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        <PersonNm>BRETT VARNUM</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY MCCRUM</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SERGIO LEMA-GUTIERREZ MD</PersonNm>
        <TitleTxt>VP Med Staff</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>277532</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>11808</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE ST PIERRE</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER MORNINGSTAR MD</PersonNm>
        <TitleTxt>Pres Medi Staff</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>216022</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35904</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JIM MCKENNEY</PersonNm>
        <TitleTxt>VP Support Svc</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32957</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAY REYNOLDS MD</PersonNm>
        <TitleTxt>VP/CMO/COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>240648</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44118</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROGER PELLI DO</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>265165</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32610</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROLAND JOY</PersonNm>
        <TitleTxt>VP Pat Care Svc</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>172704</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16040</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENDA DWYER</PersonNm>
        <TitleTxt>VP Medical Grp</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>159700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25636</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE SANDSTROM</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>271279</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22372</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOOSUF SIDDIQUI</PersonNm>
        <TitleTxt>VP HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>36198</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>70164</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39215</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOY BARRESI SAUCIER</PersonNm>
        <TitleTxt>VP Strategy/Com</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15913</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN MARTIN</PersonNm>
        <TitleTxt>OPHTHALMOLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>479180</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26029</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL DONNELLY</PersonNm>
        <TitleTxt>SURGEON</TitleTxt>
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        <OtherCompensationAmt>3365</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY A WIKERT</PersonNm>
        <TitleTxt>UROLOGIST</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID A WEED</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromOrgAmt>541882</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VENKATRAM NETHALA</PersonNm>
        <TitleTxt>SURGEON</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>481059</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS M UMPHREY</PersonNm>
        <TitleTxt>SENIOR VP, HR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10126</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>1044811</TotReportableCompRltdOrgAmt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>R&amp;L REAL ESTATE LLC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4135</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROPERTY LEASE</ServicesDesc>
        <CompensationAmt>521086</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AROOSTOOK MRI LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6600</AddressLine1Txt>
            <CityNm>NEW PORT BEACH</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92658</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED SERVICES</ServicesDesc>
        <CompensationAmt>454623</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FRESH AIR LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>137 BENNETT DRIVE</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AIR AMBULANCE</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUDSON STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2340 BADGER DRIVE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54016</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP STAFFING</ServicesDesc>
        <CompensationAmt>322511</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAHL CHASE DIAGNOSTIC SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>417 STATE STREET SUITE 540</AddressLine1Txt>
            <CityNm>BANGOR</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED SERVICES</ServicesDesc>
        <CompensationAmt>161504</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>791638</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>66379</AllOtherContributionsAmt>
      <NoncashContributionsAmt>17192</NoncashContributionsAmt>
      <TotalContributionsAmt>858017</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Cafeteria</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>446378</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>446378</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LiveSafe Revenue</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>175322</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>175322</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Program Service</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>248613299</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>248613299</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>249234999</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>346804</TotalRevenueColumnAmt>
        <ExclusionAmt>346804</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>44478</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>93863</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>-49385</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-49385</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-49385</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>30593</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>4169</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>26424</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>26424</TotalRevenueColumnAmt>
