Monthly Payment Plan Program, Care Partners, MedAccess and other community resource needs. - Program applications and instructions for MaineHealth's Free Care Program, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financial concernsSelf-pay or underinsured patients registering in person or via a phone interview receive financial counseling including information on our financial assistance programs. Registration staff or Change Healthcare provide forms and assist with completing financial assistance applications and providing follow up contact information. MaineHealth's Website includes on line Registration and Patient Billing information:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed. If a patient does not respond at pre-registration, registration, or while receiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4 - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA describes the geographic area and demographic constituents it services. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5 - Promotion of Community Health</FormAndLineReferenceDesc>
        <ExplanationTxt>The tax exempt purpose of the organization to improve the health of the community is promoted and enhanced in the following ways: - The majority of the governing body comprises people living within the hospital's service area that are neither employed by, nor have contractual relationships with, the hospital or its affiliates.- Medical staff privileges are available to all qualified physicians in the community.- Solicitation of community input in the strategic planning process.- Common governance of the hospital and physician services provided in the county to promote common health care and control costs. - Annual investment in capital equipment and building improvements to ensure high quality care.- Each year a portion of Net Assets is distributed to our parent, MaineHealth, for the specific purpose of promoting health status improvement programs throughout the MaineHealth service area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6 - Affiliated Health Care System</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineHealth is a not-for-profit family of leading high-quality providers and other healthcare organizations working together so their communities are the healthiest in America. Ranked among the nation's 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 Maine 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 preventive and primary care services. MaineHealth includes the following member organizations: LincolnHealth Group, Maine Medical Center, Maine Behavioral Healthcare (Spring Harbor Hospital), Coastal Healthcare Alliance (Pen Bay Medical Center and Waldo County General Hospital), Southern Maine Health Care (Southern Maine Medical Center and Goodall campuses), Western Maine Health Care (Stephens Memorial Hospital), The Memorial Hospital at North Conway, N.H., MaineHealth Care at Home, Maine Physician Hospital Organization, NorDx, Synernet and MaineHealth Accountable Care Organization. The strategic affiliates of MaineHealth are MaineGeneral Medical Center, Mid Coast Hospital and St. Marys Regional Medical Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7 - State Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>Maine</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
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        <GrantTypeTxt>Scholarships to students</GrantTypeTxt>
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        <CashGrantAmt>15562</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Scholarships are awarded to students residing in Waldo County and pursuing a career in a healthcare related program. There is a scholarship application process overseen by the Scholarship Committee. Recipients must have completed one semester of schooling with a predetermined minimum GPA, be enrolled in the second semester, and have a financial need. Payments are made directly to the school or as reimbursement to the recipient when appropriate documentation is provided.</ExplanationTxt>
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    </IRS990ScheduleI>
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        <TitleTxt>Trustee</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Cornelius Yetman DO</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Frmr Medical Staff President - WCGH</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephanie Lash MD</PersonNm>
        <TitleTxt>Medical Staff President - PBMC</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>284623</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth Connolly DO</PersonNm>
        <TitleTxt>Medical Staff President - WCGH</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Fourre MD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Linda Drinkwater</PersonNm>
        <TitleTxt>Regional CFO</TitleTxt>
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        <PersonNm>Owen Nelson MD</PersonNm>
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        <TitleTxt>Orthopedics</TitleTxt>
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        <PersonNm>Karen Miller MD</PersonNm>
        <TitleTxt>Otolaryngologist</TitleTxt>
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        <PersonNm>David Ferguson MD</PersonNm>
        <TitleTxt>Cardivasc. Disease</TitleTxt>
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        <TitleTxt>Surgeon</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>91</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2928</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>115079</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>129927</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>See description of process in Schedule O - Form 990, Part VI, Line 15</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Maine Health &amp; Higher Ed Facilities</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>010314384</BondIssuerEIN>
        <CUSIPNum>560427W77</CUSIPNum>
        <BondIssuedDt>2014-07-24</BondIssuedDt>
        <IssuePriceAmt>6774309</IssuePriceAmt>
        <PurposeDesc>Refund bonds issued 12/10/1998</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>1</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1395000</RetiredAmt>
        <TotalProceedsAmt>6774309</TotalProceedsAmt>
        <InReserveFundAmt>760327</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>80234</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>6694075</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K Part I column (e), and Part II lines 1-12</FormAndLineReferenceDesc>
