EASTERN MAINE HEALTHCARE SYSTEMS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: EASTERN MAINE HEALTHCARE SYSTEMS (EIN 04-3341666)
Tax period: 2012-09-30 to 2013-09-28
Filed: 2014-08-11
IRS object ID: 201402239349302105
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-11T14:33:32-07:00	Timestamp
Tax Period End Date	2013-09-28	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-09-30	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	043341666	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Eastern Maine Healthcare SystemsCADean	BusinessNameLine1
Business Name Line2	Charles A Dean Memorial HospitalCADean	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	EAST	NameControl
Phone	2076955200	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Pritham Avenue PO Box 1129	AddressLine1
City	Greenville	City
State	ME	State
ZIP Code	04441	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Eugene Murray Jr	Name
Title	President & CEO	Title
Date Signed	2014-08-11	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Eugene Murray Jr	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 1129	AddressLine1
City	Greenville	City
State	ME	State
ZIP Code	044411129	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	19047895	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Group Exemption Number	5247	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.cadean.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	ME	StateLegalDomicile
Activity Or Mission Description	The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	178	TotalNbrEmployees
Total Nbr Volunteers	130	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	325613	ContributionsGrantsPriorYear
Contributions Grants Current Year	277300	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	18325462	ProgramServiceRevenuePriorYear
Program Service Revenue CY	18428936	ProgramServiceRevenueCY
Investment Income Prior Year	38885	InvestmentIncomePriorYear
Investment Income Current Year	18550	InvestmentIncomeCurrentYear
Other Revenue Prior Year	292825	OtherRevenuePriorYear
Other Revenue Current Year	172543	OtherRevenueCurrentYear
Total Revenue Prior Year	18982785	TotalRevenuePriorYear
Total Revenue Current Year	18897329	TotalRevenueCurrentYear
Grants And Similar Amnts CY	500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9183382	SalariesEtcPriorYear
Salaries Etc Current Year	9845072	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	99236	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9248198	OtherExpensePriorYear
Other Expenses Current Year	8419760	OtherExpensesCurrentYear
Total Expenses Prior Year	18431580	TotalExpensesPriorYear
Total Expenses Current Year	18265332	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	551205	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	631997	RevenuesLessExpensesCY
Total Assets BOY	10725889	TotalAssetsBOY
Total Assets EOY	10905607	TotalAssetsEOY
Total Liabilities BOY	6649166	TotalLiabilitiesBOY
Total Liabilities EOY	6142136	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4076723	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4763471	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission of Charles A. Dean Memorial Hospital is to provide a continuum of high quality holistic healthcare services.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	15354672	Expense
Grants	500	Grants
Revenue	18600938	Revenue
Description	Provided emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay.Additional Statistics:Northwoods Healthcare Clinic visits 10,333Hospital diagnostic and rehabilitation visits 15,453Emergency room visits 2,481 Hospital admissions 365Surgery cases 319Ambulance runs 451	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	376499	Expense
Description	Provided charity care (at cost). 185 persons served.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	316363	Expense
Description	Experienced Medicaid shortfall (at cost). 4,487 persons served.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	109326	TotalOfOtherProgramServiceExp
Total Program Service Expense	16156860	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	56	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	178	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	ME	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Jeffrey A Sanford	NamePerson
Telephone Number	2079737894	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	43 Whiting Hill Road	AddressLine1
City	Brewer	City
State	ME	State
ZIP Code	044121006	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Laureen J Muzzy
Board Member	0.50	0.00	X	0	0	0
Ronald Pelletier
Board Member	0.50	0.00	X	0	0	0
Eugene Murray Jr
President & CEO	40.00	0.00	X	174771	0	46413	X
Mary M Hood President CEO
Ex-Officio	1.00	50.00	X	0	844254	248039	X
Stuart C Watt
Board Member	0.50	0.00	X	0	0	0
David S Richards
Chairman	0.50	0.00	X	0	0	0	X
Steve M Pound
Vice Chairman	0.50	0.00	X	0	0	0	X
Sharon Hastings
Board Member	0.50	0.00	X	0	0	0
Faye E Booker
Board Member	0.50	0.00	X	0	0	0
Diane K Bartley
Board Member	0.50	0.00	X	0	0	0
Geraldine H Godson
Secretary	2.00	0.00	X	0	0	0	X
Linda D Gilbert
Treas (part yr)	2.00	0.00	X	0	0	0	X
Ruth E McLaughlin
Treas (part yr)	2.00	0.00	X	0	0	0	X
Dwight Foote
Board Member	0.50	0.00	X	0	0	0
Darin M Peck MD
CMO	40.00	0.00	X	314530	0	38549
EE comp is for admin svcs
not brd respons	0.00	0.00	X	0	0	0
Tracy Bonney-Corson
Chief Nursing O	40.00	0.00		90131	0	28277	X
Jennifer Goodrich
CFO	40.00	0.00		97682	0	19483	X
Dennis Welsh
VP of Operation	40.00	0.00		116694	0	30959	X
Paul Potvin
Physician	40.00	0.00		251593	0	52737		X
John L Toothaker
Physician	40.00	0.00		220880	0	34425		X
Lawrence DuBien
Physician	40.00	0.00		220880	0	32866		X
David T Rideout
Physician	40.00	0.00		323485	0	41956		X
Mario Turi
Physician	40.00	0.00		240288	0	19326		X
Gregg Christensen
Former Vice Chairman	40.00	0.00		137412	0	17706			X
Edward Olivier
Former CFO	0.00	50.00		0	158083	20372			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2188346	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1002337	TotalReportableCompFrmRltdOrgs
Total Other Compensation	631108	TotalOtherCompensation
Number Individuals GT100 K	12	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Nurse Anesthesia of Maine
141 Main Street Suite 205	Brewer	ME	04412	Anesthesia Services	124658
Dahl-Chase Diagnostic Services
471 State Street Suite 441	Bangor	ME	04401	Lab Testing Services	104807

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Federated Campaigns	1000	FederatedCampaigns
Fundraising Events	23828	FundraisingEvents
Related Organizations	483	RelatedOrganizations
Government Grants	15464	GovernmentGrants
All Other Contributions	236525	AllOtherContributions
Noncash Contributions	3339	NoncashContributions