        <ExclusionAmt>26424</ExclusionAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>145364</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>105145</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>40219</TotalRevenueColumnAmt>
        <ExclusionAmt>40219</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>EFFICIENCY ME INCENTIVE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>55358</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55358</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEANINGFUL USE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1224389</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1224389</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1001</TotalRevenueColumnAmt>
        <ExclusionAmt>1001</ExclusionAmt>
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        <TotalRevenueColumnAmt>251737826</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>250465361</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>414448</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3137524</TotalAmt>
        <ProgramServicesAmt>2027623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1109901</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
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        <TotalAmt>58194831</TotalAmt>
        <ProgramServicesAmt>50678482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7516349</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1527782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248709</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5496877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>847178</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3357060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>546498</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>24134</TotalAmt>
        <ManagementAndGeneralAmt>24134</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>112494</TotalAmt>
        <ManagementAndGeneralAmt>112494</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>3644</TotalAmt>
        <ManagementAndGeneralAmt>3644</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>7151824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4681391</ManagementAndGeneralAmt>
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        <TotalAmt>202295</TotalAmt>
        <ProgramServicesAmt>655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>201640</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1826382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>762158</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3851</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2281384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>930007</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>710665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188102</ManagementAndGeneralAmt>
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        </BusinessName>
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          <AddressLine1Txt>140 Academy Street</AddressLine1Txt>
          <CityNm>Presque Isle</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04769</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.tamc.org</WebsiteAddressTxt>
        <StateLicenseNum>37937</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>THE AROOSTOOK 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>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>14</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.tamc.org/</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>www.EMHS.org/Community-Benefit/CHNA.aspx</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>14</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.0000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.0000</FPGFamilyIncmLmtDscntCarePct>
        <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>www.tamc.org/Patients-Visitors/Billing</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>http://emhs.org/Document-library/S</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>http://emhs.org/Document-library/S</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 3j - Description of Other Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>3g) The data gathered from the 2014 Community Health Needs Assessment (CHNA) allowed TAMC to identify areas of significant need including priority concerns, gaps in healthcare services, and barriers to care. A hospital task force considered the data and identified areas of significant needs to be addressed, as well as areas of need unable to be addressed by the hospital. An implementation strategy was presented and adopted by the hospital's board of directors. The Implementation Strategy consists of actions the hospital intends to take to address the health need. Programs/resources the hospital plans to commit to address the health need were identified along with planned collaborations with other area organizations.3h) To assure broad representation of the community's interests, key public health and healthcare partners were engaged and consulted throughout the design and implementation phase of the 2014 CHNA. Qualitative Stakeholder Surveys were distributed to public and community health representatives who directly serve the communities interests. Sampling was monitored throughout the survey dissemination to assure a minimum threshold of respondents providing local insight to priority community health needs and opportunities. Survey outreach was conducted by the local hospital, partner healthcare facilities in the same region, the local public health liaison, and a local comprehensive community health coalition.3i) The 2014 CHNA report presents findings of three sets of data, by county. The data sets include absolute indicators of health status as gathered in 2010 using BRFSS and other primary source data gathered using empirical methods; A qualitative stakeholder survey conducted in 2014 and 2014 County Health Rankings indicator set. The qualitative stakeholder survey was disseminated broadly to public health and community stakeholders who serve local populations. As such, the Community Health Needs Assessment does not provide random assignment of survey respondents, nor does it attempt to function as a surveillance instrument. Limitations aside, taken together, the data provides a unique perspective on the health of Maine communities, with a focus on the social, environmental, and clinical factors which influence the ability of populations to lead healthy lives.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 5 - Account Input from Persons Who Represent the Community</FormAndLineReferenceDesc>
