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        <TitleTxt>Regional CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>266743</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41118</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret M Burns</PersonNm>
        <TitleTxt>Sr VP-Clinical</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>168292</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10571</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeannette L Andrews DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>29231</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Brady C Mullin MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory J Hardy MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eric K Osborne DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Albert G Sledge MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <TotalReportableCompFromOrgAmt>2440361</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1102370</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>382017</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>43</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NorDx</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>102 Campus Drive</AddressLine1Txt>
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            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04074</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lab processing</ServicesDesc>
        <CompensationAmt>2855354</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>04074</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Spectrum Medical Group PA</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>04074</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Maine Orthopaedic Center</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1601 Congress St</AddressLine1Txt>
            <CityNm>Portland</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician svcs</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LandryFrench Construction Co</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>160 Pleasant Hill Rd</AddressLine1Txt>
            <CityNm>Scarborough</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04074</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Constr. svcs</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Net patient service revenue</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>70417814</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>70417814</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>2428625</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2428625</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>129106</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>278808</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>653297</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-374489</TotalRevenueColumnAmt>
        <ExclusionAmt>-374489</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>521</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-3430</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-3430</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>72597626</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-245383</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1044015</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>28378589</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>2003871</TotalAmt>
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        <FundraisingAmt>1824</FundraisingAmt>
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        <ManagementAndGeneralAmt>138252</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>10390</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>8726</FundraisingAmt>
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        <ProgramServicesAmt>6378465</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>56159</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1104104</ProgramServicesAmt>
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        <ProgramServicesAmt>969308</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>111509</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4145</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>166524</ProgramServicesAmt>
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        <ProgramServicesAmt>261957</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8482</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3037397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98347</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Affiliate charges</Desc>
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        <ProgramServicesAmt>5684489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2555608</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical supplies</Desc>
        <TotalAmt>7585970</TotalAmt>
        <ProgramServicesAmt>7585680</ProgramServicesAmt>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Provider tax</Desc>
        <TotalAmt>1356187</TotalAmt>
        <ProgramServicesAmt>1356187</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Maintenance contracts</Desc>
        <TotalAmt>756067</TotalAmt>
        <ProgramServicesAmt>755323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>744</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>705554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25280</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>70832100</TotalAmt>
        <ProgramServicesAmt>66419928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4372225</ManagementAndGeneralAmt>
        <FundraisingAmt>39947</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1453827</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>20285223</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5834722</BOYAmt>
        <EOYAmt>5391345</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>1340189</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>509905</BOYAmt>
        <EOYAmt>531723</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>21916790</EOYAmt>
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        <EOYAmt>3921548</EOYAmt>
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        <EOYAmt>966964</EOYAmt>
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        <EOYAmt>14193367</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>70000976</EOYAmt>
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        <EOYAmt>5325626</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>4916081</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>12684589</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>22926296</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>43863760</BOYAmt>
        <EOYAmt>45772785</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>955533</BOYAmt>
        <EOYAmt>743484</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>558411</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>45377704</BOYAmt>
        <EOYAmt>47074680</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>65173000</BOYAmt>
        <EOYAmt>70000976</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1765526</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>260907</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-329457</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>10390</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>10390</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Dues paid to the American Hospital Association of $17,234 and to the Maine Hospital Association of $31,883. The American Hospital Association and Maine Hospital Association used 22.73% and 20.30% respectively of their dues revenue for lobbying activity.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <BookValueAmt>1230518</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>29291330</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>17174141</DepreciationAmt>
