VNA HOME & HOSPICE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: VNA HOME & HOSPICE (EIN 01-0246804)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-07
IRS object ID: 201932199349300023
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-07T09:27:57-07:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010246804	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	VNA Home Health & Hospice	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VNAH	BusinessNameControlTxt
Phone	2079739081	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	50 Foden Road	AddressLine1Txt
City	South Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04106	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John J Doyle	PersonNm
Person Title	NLH VP of Finance	PersonTitleTxt
Signature	2019-08-07	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John J Doyle	PrincipalOfficerNm
Gross Receipts	$53,252,258	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.vnahomehealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1921	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	Providing clinically excellent, compassionate home health and hospice care to individuals and families	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	617	TotalEmployeeCnt
Total Volunteers	259	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$425,985	PYContributionsGrantsAmt
CY Contributions Grants	$418,369	CYContributionsGrantsAmt
PY Program Service Revenue	$46,665,295	PYProgramServiceRevenueAmt
CY Program Service Revenue	$52,827,840	CYProgramServiceRevenueAmt
PY Investment Income	$7,558	PYInvestmentIncomeAmt
CY Investment Income	$6,049	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$47,098,838	PYTotalRevenueAmt
CY Total Revenue	$53,252,258	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$31,350,356	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$34,216,645	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,326,842	PYOtherExpensesAmt
CY Other Expenses	$20,543,117	CYOtherExpensesAmt
PY Total Expenses	$47,677,198	PYTotalExpensesAmt
CY Total Expenses	$54,759,762	CYTotalExpensesAmt
PY Revenues Less Expenses	-$578,360	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,507,504	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,321,325	TotalAssetsBOYAmt
Total Assets EOY	$11,662,111	TotalAssetsEOYAmt
Total Liabilities BOY	$4,874,325	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,958,833	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,447,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,703,278	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Providing clinically excellent, compassionate home health and hospice care to individuals and families	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$48,272,366	ExpenseAmt
Revenue	$52,827,840	RevenueAmt
Desc	Providing clinically excellent, compassionate home health and hospice care to individuals and familiesPlease see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:A New DayIn Maine, we have a tradition of leading the way and using our common sense and Yankee ingenuity to make life better for ourselves, our families, and our communities. It appears in our state motto Dirigo from the Latin word for I lead. We were the first state to elect a woman, Margaret Chase Smith, to both houses of Congress. We are home to the countrys first veterans hospital, and we are the first state to greet a new day as the rays of the sun touch our easternmost peaks and shores before any other place across the continental United States.The light of a new day symbolizes a rebirth or an awakening. And this renewed purpose to make healthcare work for people across our great state is what we are experiencing as we embrace our new name-Northern Light Health.In the pages of this years annual report, you will see examples of how we are rolling up our sleeves to raise quality through innovation, teamwork, and efficiency. We have fostered new clinical relationships with Massachusetts General Hospital, a world-class medical research hospital. We are using population health data in new ways to be smarter about how we deliver care. And we have created new programs that bring healthier locally-sourced foods to our hospitals while supporting the hard-working farmers and fishermen who make up the very core of our identity here in Maine.We are working to make healthcare more accessible and straightforward while also making great strides to reduce our costs and improve our operating margins. We are finding new ways to guide our patients and deliver care based on the needs of each person. Its a New Day in Maine. We invite you to join us on this new journey.M. Michelle Hood, FACHENorthern Light Health President and CEOBarry McCrumNorthern Light Health Board ChairA New LightWelcome to Northern Light HealthOpen up, give me a big ahhh, Sheena Whittaker, MD, a pediatrician at Northern Light Pediatrics in Ellsworth asks of her 12-year old patient, Ellis, as she shines a light in his mouth. They are in a pediatrics exam room where Ellis is getting a check up. The windows allow in a generous amount of light; the walls are warm yellow and decorated with Dr. Seuss decals like the Cat in the Hat. Dr. Whittaker wears many hats too. Not only is she a pediatrician, but she is also the senior physician executive for Northern Light Maine Coast Hospital in Ellsworth.Medicine