        <ExplanationTxt>Key collaborators were convened as an advisory committee to review the Needs Assessment and assist in the dissemination of a survey instrument to a broad base of key informants representing healthcare, public health, and community stakeholders to identify issues and opportunities for collaborative community health improvement. These collaborators include: Local Public Health District Officials: Stacy Boucher, Aroostook District Coordinating Council; Paula Thomson, Central District Coordinating Council; Becca Matusovich, Cumberland District Public Health Council; Alfred May, Downeast Public Health Council; Jessica Fogg, Penquis District Coordinating Council; Clarissa Weber, Wabanaki Public Health. Healthy Maine Partnerships (contracted entities functioning as part of the local public health system): Jamie Comstock, Bangor Region Public Health &amp; Wellness; Elsie Flemings, Healthy Acadia; Carol Bell, Healthy Aroostook; Anne Lang, Healthy Casco Bay; Joanne Joy, Healthy Communities of the Capital Area; Zoe Miller, Healthy Lakes; Fran Mullin, Healthy Northern Kennebec;Kristen Dow, Healthy Portland; Lucie Rioux, Healthy Rivers; Karen Hawkes, Healthy Sebasticook Valley; Malissa Boynton, Healthy Wabanaki; Vyvyenne Ritchie, Healthy Waldo County; Jane McGillicuddy, Partnership for a Healthy Northern Penobscot; Robin Mayo, Piscataquis Public Health Council; Ellen Willinghan, Power of Prevention; Bill Primmerman, Somerset Public Health; Eleody Libby, Washington County: One Community. Other Entities: Federally Qualified Health Centers, Bangor Public Health and Community Services, Portland Public Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The CHNA was developed and implemented as a collaborative between the EMHS Healthcare System and other independent hospitals service Maine communities. EMHS Member Organizations: Acadia Hospital, Blue Hill Memorial Hospital, Charles A. Dean Memorial Hospital, Eastern Maine Medical Center, Inland Hospital, Mercy Hospital, Sebasticook Valley Health, and TAMC. Partnering Hospitals: Cary Medical Center, Down East Community Hospital, Houlton Regional Hospital, Maine Coast Memorial Hospital, Mayo Regional Hospital, Millinocket Regional Hospital, Mount Desert Island Hospital, Northern Maine Medical Center, and Redington-Fairview General Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 7d - Description of Making Needs Assessment Widely Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Instructions on the website assist viewers to download and/or print sections of the report. Individuals without computer or printer access were provided a phone number where they can request a printed assessment.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why</FormAndLineReferenceDesc>
        <ExplanationTxt>Priorities of Focus - Based on the Aroostook County needs identified during the Community Health Needs Assessment, TAMC has selected the following areas for which we can make a positive impact within our region. Going forward, these priorities will be a focus of our community outreach and operational resources.1. Decrease youth obesity.2. Decrease number of adults age 20-60 with cardiovascular disease risk factors. 3. Improve health status of adults over 65 with 3 or more chronic conditions.4. Decrease inappropriate emergency department utilization by the Medicaid population.5. Improve access to behavioral health services.6. Increase early identification of domestic violence and link victims with appropriate resources.Secondary Focus - For the following community needs, TAMC will play a collaborative role by partnering with and supporting the organizations in the community that are already focused on these areas.1. Oral Health2. Transportation3. Affordable Housing4. Economic Development5. Educational Attainment</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 16i - Other Means Hospital Facility Publicized the Policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Visit patient rooms for self-pay admissions and offer the application. Posted signs and individual notices containing information on the availability of Financial Assistance are located in key public areas within the hospital. Signs and notices inform the patient of the availability of Financial Assistance 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 Financial Assistance with income at or below 150% FPL. The hospital also offers discounts at 50% for patients who fall within 151% to 250% of FPL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>24</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AROOSTOOK GENERAL &amp; VASCULAR SURGERY CTR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>146 ACADEMY STREET STE 1A</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY PRACTICE &amp; INTERNAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 NORTH STREET STE 4</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OBGYN MIDWIFERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET STE 4</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AROOSTOOK PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 NORTH STREET STE 1</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SLEEP MEDICINE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET STE 2 3</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AROOSTOOK CANCER CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COUNTY DIALYSIS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21 NORTH STREET</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AROOSTOOK HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15 HIGHLAND AVENUE</AddressLine1Txt>