Total Contributions	277300	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Patient Care Services	621990	18418020	18418020
Cafeteria	722210	10916		$10,916

Field	Value	IRS element (for citing)
Total Program Service Revenue	18428936	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	15108	TotalRevenueColumn
Exclusion	$15,108	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	7140	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	6814	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	326	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	326	TotalRevenueColumn
Exclusion	$326	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	140283	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	136841	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3442	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3442	TotalRevenueColumn
Exclusion	$3,442	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	6911	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	23829	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	6911	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Recovery of Abandoned Pro	900099	215	$215
Meaningful Use Incentive	621990	172002		172002

Field	Value	IRS element (for citing)
Total Other Revenue	172217	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18897329	TotalRevenueColumn
Related Or Exempt Function Income	18590022	RelatedOrExemptFunctionIncome
Exclusion	$30,007	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	500	Total
Program Services	500	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	957489	Total
Program Services	619140	ProgramServices
Management And General	338349	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6856395	Total
Program Services	6558567	ProgramServices
Management And General	297828	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	384394	Total
Program Services	360341	ProgramServices
Management And General	24053	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1140133	Total
Program Services	1103368	ProgramServices
Management And General	36765	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	506661	Total
Program Services	474957	ProgramServices
Management And General	31704	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	10688	Total
Management And General	10688	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2714	Total
Management And General	2714	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1570239	Total
Program Services	740414	ProgramServices
Management And General	822831	ManagementAndGeneral
Fundraising	6994	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	79999	Total
Program Services	236	ProgramServices
Management And General	3751	ManagementAndGeneral
Fundraising	76012	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	483587	Total
Program Services	388600	ProgramServices
Management And General	88739	ManagementAndGeneral
Fundraising	6248	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	123836	Total
Program Services	79561	ProgramServices
Management And General	44275	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	244316	Total
Program Services	175908	ProgramServices
Management And General	68408	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	82960	Total
Program Services	57349	ProgramServices
Management And General	25611	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	28109	Total
Program Services	17450	ProgramServices
Management And General	10659	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14332	Total
Program Services	14332	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	515556	Total
Program Services	381596	ProgramServices
Management And General	133960	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	53756	Total
Program Services	42625	ProgramServices
Management And General	11131	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Bad Debt Expense	488729	488729
Charity Care	524468	524468
Medical Supplies Expenses	699106	699106
Contractual Allowances	2942160	2942160

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	555205	Total
Program Services	487453	ProgramServices
Management And General	57770	ManagementAndGeneral
Fundraising	9982	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	18265332	Total
Program Services	16156860	ProgramServices
Management And General	2009236	ManagementAndGeneral
Fundraising	99236	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	784	BOY
EOY	776	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1137382	BOY
EOY	484602	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3538159	BOY
EOY	2965099	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	236304	BOY
EOY	272783	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	216363	BOY
EOY	232365	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10006285	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6267595	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3636658	BOY
EOY	3738690	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1960239	BOY
EOY	3211292	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10725889	BOY
EOY	10905607	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4768633	BOY
EOY	4491196	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	339593	BOY
EOY	308289	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1540940	BOY
EOY	1342651	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	6649166	BOY
EOY	6142136	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3236119	BOY
EOY	4056966	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	487252	BOY
EOY	346652	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	353352	BOY
EOY	359853	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4076723	BOY
EOY	4763471	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10725889	BOY
EOY	10905607	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	631997	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	19727	ReconciliationUnrealizedInvest
Reconcilation Other Changes	35024	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$4,027	OtherActivitiesAmount
Total Lobbying Expenditures IIB	4027	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	Non-deductible portion of dues.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	866148	BeginningOfYearBalance
Contributions	9001	Contributions
Investment Earnings Or Losses	20820	InvestmentEarningsOrLosses
Other Expenditures	855	OtherExpenditures
Administrative Expenses	3482	AdministrativeExpenses
End Of Year Balance	891632	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	823036	BeginningOfYearBalance
Contributions	10000	Contributions
Investment Earnings Or Losses	37367	InvestmentEarningsOrLosses
Other Expenditures	832	OtherExpenditures
Administrative Expenses	3423	AdministrativeExpenses
