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    <ReturnTs>2017-08-09T07:00:48-07:00</ReturnTs>
    <TaxPeriodEndDt>2016-09-24</TaxPeriodEndDt>
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    <TaxPeriodBeginDt>2015-09-27</TaxPeriodBeginDt>
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        <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMMC</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>Eastern Maine Medical Center</BusinessNameLine2Txt>
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      <USAddress>
        <AddressLine1Txt>PO Box 404 489 State Street</AddressLine1Txt>
        <CityNm>Bangor</CityNm>
        <StateAbbreviationCd>ME</StateAbbreviationCd>
        <ZIPCd>04402</ZIPCd>
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      <PersonNm>John Doyle</PersonNm>
      <PersonTitleTxt>System Controller</PersonTitleTxt>
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    <TaxYr>2015</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
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      <MissionDesc>Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another.</MissionDesc>
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      <Desc>Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $10,938,071.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 124 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: www.emmc.org.Additional StatisticsTotal admissions 20,457Percent Occupancy of Available Beds 74.4%Cardiac Catheterization Procedures 5,749Cardiac Surgery Cases 390Emergency Room Visits 36,089Medical Imaging Procedures 144,724Surgery Cases 17,141Live Births 1,680Family Practice Visits 32,731Total Outpatient Visits 519,003Patient Days 107,444Services provided to those who could not pay $50,401,005</Desc>
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        <ExplanationTxt>Income TaxesEMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable 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 System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.</ExplanationTxt>
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        <NetCommunityBenefitExpnsAmt>40583022</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05440</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>585939</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>585939</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00079</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>84614</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>129928063</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>78351378</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>51576685</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06909</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>21</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>43275</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>815294</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13500</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>801794</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00107</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>13</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>833</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2458823</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2458823</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00330</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <ResearchGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>390</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2650258</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2650258</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00360</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>6812</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>6812</NetCommunityBenefitExpnsAmt>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>37</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>44498</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>5931187</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13500</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5917687</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00797</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>37</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>129112</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>135859250</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>78364878</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>57494372</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07706</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>2</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>3463</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3463</NetCommunityBenefitExpnsAmt>
      </CommunitySupportGrp>
      <LeadershipDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>5</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>973</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>973</NetCommunityBenefitExpnsAmt>
      </LeadershipDevelopmentGrp>
      <HealthImprovementAdvocacyGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>257</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>257</NetCommunityBenefitExpnsAmt>
      </HealthImprovementAdvocacyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>5</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>4693</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4693</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>10938071</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>242524737</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>274306078</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-31781341</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Eastern Maine Medical Center</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>489 State Street</AddressLine1Txt>
          <CityNm>Bangor</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04401</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.emmc.org</WebsiteAddressTxt>
