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      <OtherRevenuesNotIncluded>31375</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>31375</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>54385016</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>36775713</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>36775713</ExpensesSubtotal>
      <OtherExpensesNotIncluded>16658419</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>16658419</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>53434132</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>Income TaxesThe Hospital has been determined by the Internal Revenue Service to be a tax-exempt charitable organization as described in Section 501(c)(3) of the Code and, accordingly, is exempt from federal income taxed on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b</Identifier>
        <ReturnReference>Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Charity Care $1531404 Contractual Allowance $15125447 Restricted Expenses from Fund Balance $26405 Reimbursed Expenses Reclassed to Expense $-24837</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b</Identifier>
        <ReturnReference>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Restricted Contributions from fund bal $30278 Restricted Investment Inc from fund bal $1097</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Change in net assets held @ EMHS Foundation $186578 Increase in beneficial trust $682134 Decrease in Beneficial Interest in Perpetual Trusts $ -0 Transfer to exempt parent - Eastern Maine Healthcare Systems $ -56976 Post Retirement Health Benefit FAS158 $ -163148</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>Endowment funds are designated for purposes that align within this organization's exempt purpose.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="11000144" softwareVersion="2011v1.5">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>446</PersonsServed>
        <TotalCommunityBenefitExpense>819190</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>819190</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02310</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>231921</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>231921</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00660</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <PersonsServed>446</PersonsServed>
        <TotalCommunityBenefitExpense>1051111</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1051111</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02970</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>8</NumberOfActivitiesOrPrograms>
        <PersonsServed>874</PersonsServed>
        <TotalCommunityBenefitExpense>228032</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>228032</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00640</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>10156</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>10156</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>500</PersonsServed>
        <TotalCommunityBenefitExpense>1842</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1842</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>1374</PersonsServed>
        <TotalCommunityBenefitExpense>240030</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>240030</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00680</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>1820</PersonsServed>
        <TotalCommunityBenefitExpense>1291141</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1291141</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03650</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>492</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>492</NetCommunityBuildingExpense>
      </CommunitySupport>
      <Total>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>492</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>492</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>893894</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>14375684</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>14644289</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-268605</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>0</FacilityNumber>
        <Name>
          <BusinessNameLine1>Blue Hill Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>57 Water Street</AddressLine1>
          <City>Blue Hill</City>
          <State>ME</State>
          <ZIPCode>04614</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Blue Hill Memorial Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <Other>X</Other>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <OtherNeedsAddressed>X</OtherNeedsAddressed>
        <AllNeedsAddressed>true</AllNeedsAddressed>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>8</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Blue Hill Cardiology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>65 Water Street</AddressLine1>
            <City>Blue Hill</City>
            <State>ME</State>
            <ZIPCode>04614</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Island Family Medicine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>354 Airport Road</AddressLine1>
            <City>Stonington</City>
            <State>ME</State>
            <ZIPCode>04681</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Castine Community Health Services</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>102 Court Street</AddressLine1>
            <City>Castine</City>
            <State>ME</State>
            <ZIPCode>04421</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Bucksport Family Medicine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>58 Main Street</AddressLine1>
            <City>Bucksport</City>
            <State>ME</State>
            <ZIPCode>04416</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Blue Hill Womens Healthcare</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>65 Water Street</AddressLine1>
            <City>Blue Hill</City>
            <State>ME</State>
            <ZIPCode>04614</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Blue Hill Specialty Services</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>65 Water Street</AddressLine1>
            <City>Blue Hill</City>
            <State>ME</State>
            <ZIPCode>04614</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Blue Hill Orthopedics</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>65 Water Street</AddressLine1>