End Of Year Balance	866148	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	516370	BeginningOfYearBalance
Contributions	296827	Contributions
Investment Earnings Or Losses	13517	InvestmentEarningsOrLosses
Other Expenditures	324	OtherExpenditures
Administrative Expenses	3354	AdministrativeExpenses
End Of Year Balance	823036	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	491863	BeginningOfYearBalance
Investment Earnings Or Losses	27707	InvestmentEarningsOrLosses
Administrative Expenses	3200	AdministrativeExpenses
End Of Year Balance	516370	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	460745	BeginningOfYearBalance
Contributions	5000	Contributions
Investment Earnings Or Losses	29108	InvestmentEarningsOrLosses
Administrative Expenses	2990	AdministrativeExpenses
End Of Year Balance	491863	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.59000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.41000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	160146	OtherCostOrOtherBasis
Book Value	160146	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4149308	OtherCostOrOtherBasis
Depreciation	2627115	Depreciation
Book Value	1522193	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5327184	OtherCostOrOtherBasis
Depreciation	3640480	Depreciation
Book Value	1686704	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	369647	OtherCostOrOtherBasis
Book Value	369647	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	3738690	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
Temporarily Donor Restricted Funds	346652
Self-Insurance Funds Held by Trustee	12337
Permanently Donor Restricted Funds	359853
Estimated Prof. Liab. Claims Receivable	42768
Due from Restricted Funds	233856
Board Designated Investments	2215826

Field	Value	IRS element (for citing)
Total Book Value Other Assets	3211292	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Reserve for Prof. Liab. Self Ins.	$42,768
Capital Lease Obligation	$35,266
Accrual for Post Retirement Benefit	$1,264,617

Field	Value	IRS element (for citing)
Total Of Amounts	1342651	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X	Part X : FIN48 Footnote	EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code ("Code") and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.
Part V, Line 4	Part V, Line 4: Intended uses of the endowment fund.	Endowment Funds are designated for purposes that align within this organization's exempt purpose.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Golf Tournament	NameOfEvent1
Gross Receipts Event1	11030	GrossReceiptsEvent1
Charitable Contributions Event1	9250	CharitableContributionsEvent1
Gross Revenue Event1	1780	GrossRevenueEvent1
Food And Beverage Event1	1000	FoodAndBeverageEvent1
Other Direct Expenses Event1	780	OtherDirectExpensesEvent1
Name Of Event2	Bike 'n Boat	NameOfEvent2
Gross Receipts Event2	10625	GrossReceiptsEvent2
Charitable Contributions Event2	5604	CharitableContributionsEvent2
Gross Revenue Event2	5021	GrossRevenueEvent2
Other Direct Expenses Event2	5021	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	9085	GrossReceiptsOtherEvents
Charitable Contrib Other Events	8975	CharitableContribOtherEvents
Gross Revenue Other Events	110	GrossRevenueOtherEvents
Other Direct Expenses Other Events	110	OtherDirectExpensesOtherEvents
Gross Receipts Total	30740	GrossReceiptsTotal
Charitable Contributions Total	23829	CharitableContributionsTotal
Gross Revenue Total Events	6911	GrossRevenueTotalEvents
Food And Beverage Total Events	1000	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	5911	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	6911	DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	185	PersonsServed
Total Community Benefit Expense	377999	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1500	DirectOffsettingRevenue
Net Community Benefit Expense	376499	NetCommunityBenefitExpense
Percent Of Total Expense	0.02630	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	4487	PersonsServed
Total Community Benefit Expense	1964804	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1648441	DirectOffsettingRevenue
Net Community Benefit Expense	316363	NetCommunityBenefitExpense
Percent Of Total Expense	0.02210	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	113164	TotalCommunityBenefitExpense
Net Community Benefit Expense	113164	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	4672	PersonsServed
Total Community Benefit Expense	2455967	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1649941	DirectOffsettingRevenue
Net Community Benefit Expense	806026	NetCommunityBenefitExpense
Percent Of Total Expense	0.05630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	63	PersonsServed
Total Community Benefit Expense	117208	TotalCommunityBenefitExpense
Net Community Benefit Expense	117208	NetCommunityBenefitExpense
Percent Of Total Expense	0.00820	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	63	PersonsServed
Total Community Benefit Expense	117208	TotalCommunityBenefitExpense
Net Community Benefit Expense	117208	NetCommunityBenefitExpense
Percent Of Total Expense	0.00820	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	4735	PersonsServed
Total Community Benefit Expense	2573175	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1649941	DirectOffsettingRevenue
Net Community Benefit Expense	923234	NetCommunityBenefitExpense
Percent Of Total Expense	0.06450	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$366,205	BadDebtExpenseAmount
Amount Reimbursed By Medicare	7101966	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	7211292	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-109326	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CA Dean Memorial Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	364 Pritham Ave PO Box 1129	AddressLine1
City	Greenville	City
State	ME	State
ZIP Code	04441	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Other	X	Other
Needs Assessment Conducted	11	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
File Form4720 Report Excise Tax	false	FileForm4720ReportExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.0000	FPGDiscountPercent
Explains Basis	false	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Northwoods Healthcare
22 Haley Court Rd	Sangerville	ME	04479	Outpatient clinic
Northwoods Healthcare
7 Greenville Road	Monson	ME	04464	Outpatient clinic
Northwoods Healthcare
364 Pritham Avenue	Greenville	ME	04441	Outpatient clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part V - Explanation of Number of Facility Type	N/A
Part VI - States Where Community Benefit Report Filed	ME