is very controlled, and its very scientific and careful, and it should be; but kids bring a fun aspect to it, Dr. Whittaker explains. If we can fortify children to be strong mentally, physically, emotionally, and psychologically, were going to produce stronger, kinder, healthier children, a better adult population, and a stronger community.Dr. Whittaker may be based at Maine Coast Hospital, but she is part of Northern Light Health, formerly Eastern Maine Healthcare Systems. In addition to changing its name, Northern Light Health has re-identified its priorities and is becoming more integrated across the entire system which spans from Portland to Presque Isle and Greenville to Blue Hill.Dr. Whittaker sees the move to Northern Light Health as a step in the right direction that helps improve patient care. Being united medically means we have resources from the whole Northern Light Health system. Whether were at Northern Light Maine Coast, Northern Light Blue Hill, or Northern Light Eastern Maine Medical Center, we have access to all of the specialty services easily, consecutively, consistently. So, it doesnt matter which hospital a patient walks into, they are receiving the best medical care they possibly can get, explains Dr. Whittaker.Michelle Hood, FACHE, president and CEO of Northern Light Health, and Matt Weed, senior vice president and chief strategy officer have not only worked to implement this new brand identity but to spread the message of what it means beyond the name change. They also called on leaders and front line employees throughout the system to help.At Northern Light Health, we want to make healthcare work for everyone, whether thats an individual or a community. Were going to roll up our sleeves and bring a lot of energy and enthusiasm to our continuing work, explains Michelle. Were raising the bar and that is a simple but substantive way of saying we cant rest. Were always looking for a better way to do things. Our system is very broad not just in geography but in the types of services that we offer, and we want to meet people where they are.Northern Light Health is accomplishing this by making investments in telemedicine, converting to one unified electronic health record system that links all member hospitals together, and creating new clinical relationships with world-class organizations like Massachusetts General Hospital and Dana Farber Cancer Institute.A rebrand to Northern Light Health spans timeit celebrates how far we as a system have come, but it also creates a single shared starting line for where we need to go next, Matt explains. As chief strategy officer, Matt was instrumental in the rebranding effort which was a necessary evolution as healthcare in America is moving toward integrated systems. This in part is driven by economics and financial sustainabilityin all states including Maine, the healthcare industry is being required to coordinate expertise in a way that avoids unnecessary costs.Businesses, governments, and individual consumers are looking to contract with systems for their healthcare needs because this is how they will get the highest quality at the lowest cost. More importantly still, Matt feels that what people want is to know that when the need arises, they or their loved one will receive competent, compassionate care.This is the brand promise, concludes Matt. Its what our neighbors and our family members and a person were meeting for the first time can expect when they come to our physicians and to our hospitals, and when they interact with any other person or service in the system. If were not doing it perfectly today, were motivated and driven by the brand promise to improve; and if we are doing it perfectly today, the brand promise says we wake up and do it again tomorrow.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	A New FocusOncology Pharmacy Management ProgramLori Boynton is at her happiest at home in her backyard, a spacious spread of land in Lamoine with barns, a paddock, and animals. She finds a shady spot on a sunny summer day to feed afternoon snacks to her donkey, Clementine, and her mule, Mr. Tibbs. She cracks a smile and laughs as Clementine quickly scoffs down a fresh carrot. Im the beast of burden. They dont do any work at all, she laughs, I do all the work and thats my therapy which has been awesome.To look at Lori, with her thick wavy brown hair and healthy complexion, its hard to imagine that just months ago she was battling cancer and undergoing chemotherapy and radiation treatments.Its such a shocking thing when you hear you have cancer, and I just thought its going to be stage one, itll be no problem; it was actually stage three! It makes you think much differently about your time here, she says.Lori was diagnosed with stage III colon cancer in October 2017 and would undergo treatments through May 2018. She had to go to Northern Light Cancer Care for radiation treatments but was able to take oral chemotherapy medication at home. Having already started on chemotherapy treatments at the hospital, Lori knew how it made her feel.Youre kind of in the cloud. Its kind of foggy for lack of a better word. Before, I could multi-task and I could just keep things going in my brain and then it was gone!What Lori was experiencing is not uncommon, explains Sheila Pascual, MD, who was Loris oncologist, A lot of literature has