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        <BusinessNameLine1>Eastern Maine Medical Center</BusinessNameLine1>
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      <Phone>2079737064</Phone>
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        <AddressLine1>PO Box 404 489 State Street</AddressLine1>
        <City>Bangor</City>
        <State>ME</State>
        <ZIPCode>04402</ZIPCode>
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    <Officer>
      <Name>Daniel B Coffey</Name>
      <Title>Treasurer</Title>
      <DateSigned>2011-08-01</DateSigned>
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      <StateLegalDomicile>ME</StateLegalDomicile>
      <ActivityOrMissionDescription>Eastern Maine Medical Center strives to provide exceptional primary and specialty healthcare with a passionate pursuit of excellence in patient safety, clinical quality, and service. Our mission is to care for patients, families, communities, and one another.</ActivityOrMissionDescription>
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      <Description>Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $8,028,593.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 118 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: www.emmc.org.Additional StatisticsTotal admissions 20,754Percent Occupancy of Available Beds 73.9%Cardiac Catherization Procedures 5,766Cardiac Surgery Cases 475Emergency Room Visits 41,456Medical Imaging Procedures 150,200Surgery Cases 15,777Obstetrics OR Cases 1,802Live Births 1,703Family Practice Visits 32,600Total Outpatient Visits 413,900Patient Days 99,214Services provided to those who could not pay $37,401,792 Please see the following publication for details of community benefit projects by EMMC along with other Eastern Maine Healthcare Systems entities.</Description>
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        <BookValue>2015222</BookValue>
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        <OtherCostOrOtherBasis>108656427</OtherCostOrOtherBasis>
        <Depreciation>50920886</Depreciation>
        <BookValue>57735541</BookValue>
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      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>10575159</OtherCostOrOtherBasis>
        <Depreciation>1550394</Depreciation>
        <BookValue>9024765</BookValue>
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        <Depreciation>7561024</Depreciation>
        <BookValue>18138562</BookValue>
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        <Description>Self-Insurance Funds Held by Trustee</Description>
        <BookValue>6348695</BookValue>
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      <OtherAssets>
        <Description>Investment in Net Assets held @ HC</Description>
        <BookValue>26204852</BookValue>
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        <Description>Funds Held by Bond Trustee</Description>
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        <Description>Board Designated Funded Depreciation</Description>
        <BookValue>48829118</BookValue>
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      <OtherAssets>
        <Description>Beneficial Trust Assets</Description>
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        <Description>Reserve for Asset Disposal Costs</Description>
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      <OtherLiabilities>
        <Description>Notes Payable to Related Org, EMHS</Description>
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        <Description>Lt Liability - Cerner RHO</Description>
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        <Description>Accrued Post Retirement Benefits</Description>
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        <Explanation>Reimbursed expenses reclassed to expense $-3614023 Restricted expenses from fund balance $1484444 Contractual Allowance reclass to expense $XXX-XX-XXXX Charity Care reclass to expenses $21343853</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Post Retirement Health Benefit FAS158 $2934943 Transfer from exempt subsidiaries-Healthcare Charities $134117 Transfer from exempt parent-Eastern Maine Healthcare Systems $1403047 Contribution to Strategic Planning Pool per Affiliation Agre $ -1568851 Change in interest in net assets held @ Healthcare Charities $ -2540793</Explanation>
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      <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>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
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          <BusinessNameLine1>Lafayette Family Cancer Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>33 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </Address>
        <Other>Med Office Building-Cancer treatment</Other>
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        <Name>
          <BusinessNameLine1>EMMC-Phy Prac in Webber Bld</BusinessNameLine1>
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          <AddressLine1>417 State Street</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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          <City>Bangor</City>
          <State>ME</State>
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          <City>Orono</City>
          <State>ME</State>
          <ZIPCode>04473</ZIPCode>
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          <City>Bangor</City>
          <State>ME</State>
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          <City>Lincoln</City>
          <State>ME</State>
          <ZIPCode>04457</ZIPCode>
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          <BusinessNameLine1>EMMC-Sleep Center of Maine</BusinessNameLine1>
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          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
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        <Address>
          <AddressLine1>11 Short Street</AddressLine1>
          <City>Ellsworth</City>
          <State>ME</State>
          <ZIPCode>04605</ZIPCode>
        </Address>