Part VI - Affilated Health Care System Roles and Promotion	CA Dean is a member of EMHS. EMHS serves the northern two-thirds (most rural areas) of Maine. Together, EMHS member organizations identify and meet the health priorities of the state. By working together, our members are able to share resources and information, as well as control costs and better serve our Maine communities. EMHS is addressing the changes and mandates of the new health care reform. Focus groups consisting of staff from each member organization have been formed and are actively collecting data and striving to meet or define best practices as we implement these mandated changes. The roll out and use of electronic medical records across our system is one of these initiatives that is being developed and will enhance the efficiencies of each individual member organization. We have initiated plans for an ACO medical home model and have been certified as a patient centered medical home model level 3.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	We have an Elderwell program that allows the elderly in our community to use our exercise equipment (at a very minimal fee) to promote physical activity in this population. Our 'loan closet' program provides medical equipment supplies for our community at no cost. We author educational healthcare articles for publication in our local newspapers. We offer the use of our buildings, tele-med and office equipment to civic and community groups for meetings and publications. We developed 'walk-in clinic hours' to create greater access to healthcare for our patients. Participate in a bone builders program. Support Community health initiatives around diet and exercise both at the adult and the school level age. CA Dean sponsors several healhy lifestyle events annually such as a triathalon and Bike and Boat. CA Dean serves an elderly population with a high chronic disease burden. Lack of adequate transportation has been attributed to the inability of some patients to access health care. CA Dean implemented a free transportation program for the eligible population (no other means of transportation). This program provides limited transportation to and from medical appointments and procedures at no cost for this eleigble.
Part VI - Community Building Activities	In keeping with our mission statement, CA Dean actively participates by fulfilling the needs of our civic, community and faith based organizations. We offer flu clinics and blood pressure clinics just to name a few. CA Dean works in collaboration with the school on a number of projects including; nutritious food 'back pack program', activities that promote health and wellness, and general health education. CA Dean sponsors a number of healthy lifestyle activities such as a an annual triathalon and Bike and Boat.
Part VI - Community Information	Located in Greenville, CA Dean is the only healthcare provider within a 35 mile radius serving the Moosehead Lake region of Maine. This area has a HPSA rating and is one of the poorest counties in the state. We have a heavy Medicare/MaineCare population. We also are the eldest populated County in Maine. Piscataquis has a population rate of 16.4%/1000 of residents 65 and older. State average is 12.4%/1000.
Part VI - Patient Education of Eligibility for Assistance	CA Dean offers free care and sliding scale assistance programs. We have posters and pamphlets at all patient intake areas. Patient bills and our web site also list information on the availability of these programs and the application process. C A Dean has put forth a designated position financial councilor within the organization to assist with these programs
Part VI - Needs Assessment	In the past, CA Dean participated in the regional comprehensive health care needs assessment with the help of One Maine Health Collaboration. In 2011, One Maine Health will conduct the first state-wide health assessment in Maine. Focus groups have been organized to review the report findings. The work groups have carried forth work on ACOs, obesity and substance abuse. Also working with the local school on dietary, exercise and health awareness issues. Also collaborating with Mayo Regional Hospital, Piscataquis County Health District, town officials, civic groups and school leadership to follow through on these needs.
Part V, Line 20d - Other Billing Determination of Individuals Without Insurance	Hospital charges are discounted at 100% for patients who qualify for free care with income at or below 200% FPL. The hospital also offers a partial discount for patients who fall within the 201% to 300% FPL.	Number of Hospital Faciltiy - 1
Part V, Line 14g - Other Means Hospital Facility Publicized the Policy	Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to applyand 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.	Number of Hospital Faciltiy - 1
Part V, Line 6i - Describe Other Needs Identified	6aAs part of CA Deans strategic operations plan, several major initiatives have been adopted by the board of directors and CA Deans leadership team and are in active development. Efforts include; working with the school to promote healthy lifestyles, working with the community and law enforcement to reduce substance abuse, developing a transportation service, and participation in multiple local, county, and state initiatives to identify and address public health concerns.6b CA Dean and its local health partners are actively involved in implementation of strategic elements to address public health needs.6g Breakout #1 Access, Quality and Effectiveness. CA Dean Breakout #2 Chronic Disease - CA Dean is involved in the Maine Quality Counts effort which is funded through the Robert Wood Johnson Foundation and is a participant of the Quality Improvement Roundtable. Clinicians, Primary Care Teams, public health-practitioners, social workers, and hospital leadership have gathered to discuss emerging models of patient-centered healthcare and how to prepare for changes in healthcare delivery in our county. Breakout #3 Mental Health and Substance Abuse. Rx drug abuse is identified as a major public health issue in the CHNA. CA Dean is working with the Penquis District Coordinating Council and the Piscataquis Public Health Council to develop and implement solutions. Solutions include provider education, public education, effective law enforcement programs, and other methods to reduce the Rx drug abuse in the region. CA Dean has worked with local, county, and federal law enforcement officials to offer Rx drug take back programs which have been largely successful. Recently, CA Dean purchased a Rx Drug Collection center for local law enforcement so that the community can safely dispose of unused or older Rx medications.Breakout #4 Prevention, Obesity: CA Dean has partnered with local school district to address childhood obesity and unhealthy lifestyles. Obesity and its related illnesses has been identified as a major public health concern in the CHNA as well as nationally. A team including a provider, nurse, educators, and other professionals from the school and hospital are collaborating on a number of efforts to promote health lifestyles. Response is favorable.	Number of Hospital Faciltiy - 1