            <City>Blue Hill</City>
            <State>ME</State>
            <ZIPCode>04614</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Blue Hill Family Medicine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>65 Water Street</AddressLine1>
            <City>Blue Hill</City>
            <State>ME</State>
            <ZIPCode>04614</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V - Explanation of Number of Facility Type</ReturnReference>
        <Explanation>N/A</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>ME</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>We are part of Eastern Maine Healthcare Systems and receive support from our parent organization for activities such as community forums. In addition, we rely upon other system members to help us provide specialized care for community members. For example, we rely upon Eastern Maine Medical Center and Acadia Hospital (both in Bangor) to provide specialized care that could never be provided in the context of a small community hospital. We use strong referral networks and technology to make a full range of services as convenient, safe, and effective as possible for patients in our area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>We partner with many other non-profits, including Healthy Peninsula and the Jackson Laboratory to promote the health of our community. These partnerships are for the benefit of our community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Building Activities</ReturnReference>
        <Explanation>Our outreach to the community includes blood drives, blood pressure clinics, an educational presence at local fairs and festivals, ongoing work with local schools in areas such as H1N1 preparation, and special events such as our annual Fun Run. Our providers also assist with outreach by giving educational sessions on topics such as osteoporosis, women's health, healthy aging, and diabetes. We provide tours and "hands on" experiences to local school children in our emergency, radiology and rehabilitation departments.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>We serve a rural community that includes many senior citizens, i.e. 20% of our population is age 65 or older. With the exception of our wealthy seasonal residents, many of our patients are economically challenged. Our hospital and its primary care practices are impacted by the effects of chronic disease within the communities we serve. Depression, obesity, diabetes, and cardio-vascular disease are common problems. The rural, geographically isolated nature of our communities also means that many turn to our hospital and practices for assistance that might otherwise be provided by other agencies. Assistance for those with problems such as addiction, domestic violence, etc. is very limited particularly for those with transportation needs. We also have patients who live on offshore islands whose only transportation is the mailboat to the mainland. Our physician practices take this into consideration when a patient needs to be scheduled for an appointment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>We have information available through our Web site, have financial counselors at the hospital, and equip our primary care practices with this information. In addition we have discharge planning personnel, including a licensed clinical social worker, who provide more extensive assistance to patients with complex financial issues. Further, our financial counselor screens our patients (using Hospital services) and personally meets with anyone listed as self-pay to help identify if financial assistance is needed.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>Blue Hill Memorial Hospital is an affiliate of Eastern Maine Healthcare Systems. As a small rural hospital, we rely upon our system to help us assess the healthcare needs of the communities we serve. In 2001 and again in 2007, EMHS contracted with an academic partner to conduct a regional Community Health Needs Assessment (CHNA). In 2011, EMHS again invested in a significant study, this time in collaboration with OneMaine Health. The OneMaine Health Collaborative is a partnership of three of Maines largest health systems: EMHS (Eastern Maine Healthcare Systems), MaineHealth, and MaineGeneral. The study was conducted to identify the most important health issues in the state and by county, using a scientific method to validate health indicators and to compare results. The assessment identifies priority health issues in the areas we serve. In addition to the CHNA report, we assess the needs of our community on an ongoing basis by reviewing feedback from various advisory groups, community health partners, area businesses, local schools, and other organizations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 19d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>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 200% to 300% FPL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 13g - Other Means Hospital Facility Publicized the Policy</ReturnReference>
        <Explanation>Posted signs and individual notices containing information on the availability of free care are located in key public areas in the hospital. Signs and notices inform the patient of the availability of free care and include eligibility criteria, instructions on how to apply and how to obtain additional information or assistance. The "Billing Help" section of the hospital web pages provides a link to the free care application form, instructions and eligibility criteria.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 6i - Describe Other Needs Identified</ReturnReference>