            <CityNm>MARS HILL</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04758</ZIPCd>
          </USAddress>
          <FacilityTxt>NURSING HOME, OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FORT FAIRFIELD HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 HIGH STREET</AddressLine1Txt>
            <CityNm>FORT FAIRFIELD</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04742</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OUTPATIENT SPECIALTY CLINICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19 NORTH STREET</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WALK IN CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 NORTH STREET STE 2</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AROOSTOOK HEART &amp; LUNG CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>146 ACADEMY STREET STE 1B</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ASHLAND HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>33 WALKER STREET</AddressLine1Txt>
            <CityNm>ASHLAND</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04759</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TAMC UROLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>146 ACADEMY STREET STE 5</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OCCUPATIONAL HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 NORTH STREET SUITE 4A</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NEPHROLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19 NORTH STREET</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARIBOU HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>118 BENNETT DRIVE STE 130</AddressLine1Txt>
            <CityNm>CARIBOU</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04736</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL AROOSTOOK HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>106 MAIN STREET</AddressLine1Txt>
            <CityNm>MARS HILL</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04758</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOMENS HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET STE 6</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NORTH STREET LABORATORY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 NORTH STREET STE 3</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT LABORATORY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TAMC EYE CARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CROWN AMBULANCE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULANCE SERVICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TAMC ORTHOPEDIC SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET SUITE 10</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SLEEP DISORDERS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>140 ACADEMY STREET SUITE 2</AddressLine1Txt>
            <CityNm>PRESQUE ISLE</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04769</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICIAN CLINICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a - Related Organization Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>The TAMC 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 in used in calculations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7, Column F - Explanation of Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>$7,025,504 of bad debt expense, $4,517,667 of charity care, $123,403,466 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 methology used to determine the amount 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>
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      <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>
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      <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 The Aroostook 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In June 2014, EMHS conducted an online survey with stakeholders and partners living or working in the eight-county region to understand key issues, including facilitators and barriers that impact healthcare and population health in these communities. The web-based survey was distributed via email to 17 partnering hospitals, six local Public Health Districts, and 17 Healthy Maine Partnerships. Representatives from these organizations distributed the survey link to their employees, volunteers, board members, donors, and other stakeholders. Recipients were encouraged to forward the survey to additional community stakeholders.EMHS Member HospitalsAcadia HospitalBlue Hill Memorial HospitalCharles A. Dean Memorial HospitalEastern Maine Medical CenterInland HospitalMercy HospitalSebasticook Valley HospitalThe Aroostook Medical CenterPartnering HospitalsCary Medical CenterDown East Community HospitalHoulton Regional HospitalMaine Coast Memorial HospitalMayo Regional HospitalMillinocket Regional HospitalMount Desert Island HospitalNorthern Maine Medical CenterRedington-Fairview General HospitalPriorities of Focus - Based on the Aroostook County needs identified during the Community Health Needs Assessment, TAMC has selected the following areas for which we can make a positive impact within our region. Going forward, these priorities will be a focus of our community outreach and operational resources. 1. Decrease youth obesity.2. Decrease number of adults age 20-60 with cardiovascular disease risk factors.3. Improve health status of adults over 65 with 3 or more chronic conditions. 4. Decrease inappropriate emergency department utilization by the Medicaid population.5. Improve access to behavioral health services. 