        <Other>Med Office Building-dialysis svc</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Eastern Maine Healthcare Mall</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>885-925 Union Street</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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        <Other>Medical Office Building - physician svc,</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Eastern Maine Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>489 State Street</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
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        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <AnnualCommunityBenefitExpln>The EMMC 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.</AnnualCommunityBenefitExpln>
        <CostingMethodUsed>Worksheet 2, Ratio of Patient Care Cost-to-Charges is used in calculation</CostingMethodUsed>
        <BadDebtFootnote>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. The costing methodology used to determine the amount reported on line 2 is cost to charge ratio.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>All account guarantors who express an inability to pay inpatient and outpatient services will be screened for eligibility for charity care using an application and guidelines established by Eastern Maine Medical Center. An account may be reconsidered for charity care at any time when new information is available about a patients inability to pay.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>N/A</NumberOfFacilityTypeExpln>
        <NeedsAssessment>The EMHS Community Health Needs Assessment examines the health status of the residents of Bangor and Penobscot, counties and provides comprehensive research data and recommendations on a variety of critical target areas including community health education, access to primary care, care for chronic conditions, geriatric care, and mental health and substance abuse. As a follow up to the studies conducted in 2001 and 2007, EMHS contracted with the Center for Health Policy, Planning and Research (CHPPR) at the University of New England (led by Ron Deprez, PhD. MPH) to determine changes in health status and barriers to care since 2001. The 2007 Community Health Needs Assessment was funded again as a community service of Healthcare Charities, the philanthropic center of EMHS. EMHS currently is participating in another statewide community health needs assessment study.</NeedsAssessment>
        <PatientEducationAssistance>Financial assistance or free care is available only for medically necessary services. Posters are displayed in patient care areas, information and forms are available online on the hospital websites, and patient billing representatives are also available to answer questions and take calls.</PatientEducationAssistance>
        <CommunityInformation>EMMC is a comprehensive, 411-bed medical center serving the greater Bangor area and the northern two thirds of Maine. The medical center and its medical staff of nearly 400 physicians provide three-quarters of the primary-care hospital services offered in the Bangor area, as well as specialty and intensive services for patients from Waterville to the Canadian border. EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access for patients and supporting the role of those hospitals in their communities. EMMC is an American College of Surgeons verified Level II trauma center, bariatric center, community cancer center and host of Lifeflight of Maine, a statewide medical helicopter service that transports critically ill and injured patients. EMMC is also a Joint Commission certified Joint Center and Stroke Center. In the Community Health Needs Assessment for EMHS, it states Bangor and nearby Hancock county are the most socio economically prosperous study regions, with higher levels of educational attainment, lower unemployment, and higher household income levels than other study regions. 1) The annual household income decreased slightly from 2001 to 2006, and the percentage of unemployed increased slightly in the period from 2001 to 2006. Annual income levels in all study regions are lower than peer and State. 2)The chronic disease burden is lower in the Bangor Region than in other study regions; however, Bangor has a large proportion of individuals characterized as not well. 3)The percentage of the population without a regular source of primary care increased from 2001 to 2006. 4)The percentage of patients within the population who did not receive a check-up within the last two years increased. 5)The use of EDs as the source of primary medical care increased in the Bangor over the study period.</CommunityInformation>
        <CommunityBuildingActivities>Through public health screenings, professional and community education, and charity care, EMMC, as a member of EMHS system, works hard to make a difference in our community. These community benefits reflect EMMC's nonprofit mission. Eastern Maine Medical Center demonstrated its ongoing commitment to improving the health status of Maines workforce by renewing its regional sponsorship of the Wellness Council of Maine. Largely as a result of the work of this group, our region was designated as the nation's first ""Well Region"" with many employers qualifying as ""Well Workplaces"" under Welcoa's criteria. As a holder of the Wellness Councils of Americas Platinum Well Workplace Award (Welcoa's highest honor), EMMC is investing both inside its own walls and outside to promote healthy choices, healthy lifestyles, and lower healthcare costs. For FY2010, EMMC delivered a total community benefit of more than $86.6 million.</CommunityBuildingActivities>
        <OtherInformation>EMMC's Community Wellness Service offers a wide variety of health and wellness programs designed to improve the lifestyles of people in the Bangor area. The goal is to support families, and communities to live healthier lives. Through these programs, EMMC promotes and provides guidance for healthy lifestyles and the prevention of disease. Trained and certified staff work with area organizations, employers, youth and the community at large, to help determine health needs through health risk appraisals, culture and interest surveys, and/or other data as available. Education, screenings, health coaching, training and collaboration with all resources within Eastern Maine Medical Center and EMHS are provided to meet the community or individual business needs. EMMC also hosts a number of support groups that provide education and a support system to our patients and their families afflicted with certain illnesses and conditions.</OtherInformation>