        <StateLicenseNum>38447</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Eastern Maine Medical Center</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</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>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>http://emmc.org/</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>www.emhs.org/Community-Benefit/CHNA.aspx</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>http://www.emhs.org/Community-Benefit/CHNA/2016-EMHS-Communi</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.0000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.0000</FPGFamilyIncmLmtDscntCarePct>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>http://emmc.org/Billing/Financial-Assist</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>http://emmc.org/Billing/Financial-Assist</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>http://emmc.org/Billing/Financial-Assist</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 5 - Account Input from Persons Who Represent the Community</FormAndLineReferenceDesc>
        <ExplanationTxt>The Maine Shared CHNA research team conducted a statewide survey among stakeholders to identify and prioritize significant health issues in communities across the state. The survey, coordinated with the Maine CDC, engaged public health expertise throughout the process. The survey was administered using a snowball approach where stakeholder agencies agreed to send the surveys to their members and stakeholders for participation. The survey was completed by 1,639 people, representing more than 80 organizations and businesses in Maine. Respondents represented health care agencies, public health agencies, law enforcement, municipalities, schools, local businesses, social service agencies, and nongovernmental organizations. In addition to the stakeholder survey, each county conducted a number of community engagement opportunities (forums) to ensure broad interests of the local community were represented, obtain stakeholder input on identifying significant health needs based on review of shared CHNA data, solicit stakeholder feedback on prioritizing significant health needs, and identify local assets and resources that potentially may address local health priorities. The local forums were conducted in collaboration with the Maine CDC to solicit input from individuals representing populations with health disparities. The following organizations were in attendance at the November 18, 2015 Penobscot County Shared CHNA Community Engagement Input Forum and provided valuable feedback on the Shared CHNA.Details about organizations: Local and State Government (low income, medically underserved) - representation from DHHS, City of Bangor, Town of Glenburn, Town of Hampden; Non-profit hospitals - (medically underserved through free and low cost care) Acadia Hospital, Eastern Maine Medical Center, Mayo Regional Hospital, Penobscot Valley Hospital, St. Joseph Healthcare; health system EMHS; FQHC Penobscot Community Health Care (low income, medically underserved); College/University UM Center of Community Inclusion, Center of Aging, Cooperative Extension; Community Health Coalitions United Way of Eastern Maine (low income, medically underserved), Bangor Region Public Health and Wellness, a division of Bangor Health and Community Services Department/A Local Healthy Maine Partnership, Partnership for a Healthy Northern Penobscot; Not for profit agencies Bangor Y, Bangor Area Homeless Shelter (low income, medically underserved), Community Health and Counseling Services, Big Brothers Big Sisters of Mid-Maine, Eastern Area Agency on Aging, Old Town YMCA; Health Equity Alliance - Wellspring, Inc.; minorities - Penobscot Nation Health Department.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The Shared CHNA was conducted through the Maine Shared Health Needs Assessment Planning Process (SHNAPP) a collaborative effort among Maines four largest healthcare systems Central Maine Healthcare, Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health, MaineHealth and the Maine Center for Disease Control and Prevention, an office of the Maine Department of Health and Human Services (DHHS). EMHS member organizations participating in the Shared CHNA included Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Maine Coast Memorial Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why</FormAndLineReferenceDesc>
        <ExplanationTxt>Non-selected priorities Unemployment/economic opportunity, Affordable housing, Hunger/food insecurity - Outside of scope for acute care hospital.Oral health, Transportation, Fear - Will begin discussions with local programs to assess feasibility of addressing next year.Behavioral/mental health services for children and adults, Substance abuse treatment &amp; detoxification - Primarily addressed by The Acadia Hospital.Out of pocket costs associated with insurance plans - Will reassess at later time.Dont understand or value the importance of seeking care - Initial work being done at EMHS. Will reassess at later time.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Income Level</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 16i - Other Means Hospital Facility Publicized the Policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance. The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions and eligibility criteria</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 22d - Other Billing Determination of Individuals Without Insurance</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital charges are discounted at 100% for patients who qualify for Free Care with income at or below 150% FPL. The hospital also offers discount for patients who fall within the 151% to 250% FPL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>18</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Eastern Maine Healthcare Mall</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>885-925 Union Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Medical Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Family Medicine - Hampden</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7 Main Road North</AddressLine1Txt>