        <Explanation>6a Blue Hill Memorial Hospital has adopted an implementation strategy that takes into account the CHNA report as well as other input from the community. Community benefit strategies are woven into our strategic plan as well as our master facility planning process.6b Our community relations office works closely with clinical personnel and community partners to execute our implementation strategy. The director of philanthopy and the manager of community relations are members of the hospital's leadership team and also serve as staff to an Advancement Committee of the board (of Trustees) that provides feedback on community healthcare needs.6c Blue Hill Memorial Hospital staff interact with other community organizations (schools, nursing homes, retirement communities, businesses, home healthcare agencies etc.) to ensure that our community benefit plan takes into account the needs of various constituencies throughout our community. In addition, we routinely meet with a Community Advisory Council that provides feedback on local healthcare needs and helps us assess the hospital's progress in helping meet these needs through targeted outreach programs.6d We are executing on our community-wide community benefit plan in conjunction with other partners, such as Healthy Peninsula, to co-sponsor programs that address community needs such as developmental delays in young children and substance abuse. 6e Our community benefit strategy and activities are in our operational plans through (i) duties described in job descriptions (ii) our budget (iii) our master facility and strategic planning processes (iv) our communication plan, which includes media releases and Web content, for example.6f Our budget accommodates the financial assistance we provide to patients who receive charity care as part of our community benefit strategy. The annual operating budget provides for increased access to behavioral health providers and primary care providers, as well as programs targeted at obesity and community health screenings. Also included in the budget is a staff member whose time is committed to supporting community benefit activities such as screenings, talks, etc.6g The Community Health Needs Assessment (survey), our Community Advisory Council, and community healthcare partners have helped us identify the following healthcare needs as local priorities: (i) access to primary care (being addressed in an operational plan); (ii) chronic illnesses such as obesity, depression, cardiovascular disease, and diabetes; (iii) substance abuse. 6h We have prioritized the following services in response to 6g: (i) greater emphasis on early intervention and prevention for priority healthcare needs through screenings, education, etc.; (ii) delivery of programs outside of traditional settings (in retirement homes, local businesses, etc.); (iii) improved access to primary care through initiatives such as patient-centered medical come models ; (iv) improved public communication regarding various financial assistance programs for needy patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 5c - Description of Making Needs Assessment Widely Available</ReturnReference>
        <Explanation>In conjunction with EMHS, Blue Hill 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 administration.Attendees 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment</ReturnReference>
        <Explanation>The needs assessment was developed as a statewide collaborative between the state's 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).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 3 - Account Input from Person Who Represent the Community</ReturnReference>
        <Explanation>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 state's major employers, insurers and providers); Trish Riley, Governor's 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 1j - Description of Other Needs Assessment</ReturnReference>
        <Explanation>1a Blue Hill Memorial Hospital and its practices serve a rural area that includes island communities that can be reached only by mail boat, private vessel, or the Lifeflight helicopter. The primary communities that we serve include: Blue Hill, Bucksport, Brooklin, Brooksville, Cape Rosier, Castine, Harborside, Deer Isle, Penobscot, Sargentville, Sedgwick, Stonington. We also serve patients from other communities, such as Ellsworth as well as tourists and seasonal residents. Our area is considered a "destination" for some wealthy families. This wealth contrasts significantly with substantial poverty in our region.1b Blue Hill 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 state's 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.1c Blue Hill 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). In the Blue Hill Memorial Hospital service area, key collaborators going forward will include: Bucksport Bay Healthy Communities, Healthy Island, and Healthy Peninsula. 1d-1e-1f EMHS, the parent company of Blue Hill 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 Maine's 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.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 state's major employers, insurers and providers); Trish Riley, Governor's 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). We also consult with persons regarding community health needs on an ongoing basis through mechanisms such as our Community Advisory Committee and healthcare partners in the area such as Healthy Peninsula, Healthy Acadia, Island Medical Center, and Bucksport Bay Healthy Communities.Part V, Line 2, Indicate the tax year the hospital facility last conducted a Needs Assessment.As a result of a software defect the 2011 tax year is not populating.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>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 BHMH. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>Patient 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 credit to 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 a credit to patient accounts receivable. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7, Column F - Explanation of Bad Debt Expense</ReturnReference>
        <Explanation>$1,386,349 of bad debt expense, $1,531,404 of charity care, $15,125,447 of contractuals is included on Form 990, Part IX, line 25, column (A).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7 - Explanation of Costing Methodology</ReturnReference>
        <Explanation>Ratio of Patient Care Cost-to-Charges is used in calculations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 6a - Related Organization Community Benefit Report</ReturnReference>
        <Explanation>The BHMH 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="11000144" softwareVersion="2011v1.5">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Thomas Bugbee</NamePerson>
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        <TotalCompensationFilingOrg>342925</TotalCompensationFilingOrg>
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        <NamePerson>Stacey Henner Walden DO</NamePerson>
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        <OtherCompensationFilingOrg>748</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6015</DeferredCompFilingOrg>
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        <NamePerson>Scott Oxley</NamePerson>