been written about what they call chemo brain or brain fog and its a neural-cognitive dysfunction where theres a decline or deficit in memory, learning new things, attention.Lori might have been worried about trying to keep track of her medications, appointments, bills, and daily chores, except that she was an outpatient in Northern Light Pharmacys Oncology Pharmacy Management Program and she had help keeping track of it all. A team of pharmacists, nurses, and financial patient advocates occupy a room on the first floor of the Lafayette Family Cancer Institute. They spend their time on the phone with patients, helping them with everything from finding discount drugs to managing their medications, and coordinating care with their medical team.Before this program was implemented, patients had no local source to obtain these medications and were forced to go through national mail order specialty pharmacies that were not integrated with the oncology practice so the physicians had a very difficult time coordinating their patients care, explains Matt Marston, manager of the Specialty Pharmacy Program. Lori reaped the benefits of that level of care. Every week on Fridays, she would receive a phone call from Renee Vachon, RN, staff nurse at the Oral Pharmacy Management program. The two instantly hit it off.Lori was the type of person that I connected with immediately. Its funny when you speak with someone on the phone and you know that you get along. Shes a really special person. I followed her throughout her treatment of oral chemotherapy, explains Renee. She was very warm and very receptive and no matter what question I had for her, even if to my own ears it sounded stupid, she was just so sweet to me. I felt like I was talking to someone in my family or that I had known all my life because her response to my concerns and my needs was awesome, Lori says.In addition to helping them get appointments and manage their medications they also help patients get discounts and financial aid for their medications. Matt says many of their patients pay nothing out of pocket for drugs that can cost up to 20 thousand dollars a month. And they can get their drugs, in many cases, on the same day that they go in for their treatment, unlike through mail order pharmacies which can sometimes take several weeks.My hope would be that patients feel supported and feel very comfortable reaching out to us. They are the reason why were here and I want them to feel very comfortable, explained Renee. Its clear she achieved that goal with Lori. It just makes me smile to think of her, Lori says about Renee.The oral oncology pharmacy management program launched in January 2018 at Northern Light Health Eastern Maine Medical Center. There are plans to expand it to other Northern Light hospitals soon.A New SolutionUsing data to improve population health Her alarm sounds at 5:30 in the morning, signaling the all too sudden start to another busy day. Like most single moms, Bre Erickson does a lot of juggling. Her first order of the day is motivating her sleepy six-year-old son, Owen, to get out of bed. Owen is an active boy with dirty blonde hair, deep brown eyes, and a heartwarming smile that his mom coaxes out of him as she stands behind him, squeezes him with a hug, and plants a kiss on his cheek. He likes to sleep in, so hes a tough one to get going in the morning. We get ready, kennel the dogs, and head off to daycare or rec or whatever is on the agenda for the day. Then I go to work sometimes in Greenville, sometimes in Pittsfield, explains Bre. She serves as communications manager for two Northern Light Health hospitalsCA Dean Hospital in Greenville and Sebasticook Valley Hospital in Pittsfield. Its a hectic balance, managing her career and her time with her son.Time with him is very important, and its limited because youre working 40 hours a week and traveling a minimum of 50 miles a day on top of that.While Bre wants to take care of herself, she doesnt want to sacrifice any more time with Owen. So, she is happy to have her medical needs met close to home. In addition to a primary care provider, she also has an OB/GYN physician who sees her in GreenvilleKyrsten Sutton, MD.When you live in rural Maine, you have to make some sacrifices, and its nice that these women dont need to make sacrifices in their healthcare and can get quality healthcare close to home, Dr. Sutton explains.Dr. Sutton is an employee of Mayo Regional Hospital, but under a clinical affiliation agreement between Mayo and Northern Light Health, she travels to Northern Light Health Center in Greenville to see	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Desc	patients like Bre once a month. She also sees patients at the Northern Light Health Center in Sangerville once a month.If not for this partnership between Mayo and CA Dean, many women from the Greenville and Sangerville areas of Piscataquis County would have to travel to Bangor or Pittsfield for their OB/GYN care. Megan Ryder, who is the practice director for the Northern Light Health Center, Greenville, says Mayo and Northern Light Health formed this partnership for the greater good of the people of Piscataquis County.We have the patients that needed that gynecology service, and we have space in this brand-new expansion in Sangerville and in our clinic in Greenville. Mayo had the gynecologist. So, just