6. Increase early identification of domestic violence and link victims with appropriate resources.Secondary Focus - For the following community needs, TAMC will play a collaborative role by partnering with and supporting the organizations in the community that are already focused on these areas.1. Oral Health2. Transportation3. Affordable Housing4. Economic Development5. Educational AttainmentIn addition to CHNA, there are several methods TAMC uses to understand community needs. TAMc conducts ongoing patient satisfaction surveys and intermittent community perception surveys and focus groups. TAMC reaches out to area physicians, employers and regional health partners via a Community Liaison to gain information about health needs. TAMC has a Community Stewardship program to create opportunities for TAMC leadership to interact with key community leaders and stakeholders. Some TAMC primary care practices have patient advisory councils to ensure patient needs are understood.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial assistance or free care is available only for medically necessary services. Posters are displayed in patient care areas, information and forms are available online on the hospital website, and patient billing representatives are also available to take calls and to answer questions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Aroostook County is home to 70,055 people, living in a region encompassing 6,671 square miles, with a population density of 10.8 people per square mile. Aroostook has 20.6% of the population over 65 years of age, which is higher than the Maine rate of 17.7%. Aroostook is predominately white (95.5%), with a small American Indian (1.8%) and Hispanic (1.1%) population. Aroostook trails Maine in education status with only 85.1% of adults having a high school diploma and less than 17% having a bachelor's degree. The median household income in Aroostook is $37,855 and over 65% of people live below the poverty line. Major industries include agriculture and forestry.Of Maine's 16 counties, Aroostook County ranks thirteenth in health outcomes and twelfth for quality of life. Top social concerns include unemployment/economic opportunity, substance abuse, domestic violence, isolation (physical and social) and affordable housing. Aroostook County has the highest rates of adult asthma, unmet mental health needs, and overweight youth. It has the second highest rate of heart disease in Maine.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>TAMC plays a role in regional economic development. Members of TAMC leadership served on the Aroostook Partnership for Progress and Leaders Encouraging Aroostook Development. TAMC supported community building economic development activities through sponsorships and partnerships, such as the Big Rock Youth Ski Development Program and the Fort Fair Field Community Garden and resulting concert kick-off event.In addition, TAMC is active in the development of future health professionals. TAMC collaborated with public schools and higher education institutions to allow jobs shadowing, student internships, and implemented a week-long summer camp for students entering 9th grade. TAMC also supported community building through hosting American Red Cross Blood Drives.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>Collaboration is key in Aroostook County as TAMC works with numerous local and regional organizations to improve community health and engage people of all ages in healthy behaviors. Over the past year, TAMC has partnered with each of the Countys hospitals, the higher education institutions, ACAPs Heathy Aroostook program, the Aroostook Autism Support Group, United Way of Aroostook, and several other organizations to bring a variety of programs to the community. From promoting physical activity to collecting food for local pantries and a whole host of activities in between, TAMC has helped positively affect the lives of thousands of residents in northern Maine across the age spectrum. In the fall of 2015, TAMC provided free influenza vaccinations to more than 1,600 County residents.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Affilated Health Care System Roles and Promotion</FormAndLineReferenceDesc>
        <ExplanationTxt>TAMC is a member of EMHS. EMHS (Eastern Maine Healthcare System) includes eight hospitals, numerous physician practices, long-term care facilities, home health and hospice, and ground and air emergency transport. As a top-performing national Pioneer Accountable Care Organization (ACO), EMHS has a proven record of quality outcomes, cost reduction, and highly engaged patients. The EMHS statewide network of care is tailored to the needs of communities and individuals, working to ensure that the people of Maine have the care they need close to home.The 2014 Community Health Needs Assessment was conducted by Eastern Maine Healthcare Systems (EMHS) in collaboration with several member/affiliated hospitals and the many public health and community organizations across eight Maine counties. The Community Health Needs Assessment informs initiatives to promote community health across the system as well as within each member hospital local service area. Each member hospital adopts a local implementation strategy and community health improvement plan, tailored to meet local needs.Promotion of health is a major priority for EMHS. EMHS leadership participates on the Maine CDC Public Health Statewide Coordinate Council and the Maine Public Health Association. EMHS coordinates several state-wide wellness initiatives, including Move &amp; Improve and Raising Readers. Move and Improve is a community-based physical activity program designed to encourage and empower individuals to engage in a healthier lifestyle through physical activity; as the program utilizes the web to invite individuals and sites (work, school, community, etc.) to participate, it has been successful in reaching participants in over 400 Maine towns, 19 different states and a handful of different countries. Raising Readers gives all Maine children through age five at least a dozen beautiful books to call their very own; distribution occurs through collaboration with hospitals and physician offices.In addition, the EMHS community health work will advance as it embarks on a three-year initiative to improve the health of Maine's population in the seven most northern counties. This opportunity is made possible through a $4.05 million cooperative agreement with the Centers for Disease Control and Prevention where EMHS will lead a collaborative of eleven Healthy Maine Partnerships and other strategic community