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        <BonusRelatedOrgs>20880</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>17914</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>17316</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19957</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>320389</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Kathleen J Ober</NamePerson>
        <BaseCompensationFilingOrg>379064</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>53610</OtherCompensationFilingOrg>
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        <NamePerson>Karl Liebermann</NamePerson>
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        <NamePerson>John Ronan</NamePerson>
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        <DeferredCompFilingOrg>4576</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6183</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>163204</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James White</NamePerson>
        <BaseCompensationFilingOrg>447637</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>2346</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13519</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16957</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>480459</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gregory Roraff</NamePerson>
        <BaseCompensationFilingOrg>219309</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>10234</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>18075</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>247618</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Erik N Steele</NamePerson>
        <CompBasedOnRelatedOrgs>305815</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>50452</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>6079</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>22050</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>26012</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>410408</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Edward Olivier</NamePerson>
        <BaseCompensationFilingOrg>113165</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>28291</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>9318</BonusFilingOrg>
        <BonusRelatedOrgs>2330</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14318</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>3580</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7297</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>1824</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7455</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1864</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>151553</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>37889</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Amy Tan</NamePerson>
        <BaseCompensationFilingOrg>283825</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>16868</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7962</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20936</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>329591</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part III, Additional Information</Identifier>
        <ReturnReference>Part III, Additional Information</ReturnReference>
        <Explanation>Gregory E. RoraffThis officer is employed by the system parent organization, Eastern Maine Healthcare Systems. 100% of his time is dedicated to Blue Hill Memorial Hospital. As a result his compensation is reported in Form 990, Part VII, column D and Schedule J, Part II, Line A(i).Edward J. OlivierThis officer is employed by the system parent organization, Eastern Maine Healthcare Systems. 80% of his time is dedicated to Blue Hill Memorial Hospital(BHMH) and the remaining time he is responsible for system-wide operations of seven hospitals and other related health care activities, including BHMH. The portion which relates directly is reported in Form 990, Part VII, column D and Schedule J, Part II, Line A(i).Erik N. SteeleThis former officer is employed by the system parent organization, Eastern Maine Healthcare Systems and is responsible for system-wide operations of seven hospitals and other related health care activities, including Blue Hill Memorial Hospital.Scott OxleyFor part of the year this former officer was employed by the system parent organization, Eastern Maine Healthcare Systems and was responsible for system-wide operations of seven hospitals and other related health care activities, including Blue Hill Memorial Hospital. For the other part of the year this former officer is employed by Affiliated Healthcare Management, a related organization of Blue Hill Memorial Hospital.Compensation for employees of Blue Hill Memorial Hospital listed in Form 990, Part VII and Schedule J, Part II are for administrative services. Board members are not compensated for the time devoted on the board.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Edward Olivier, officer received a gift certificate for length of service with the organization for $25 with a $1.49 gross-up payment.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="11000144" softwareVersion="2011v1.5">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Maine Health &amp; Higher Ed Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>010314384</IssuerEIN>
        <CUSIPNumber>560427JA5</CUSIPNumber>
        <DateIssued>2010-06-24</DateIssued>
        <IssuePrice>2533045</IssuePrice>
        <DescriptionOfPurpose>Refund 1998A Series Bonds</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>true</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>2917294</TotalProceeds>
        <AmountInReserveFund>202081</AmountInReserveFund>
        <RefundingEscrow>2230000</RefundingEscrow>
        <IssuanceCostsFromProceeds>39023</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>446190</OtherSpentProceeds>
        <YearOfSubstCompletion>1998</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Blue Hill Memorial Hospital makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 is reviewed by the CFO of Blue Hill Memorial Hospital. It is provided to each board member either electronically or in hard copy and was reviewed at the July 24, 2013 meeting of the board of trustees prior to filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</ReturnReference>