Part V, Line 5c - Description of Making Needs Assessment Widely Available	In conjunction with EMHS, C. A. Dean Memorial Hospital hosted a community forum to present an overview of local assessment results and recommendations. Invitees included: Other area hospitals, Physician leaders, Federally Qualified Health Centers, Healthy Maine Partnerships, District Liaisons linked to Maine CDC, Home Health and Long Term Care leaders, Social Service Agencies, Leaders of the tribal communities, Business leaders, Legislative leaders, Representatives of the State administrationAttendees were provided an executive summary of the assessment as well as a summary table of data reflective of the service area. A presentation was made by EMHS staff who were members of the assessment development steering committee providing selected data results, trends over time and the priorities and recommendations as suggested by the research consultants.In addition to the community forums, the entire statewide assessment (both narrative and data sets) were posted to the EMHS website. After the forums, Power Point presentations used at the Forum as well as input collected in the breakout sessions were also posted on the website. Forum participants were encouraged to go to the website to review the assessment in detail, and access the data for local planning. Media releases were also sent to local news outlets in combination with the forums, encouraging new articles on the forum and inviting all members of the public to view the report on the website.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.	Number of Hospital Faciltiy - 1
Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment	The needs assessment was developed as a statewide collaborative between the states three largest health systems: EMHS (in central, eastern and northern Maine), MaineGeneral (in central Maine) and MaineHealth (in southern Maine). Multiple collaborators were involved in the dissemination of the assessment findings and establishment of priorities (see Section 5).	Number of Hospital Faciltiy - 1
Part V, Line 3 - Account Input from Person Who Represent the Community	On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the states major employers, insurers and providers); Trish Riley, Governors Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare.	Number of Hospital Faciltiy - 1
Part V, Line 1j - Description of Other Needs Assessment	1a CA Dean is a rural critical access hospital with health clinics in Greenville, Monson, and Sangerville. CA Dean Hospital primarily serves those communities north Monson, Maine; Greenville, east to Lily Bay and Beaver Cove, and west towards Rockwood. CA Dean also serves the unorganized territories in this region and has patients from as far North as Jackman on the Canadian Border and as far south and east as Sangerville and Dexter. The majority of CA Dean patients are from Piscataquis County but we also see patients from Somerset and Penobscot Counties. The primary service area maintains a population of less than 2,500 and covers an area larger than 1,000 square miles. Population varies depending on season due to the regions status as a vacation destination and may swell to six times its normal volume in peak season. The 24-7 ER and acute care units serve the local population and the needs of travelers and second home owners. The clinics are a vital role in the delivery of health care and disease prevention and control for the region. Diagnostic and therapeutic services support the clinics, ER, and inpatient units. Primary industries are tourism in logging- with employees and their families healthcare needs being supported by CA Dean. Population is aged with15% of residents being 65 years or elder. The population has a high chronic disease burden with a high population of residents having 3 or more chronic conditions.1b C. A. Dean Memorial Hospital and its related physician practices utilize extensive electronic medical records, including disease registries, which provide a vast amount of data relative to patients in care. The needs assessment provides a much broader picture of the community as a whole, including the health status of individuals not in care, as well as functional health status and social-demographics (such as employment, income and education levels). The local units of the states public health infrastructure (known as Healthy Maine Partnerships) are also integrated into the process so that their data relative to health, environmental and social measures are part of the community dissemination process. CA Dean is HiMSS Meaningful Use Stage 6 certified and is actively applying for level 7.1c C. A. Dean Memorial Hospital engaged multiple health resource leaders in the community forum invitation list (as described in Section 1g). Additional resources and leaders needed were identified in the breakout sessions (see question for breakout participants, Section 1g). CA Dean Hospital, Mayo Regional Hospital, Penquis District Coordinating Council, Piscataquis Public Health Council, Healthy Maine Partnerships, and other agencies are available and work actively at meeting the public health needs of the community.1d-1e-1f EMHS, the parent company of C. A. Dean Memorial Hospital, routinely conducts a community health needs assessment (Hereafter needs assessment) across the service area of all of its member hospitals. The most recent assessment, published in 2011, was conducted under a contract with the University of New England Center for Health Planning, Policy and Research (CHPPR) and the University of Southern Maines Muskie School for Public Health. Using a methodology developed by CHPPR over decades of work, the assessment integrates primary data from a telephone survey to heads of households with secondary data retrieved from state databases (ED usage, Mortality, Cancer Registry, etc.). That data is reviewed in the context of multiple health related domains to develop a composite view of health status, behavioral risks, and barriers to access and care. Results are compared to national and state benchmarks to produce priorities and recommendations as prepared by the consultants.Members of the CA Dean staff serve active roles on several public health initiative groups including the Piscatiquis Public Health Council and the recently developed TiP (Thriving in Place) Steering Committee. CA Dean has actively partnered with a non-profit organization that provides