combining our resources made a great service line for both of our hospitals, explains Megan.Megan says CA Dean did need the proof that their alliance with Mayo would meet the need in a cost-effective way for both hospitals, so they turned to Beacon Health, the population health office of Northern Light Health.The mission of Beacon Health is to analyze claims data and find ways to improve population health for the various regions of our state. Patients in the Sangerville and Greenville areas sometimes travel up to 90 minutes each way to get this care and thats a real burden for patients, especially in winter when they might have to make several visits in a short period of time. And if that means missing work, they might skip those appointments and not get the care they need, explains Will Seavery, PharmD, BCPS, associate vice president of Population Health for Beacon Health, adding that the data showed the need existed and the care could be provided if Northern Light Health could partner with Mayo.Bre is grateful that the partnership is making healthcare work for not only her, but all her friends and neighbors in Greenville. Following a recent visit with Dr. Sutton, she was able to pick up Owen from daycare and head over to the playground at his school. She watched him navigate the maze of obstacles, slide down the slide and climb back up, and then she pushed him on the swings. As he laughed, Bre cracked a smile of her own from ear to earleaving no mystery as to where Owen gets his heartwarming smile.Its so important to have healthcare close to home because its not only difficult for me to take time from my work schedule but time away from my son. So, if you dont have healthcare here in this area, you can lose an entire day once you figure in a couple of hours of travel and the time of the appointment, Bre says, and I feel like Northern Light Health really gets that.A New ReachUsing telemedicine to treat sleep disordersArtemas Coffin and his wife, Rosemary, walk with a spring in their step as they navigate the wooded pathways behind their farmhouse in Ashland. Leaping down the path ahead of them is their giant malamute, Bullet, a rescue dog that has found a new, loving home with the Coffins. They are each dressed in jeans and matching green t-shirts, embroidered with an American Flag that Art sewed himself. He keeps us busy, Rosemary explains as she pats the scruff of Bullets neck.Art and Rosemary are retired. They worked at the Aroostook County Sheriffs Department and Art also worked at a sawmill. They like to keep busy in retirement. In addition to taking Bullet for walks, Rosemary enjoys working in her vegetable gardens and Art enjoys riding around on his four-wheeler. They have the energy to enjoy their hobbies, in large part, due to Arts decision (at Rosemarys insistence) to seek treatment for a medical condition known as obstructive sleep apnea. I wasnt resting. I could be at work standing at the lathe and go to sleep standing up, Art recalls. Art was tired during the day because he wasnt sleeping well at night. He said that due to his condition, he would stop breathing as many as 60 times an hour and wake up gasping for breath. In addition to that, he would snore so loudly it would keep Rosemary awake. I could not rest because he was either snoring and keeping me awake, or I was laying there awake so I could poke him when he didnt breathe, Rosemary recalls.Finally, Art made an appointment to see David Weed, DO, a physician who is board-certified in sleep medicine by the American Academy of Sleep Medicine, and heads the Sleep Medicine program at Northern Light AR Gould Hospital in Presque Isle. Art Coffin came to me many years ago with symptoms of daytime tiredness and fatigue, Dr. Weed recalls. He was the first patient we saw here.AR Goulds Sleep Medicine Program has evolved considerably since then. It now includes a state-of-the-art four-bed sleep disorders center that is fully accredited by the American Academy of Sleep Medicine. Dr. Weed conducts sleep studies for patients like Art Coffin in the sleep center. You go there, and you sleep for eight hours or thereabouts, and they have you hooked up and monitor your breathing and your pulse and respiration, Art said. Dr. Weed was able to diagnose Art with obstructive sleep apnea and get him set up with a CPAP (continuous positive airway pressure) machine, a device which increases air pressure in the throat so that the airway does not collapse when a person breathes in. It took a little while to get used to it, the constant pressure, says Art. Now when I go to bed, I put the mask on and the machine starts automatically, and I get a good nights sleep.Art and Rosemarys situation is not uncommon. In fact, according to the U.S. Centers for Disease Control, one out of every three Americans report not getting enough sleep. We know that untreated sleep apnea is associated with diabetes, high-blood pressure, heart disease, stroke, memory change, anxiety, depression, and irritability; a lot of patients would describe themselves as being in a fog, says Dr. Weed.Because sleep disorders are such a widespread concern, Northern Light Health is using telemedicine to bring Dr. Weeds expertise to even more patients in Maine. Telemedicine affords us an opportunity to be more far-reaching in our effect. When I dont have to rely on the patient coming