        <Explanation>EMHS has authority to approve or disapprove amendments to the Corporation's articles of incorporation, amendments to its bylaws, its budget and its strategic plan, and to appoint and remove the president of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>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 EMHS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Blue Hill 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Frank Wanning, trustee/vice chair and Margaret Hannah, trustee are trustees of George Stevens Academy board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Charity care provided (at cost) 446 persons served.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="11000144" softwareVersion="2011v1.5">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sebasticook Valley Work Health LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>447 North Main Street</AddressLine1>
          <City>Pittsfield</City>
          <State>ME</State>
          <ZIPCode>04967</ZIPCode>
        </AddressUS>
        <EIN>453359446</EIN>
        <PrimaryActivities>Provide patient care</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Beacon Health LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>452967056</EIN>
        <PrimaryActivities>Accountable care organization</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>Capitol Convenient Care LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>43 Whiting Hill Rd Ste 500</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>273671960</EIN>
        <PrimaryActivities>Provide patient care</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Horizons Health Services</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy Street</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010504393</EIN>
        <PrimaryActivities>Provide patient care</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TAMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TAMC Endowments</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy Street</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010389222</EIN>
        <PrimaryActivities>Raise funds for exempt organizations</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 Type I</PublicCharityStatus>
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          <AddressLine1>PO Box 151 140 Academy Street</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010389226</EIN>
        <PrimaryActivities>Real estate holding company</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>TAMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Aroostook Medical Center TAMC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy Street</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010372148</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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          <BusinessNameLine1>Sebasticook Valley Hlth Convenient Care</BusinessNameLine1>
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          <AddressLine1>447 North Main Street</AddressLine1>
          <City>Pittsfield</City>
          <State>ME</State>
          <ZIPCode>04967</ZIPCode>
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        <EIN>273129791</EIN>
        <PrimaryActivities>Provide patient care</PrimaryActivities>
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          <BusinessNameLine1>SVH</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sebasticook Valley Family Practice Assoc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>447 North Main Street</AddressLine1>
          <City>Pittsfield</City>
          <State>ME</State>
          <ZIPCode>04967</ZIPCode>
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        <EIN>010357854</EIN>
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          <BusinessNameLine1>SVH</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sebasticook Valley Health SVH</BusinessNameLine1>
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          <AddressLine1>447 North Main Street</AddressLine1>
          <City>Pittsfield</City>
          <State>ME</State>
          <ZIPCode>04967</ZIPCode>
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        <EIN>010263628</EIN>
        <PrimaryActivities>Critical care hospital</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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          <BusinessNameLine1>Eastern Maine HomeCare</BusinessNameLine1>
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          <AddressLine1>PO Box 688</AddressLine1>
          <City>Caribou</City>
          <State>ME</State>
          <ZIPCode>04736</ZIPCode>
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        <EIN>010328442</EIN>
        <PrimaryActivities>Provide home health &amp; hospice svcs</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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          <BusinessNameLine1>CA Dean Memorial Hospital</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>Pritham Ave PO Box 1129</AddressLine1>
          <City>Greenville</City>
          <State>ME</State>
          <ZIPCode>044411129</ZIPCode>
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        <EIN>043341666</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Inland Family Practice Associates LLC</BusinessNameLine1>
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          <AddressLine1>200 Kennedy Memorial Drive</AddressLine1>
          <City>Waterville</City>
          <State>ME</State>
          <ZIPCode>04901</ZIPCode>
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        <EIN>272942245</EIN>
        <PrimaryActivities>Provide patient care</PrimaryActivities>
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          <BusinessNameLine1>Inland Hospital</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lakewood A Continuing Care Center</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>220 Kennedy Memorial Drive</AddressLine1>
          <City>Waterville</City>
          <State>ME</State>
          <ZIPCode>04901</ZIPCode>
        </AddressUS>
        <EIN>010421234</EIN>
        <PrimaryActivities>Provide skilled and long-term nursing care</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Inland Hospital</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Inland Hospital</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>200 Kennedy Memorial Drive</AddressLine1>
          <City>Waterville</City>
          <State>ME</State>
          <ZIPCode>04901</ZIPCode>