            <CityNm>Hampden</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04444</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Family Medicine of Brewer</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>234 State Street</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Sleep Diagnostics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>290 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-outpatient svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Family Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>302 Husson Ave Suite 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Internal Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>302 Husson Ave Suite 1</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Family Medicine - Orono</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>84 Kelly Road</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04473</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Northeast Cardiology</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 Northeast Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Urologic Surgery of ME</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>55 Broadway Suite 2</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Neurology Specialists</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>498 Essex St Suite 105</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC-Phy Prac in Webber Bld</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>417 State Street</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lafayette Family Cancer Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33 Whiting Hill Road</AddressLine1Txt>
            <CityNm>Brewer</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04412</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building-Cancer treatment</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Uni Med Cutler Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5721 Cutler Health Center Universit</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044695721</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Northeast Surgery of Maine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>404 State St Suite 310</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Pediatric Primary Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EMMC Pediatric Specialty Care</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>133 Corporate Drive</AddressLine1Txt>
            <CityNm>Bangor</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04401</ZIPCd>
          </USAddress>
          <FacilityTxt>Med Office Building - physician svc</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Human Performance Lab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5721 Cutler Health Center Universit</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044695721</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOW Program</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5721 Cutler Health Center Universit</AddressLine1Txt>
            <CityNm>Orono</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>044695721</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Care Facility</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a - Related Organization Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>The Eastern Maine Medical Center community benefit report is contained in an annual community benefit report prepared by Eastern Maine Healthcare Systems which is the parent organization of all related organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7 - Explanation of Costing Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Ratio of Patient Care Cost-to-Charges is used in calculation</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7, Column F - Explanation of Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>$25,489,855 of bad debt expense, $24,911,411 of charity care, $839,039,626 of contractual allowances is included on Form 990, Part IX, line 25, column (A).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The costing methodology used to determine the amount reported is cost to charge ratio.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient and trade accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and the applicable patient accounts receivable. Credit is extended without collateral.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicare losses should be treated as a community benefit because the losses are incurred in performing an important public service, and Maine hospitals experience one of the lowest Medicare reimbursement rates in the country.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patient's inability to pay.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial assistance and free care for medically necessary services are available to patients who qualify. Posters in patient care areas as well as information and forms on the hospital website outline the guidelines and provide information on how to apply. In recent years, Eastern Maine Medical Center engaged in a significant outreach effort to provide both patients and the community information about and assistance with enrolling in the Health Insurance Marketplace and other insurance programs. Additionally, financial counselors are available to assist patients with enrolling in public insurance programs on a routine basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>EMMC is a comprehensive, 411-bed medical center serving the greater Bangor area and the northern two-thirds of Maine (an area of approximately 26,000 miles). The referral service area (secondary service area) includes more than a half million residents in nine counties of northern, eastern, and central Maine: Kennebec, Knox, Waldo, Penobscot, Piscataquis, Washington, Hancock, Aroostook, and Somerset. Due to the economics of this region, EMMC serves a proportionally larger percentage of MaineCare (Medicaid) patients than the states other specialty referral medical center in Portland. In EMMCs primary area of Penobscot County, the median household income is $43,734. More than 20 percent of children and 17 percent of all individuals live in poverty. The population of Penobscot County was 153,364 in 2014. Income and poverty rates in Penobscot County are worse than the state of Maine as a whole.The medical center and its medical staff of more than 450 physicians provide a significant percentage of the primary care services offered in the Bangor area, as well as specialty and intensive services for patients from Waterville to the Canadian border. Eastern Maine Medical Center also provides outreach clinics to many local hospitals in the region, allowing easier access for patients and supporting the role of those hospitals in their communities. Eastern Maine Medical Center is a trauma center, bariatric center, regional cancer center, neonatal intensive care center, and a host of LifeFlight of Maine, a statewide medical helicopter service that transports critically ill and injured patients. Eastern Maine Medical Center is also a Joint Commission-certified Joint Center and