        <AffiliatedHealthCareSystem>Using the data in the EMHS Community Health Needs Assessment, EMMC collaborates with other EMHS hospitals and with others in the community on solutions to some of most significant healthcare problems such as overcoming barriers accessing to care, healthcare provider shortages, and obesity. With the help of technology, such as tele-trauma, specialists at our hospital are able to assist with traumas and specialized clinical cases at other hospitals using high resolution, remote cameras and communication equipment. With a shortage of healthcare providers in rural areas of Maine, investments such has this has become increasingly important.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>ME</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <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>true</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>Robert A Clough MD</NamePerson>
        <BaseCompensationFilingOrg>713061</BaseCompensationFilingOrg>
        <BonusFilingOrg>95711</BonusFilingOrg>
        <OtherCompensationFilingOrg>41963</OtherCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>19014</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>885520</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Michael P Donahue</NamePerson>
        <BaseCompensationFilingOrg>187973</BaseCompensationFilingOrg>
        <BonusFilingOrg>19342</BonusFilingOrg>
        <OtherCompensationFilingOrg>25084</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17656</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10536</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>260591</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael A Johnson MD</NamePerson>
        <BaseCompensationFilingOrg>454580</BaseCompensationFilingOrg>
        <BonusFilingOrg>234333</BonusFilingOrg>
        <OtherCompensationFilingOrg>33789</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14100</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>25817</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>762619</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary M Hood PresidentCEO</NamePerson>
        <CompBasedOnRelatedOrgs>589051</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>107408</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>33991</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>16400</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16465</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>763315</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lorraine A Rodgerson RN</NamePerson>
        <BaseCompensationFilingOrg>198390</BaseCompensationFilingOrg>
        <BonusFilingOrg>20302</BonusFilingOrg>
        <OtherCompensationFilingOrg>17206</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>20923</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18502</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>275323</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Leonard Giambalvo VPGen Coun</NamePerson>
        <CompBasedOnRelatedOrgs>272570</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>25836</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>27730</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>10428</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>336564</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Julie Long MD</NamePerson>
        <BaseCompensationFilingOrg>303819</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>20979</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>1556</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>326354</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John D Klemperer MD</NamePerson>
        <BaseCompensationFilingOrg>504619</BaseCompensationFilingOrg>
        <BonusFilingOrg>65761</BonusFilingOrg>
        <OtherCompensationFilingOrg>17369</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16400</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>26024</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>630173</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jill McDonald</NamePerson>
        <BaseCompensationFilingOrg>117777</BaseCompensationFilingOrg>
        <BonusFilingOrg>11675</BonusFilingOrg>
        <OtherCompensationFilingOrg>6784</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10943</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16079</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>163258</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James A Raczek MD</NamePerson>
        <BaseCompensationFilingOrg>328184</BaseCompensationFilingOrg>
        <BonusFilingOrg>32456</BonusFilingOrg>
        <OtherCompensationFilingOrg>40162</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>21000</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>30476</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>452278</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Iyad Sabbagh MD</NamePerson>
        <BaseCompensationFilingOrg>195269</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>17467</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10515</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>29055</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>252306</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Irwin Gross MD</NamePerson>
        <BaseCompensationFilingOrg>238408</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>12445</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16400</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9371</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>276624</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Helen Q McKinnon RN</NamePerson>
        <BaseCompensationFilingOrg>181814</BaseCompensationFilingOrg>
        <BonusFilingOrg>20036</BonusFilingOrg>