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        <EIN>010217211</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Rosscare Nursing Home Inc</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road Ste 400</AddressLine1>
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          <ZIPCode>04412</ZIPCode>
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          <AddressLine1>43 Whiting Hill Road Ste 400</AddressLine1>
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          <ZIPCode>04412</ZIPCode>
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        <PrimaryActivities>Provide services to elderly</PrimaryActivities>
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          <BusinessNameLine1>ME Institute for Human Genetics &amp; Health</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
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          <ZIPCode>04412</ZIPCode>
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        <PrimaryActivities>Biomedical research and development</PrimaryActivities>
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          <BusinessNameLine1>EMHS Foundation</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road Ste 400</AddressLine1>
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          <ZIPCode>04412</ZIPCode>
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          <BusinessNameLine1>Norumbega Medical Specialists LTD</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road Ste 400</AddressLine1>
          <City>Brewer</City>
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          <ZIPCode>04412</ZIPCode>
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        <PrimaryActivities>Provide patient care &amp; education</PrimaryActivities>
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          <BusinessNameLine1>Eastern Maine Medical Center Auxiliary</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road</AddressLine1>
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          <ZIPCode>04412</ZIPCode>
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          <BusinessNameLine1>Eastern Maine Medical Center EMMC</BusinessNameLine1>
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          <AddressLine1>PO Box 404 489 State Street</AddressLine1>
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          <BusinessNameLine1>Meadow Wood LLC</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road</AddressLine1>
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          <AddressLine1>43 Whiting Hill Road</AddressLine1>
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          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
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          <BusinessNameLine1>Eastern Maine Healthcare Real Estate</BusinessNameLine1>
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          <ZIPCode>04412</ZIPCode>
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          <BusinessNameLine1>Dirigo Pines Development Company LLC</BusinessNameLine1>
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          <BusinessNameLine1>Maine Network for Health</BusinessNameLine1>
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          <AddressLine1>P O Box 2813</AddressLine1>
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          <BusinessNameLine1>Meridian Mobile Health LLC</BusinessNameLine1>
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          <State>ME</State>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
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          <BusinessNameLine1>DE Collections DBA ACI</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O Box 2759</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044022759</ZIPCode>
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          <BusinessNameLine1>Affiliated Pharmacy Services</BusinessNameLine1>
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          <AddressLine1>917 Union St Suite 7</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Materiel Services</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O Box 1300</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044021300</ZIPCode>
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        <EIN>010381189</EIN>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Laboratory Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O Box 638</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044020638</ZIPCode>
        </AddressUS>
        <EIN>010381283</EIN>
        <PrimaryActivity>Clinical lab</PrimaryActivity>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Healthcare Management</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O Box 811</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044020811</ZIPCode>
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        <EIN>010349339</EIN>
        <PrimaryActivity>Hlthcr mgmt</PrimaryActivity>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
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          <BusinessNameLine1>Affiliated Healthcare Systems AHS</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O Box 940</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044020940</ZIPCode>
        </AddressUS>
        <EIN>010385322</EIN>
        <PrimaryActivity>Holding co.</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DE Collections DBA ACI</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>51895</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Affiliated Materiel Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>393377</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Affiliated Laboratory Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>319203</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Affiliated Healthcare Management</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>176094</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine HomeCare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>24050</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>EMHS Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>199000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Medical Center EMMC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>304087</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Medical Center EMMC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>505580</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>56976</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>4710060</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>