to us, I can go to them using an iPad, he says. Dr. Weed uses that iPad to chat with patients weekly at Northern Light Inland Hospitals sleep lab in Waterville.Darrel Conner comes in to Inland to speak with Dr. Weed routinely via telemedicine technology. Like Art Coffin, he too suffers from obstructive sleep apnea and must use a CPAP machine. My wife kept nudging me at night time and said youre not breathing, you should be breathing. She nudged me quite a few times and said maybe we should have you checked out to see whats going on, he says.Darrel is glad he sought help. He too sleeps much better using his CPAP machine and says talking with Dr. Weed via an electronic screen is just as good as in person. I feel like I get very excellent care here. When we talk on Skype, it is just like you and I talking right here, Darrel says. Besides Inland, Dr. Weed provides sleep medicine services to other Northern Light Health member hospitals.	Desc

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Colleen Hilton
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Director	1.00	0.00	Yes (X)		$0	$0	$0
Mary M Hood
Ex-Officio	1.00	50.00	Yes (X)	Yes (X)	$0	$958,052	$284,585
Michael Lynch
Director	1.00	0.00	Yes (X)		$0	$0	$0
Kerry Peabody
Director	1.00	0.00	Yes (X)		$0	$0	$0
Bruce Reddy
Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Patricia Small
Director	1.00	0.00	Yes (X)		$0	$0	$0
Debra D Taylor
Director	1.00	0.00	Yes (X)		$0	$0	$0
James Violette
Director	1.00	0.00	Yes (X)		$0	$0	$0
Dr Isabella Thurston
Director	1.00	0.00	Yes (X)		$0	$0	$0
Suzi Tracy
VP, Finance	40.00	0.00		Yes (X)	$113,390	$0	$25,165
Glenn Martin
Secretary	1.00	50.00		Yes (X)	$0	$445,839	$94,023
Elizabeth Rolfe
VP, Clinical Op	40.00	0.00		Yes (X)	$137,510	$0	$25,400
Leah Wright
VP Quality	40.00	0.00		Yes (X)	$113,355	$0	$36,520
Anthony Filer
Treasurer	1.00	50.00		Yes (X)	$0	$496,014	$29,454
Paul Bolin
VP & CHRO	1.00	50.00		Yes (X)	$0	$336,066	$47,158
Joseph Kellner
VP Emergency Sv	40.00	40.00		Yes (X)	$47,389	$54,820	$21,136
Allan Sturges Teel
Medical Director	40.00	0.00			$219,119	$0	$1,560	Yes (X)
William P Anderson
Dir-Therapy Pract	40.00	0.00			$104,456	$0	$3,870	Yes (X)
Christine M Turner
Dir-Hospice Prgms	40.00	0.00			$104,133	$0	$6,850	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,080,117	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,290,791	TotReportableCompRltdOrgAmt
Total Other Compensation	$647,958	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
American Mobile Nurses
2735 Collection Center Drive	Chicago	IL	60693	Temp Staff	$1,134,889
Avant Healthcare Professionals
PO Box 744554	Atlanta	GA	303744554	Temp Staff	$638,670
McBee Associates Inc
PO Box 37135	Baltimore	MD	212973135	Consulting	$374,798

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$2,083	FederatedCampaignsAmt
Related Organizations	$162,441	RelatedOrganizationsAmt
Government Grants	$5,426	GovernmentGrantsAmt
All Other Contributions	$248,419	AllOtherContributionsAmt
Noncash Contributions	$23,914	NoncashContributionsAmt
Total Contributions	$418,369	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Home Care	Desc
Business	621610	BusinessCd
Total Revenue Column	$52,827,840	TotalRevenueColumnAmt
Related Or Exempt Func Income	$52,827,840	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$52,827,840	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,049	TotalRevenueColumnAmt
Exclusion	$6,049	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,252,258	TotalRevenueColumnAmt
Related Or Exempt Func Income	$52,827,840	RelatedOrExemptFuncIncomeAmt
Exclusion	$6,049	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$822,798	TotalAmt
Program Services	$221,366	ProgramServicesAmt
Management And General	$601,432	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,989,946	TotalAmt
Program Services	$22,457,909	ProgramServicesAmt
Management And General	$3,532,037	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$758,550	TotalAmt
Program Services	$653,567	ProgramServicesAmt
Management And General	$104,983	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,729,808	TotalAmt
Program Services	$4,267,692	ProgramServicesAmt
Management And General	$462,116	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,915,543	TotalAmt
Program Services	$1,643,313	ProgramServicesAmt
Management And General	$272,230	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$89	TotalAmt
Management And General	$89	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$31,062	TotalAmt
Management And General	$31,062	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,859,220	TotalAmt
Program Services	$2,940,114	ProgramServicesAmt
Management And General	$919,106	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$111,251	TotalAmt
Program Services	$100,203	ProgramServicesAmt
Management And General	$11,048	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,071,110	TotalAmt
Program Services	$938,587	ProgramServicesAmt
Management And General	$132,523	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$911,338	TotalAmt
Program Services	$785,209	ProgramServicesAmt
Management And General	$126,129	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$638,190	TotalAmt
Program Services	$549,864	ProgramServicesAmt
Management And General	$88,326	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,420,838	TotalAmt
Program Services	$1,335,969	ProgramServicesAmt