        <OtherCompensationFilingOrg>18394</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>22910</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>28928</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>272082</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>G Gregory Howat Esq</NamePerson>
        <BaseCompensationFilingOrg>162013</BaseCompensationFilingOrg>
        <BonusFilingOrg>19382</BonusFilingOrg>
        <OtherCompensationFilingOrg>43033</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17498</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>29891</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>271817</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Franklin E Bragg</NamePerson>
        <BaseCompensationFilingOrg>179559</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>25770</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19817</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16023</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>241169</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Francis V Dipierro</NamePerson>
        <BaseCompensationFilingOrg>502054</BaseCompensationFilingOrg>
        <BonusFilingOrg>31904</BonusFilingOrg>
        <OtherCompensationFilingOrg>17213</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14100</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>28476</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>593747</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Felix Hernandez MD</NamePerson>
        <BaseCompensationFilingOrg>490523</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>50627</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13449</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>26976</NontaxableBenefitsFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Elmer Doucette</NamePerson>
        <BaseCompensationFilingOrg>193060</BaseCompensationFilingOrg>
        <BonusFilingOrg>21545</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Deborah Carey Johnson CEO</NamePerson>
        <BaseCompensationFilingOrg>380098</BaseCompensationFilingOrg>
        <BonusFilingOrg>57467</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Daniel B Coffey Exec VPCFO</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Jill McDonald, officer, received a gift certificate for length of service with the organization for $25 with a $4.14 gross-up payment. All employees of the organization are honored with a gift certificate for specific years of length of service; 5, 10, 15, etc. Michael Donahue, officer and Irwin Gross, MD, former board member received an employee stipend towards a fitness center. The taxable benefit for Michael Donahue was for $125 with a $4.96 gross-up payment. The taxable benefit for Irwin Gross, MD was for $70 with a $5.81 gross-up payment. The benefit is available for all employees. The EMMC Employee Wellness Department structured a Fitness Center Network for EMMC employees. Any EMMC employee who participates in wellness activities at an EMMC Fitness Center Network health club or health facility shall receive a discount at the facility, and will be reimbursed for their participation by EMMC on a bi-weekly or yearly basis at one facility.</Explanation>
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        <IssuerName>
          <BusinessNameLine1>Maine Health and Higher Educational Facilities Authority</BusinessNameLine1>
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        <IssuerEIN>010314384</IssuerEIN>
        <CUSIPNumber>560427GZ3</CUSIPNumber>
        <DateIssued>2010-04-22</DateIssued>
        <IssuePrice>72656251</IssuePrice>
        <DescriptionOfPurpose>Refund 1998 &amp; 1999 issue, Outpatient Cancer Center, Parking</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
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        <Form8038TFiled>false</Form8038TFiled>
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        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <NamePerson>Julie Long MD</NamePerson>
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        <BalanceDue>15548</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>false</ApprovedByBoard>
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          <NamePerson>Mary M Hood</NamePerson>
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        <Relationship>officer=board memb</Relationship>
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        <DescriptionOfTransaction>membership dues-MHA</DescriptionOfTransaction>
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          <NamePerson>Sheryl Winchester</NamePerson>
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        <SharingOfRevenues>false</SharingOfRevenues>
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          <NamePerson>David L Levy MD</NamePerson>
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        <DescriptionOfTransaction>prof srv-Northeast Nephro</DescriptionOfTransaction>
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          <NamePerson>Susan Dow</NamePerson>
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        <NameOfInterestedPerson>
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          <NamePerson>Daniel B Coffey</NamePerson>
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        <DescriptionOfTransaction>nursing prog assis-Husson</DescriptionOfTransaction>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <ClothingAndHouseholdGoods>
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      </ClothingAndHouseholdGoods>
      <Collectibles>
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        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>360</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </Collectibles>
      <FoodInventory>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </FoodInventory>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Digital picture</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>10</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>1300</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NoncashContribsRptdF990>205</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NoncashContribsRptdF990>951</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NoncashContribsRptdF990>1200</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NonCashCheckbox>X</NonCashCheckbox>