Stroke Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Eastern Maine Medical Centers community building activities improve the lives of the people living in the organizations service area. Annually, employees participate in a park cleanup day to ensure a safe, clean area is available for families to use to engage in physical activity. Trauma staff provides annual education to children about the importance of wearing a helmet while bicycling, with a goal of reducing the incidence of serious head trauma. EMMC continued a significant outreach effort to connect the uninsured with resources that can help them understand their options, sign up for insurance, and manage the cost of their care. Nursing staff spend time during the summer working at a camp for children who have diabetes, ensuring campers are safe and have access to care while they build confidence and skills and participate in healthy activity. By participating in these community building opportunities, EMMC is striving to build a healthier community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>EMMC is a collaborative organization led by a volunteer board of directors whose members reside in the organizations service area. The organization extends medical staff privileges to qualified physicians in the community. EMMCs physicians provide itinerant specialty care services in smaller hospitals throughout the region in order to ease the burden for patients who would otherwise need to travel for care. EMMC participates in community-wide coalitions to address the regions most important health needs, including opioid abuse, and a local community health advisory council to influence public health decision making. As a nonprofit health organization, EMMC coordinates several initiatives designed to improve community health. EMMC invests in research through its Clinical Research Center and research initiatives at its cancer and heart care centers. The organization ensures the future of care in the region by providing medical education to future family medicine doctors, nurses, and other medical professionals. EMMC continues to improve the health status of youth through the Way to Optimal Weight (WOW) program for children, a program that coaches children with morbid obesity to address their weight and the resulting health issues by improving eating and fitness habits, boosting self-esteem, and engaging in family coaching. In 2016, EMMC launched a health literacy initiative to improve the ability of those with low levels of literacy to access help. The goal of this program is to enhance patients understandings of discharge instructions, medication compliance, and other information, and, ultimately, to improve health outcomes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Affilated Health Care System Roles and Promotion</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2016 Shared Community Health Needs Assessment conducted by EMHS (Eastern Maine Healthcare Systems) in collaboration with several member/affiliated hospitals and the many public health and community organizations across the state. The Shared Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospitals local service area. EMMC has adopted a local implementation strategy and community health improvement plan tailored to meet the needs of the communities it serves. While EMMC is responsible for the development and implementation of this plan, the organization works closely with community health professionals from other EMHS member hospitals to address state-wide health concerns and share ideas and best practices.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - States Where Community Benefit Report Filed</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
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        <ExplanationTxt>Deborah Sanford, officer, received a $125.00 employee stipend towards a fitness center, Michael Reid, officer, received a $20.00 employee stipend towards a fitness center, John D. Klemperer, MD, highly compensated employee, received a $130 employee stipend towards a fitness center and Helen Q. McKinnon, officer, received a $120.00 employee stipend towards a fitness center. The benefit is available for all employees. The EMMC Employee Wellness Department structured a Fitness Center Network for EMMC employees. Any EMMC employee who participates in wellness activities at an EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by EMMC on a bi-weekly or yearly basis at one facility.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II, line 3, column A, does not equal Part I, line A, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $3,885,046.Part II, Line 3, Column B, does not equal Part I, line B, column E as a result of other sources of funds from equity from Maine Care Settlement, dialysis sale, already spent funds, and contributions from operations totaling $40,895,707. Part IV, Line 2c, Column A, date the rebate computation was performed - 5/18/2015.Part IV, Line 7, The issuer(MHHEFA) has established written procedures to monitor the requirements of Section 148. The organization has entered into a tax regulatory agreement with the issuer that requires the organization to comply with the requirements of Section 148. The organization is working to establish its own written procedures to monitor such requirements.</ExplanationTxt>
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        <ExplanationTxt>Richard Riemersma, MD, board member is a director of Dahl Chase Pathology Assoc (DCPA) board. EMMC had business transactions with DCPA to provide pathology services during the fiscal year.Colette Sabbagh is the spouse of a board member and is an employee of EMMC.Deborah C Johnson, board member/officer is board member of Community Health and Leadership Board for City of Bangor which EMMC pays property tax.Deborah C. Johnson, board member/officer is a board member of Husson University which EMMC provided nursing program assistance to.Mary M. Hood, board member/officer and Deborah C. Johnson, board member/officer are board members of Maine Hospital Association.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $10,938,071.