partners to reduce barriers that affect health, such as improving access to healthy foods, increasing opportunities for physical activity, preventing and managing chronic diseases, and educating and empowering people to lead healthy lives. TAMC (The Aroostook Medical Center) serves as EMHS's most northern member serving all of Aroostook County, Maine. As such, TAMC acts as a leader in the region to improve overall community wellness. TAMC leadership serves on the boards of the Maine CDC Aroostook District Public Health Council and Healthy Aroostook. Over the past year, TAMC has engaged with several community organizations to introduce a significant number of health promotion and wellness activities, including a World Cancer Day, Discovery Days activities for youth, run/walk and triathlon activities, community health fairs and screenings, tobacco cessation and prevention programs, programs for seniors, and winter activities.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI - States Where Community Benefit Report Filed</FormAndLineReferenceDesc>
        <ExplanationTxt>ME</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part V - Explanation of Number of Facility Type</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
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        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>1555000</RetiredAmt>
        <TotalProceedsAmt>7531015</TotalProceedsAmt>
        <InReserveFundAmt>713650</InReserveFundAmt>
        <RefundingEscrowAmt>4545000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>77586</IssuanceCostsFromProceedsAmt>
        <WorkingCapitalExpendituresAmt>464</WorkingCapitalExpendituresAmt>
        <OtherSpentProceedsAmt>2194315</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2004</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <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 $2,483,123. Part II, line 3, column B, does not equal Part I, line B, column E as a result of other sources of funds from DSF-Interest, DSF-Principal, and DSRF balance totaling $1,340,300.Part IV, line 2c, column A, date the rebate computation was performed - 8/21/2015.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>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="14000265" softwareVersionNum="2014v6.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Paula Flora</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>fam mem=trus</RelationshipDescriptionTxt>
        <TransactionAmt>41856</TransactionAmt>
        <TransactionDesc>compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Beverly McCrum</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>fam mem=trus</RelationshipDescriptionTxt>
        <TransactionAmt>49756</TransactionAmt>
        <TransactionDesc>compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Sarah Beaulieu</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>fam mem=trus</RelationshipDescriptionTxt>
        <TransactionAmt>42061</TransactionAmt>
        <TransactionDesc>compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Paula Flora is a family member of a trustee and is an employee of TAMC.Beverly McCrum is a family member of a trustee and is an employee of TAMC.Sarah Beaulieu is a family member of a trustee and is an employee of TAMC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000265" softwareVersionNum="2014v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: MEDICARE SHORTFALLS (AT COST). 9,212 PERSONS SERVED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</FormAndLineReferenceDesc>
        <ExplanationTxt>SUMMARY OF AMENDMENTS TO EMHS MEMBER ORGANIZATION BYLAWSThe following is a summary and explanation of amendments to the EMHS MemberOrganization Bylaws.1. Article I Name, Purpose Registered Agent, Office, Seala. Add the following phrase to the end of Section 2 (Purposes and Disposition of Assets) to clarify that the Articles of Incorporation include the original Articles and subsequent amendments and restatements thereto: as they may be amended or restated from time to time.b. Amend Section 3 (Registered Agent) to eliminate the office of Clerk and to substitute the word secretary in place of all references to Clerk in that section. Maine law requires that a nonprofit corporation have either a Secretary or Clerk, but not both. 2. Article III Boarda. Amend Section 2 (Number and Tenure; Qualifications) to eliminate the reference to the Executive Committee at the end of the second sentence in that Section.b. In addition to the amendment to Section 2 set forth in subparagraph 2(a) above, to make the following amendment to Section 2 which will apply only to the Bylaws of Inland Hospital: in lieu of the President and the Vice President of the Medical Staff serving as ex officio trustees with voting power, to provide that the Chief of Staff and two other employed or private practice members of the Medical Staff shall serve as ex officio trustees with voting power.c. Amend Section 5 (Regular Meetings) to specify the month in which the Corporations Annual Meeting will be held.d. Amend Section 6 (Special Meetings) to add the President of EMHS to the list of individuals who are authorized to call special meetings of the Board.e. Amend Section 13 (Attendance) to clarify the circumstances in which inadequate attendance at board meetings, committee meetings and education sessions will prompt the Chair to inquire whether the Board member desires to remain on the Board.3. Article IV Officersa. Amend Sections 1(Officers) and 7 (Treasurer) to: (i) add the offices of Assistant Secretary and Assistant Treasurer to the specified list of officers of the Corporation; (ii) to specify that the Treasurer of EMHS shall serve as Treasurer of the Corporation and that the Chief Financial Officer of the Member Organization shall serve as Assistant Treasurer of the Corporation; and (iii) to confirm the powers associated with the offices of Treasurer and Assistant Treasurer.b. Amend Section 8 (Second Certifying Officer) to provide that the Treasurer and the Assistant Treasurer of the Corporation are both authorized to act as a second certifying officer for the execution of documents.4. Article V Committeesa. Amend