Management And General	$84,869	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$39,675	TotalAmt
Program Services	$36,576	ProgramServicesAmt
Management And General	$3,099	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$256,768	TotalAmt
Program Services	$221,231	ProgramServicesAmt
Management And General	$35,537	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$169,061	TotalAmt
Program Services	$145,663	ProgramServicesAmt
Management And General	$23,398	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Contractual Allowances	$9,139,846	$9,139,846
Medical Supplies Expense	$2,118,791	$2,118,510	$281
Bad Debt Expense	$439,820	$439,820
Charity Care	$164,390	$164,390

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$171,668	TotalAmt
Program Services	$112,537	ProgramServicesAmt
Management And General	$59,131	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,759,762	TotalAmt
Program Services	$48,272,366	ProgramServicesAmt
Management And General	$6,487,396	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$900	BOYAmt
EOY	$900	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$128,390	BOYAmt
EOY	$328,984	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,648	BOYAmt
EOY	$1,086	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,814,478	BOYAmt
EOY	$6,165,501	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$56,126	BOYAmt
EOY	$35,943	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$30,039	BOYAmt
EOY	$53,261	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$215,657	BOYAmt
EOY	$243,940	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,115,749	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,426,122	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$790,017	BOYAmt
EOY	$689,627	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,284,070	BOYAmt
EOY	$4,142,869	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,321,325	BOYAmt
EOY	$11,662,111	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,368,849	BOYAmt
EOY	$4,394,244	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,505,476	BOYAmt
EOY	$1,564,589	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,874,325	BOYAmt
EOY	$5,958,833	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,751,607	BOYAmt
EOY	$5,046,676	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$532,316	BOYAmt
EOY	$491,025	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$163,077	BOYAmt
EOY	$165,577	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,447,000	BOYAmt
EOY	$5,703,278	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,321,325	BOYAmt
EOY	$11,662,111	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,507,504	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$236,218	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$99,564	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$221,208	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$549,067	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$425,985	CurrentTaxYearMinus1YearAmt
Current Tax Year	$418,369	CurrentTaxYearAmt
Total	$1,714,193	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,403,155	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,424,551	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$36,885,285	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$46,665,295	CurrentTaxYearMinus1YearAmt
Current Tax Year	$52,827,840	CurrentTaxYearAmt
Total	$170,206,126	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,502,719	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,645,759	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$37,434,352	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$47,091,280	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,246,209	CurrentTaxYearAmt
Total	$171,920,319	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$171,920,319	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,838	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,325	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,042	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,558	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,049	CurrentTaxYearAmt
Total	$42,812	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,838	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,325	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,042	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,558	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,049	CurrentTaxYearAmt
Total	$42,812	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,517,557	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,656,084	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$37,438,394	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$47,098,838	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,252,258	CurrentTaxYearAmt
Total	$171,963,131	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99980	PublicSupportCY509Pct
Public Support PY509	0.99910	PublicSupportPY509Pct
Investment Income CY	0.00020	InvestmentIncomeCYPct
Investment Income PY	0.00090	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,500	OtherActivitiesAmt
Total Lobbying Expenditures	$4,500	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	Non-Deductible Dues	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,137,365	BeginningYearBalanceAmt
Contributions	$2,500	ContributionsAmt
Investment Earnings Or Losses	$110,039	InvestmentEarningsOrLossesAmt