social and mental health services (Charlotte White Center) that serves the need of our extended community. Through this partnership, CA Dean was able to add 1.0FTE of social/mental health services to the Greenville area to increase access to local residents.1g See question #31h On a statewide basis, the research consultants developed an advisory committee that met two times during the assessment research and drafting of the publication. These individuals represented a broad spectrum of backgrounds, and they are named: Carol Bell, Healthy Maine Partnership Director; Kelly Bentley, Healthy Maine Partnership Director; Gail Dana-Sacco, Wabanaki Center (serving tribal populations); Patricia Hart, Maine Development Foundation; Barbara Leonard, MPH, Maine Health Access Foundation (philanthropic foundation focused on access to care in Maine); Becca Matusovich, Maine Center for Disease Control; Lisa Miller, Bingham Foundation (philanthropic foundation); Dora Ann Mills, MD, Maine Center for Disease Control; Elizabeth Mitchell, Maine Health Management Coalition (representing the states major employers, insurers and providers); Trish Riley, Governors Office of Health Policy and Finance (GOHPF); Brian Rines, Advisory Committee for Health System Development (overseen by GOHPF); Rachel Talbot-Ross, Maine Chapter, NAACP; Ted Trainer, Public Health Coordinating Council Shawn Yardley, City of Bangor, Department of Health and Welfare. In the local area served by the assessment, multiple parties were engaged in dissemination of the assessment findings and establishment of priorities (see Section 5).1j In the past, CA Dean participated in the regional comprehensive health care needs assessment with the help of One Maine Health Collaboration. In 2011, One Maine Health will conduct the first state-wide health assessment in Maine. Focus groups have been organized to review the report findings. The work groups have carried forth work on ACOs, obesity and substance abuse. Also working with the local school on dietary, exercise and health awareness issues. Also collaborating with Mayo Regional Hospital, Piscataquis County Health District, town officials, civic groups and school leadership to follow through on these needs.	Number of Hospital Faciltiy - 1
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	All account guarantors who express an inability to pay inpatient and outpatient services are screened for eligibility for charity care using an application and guidelines established by CA Dean. An account may be reconsidered for charity care at any time when new information is available about a patient's ability to pay.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	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.
Part III, Line 4 - Bad Debt Expense	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. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio.
Part I, Line 7, Column F - Explanation of Bad Debt Expense	$488,729 of bad debt expense, $524,468 of charity care and $2,942,160 of contractual allowances is included on Form 990, Part IX, line 25, column (A)
Part I, Line 7 - Explanation of Costing Methodology	Ratio of Patient Care Cost-to-Charges is used in calculations.
Part I, Line 6a - Related Organization Community Benefit Report	The Charles A Dean Memorial Hospital 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs
Paul Potvin
Physician	249885	100	1608	19600	33137	304330
Mary M Hood President CEO
Ex-Officio							691048	140786	12420	225828	22211	1092293
Mario Turi
Physician	239230	100	958	16930	2396	259614
Lawrence DuBien
Physician	218838	100	1942	15936	16930	253746
John L Toothaker
Physician	218838	100	1942	17495	16930	255305
Gregg Christensen
Former Vice Chairman	91455	43691	2266	8490	9216	155118
Eugene Murray Jr
President & CEO	146078	10000	18693	17412	29001	221184
Edward Olivier
Former CFO							143378	13311	1394	10644	9728	178455
David T Rideout
Physician	322234	100	1151	16054	25902	365441
Darin M Peck MD
CMO	254637	58637	1256	14352	24197	353079

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	Dennis Welsh, officer received a gift certificate for $50 with a $27.71 gross-up payment. David Rideout, highest compensated employee received a gift certificate for $25 with a $13.84 gross-up payment. Eugene Murray, Jr, officer/board member received a gift certificate for $150 with a $83.10 gross-up payment.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Donna Welsh
fam of offic	18523	compensation	false
Ann Murray
fam of offic	15517	compensation	false
Linda D Gilbert VP at Bank
VP=Treasurer/dir	308289	unsec note w/bank	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	Linda D. Gilbert, Charles A. Dean Board Treasurer is a Camden National Bank VP. Camden National Bank is Charles A. Dean's primary bank, holding deposits of $2,144,827 and a note for $308,289.Ann Murray is a family member of an officer and is an employee of Charles A. Dean.Donna Welsh is a family member of an officer and is an employee of Charles A. Dean.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Post Retirement Health Benefit FAS158 = $132073
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Decreases	Contribution To Strat Pool Per Affiliation Agreement = -$104340
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Change in net assets held @ EMHS Foundation = $7291
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The Charles A. Dean Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The CEO of The Charles A. Dean Memorial Hospital (C.A. Dean), who is employed by C.A. Dean, reports directly to the system parent, Eastern Maine Healthcare Systems (EMHS) President/CEO (President) who serves on the board ex-officio. 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 & Approval Process for Officers & 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. 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.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	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.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	Form 990 is reviewed by the CEO and CFO of CA Dean Memorial Hospital. It is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 7b	Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	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 Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the EMHS Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII.dissolution of the Corporation.
Form 990, Part VI, Line 7a	Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	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.
Form 990, Part VI, Line 6	Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The Charles A. Dean Memorial Hospital (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.