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 124 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: www.emmc.org.Additional StatisticsTotal admissions 20,457Percent Occupancy of Available Beds 74.4%Cardiac Catheterization Procedures 5,749Cardiac Surgery Cases 390Emergency Room Visits 36,089Medical Imaging Procedures 144,724Surgery Cases 17,141Live Births 1,680Family Practice Visits 32,731Total Outpatient Visits 519,003Patient Days 107,444Services provided to those who could not pay $50,401,005 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:Oh, the places we will go!As parents and grandparents we know well the wit and wisdom of New England's own Theodor Geisel, better known as Dr. Seuss. He reminds us, "... the things you can find, if you don't stay behind!" Dr. Seuss teaches us that innovation, leadership, and curiosity are noble traits that take us far in life. As leaders, we carry these lessons with us today. EMHS tirelessly seeks opportunities to innovate delivery of care by challenging the status-quo and pushing our organization to fearlessly exceed expectations in today's ever-evolving healthcare landscape. When taking a look back at 2016, we celebrate the amazing work being done across EMHS. Here, leaders come in all forms and nowhere is it more evident than in our 2016 Annual Report. Within these pages, you will meet some 'Girls on the Run' in Hancock County who are joyful, healthy, and confident; a family that welcomed a new baby and was grateful for excellent Neonatal Intensive Care; and a homecare nurse who travels thousands of miles each year to care for her patients. You will also learn how EMHS is collaborating with our communities on core concerns, such as food insecurity and overcoming Maine's opioid epidemic, and about the continued advancement of our population health efforts. Finally, as a proud Maine company, EMHS was pleased to be a part of the Acadia National Park Centennial; we share a look at our participation in the celebration.And, in an effort to bring the EMHS experience even closer to you, we've created an interactive online report in addition to our printed version. On the web, you will find beautiful videos of the inspiring stories discussed here along with interactive graphs and maps. We are proud to be a leader in this dynamic healthcare world. EMHS continues to embrace today's challenges all the while reflecting on how we can use our resources to create outstanding experiences for our customers and help shape vibrant, healthy communities. We have a lot of work ahead of us in 2017, or, to paraphrase Dr. Seuss, "You're off to great places! You're off and away!"M. Michelle Hood, FACHEEMHS President and CEOEvelyn S. Silver, PhDEMHS Board ChairOn your mark, get set...EMHS youth programs start kids off right for the race of lifeRaising children in today's world provides unique challenges. Issues such as childhood obesity and the prevalence of mental health issues like anxiety and depression among our youth have garnered the attention of parents and healthcare providers.Fortunately, research has shown that providing our children with healthy activities that teach them the value of exercise, eating well and being part of their communities can make a big difference in their long-term well-being.With that in mind, EMHS organizations offer creative programs and activities designed to support the healthy development of kids, many times in collaboration with other area organizations.A shining example of this approach can be seen in Presque Isle, where The Aroostook Medical Center (TAMC) partnered with the University of Maine at Presque Isle and Healthy Aroostook to organize The REDY Youth Triathlon in September, 2016 as part of TAMC's ongoing Fit and Fun Series.Children, ages 7 through 14, swam, biked, and ran different distances based on their age category. Event organizers named the triathlon after REDY, a well-known mascot of Let's Go 5-2-1-0 (5 or more fruits or vegetables a day, 2 or less hours of recreational screen time, 1 hour of physical activity, and 0 sugary drinks),a nationally recognized youth obesity prevention program that has partners throughout Maine.Jayden Harvell age 8, who according to her mother, Heather, is very athletic, participated in the event, which was her second triathlon. Before Jayden participated, she commented, "Yeah, I'm growing up and I'm getting healthier and smarter, and this helps me get fit. I think it will be fun!"The concept of 5-2-1-0 is also reflected in Inland Hospital's Family Fun Series, now in its fifth year. Inland Hospital, located in Waterville, works with other local organizations to provide a monthly family-oriented event that promotes an active lifestyle. The hospital's community wellness team leader, Ellen Wells, plays an integral role in making the series run smoothly. "We are trying to engage the whole family to make physical activity a way of life. Down the road, that will mean lower adult obesity rates and the related chronic disease that goes along with that."In addition to the Family Fun Series, every Tuesday evening during the summer of 2016, Inland sponsored the Quarry Road Fun Run series. The Fun Run series was very popular, with an average of 15 participants for the nine-week program.Another innovative program that focuses on healthy weight and food choices is the Eastern Maine Medical Center (EMMC) Way to Optimal Weight program (WOW); it focuses on helping children and adolescents who are at higher risk for weight-related health problems. The program recently expanded to Maine Coast Memorial Hospital (MCMH) in Ellsworth, as well as TAMC via televideo technology in Presque Isle.MCMH, in partnership with the Down East Family YMCA, is also using physical activity as a conduit for developing the full spectrum of health-mind, body, and spirit-for young girls through the Girls on the Run (GOTR) curriculum. This is vital, as girls and young women face an overwhelming amount of exposure to images and messages that leave them questioning their personal value."One of the things I love about Girls on the Run is that it's big picture. It's not just about running. Its about teaching the girls life skills that will benefit them for the rest of their lives," explained Kimberly Formby, GOTR coach and Occupational Therapy supervisor at MCMH. "It is my hope that every third through fifth grade girl in our area has the opportunity to participate in this program." Meeting twice a week in small teams, Girls on the Run teaches life skills through dynamic, interactive lessons and running games. The curriculum is taught by certified Girls on the Run coaches and includes three parts: understanding ourselves, valuing relationships and teamwork, and understanding how we connect with