Other Expenditures	$131,417	OtherExpendituresAmt
End Year Balance	$3,118,487	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,024,870	BeginningYearBalanceAmt
Contributions	$4,750	ContributionsAmt
Investment Earnings Or Losses	$235,757	InvestmentEarningsOrLossesAmt
Other Expenditures	$128,012	OtherExpendituresAmt
End Year Balance	$3,137,365	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,272	BeginningYearBalanceAmt
Contributions	$2,865,091	ContributionsAmt
Investment Earnings Or Losses	$274,766	InvestmentEarningsOrLossesAmt
Other Expenditures	$125,259	OtherExpendituresAmt
End Year Balance	$3,024,870	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,257	BeginningYearBalanceAmt
Investment Earnings Or Losses	$15	InvestmentEarningsOrLossesAmt
End Year Balance	$10,272	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,031	BeginningYearBalanceAmt
Investment Earnings Or Losses	$226	InvestmentEarningsOrLossesAmt
End Year Balance	$10,257	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.93000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.07000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,023	OtherCostOrOtherBasisAmt
Depreciation	$73,072	DepreciationAmt
Book Value	$50,951	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,991,726	OtherCostOrOtherBasisAmt
Depreciation	$1,353,050	DepreciationAmt
Book Value	$638,676	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$689,627	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Board Designated Funds - Other	$3,419,475
Other Assets	$11,545
Permanently Donor Restricted Funds	$165,577
Self-Insurance Funds Held by Trustee	$55,247
Temporarily Donor Restricted Funds	$491,025

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,142,869	TotalBookValueOtherAssetsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$43,512,619	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$1,000	DonatedServicesAndUseFcltsAmt
Other Revenue	-$9,740,639	OtherRevenueAmt
Revenue Not Reported	-$9,739,639	RevenueNotReportedAmt
Revenue Subtotal	$53,252,258	RevenueSubtotalAmt
Total Revenue Per Form990	$53,252,258	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$45,020,123	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$1,000	DonatedServicesUseFcltsAmt
Expenses Not Reported	$1,000	ExpensesNotReportedAmt
Expenses Subtotal	$45,019,123	ExpensesSubtotalAmt
Other Expenses Not Included	$9,740,639	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$9,740,639	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$54,759,762	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.	Endowment Funds are designated for purposes that align within the organization's exempt purpose.
Part X : FIN48 Footnote	EMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	Contractual Allow Reclass to Expense $9139846 FreeCare Reclass to Expense $164390 Bad Debt Reclass to Expense $436507 Reimbursed Expenses Reclassed to Expense $-104

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt
Allan Sturges Teel
Medical Director	$189,423	$29,696	$1,560	$220,679
Anthony Filer
Treasurer					$491,229	$4,785	$29,454	$525,468
Colleen Hilton
SVP, President	$226,756	$3,826	$23,126	$313,002					$10,183	$49,111
Elizabeth Rolfe
VP, Clinical Op	$129,048	$3,507	$21,835	$162,910					$4,955	$3,565
Glenn Martin
Secretary					$420,922	$6,635	$21,366	$539,862			$18,282	$72,657
Mary M Hood
Ex-Officio					$898,292	$7,874	$21,792	$1,242,637			$51,886	$262,793
Paul Bolin
VP & CHRO					$318,091	$10,141	$31,532	$383,224			$7,834	$15,626

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	The following received a wellness program incentive:Colleen Hilton, director/officer $ 15William Anderson, highest compensated employee 180Elizabeth Rolfe, officer 32The benefit is available for all employees.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	William Hilton	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	fam mem=officer	RelationshipDescriptionTxt
Transaction	$26,466	TransactionAmt
Transaction	compensation	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	William Hilton is the spouse of a board member/officer and is an employee of VNA.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: patients like Bre once a month. She also sees patients at the Northern Light Health Center in Sangerville once a month.If not for this partnership between Mayo and CA Dean, many women from the Greenville and Sangerville areas of Piscataquis County would have to travel to Bangor or Pittsfield for their OB/GYN care. Megan Ryder, who is the practice director for the Northern Light Health Center, Greenville, says Mayo and Northern Light Health formed this partnership for the greater good of the people of Piscataquis County.We have the patients that needed that gynecology service, and we have space in this brand-new expansion in Sangerville and in our clinic in Greenville. Mayo had the gynecologist. So, just combining our resources made a great service line for both of our hospitals, explains Megan.Megan says CA Dean did need the proof that their alliance with Mayo would meet the need in a cost-effective way for both hospitals, so they turned to Beacon Health, the population health office of Northern Light Health.The mission of Beacon Health is to analyze claims data and find ways to improve population health for the various regions of our state. Patients in the Sangerville