Form 990, Part VI, Line 4	Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	In December 2012 Eastern Maine Healthcare Systems (EMHS), the parent of this corporation, and this corporation together with other direct subsidiaries of EMHS, modernized their governance structure by replacing a traditional reserved powers model for EMHS control over its subsidiaries with a joint initiatory powers model of control. Under the traditional reserved powers model, in addition to the EMHS CEO having exclusive authority to appoint and remove the CEO of the subsidiaries, EMHS exercised control exclusively through approval rights over important subsidiary action. The new joint initiatory powers model gives EMHS authority not only to approve or disapprove important subsidiary action, but also to actually initiate action on behalf of the subsidiaries with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.add or revise a health care service of the Corporation;X.discontinue or close a health care service of the Corporation;XI.action concerning the Corporations role in the EMHS Strategic Plan;XII.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII.dissolution of the Corporation
Form 990, Part III, Line 4d	Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Provided emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay. The Charles A. Dean Memorial Hospital is a 25 bed Critical Access Hospital in rural northwestern Maine providing emergency, ambulance, inpatient acute care, outpatient surgery, specialty physician clinics and nursing home services to patients regardless of ability to pay.Additional Statistics:Northwoods Healthcare Clinic visits 10,333Hospital diagnostic and rehabilitation visits 15,453Emergency room visits 2,481 Hospital admissions 365Surgery cases 319Ambulance runs 451 OTHER PROGRAM SERVICES 5: Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects by C.A. Dean.Charles A. Dean Memorial HospitalLeadership: Geno Murray, President and CEO; David S. Richards, Board Chair Description: CA Dean is a 25-bed critical access hospital nestled near the shores of Moosehead Lake. Northwoods Healthcare is a division of CA Dean providing family practice and specialty services at clinics in Greenville, Monson, and Sangerville.Employees: 167Location: Greenville, Monson, SangervilleCharles A. Dean Memorial Hospital Highlights-Named a Top 100 Critical Access Hospital in the country by iVantage Health Analytics.-Recognized nationally by the Leapfrog Group as a Top Rural Hospital. -Renovated the Monson Clinic after it was damaged by a neighboring structure fire and dedicated it to an honorary board member, Wayne Huff.-Purchased a state-of-the-art digital mammography machine and bone densitometer and opened the Lyn Cima Imaging Center.-Welcomed four new family practice providers: Dana Green, PA -C; Karen Leggett, DO; Kathleen Thibault, DO, and Elisa Thompson, MD. -Launched the Northwoods Kids Program, to provide healthcare-related events and games for kids each month. TOTAL COMMUNITY BENEFIT: $1,032,560Community Health Improvement Services: $17,507Community Benefit Operations: $99,701Unrecoverable Interest Cost on funds used to subsidize state MaineCare/Medicaid underpayments of $1.3M $113,164Traditional Charity Care: $376,499Unpaid Cost of Public Programs:Medicaid: $316,363Medicare: $109,326Philanthropy: $483

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Restoration Health LLC
43 Whiting Hill Road	Brewer	ME	04412	352449986	Provide mental & behavioral hlth srvcs	ME	501(c)(3)	9	Acadia Healthcare Inc	true
Sebasticook Valley Work Health LLC
447 North Main Street	Pittsfield	ME	04967	453359446	Provide patient care	ME	501(c)(3)	3	SVH	true
Sebasticook Valley Family Practice Assoc
447 North Main Street	Pittsfield	ME	04967	010357854	Provide patient care	ME	501(c)(3)	9	SVH	true
Meadow Wood LLC
43 Whiting Hill Road	Brewer	ME	04412	272935243	Provide patient care	ME	501(c)(3)	9	AHI	true
Blue Hill Memorial Hospital
57 Water Street	Blue Hill	ME	046145231	010227195	Provide healthcare services	ME	501(c)(3)	3	Eastern Maine Healthcare Systems	true
Maine Inst for Human Genetics and Health
43 Whiting Hill Road	Brewer	ME	04412	550894346	Biomedical research and development	ME	501(c)(3)	9	Eastern Maine Healthcare Systems	true
Eastern Maine HomeCare
PO Box 688	Caribou	ME	04736	010328442	Provide home health and hospice services	ME	501(c)(3)	9	Eastern Maine Healthcare Systems	true
Horizons Health Services
PO Box 151 140 Academy Street	Presque Isle	ME	047690151	010504393	Provide patient care	ME	501(c)(3)	3	The Aroostook Medical Center	true
TAMC Endowments
PO Box 151 140 Academy Steet	Presque Isle	ME	047690151	010389222	Raise funds for exempt organizations	ME	501(c)(3)	11, Type I	The Aroostook Medical Center	true