Section 4 (Designations) to clarify the distinction among Board Chair, Committee Chair and Chair of Member (EMHS) for purposes of committee designations.b. Amend Section 7 (Governance Committee) to clarify the distinction among Board Chair, Committee Chair and Chair of Member (EMHS) as they pertain to the duties bestowed upon the Governance Committee.c. Amend Section 8 (QPAC) to further establish that the Quality and Professional Affairs Committee has delegated authority to act on behalf of the Board for privileging and credentialing by removing the phrase as reasonably required between meetings from the end of the next to last sentence in that Section.d. Restate Section 9 (Joint Conference Committee) in its entirety to provide more balance on the Committee.e. Amend Section 10 (Finance Committee) to provide that: (i) the Treasurer of the Corporation (who is the Treasurer of EMHS) shall serve as an ex officio voting member of the Finance Committee; (ii) that the Board Chair may appoint up to two additional non-Trustee members to the Finance Committee if specific skill sets are desired; and (iii) if the Treasurer is not able to attend a meeting he or she shall not be counted in the denominator of the fraction used to calculate whether a quorum is present at such committee meeting.5. Article VI - Medical Staffa. Amend Section 1 (Organization) to clarify that the corporate Bylaws will prevail in the event of a conflict between the corporate Bylaws and the Medical Staff Bylaws.b. Amend Section 6 (Medical Staff Bylaws) to make the language consistent with the proposed language in Article V, Section 9 pertaining to the appointment power of the Medical Staff President, by deleting the phrase "including the selection by the Medical Staff of its representatives to the Joint Conference Committee at the end of the first sentence.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>The Aroostook Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>EMHS 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 Corporation's operating budget and capital expenditures;V. the Corporation's 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 Corporation's role in the EMHS Strategic Plan;XII. action concerning the Corporation's 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 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 TAMC 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.Form 990, Part VI, Line 15b Compensation Review &amp; Approval Process Other officers or key employeesCompensation 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>The Aroostook 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>Net Change in Funds Held at Affiliates = -$323603</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from exempt subsidiary - TAMC Endowment = $1028847</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from exempt subsidiary - TAMC Endowment = $2336635</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from exempt subsidiary - TAMC Endowment = $2500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer from exempt subsidiary - TAMC Title = $342415</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to exempt parent-Eastern Maine Healthcare Systems = -$2121815</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to exempt subsidiary - EMHSF = -$153170</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EASTERN MAINE HEALTHCARE SYSTEMS EMHS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 WHITING HILL ROAD</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010527066</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION FOR HEALTHCARE AFFILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 TYPE II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>-</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EASTERN MAINE HEALTHCARE REAL ESTATE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 WHITING HILL ROAD</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010391036</EIN>
        <PrimaryActivitiesTxt>LEASES REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ACADIA HOSPITAL CORPORATION 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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <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>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOW WOOD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 WHITING HILL ROAD</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EASTERN MAINE MEDICAL CENTER EMMC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 404 489 STATE STREET</AddressLine1Txt>
          <CityNm>BANGOR</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044020404</ZIPCd>
        </USAddress>
        <EIN>010211501</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>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>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORUMBEGA MEDICAL SPECIALISTS LTD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 WHITING HILL ROAD STE 400</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010465231</EIN>
        <PrimaryActivitiesTxt>PROVIDE PATIENT CARE AND EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMHS FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>43 WHITING HILL ROAD STE 400</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>222514163</EIN>
        <PrimaryActivitiesTxt>RAISE AND MANAGE FUNDS FOR EXEMPT ORGANIZATIONS</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>ROSSCARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 WHITING HILL ROAD STE 400</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010391038</EIN>
        <PrimaryActivitiesTxt>PROVIDE SERVICES TO ELDERLY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROSSCARE NURSING HOMES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 WHITING HILL ROAD STE 400</AddressLine1Txt>
          <CityNm>BREWER</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>010430751</EIN>
        <PrimaryActivitiesTxt>OPERATION OF NURSING HOMES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ROSSCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INLAND HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 KENNEDY MEMORIAL DRIVE</AddressLine1Txt>