        <ExplanationTxt>The bond issue is a pooled financing. The institution's share of the pooled financing constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K Part II Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount shown here consists of $612,600 in a debt service reserve fund, plus $147,727 of debt service fund deposits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K Part III Line 9, Part IV Line 7, Part V</FormAndLineReferenceDesc>
        <ExplanationTxt>During this fiscal year, the institution was in the process of implementing written compliance procedures.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 1a - Maine Medical Center (EIN 01-0238552), acting on behalf of MaineHealth (EIN 01-0431680), 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Coastal Healthcare Alliance (CHA) (EIN# 22-2494475) is the sole member of Waldo County General Hospital (WCGH). MaineHealth (EIN# 01-0431680), is the sole member of CHA. As the sole member of CHA, MaineHealth has the right to approve significant decisions of the governing body of CHA and its subsidiaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineHealth (EIN# 01-0431680) may elect members of the Board of Directors from a slate of nominees submitted by the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Decisions of the governing body such as budgets, business strategies, significant financial commitments, amendments to the articles of incorporation, and election of the President/CEO among other decisions, are subject to approval by MaineHealth (EIN# 01-0431680).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A detailed review of the Form 990 is performed by the Controller. The Form 990 is reviewed in detail with the Finance Committee. It is then made available to the full Board prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Waldo County General Hospital's conflict of interest policy is incorporated as part of the by-laws of this corporation. The organization consistently reviews all transactions to assure compliance in accordance with the by-laws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation Process for Top Official: The process followed for determining compensation of the CEO compensated by this or other related organizations 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 WCGH, 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. Compensation Process for Officers: At the time of hire MaineHealth Compensation department utilizes market data to provide an accurate, competitive and appropriate offer. On an annual basis officers receive a merit increase related to the results of their annual performance appraisal performed by the CEO. At this time it is evaluated if an additional bonus will be provided based upon budget and performance, this is at the discretion of the CEO, CFO and HR Director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Documents that are required to be open for public inspection are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Fair Value of Perpetual Trust 1,971,570. Market appreciation - Charitable Remainder Trust 35,367. Net Asset Transfers to Related Parties -591,780. Transfer SPF to Brooks Ambulance -57,957. Equity Transf. from Belfast Public Health Nursing Assoc. -22,986. Equity Transf. from Waldo County Home Healthcare Services -122,321.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Belfast Public Health Nursing</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
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        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12b, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MaineHealth</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Coastal Medical Care</BusinessNameLine1Txt>
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          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>010487091</EIN>
        <PrimaryActivitiesTxt>Medical services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Home services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Kno-Wal-Lin Home Care and Hospice</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>010340947</EIN>
        <PrimaryActivitiesTxt>Home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Pen Bay Behavioral Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>010277794</EIN>
        <PrimaryActivitiesTxt>Behavioral health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Penobscot Bay Medical Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>010285286</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Pen Bay Waldo Healthcare Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>222482325</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Penobscot Bay Physicians &amp; Assoc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>010530517</EIN>
        <PrimaryActivitiesTxt>Physician services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12b, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Pen Bay Medical Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Quarry Hill</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>010213976</EIN>
        <PrimaryActivitiesTxt>Long term care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Waldo County Home Healthcare Svcs</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
        </USAddress>
        <EIN>222864960</EIN>
        <PrimaryActivitiesTxt>Hospice</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Healthcare Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MaineHealth</BusinessNameLine1Txt>
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          <AddressLine1Txt>110 Free Street</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04101</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Line 12c, III-FI</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Waldo County Healthcare Mgmt Co</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 287</AddressLine1Txt>
          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
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        <PrimaryActivitiesTxt>Mgmt Svcs</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>PBH Management Company</BusinessNameLine1Txt>
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          <CityNm>Belfast</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04915</ZIPCd>
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      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>