TAMC Title Corp
PO Box 151 140 Academy Street	Presque Isle	ME	047690151	010389226	Real estate holding company	ME	501(c)(2)		The Aroostook Medical Center	true
The Aroostook Medical Center TAMC
PO Box 151 140 Academy Street	Presque Isle	ME	047690151	010372148	Provide healthcare services	ME	501(c)(3)	3	Eastern Maine Healthcare Systems	true
Sebasticook Valley Health SVH
447 North Main Street	Pittsfield	ME	04967	010263628	Critical care hospital	ME	501(c)(3)	3	Eastern Maine Healthcare Systems	true
Lakewood A Continuing Care Center
220 Kennedy Memorial Drive	Waterville	ME	04901	010421234	Provide skilled and long-term nursing care	ME	501(c)(3)	3	Inland Hospital	true
Inland Hospital
200 Kennedy Memorial Drive	Waterville	ME	04901	010217211	Provide healthcare services	ME	501(c)(3)	3	Eastern Maine Healthcare Systems	true
Norumbega Medical Specialists LTD
43 Whiting Hill Road Ste 400	Brewer	ME	04412	010465231	Provide patient care and education	ME	501(c)(3)	9	Eastern Maine Medical Center	true
EMHS Foundation
43 Whiting Hill Road Ste 400	Brewer	ME	04412	222514163	Raise and manage funds for exempt organizations	ME	501(c)(3)	11, Type II	Eastern Maine Healthcare Systems	true
Acadia Healthcare Inc AHI
43 Whiting Hill Road	Brewer	ME	04412	223183888	Provide healthcare services	ME	501(c)(3)	9	Acadia Hospital Corp	true
Eastern Maine Medical Center Auxiliary
43 Whiting Hill Road	Brewer	ME	04412	010377901	Fund raising for exempt Eastern Maine Medical Center	ME	501(c)(3)	9	Eastern Maine Medical Center	true
Acadia Hospital Corp AHC
43 Whiting Hill Road	Brewer	ME	04412	010459837	Provide healthcare services	ME	501(c)(3)	3	Eastern Maine Healthcare Systems	true
Rosscare Nursing Homes Inc
43 Whiting Hill Road Ste 400	Brewer	ME	04412	010430751	Operation of nursing homes	ME	501(c)(3)	9	Rosscare	true
Rosscare
43 Whiting Hill Road Ste 400	Brewer	ME	04412	010391038	Provide services to elderly	ME	501(c)(3)	PF	Eastern Maine Healthcare Systems	true
Eastern Maine Healthcare Real Estate
43 Whiting Hill Road	Brewer	ME	04412	010391036	Leases real estate	ME	501(c)(2)		Eastern Maine Healthcare Systems	true
Eastern Maine Medical Center EMMC
PO Box 404 489 State Street	Bangor	ME	044020404	010211501	Provide healthcare services	ME	501(c)(3)	3	Eastern Maine Healthcare Systems	true
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill Road	Brewer	ME	04412	010527066	Supporting organization for healthcare affiliates	ME	501(c)(3)	11 Type III Func Int		true	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Beacon Health LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	43 Whiting Hill Road	AddressLine1
City	Brewer	City
State	ME	State
ZIP Code	04412	ZIPCode

Field	Value	IRS element (for citing)
EIN	452967056	EIN
Primary Activity	Accountable care organization	PrimaryActivity
Legal Domicile State	ME	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	EMHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Disproportionate Allocations	false	DisproportionateAllocations
General Or Managing Partner	false	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
Alliance Health Documentation LLC
9 Central Street Ste 205	Bangor	ME	04401	462751855	Transcription	ME	AHS	C	true
M Drug LLC
PO Box 1779	Bangor	ME	044021779	272175482	Pharmacy	ME	AHS	C	true
Dirigo Pines Development Company LLC
9 Alumni Drive	Orono	ME	04473	010537924	RetirCottag	ME	AHS	C	true
Dirigo Funding LLC
9 Alumni Drive	Orono	ME	04473	010599968	Prov Finance	ME	AHS	C	true
Dirigo Pines Inn LLC
9 Alumni Drive	Orono	ME	04473	020547749	Contin Care	ME	Rosscare	C	true
Dirigo Pines Retirement Community LLC
9 Alumni Drive	Orono	ME	04473	010537924	Holding Co.	ME	AHS	C	true
Maine Network for Health
PO Box 2813	Bangor	ME	044022813	010496352	Support srv	ME	EMHS	C	true
Meridian Mobile Health LLC
931 Union Street PO Box 940	Bangor	ME	044020940	010512673	Ambulance	ME	AHS	C	true
DE Collections DBA ACI
PO Box 2759	Bangor	ME	044022759	010366209	Collections	ME	AHS	C	true
Affiliated Pharmacy Services
917 Union St Suite 7	Bangor	ME	04401	010587230	Pharmacy	ME	AHS	C	true
Affiliated Materiel Services
PO Box 1300	Bangor	ME	044021300	010381189	Purchasing	ME	AHS	C	true
Affiliated Laboratory Inc
PO Box 638	Bangor	ME	044020638	010381283	Clinicl lab	ME	AHS	C	true
Affiliated Healthcare Management
PO Box 811	Bangor	ME	044020811	010349339	Hlthcr mgmnt	ME	AHS	C	true
Affiliated Healthcare Systems AHS
PO Box 940	Bangor	ME	044020940	010385322	Holding Co.	ME	EMHS	C	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Affiliated Materiel Services
p	153171	FMV
Affiliated Laboratory Inc
m	111055	FMV
EMHS Foundation
m	99000	FMV
Eastern Maine Medical Center EMMC
m	157984	FMV
Eastern Maine Healthcare Systems EMHS
r	104339	FMV
Eastern Maine Healthcare Systems EMHS
p	1383535	FMV
Eastern Maine Healthcare Systems EMHS
m	707351	FMV