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        <NoncashContribsRptdF990>125</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NonCashCheckbox>X</NonCashCheckbox>
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        <NoncashContribsRptdF990>110</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
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        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>15</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Jewelry</Description>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>165</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Kerosene Lamps</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>80</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Dance Lessons</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>300</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Signage</Description>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Eastern Maine Medical Center 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 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. 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.</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>
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        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 is provided to each board member either electronically or in hard copy and was reviewed at the June 22, 2011 meeting of the board of trustees prior to filing with the IRS.</Explanation>
      </GeneralExplanation>
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        <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>
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        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Eastern Maine Medical Center (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems ("EMHS"), also a Maine nonprofit corporation, is the sole corporate member of the Corporation.</Explanation>
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        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>The organization amended the bylaw of the composition of its Ex Officio Board Members to include president-elect of the Medical Staff and not to include the vice-president of the Medical Staff. The organization also amended the bylaw of restriction to who as employees may serve on the Board of Trustees or Executive committee to include president-elect of the Medical Staff and not to include vice-president of the Medical Staff.</Explanation>
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        <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>Gary Eckmann, trustee and John M. Long, MD, trustee are board members of Ronald McDonald House.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Provide healthcare services regardless of ability to pay as well as education, research and promotion of health. Provided other uncompensated care (at cost) of $8,028,593.Eastern Maine Medical Center (EMMC) has served communities throughout our region for 118 years. Under community direction, it has grown from a five-bed general hospital into a comprehensive, 411 bed tertiary medical center with primary and secondary care components. EMMC is a nonprofit hospital, serving all who need care, regardless of ability to pay.EMMC also provides outreach clinics to many local hospitals in the region, allowing easier access to patients and supporting the role of those hospitals in their communities. EMMC provides access to medical data to hospitals across the State through its PACS system, helping to improve the quality of care patients receive. Additional information can be found at EMMC's website: www.emmc.org.Additional StatisticsTotal admissions 20,754Percent Occupancy of Available Beds 73.9%Cardiac Catherization Procedures 5,766Cardiac Surgery Cases 475Emergency Room Visits 41,456Medical Imaging Procedures 150,200Surgery Cases 15,777Obstetrics OR Cases 1,802Live Births 1,703Family Practice Visits 32,600Total Outpatient Visits 413,900Patient Days 99,214Services provided to those who could not pay $37,401,792 Please see the following publication for details of community benefit projects by EMMC along with other Eastern Maine Healthcare Systems entities. OTHER PROGRAM SERVICES 5: In the 2009 EMHS Annual Report, we mentioned that healthcare reform would likely be passed, and that it would be a catalyst for significant changes in how we deliver healthcare. We noted at the time that care of the chronically ill would likely shift to community-based versus facility-based settings, and that the breadth of EMHS providers (including home health and long-term care) and our investments in information technology well positioned the system to embrace change.Today, as our 2010 report is published, healthcare reform is the law of the land. While details of the reform continue to be debated, many of the expected changes are underway. EMHS is not only positioned to embrace these changes, we are helping to lead the way, thanks in part to early planning and investments in our information technology infrastructure.For instance, healthcare reform brought the promise of federal stimulus funding to reimburse providers who have demonstrated "meaningful use" of information technology to improve patient care. By meaningful use, we mean that healthcare providers use technology to capture data in real time to support their treatment decisions and build on computerized protocols, or guidelines, for best practices. It also means that yourEMHS primary care provider uses computerized registries of chronic disease treatment plan elements that have been proven to improve quality of care in a preventative and proactive manner.In 2010, EMHS hospitals and physician practices initiated an ambitious project, which we call eQuest. While EMHS has already been recognized for its leadership in using information technology, the pace of investments, measured in terms of both dollars and staff expertise, needed to speed up if we were to maximize our opportunities for federal meaningful use funding. Literally hundreds of staff across our organization are intensely focused on taking EMHS to the highest levels of meaningful use in the months ahead.eQuest is organizing and focusing those efforts