and shape the world at large. Running is used to inspire and motivate girls, encourage lifelong health and fitness, and build confidence through accomplishment. Important social, psychological, and physical skills and abilities are developed and reinforced throughout the program.The program is in its second season and has already had 16 girls participate, with plans for another session in the spring of 2017.A program that focuses on a young person's psycho-social-emotional development, in the context of the broader community is Challenge Day, a nonprofit out of California. For 15 years, Acadia Hospital, the only EMHS psychiatric hospital, has coordinated and supported Challenge Day in dozens of Maine high schools, affecting thousands of students and hundreds of volunteer adult facilitators.This past fall, more than 400 high school students experienced Challenge Day at participating schools: Hermon High School, Freeport High School, Maine Central Institute in Pittsfield, and George W.Stearns High School in Millinocket.One Stearns High School student echoed the sentiments of those who wrote reflection papers after their experience. "Challenge Day was an extraordinary experience, unlike any other. The day is a great way to express your true feelings to one another, lear</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>Mary M. Hood, board member/officer and Deborah C. Johnson, board member/officer are board members of Maine Hospital Association.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</FormAndLineReferenceDesc>
        <ExplanationTxt>Explanation: Eastern Maine Medical Center (EMMC) has entered into an administrative and management service contract with Integrity Management Advisors, LLC(IMA) and FTI Consulting (FTI) under which employees are provided for the position of Interim Senior Vice President/Chief Financial Officer and Interim Vice President/Chief Operating Officer. Lawrence McManus, Interim SVP/CFO, is owner of Integrity. He began providing services to EMMC in April 2014 through The Confidential Search Company and in January 2015 began providing the services through IMA . His CY2015 compensation and benefits received from TDSC for services provided to EMMC is $472,000. His position has leadership responsibility for EMMC's financial management policies, operations and systems including direct supervisory responsibility for patient access, health information management, budgeting, cost accounting, financial reporting. Virginia Campbell, Interim VP/COO is employed by FTI. She began providing services to EMMC in August 2014. Her CY2015 compensation and benefits received from FTI for services provided to EMMC is $126,923. Her services ended during FY2015.Her position has leadership responsibility for EMMC's operational controls, administrative and reporting procedures, and systems to help guide EMMC in performance improvement efforts in the hospital and in the physician practices.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The EMHS President has authority to appoint and remove the CEO of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the EMHS Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII.dissolution of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the System Director of Financial Services and CFO. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO of Eastern Maine Medical Center and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:- Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.- Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.- Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.- Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.- Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.- Assures that a formal and timely performance management system is in place for executives.- Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.- Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.- Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. The compensation of officers and key employees are reviewed by the system President/CEO and EMMC Executive &amp; Finance committee. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Eastern Maine Medical Center makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Contribution To Strat Pool Per Affiliation Agreement = -$3753104</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Net Change in Funds Held at Affiliates = -$787400</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Post Retirement Health Benefit FAS158 = -$6971610</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to exempt parent-Eastern Maine Healthcare Systems = -$9888404</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Real Estate</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
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        </USAddress>
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          <BusinessNameLine1Txt>Rosscare Nursing Homes Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
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        <PrimaryActivitiesTxt>Operation of nursing homes</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
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          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
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          <ZIPCd>04412</ZIPCd>
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        <EIN>010527066</EIN>
        <PrimaryActivitiesTxt>Supporting organization for healthcare affiliates</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Acadia Hospital Corp AHC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010459837</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Eastern Maine Medical Center Auxiliary</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010377901</EIN>
        <PrimaryActivitiesTxt>Fund raising for exempt Eastern Maine Medical Center</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Acadia Healthcare Inc AHI</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>223183888</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>AHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMHS Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road Ste 400</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Raise and manage funds for exempt organizations</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11, Type II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Norumbega Medical Specialists LTD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Rd Ste 400</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