        <BookValueAmt>12117189</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>24951862</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19339354</DepreciationAmt>
        <BookValueAmt>5612508</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1672929</DepreciationAmt>
        <BookValueAmt>2956575</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>21916790</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Interest in net assets of SCHC Found</Desc>
        <BookValueAmt>7411140</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SeHR and systemwide assets</Desc>
        <BookValueAmt>6442977</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from affiliates</Desc>
        <BookValueAmt>208205</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SeHR debt service reserve fund</Desc>
        <BookValueAmt>97280</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CSV-life insurance</Desc>
        <BookValueAmt>20261</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other receivables</Desc>
        <BookValueAmt>13504</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>14193367</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to affiliates</Desc>
        <Amt>6145234</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Professional liab. claim accrual</Desc>
        <Amt>746316</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AP under reimbursement regulations</Desc>
        <Amt>5716543</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other liabilities</Desc>
        <Amt>76496</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12684589</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>72529076</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>260907</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-329457</OtherRevenueAmt>
      <RevenueNotReportedAmt>-68550</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>72597626</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>72597626</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>70832100</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>70832100</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>70832100</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital is a not-for-profit corporation and has 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, 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 Hospital has evaluated the position taken on its filed tax returns. The Hospital has concluded no uncertain income tax positions exist at September 30, 2018. The Hospital's tax years from 2015 through 2018 may be subject to examination.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity transfers to affiliates -466,375. Change in interest - Stephens Comm. Healthcare Found 136,918.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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          <AddressLine1Txt>181 Main Street</AddressLine1Txt>
          <CityNm>Norway</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04268</ZIPCd>
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        <StateLicenseNum>39022</StateLicenseNum>
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        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <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>
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        <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>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
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        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Stephens Memorial Hospital Association</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: Community input was taken into account when conducting the CHNA, including those with special knowledge or expertise in public health. This included individuals from the following organizations: Community Concepts, Stephens Memorial Hospital, Western Maine Healthcare, River Valley Healthy Communities Coalition, Rumford Hospital, MaineHealth, Maine CDC, United Way of Oxford Hills, Bridgton Hospital, Tufts University School of Medicine and Oxford County Wellness Collaborative.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Stephens Memorial Hospital Association</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>Stephens Memorial Hospital Association</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>Stephens Memorial Hospital Association - 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>Stephens Memorial Hospital Assoc. - 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>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Subsidized health services include the net operating loss of PACEParamedic Service, a department of Stephens Memorial Hospital, and directsubsidies and support of local school-based health clinics and otherclinical programs that are not revenue-producing. If these services werenot provided or subsidized by the Hospital, they would not be available inthe community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the subsidized health services and community health services described above, Western Maine Health Care sponsors or participates in a variety of other community activities and programs. These community building activities include:-We are the lead agency for Healthy Oxford Hills, a community coalition to promote partnerships, policies and programs to protect and enhance the health of residents of Oxford Hills-Our Vial of Life Program allows individuals in the community to record and safely store their current health information at home, in case that information needs to be retrieved in an emergency situation-Safe Sitter courses, a medically-accurate instructional program designed for young adolescents 11 to 13 years of age-Community-wide emergency preparedness planning-Regional health planning and pandemic planning-We provide a clinical site for local Registered Nurses and Certified Nurses Aide programs-Annual Conference - Alcoholism and Drug Addiction: Disease, Treatment and Recovery-Free community blood pressure screenings and clinics-Blood drives-Sibling classes for children expecting new family members-Nutrition open houses for the general public-"Relay for Life" to support the American Cancer Society-"Bowl for Kids Sake" to benefit the local Big Brothers/Big Sisters program-We provide community outreach services to educate families about the Alfond Scholarship for babies, and assist families in preparing the grant application-We provide meeting space at no charge for local non-profit support groups including smoking cessation, Gear Parent Network Support Group, Take Off Pounds Sensibly (TOPS), the Shriners annual health screening day and support groups for those affected by depression/bipolar conditions, diabetes, grief, and Parkinson's Disease</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>See Part III, Line 4 - Bad Debt Expenses Footnote to Financial Statements</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Stephens Memorial Hospital Association (SMH) does not have a specificfootnote in the financial statements that describes "bad debt expense."However, reference is made within the footnotes to a bad debt