so that, together, we optimize this one time opportunity for federal funds.A second example of federal funding supporting a reformed delivery system is the Bangor Beacon Community initiative. Last spring, EMHS received a nearly $13 million dollar grant to demonstrate improvements in the delivery of care, using clinical information technology. EMHS' grant application is one of only 17 receiving federal funds through this competitive process across the United States. Our Beacon colleagues are among some of the most advanced healthcare systems in the nation. The EMHS Beacon application was highly regarded because of its inclusion of multiple providers (both within and outside EMHS) at multiple levels of care (including home health, long term care and other community based settings) and because of our already advanced state of linking providers via information technology. In fact, because EMHS already has a highly functioning information infrastructure in place, we have been asked to lead national Beacon affinity groups on leadership, communication, and project management. There is a statewide advisory committee attached to the Bangor Beacon Community so that learned experiences can be disseminated across all healthcare providers in Maine, continuing EMHS' commitment to sharing expertise and resources with other providers in our efforts to improve healthcare delivery for all Mainers. Additionally, at the end of the three year grant, all 17 Beacon grantees are to publish their results for nationwide learning and improvement. EMHS is extremely proud to be participating in this national effort.Within this 2010 annual report, you will read about the great work our member organizations do every day in caring for the people of Maine. We hope this will give you some valuable insight into the passion, dedication and expertise of our some 8000 employees. We appreciate your support of EMHS and all of our members.George Eaton, Esq.EMHS Board ChairM. Michelle Hood, FACHEEMHS President and CEO OTHER PROGRAM SERVICES 6: The Acadia HospitalLEADERSHIP: David S. Proffitt, PhD, President and CEO and John Bragg, Board Chair LOCATION: Bangor; EMPLOYEES: 679; DESCRIPTION: The Acadia Hospital is Maine's comprehensive resource for information and treatment of mental illness and chemical dependency. Acadia is also the first psychiatric hospital in the world to be awarded Magnet status for nursing excellence.- Through the generosity of annual donors, Acadia established a surrogate pet therapy fund, which sends large, cuddly, stuffed animals home with our young clients.- Acadia director of Education, Dan Johnson, PhD, presented at the American Association for the Treatment of Opioid Dependence (AATOD) in Chicago. His presentation was titled, "Risk Reduction for Illicit Benzodiazepine Abuse within an Opioid Treatment Program Population."- The hospital hired three new members of its executive leadership team: vice president, chief of Clinical Services, Brent Scobie, LCSW, CCS; vice president, Patient Services and Performance Improvement, Deborah Sanford, RN, MS, MBA; and, vice president, nursing/chief nursing officer, Karen Clements RN, BSN, MSB.- Care Coordination Services were restructured to focus on recovery outcomes as a principle measure of client progress in treatment.- Work was completed on the Pediatric Early Intervention Study Group, which was funded by Maine's CATCH Foundation to study the pediatric medical home model in Penobscot County.- Acadia continued to enhance its social media outreach, developing a YouTube Channel.- Acadia partnered with Penobscot Theatre to provide anti-bullying education via the one-act play: Secret Life of Girls, featuring UMaine student-actors.- Acadia nurses gave presentations and presented posters on the following topics at a variety of state and national conferences. Following are only a sample: Naomi Brown, PMH-NP-Initiating an Educational and Mentoring Program Throughout One Magnet Hospital; Valerie Radel, RN-BC-Understanding Personality Disorders; Eugene Gregor, RNC-Treating Agitation and Aggression in Children; Heather Elkins, RN-BC, BSN-Neurofeedback and Biofeedback; Julia Putnam, RN-BC, BS and Gail Ledford, RN, BSN, MIS, MBA-Early Intervention Support to Promote Restraint Reduction.- Meadow Wood opened its doors in July, offering physicians, executives, and other high-level professionals a discreet and private setting to receive a psychiatric evaluation and outpatient treatment. This is the first program of its kind in northern New England.- The Acadia Hospital opened a 10-bed Psychiatric Observation Unit (POU) and is experiencing consistently high patient volumes. The Acadia POU is designed for rapid assessment and observation of behavioral health patients, bringing multidisciplinary psychiatric care to individuals as early as possible for a 24-hour period. OTHER PROGRAM SERVICES 7: The Aroostook Medical CenterLEADERSHIP: Sylvia Getman, CEO and Peter St. John, Board Chair LOCATION: Presque Isle; EMPLOYEES: 1,005; DESCRIPTION: The Aroostook Medical Center (TAMC) is a comprehensive healthcare organization operating an 89-bed medical center, a 72-bed nursing home, a regional ambulance service, and numerous primary and specialty care practices.- Fifteen new physicians and mid-level providers were recruited, resulting in a totalof 63 active medical staff members and 45 active allied health professionals.- Eight new employees were inducted into TAMC's Vete</Explanation>
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        <TransactionType>o</TransactionType>
        <AmountInvolved>42025015</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>31158428</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>k</TransactionType>
        <AmountInvolved>555285</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>4962540</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rosscare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>199000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Rosscare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>26</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastern Maine Healthcare Real Estate</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>61003</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