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        <PrimaryActivitiesTxt>Provide patient care and education</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Inland Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>200 Kennedy Memorial Drive</AddressLine1Txt>
          <CityNm>Waterville</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04901</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lakewood A Continuing Care Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>220 Kennedy Memorial Drive</AddressLine1Txt>
          <CityNm>Waterville</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04901</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Provide skilled and long-term nursing care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Inland Hospital</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CA Dean Memorial Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Pritham Avenue PO Box 1129</AddressLine1Txt>
          <CityNm>Greenville</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044411129</ZIPCd>
        </USAddress>
        <EIN>043341666</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sebasticook Valley Health SVH</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>447 North Main Street</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04967</ZIPCd>
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        <EIN>010263628</EIN>
        <PrimaryActivitiesTxt>Critical care hospital</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>The Aroostook Medical Center TAMC</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 151 140 Academy Street</AddressLine1Txt>
          <CityNm>Presque Isle</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>047690151</ZIPCd>
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        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
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          <ZIPCd>047690151</ZIPCd>
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          <BusinessNameLine1Txt>TAMC</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 151 140 Academy Street</AddressLine1Txt>
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          <ZIPCd>047690151</ZIPCd>
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          <BusinessNameLine1Txt>TAMC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Blue Hill Memorial Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>57 Water Street</AddressLine1Txt>
          <CityNm>Blue Hill</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>046145231</ZIPCd>
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        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Meadow Wood LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
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          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>272935243</EIN>
        <PrimaryActivitiesTxt>Provide patient care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AHI</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sebasticook Valley Family Practice Assoc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>447 North Main Street</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04967</ZIPCd>
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        <EIN>010357854</EIN>
        <PrimaryActivitiesTxt>Provide patient care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SVH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Restoration Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Rd</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>352449986</EIN>
        <PrimaryActivitiesTxt>Mental &amp; Behavioral Health Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>144 State Street</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04101</ZIPCd>
        </USAddress>
        <EIN>010211534</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Mercy Health System of Maine</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>144 State Street</AddressLine1Txt>
          <CityNm>Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04101</ZIPCd>
        </USAddress>
        <EIN>010484074</EIN>
        <PrimaryActivitiesTxt>Supporting org for healthcare affiliates</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type III Func Int</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA Home Health &amp; Hospice</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Foden Road</AddressLine1Txt>
          <CityNm>South Portland</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04106</ZIPCd>
        </USAddress>
        <EIN>010246804</EIN>
        <PrimaryActivitiesTxt>Provide home health &amp; hospice services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WorkHealth LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474315094</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Healthcare Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>223176167</EIN>
        <PrimaryActivitiesTxt>Provide dental services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11, Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Regional Health Facilities d</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>010198331</EIN>
        <PrimaryActivitiesTxt>Provide healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Medical Realty</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>010390918</EIN>
        <PrimaryActivitiesTxt>Lease medical facilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11, Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Maine Coast Healthcare Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>562344952</EIN>
        <PrimaryActivitiesTxt>Raise and manage funds for exempt org</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11, Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Beacon Health LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>452967056</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Beacon Rural Health LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>474483187</EIN>
        <PrimaryActivitiesTxt>Accountable care organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Systems AHS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010385322</EIN>
        <PrimaryActivitiesTxt>Holding co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010349339</EIN>