policy in acouple of instances. Within the footnote describing "Net Patient ServiceRevenue", the following explains the Provision for Bad Debts:"For receivables associated with self-pay patients, the Hospital records aprovision for bad debts in the period of service based on its pastexperience, which indicates that many patients are unable or unwilling topay the portion of their bill for which they are financially responsible.The difference between the standard rates and the amounts actuallycollected after all reasonable collection efforts have been exhausted ischarged off against the reserve for uncollectible accounts."The amount of expense associated with the provision of services, ultimately written off as bad debt at SMH, has been calculated at $3,455,601 for the current fiscal year. This amount was calculated using a cost to charge ratio. Bad debt expense represents healthcare services SMH has provided without compensation. As a tax-exempt organization, SMH provides necessary patient care regardless of the patient's ability to pay for the services. SMH cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would quality for financial assistance under the SMH 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, SMH believes that bad debt expense should be included as a community benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare allowable costs were taken from SMH's as-filed 2018 Medicare cost reports. The cost report utilizes a sophisticated, detailed step-down cost allocation approach. The cost report excludes revenue, expenses and reimbursement for professional fees such as Emergency Department Physicians. If the cost to provide these services and payments for the services were included in the Part III Section B analysis, there would be a Medicare shortfall for these services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, SMH provides necessary patient care regardless of the patient's ability to pay for the services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</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:</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 web site includes online 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:</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA describes the geographic area and demographic constituents it services. Seehttps://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The tax exempt purpose of the organization to improve the health of thecommunity is promoted and enhanced in the following ways:-The majority of the governing body is composed of persons living within the hospital 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 improvement planning and control costs.-Voluntary cap on Income from Operations to restrain prices and to fund health care and health improvement activities.-Surplus funds are reinvested in capital equipment and improvements to ensure high quality care.-Each year a portion of Retained Earnings is distributed to our parent, MaineHealth, for the specific purpose of health status improvement programs throughout the MaineHealth service area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</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, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>ME</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa W Miller MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>159404</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8400</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26768</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3417</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24924</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222913</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian M Nolan MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>232721</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>8954</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8213</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11698</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22754</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>284340</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ryan R Knapp MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>263774</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20473</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23176</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>307423</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Cox</PersonNm>
        <TitleTxt>Regional CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>227867</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>16000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>22876</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15631</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25487</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>307861</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Margaret M Burns</PersonNm>
        <TitleTxt>Sr VP-Clinical</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>165775</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2517</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6895</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3676</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>178863</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeannette L Andrews DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>292949</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19686</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3171</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26060</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>341866</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brady C Mullin MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>284764</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>38298</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2924</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24327</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>350313</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory J Hardy MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>283840</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>115033</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17593</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22974</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>439440</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric K Osborne DO</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>313953</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>33092</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1885</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26229</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>375159</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Albert G Sledge MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>275388</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>39620</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2269</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11604</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>328881</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Top management officials are compensated by related organizations. These organizations used one or more of the methods shown at Part 1, Line 3 to establish the compensation of top management. 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 Auth</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>010314384</BondIssuerEIN>
        <CUSIPNum>560427Y75</CUSIPNum>