          <CityNm>WATERVILLE</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04901</ZIPCd>
        </USAddress>
        <EIN>010217211</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>LAKEWOOD A CONTINUING CARE CENTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>220 KENNEDY MEMORIAL DRIVE</AddressLine1Txt>
          <CityNm>WATERVILLE</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04901</ZIPCd>
        </USAddress>
        <EIN>010421234</EIN>
        <PrimaryActivitiesTxt>PROVIDE SKILLED AND LONG-TERM NURSING CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>INLAND HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CA DEAN MEMORIAL HOSP</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>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLUE HILL MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>57 WATER STREET</AddressLine1Txt>
          <CityNm>BLUE HILL</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>046145231</ZIPCd>
        </USAddress>
        <EIN>010227195</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>EASTERN MAINE HOMECARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 688</AddressLine1Txt>
          <CityNm>CARIBOU</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04736</ZIPCd>
        </USAddress>
        <EIN>010328442</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOME HEALTH AND 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>SEBASTICOOK VALLEY HEALTH SVH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>447 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04967</ZIPCd>
        </USAddress>
        <EIN>010263628</EIN>
        <PrimaryActivitiesTxt>CRITICAL CARE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SEBASTICOOK VALLEY FAMILY PRACTICE ASSOC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>447 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04967</ZIPCd>
        </USAddress>
        <EIN>011357854</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>TAMC TITLE CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 151 140 ACADEMY STREET</AddressLine1Txt>
          <CityNm>PRESQUE ISLE</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>047690151</ZIPCd>
        </USAddress>
        <EIN>010389226</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>-</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TAMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TAMC ENDOWMENTS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 151 140 ACADEMY STREET</AddressLine1Txt>
          <CityNm>PRESQUE ISLE</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04769</ZIPCd>
        </USAddress>
        <EIN>010389222</EIN>
        <PrimaryActivitiesTxt>RAISE FUNDS FOR EXEMPT ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11 TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TAMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HORIZONS HEALTH SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 151 140 ACADEMY STREET</AddressLine1Txt>
          <CityNm>PRESQUE ISLE</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04769</ZIPCd>
        </USAddress>
        <EIN>010504393</EIN>
        <PrimaryActivitiesTxt>PROVIDE PATIENT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TAMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RESTORATION HEALTH LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>43 Whiting Hill Road</AddressLine1Txt>
          <CityNm>Brewer</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04412</ZIPCd>
        </USAddress>
        <EIN>352449986</EIN>
        <PrimaryActivitiesTxt>Provide mental &amp; behavioral hlth srvs</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 In</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 and hospice services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</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>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AFFILIATED HEALTHCARE SYSTEMS AHS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 940</AddressLine1Txt>
          <CityNm>BANGOR</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044020940</ZIPCd>
        </USAddress>
        <EIN>010385322</EIN>
        <PrimaryActivitiesTxt>HOLDING CO.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EMHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AFFILIATED HEALTHCARE MANAGEMENT</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 811</AddressLine1Txt>
          <CityNm>BANGOR</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044020811</ZIPCd>
        </USAddress>
        <EIN>010349339</EIN>
        <PrimaryActivitiesTxt>HLTHCR MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AFFILIATED LABORATORY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 638</AddressLine1Txt>
          <CityNm>BANGOR</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044020638</ZIPCd>
        </USAddress>
        <EIN>010381283</EIN>
        <PrimaryActivitiesTxt>CLINICAL LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AFFILIATED MATERIEL SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 1300</AddressLine1Txt>
          <CityNm>BANGOR</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044021300</ZIPCd>
        </USAddress>
        <EIN>010381189</EIN>
        <PrimaryActivitiesTxt>PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MERIDIAN MOBILE HEALTH LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>931 Union Street PO Box 940</AddressLine1Txt>
          <CityNm>BANGOR</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>044020940</ZIPCd>
        </USAddress>
        <EIN>010512673</EIN>
        <PrimaryActivitiesTxt>AMBULANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ME</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</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 CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DIRIGO PINES RETIREMENT COMM 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 CORP</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 CORP</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DIRIGO FUNDING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>9 Alumni Drive</AddressLine1Txt>
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