        <PrimaryActivitiesTxt>Hlthcr mgmt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Laboratory Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010381283</EIN>
        <PrimaryActivitiesTxt>Clinical lab</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Affiliated Materiel Services</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010381189</EIN>
        <PrimaryActivitiesTxt>Purchasing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Meridian Mobile Health LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010512673</EIN>
        <PrimaryActivitiesTxt>Ambulance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Maine Network for Health</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 2813</AddressLine1Txt>
          <CityNm>Bangor</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044022813</ZIPCd>
        </USAddress>
        <EIN>010496352</EIN>
        <PrimaryActivitiesTxt>Support srv</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dirigo Pines Retirement Community LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9 Alumni Drive</AddressLine1Txt>
          <CityNm>Orono</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04473</ZIPCd>
        </USAddress>
        <EIN>010537924</EIN>
        <PrimaryActivitiesTxt>Holding Co.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dirigo Pines Inn LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9 Alumni Drive</AddressLine1Txt>
          <CityNm>Orono</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04473</ZIPCd>
        </USAddress>
        <EIN>020547749</EIN>
        <PrimaryActivitiesTxt>Contin Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Rosscare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dirigo Funding LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9 Alumni Drive</AddressLine1Txt>
          <CityNm>Orono</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04473</ZIPCd>
        </USAddress>
        <EIN>010599968</EIN>
        <PrimaryActivitiesTxt>Prov Finance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dirigo Pines Development Company LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9 Alumni Drive</AddressLine1Txt>
          <CityNm>Orono</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04473</ZIPCd>
        </USAddress>
        <EIN>010537924</EIN>
        <PrimaryActivitiesTxt>RetCottag</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>M Drug LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>272175482</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Alliance Heath Documentation LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>462751855</EIN>
        <PrimaryActivitiesTxt>Transcription</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Maine Coast Physician Affiliates</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>50 Union Street</AddressLine1Txt>
          <CityNm>Ellsworth</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04605</ZIPCd>
        </USAddress>
        <EIN>010479952</EIN>
        <PrimaryActivitiesTxt>Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MCMH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>e</TransactionTypeTxt>
        <InvolvedAmt>153106947</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Acadia Hospital Corp AHC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Acadia Hospital Corp AHC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Inland Hospital</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CA Dean Memorial Hospital</BusinessNameLine1Txt>
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        <TransactionTypeTxt>l</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>CA Dean Memorial Hospital</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Sebasticook Valley Health SVH</BusinessNameLine1Txt>
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        <TransactionTypeTxt>l</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Aroostook Medical Center TAMC</BusinessNameLine1Txt>
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        <InvolvedAmt>26645</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Aroostook Medical Center TAMC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Blue Hill Memorial Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>902730</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Mercy Hospital</BusinessNameLine1Txt>
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        <InvolvedAmt>160823</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WorkHealth LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>288902</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Maine Coast Regional Health Facilities d</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Beacon Health LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>60000</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
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        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>71942</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Affiliated Healthcare Management</BusinessNameLine1Txt>
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        <TransactionTypeTxt>m</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Affiliated Laboratory Inc</BusinessNameLine1Txt>
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        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>15970976</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Affiliated Materiel Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>3460727</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Affiliated Materiel Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>23122486</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Meridian Mobile Health LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Meridian Mobile Health LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>69052</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Meridian Mobile Health LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>580624</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>M Drug LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>131081</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>M Drug LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>1479101</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Alliance Heath Documentation LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>3349169</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>