        <BondIssuedDt>2015-01-07</BondIssuedDt>
        <IssuePriceAmt>6079722</IssuePriceAmt>
        <PurposeDesc>Construction, renovation, and equipping of medical office building</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1040000</RetiredAmt>
        <TotalProceedsAmt>6079683</TotalProceedsAmt>
        <InReserveFundAmt>131807</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>78890</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>6000793</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <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</FormAndLineReferenceDesc>
        <ExplanationTxt>With respect to Part I columns (e) and (f), Part II lines 1-12, and Part III, the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I, column (i), the institution has assumed that this arrangement does not constitute a "pooled financing". Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4 - The amount shown here consists of debt service fund deposits. Part III, line 2 - The institution leases certain space in the financed space to an affiliated 501(c)(3) organization. For purposes of this line, the institution has assumed that this does not constitute a lease that may result in private business use. Part III, line 3a - The institution has entered into a management contract with an affiliated 501(c)(3) organization. For purposes of this line, the institution has assumed that this does not constitute a management or service contract that may result in private business use. Part III line 9, Part IV line 7, Part V - During this fiscal year, the institution was in the process of implementing written compliance procedures.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jewel Nolan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family Member</RelationshipDescriptionTxt>
        <TransactionAmt>59400</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Jewel Nolan is employed by Stephens Memorial Hospital Association. Her husband, Brian Nolan, is a Board Member.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 1a - Prior to consolidating accounts payable operations with Maine Medical Center (EIN 01-0238552), the entity filed 13 Form 1099s for the calendar year 2017. 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>Western Maine Health Care, Corp. (EIN# 01-0411788) is the sole member of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member has the responsibility for the election of the members of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>All decisions by the Stephens Memorial Hospital Association's (SMH) governing body are approved by default by the member organization's governing body since these two organizations share a common governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The President and the Regional Chief Financial Officer reviewed key components with the Finance Committee of the Board of Trustees. A detailed review of the Form 990 was performed by the Regional Chief Financial Officer prior to signing the return. The Form 990 was then made available to the full board prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of Interest statements are obtained annually. The President's Office collects and reviews the responses. Where any real or perceived conflicts exist, officers and trustees are expected to recuse themselves (1) from meetings during times when the topics of potential conflict are discussed and (2) from voting on such matters. Key employees may not use their positions to profit personally or to assist others in profiting in any way at the expense of SMH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation Process for Top Official: The parent company of SMH is Western Maine Health Care, Corp. (EIN# 01-0411788) who through its parent company MaineHealth, has a formal written compensation policy in place. In consultation with Sullivan Cotter, the MaineHealth Board Compensation Committee establishes appropriate compensation parameters for each organization's CEO and certain members of their Senior Management Team. Working within these parameters, the Western Maine Health Care Board determines the level of compensation for its CEO. The findings of the Compensation Committee are made transparent to, and voted on by, the full Governing Board. The "total executive compensation" is filed publicly by the organization, and includes "total cash compensation and "total value of all benefits and perquisites" associated with the position. The Board takes necessary action to prevent the CEO from voting or directly participating in the final Committee determination of his own compensation. The organization's executive compensation procedures rely upon appropriate data for comparability (e.g. compensation levels paid by both taxable and tax-exempt similarly situated organizations and independent surveys by nationally recognized independent firms). Finally, the organization refrains from allowing executive compensation to ever be based solely on Western Maine Health Care, Corp.'s revenues or other similar profit-sharing strategies. Compensation Process for Officers: At the time of hire the compensation department utilizes market data toprovide an accurate, competitive and appropriate offer. Annual merit increases are determined by the CEO, subject to guidelines established on a system wide basis.</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>Equity transfers to affiliates -466,375. Change in interest-Stephens Comm. Healthcare Foundation 136,918.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Stephens Community Healthcare Found</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>181 Main Street</AddressLine1Txt>
          <CityNm>Norway</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04268</ZIPCd>
        </USAddress>
        <EIN>311644144</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Western Maine Health Care Corp</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Western Maine Health Care Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>181 Main Street</AddressLine1Txt>
          <CityNm>Norway</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04268</ZIPCd>
        </USAddress>
        <EIN>010411788</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12b, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MaineHealth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Western Maine Multi-Medical Specialists</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>181 Main Street</AddressLine1Txt>
          <CityNm>Norway</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04268</ZIPCd>
        </USAddress>
        <EIN>010489824</EIN>
        <PrimaryActivitiesTxt>Physician practices</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Western Maine Health Care Corp</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Western Maine Nursing Home Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>181 Main Street</AddressLine1Txt>
          <CityNm>Norway</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04268</ZIPCd>
        </USAddress>
        <EIN>222842655</EIN>
        <PrimaryActivitiesTxt>Nursing home</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Western Maine Health Care Corp</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MaineHealth</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 Free Street</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04101</ZIPCd>
        </USAddress>
        <EIN>010431680</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12c, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>