and Greenville areas sometimes travel up to 90 minutes each way to get this care and thats a real burden for patients, especially in winter when they might have to make several visits in a short period of time. And if that means missing work, they might skip those appointments and not get the care they need, explains Will Seavery, PharmD, BCPS, associate vice president of Population Health for Beacon Health, adding that the data showed the need existed and the care could be provided if Northern Light Health could partner with Mayo.Bre is grateful that the partnership is making healthcare work for not only her, but all her friends and neighbors in Greenville. Following a recent visit with Dr. Sutton, she was able to pick up Owen from daycare and head over to the playground at his school. She watched him navigate the maze of obstacles, slide down the slide and climb back up, and then she pushed him on the swings. As he laughed, Bre cracked a smile of her own from ear to earleaving no mystery as to where Owen gets his heartwarming smile.Its so important to have healthcare close to home because its not only difficult for me to take time from my work schedule but time away from my son. So, if you dont have healthcare here in this area, you can lose an entire day once you figure in a couple of hours of travel and the time of the appointment, Bre says, and I feel like Northern Light Health really gets that.A New ReachUsing telemedicine to treat sleep disordersArtemas Coffin and his wife, Rosemary, walk with a spring in their step as they navigate the wooded pathways behind their farmhouse in Ashland. Leaping down the path ahead of them is their giant malamute, Bullet, a rescue dog that has found a new, loving home with the Coffins. They are each dressed in jeans and matching green t-shirts, embroidered with an American Flag that Art sewed himself. He keeps us busy, Rosemary explains as she pats the scruff of Bullets neck.Art and Rosemary are retired. They worked at the Aroostook County Sheriffs Department and Art also worked at a sawmill. They like to keep busy in retirement. In addition to taking Bullet for walks, Rosemary enjoys working in her vegetable gardens and Art enjoys riding around on his four-wheeler. They have the energy to enjoy their hobbies, in large part, due to Arts decision (at Rosemarys insistence) to seek treatment for a medical condition known as obstructive sleep apnea. I wasnt resting. I could be at work standing at the lathe and go to sleep standing up, Art recalls. Art was tired during the day because he wasnt sleeping well at night. He said that due to his condition, he would stop breathing as many as 60 times an hour and wake up gasping for breath. In addition to that, he would snore so loudly it would keep Rosemary awake. I could not rest because he was either snoring and keeping me awake, or I was laying there awake so I could poke him when he didnt breathe, Rosemary recalls.Finally, Art made an appointment to see David Weed, DO, a physician who is board-certified in sleep medicine by the American Academy of Sleep Medicine, and heads the Sleep Medicine program at Northern Light AR Gould Hospital in Presque Isle. Art Coffin came to me many years ago with symptoms of daytime tiredness and fatigue, Dr. Weed recalls. He was the first patient we saw here.AR Goulds Sleep Medicine Program has evolved considerably since then. It now includes a state-of-the-art four-bed sleep disorders center that is fully accredited by the American Academy of Sleep Medicine. Dr. Weed conducts sleep studies for patients like Art Coffin in the sleep center. You go there, and you sleep for eight hours or thereabouts, and they have you hooked up and monitor your breathing and your pulse and respiration, Art said. Dr. Weed was able to diagnose Art with obstructive sleep apnea and get him set up with a CPAP (continuous positive airway pressure) machine, a device which increases air pressure in the throat so that the airway does not collapse when a person breathes in. It took a little while to get used to it, the constant pressure, says Art. Now when I go to bed, I put the mask on and the machine starts automatically, and I get a good nights sleep.Art and Rosemarys situation is not uncommon. In fact, according to the U.S. Centers for Disease Control, one out of every three Americans report not getting enough sleep. We know that untreated sleep apnea is associated with diabetes, high-blood pressure, heart disease, stroke, memory change, anxiety, depression, and irritability; a lot of patients would describe themselves as being in a fog, says Dr. Weed.Because sleep disorders are such a widespread concern, Northern Light Health is using telemedicine to bring Dr. Weeds expertise to even more patients in Maine. Telemedicine affords us an opportunity to be more far-reaching in our effect. When I dont have to rely on the patient coming to us, I can go to them using an iPad, he says. Dr. Weed uses that iPad to chat with patients weekly at Northern Light Inland Hospitals sleep lab in Waterville.Darrel Conner comes in to Inland to speak with Dr. Weed routinely via telemedicine technology. Like Art Coffin, he too suffers from obstructive sleep apnea and must use a CPAP machine. My wife kept nudging me at night time and said youre not breathing, you should be breathing. She nudged me quite a few times and said maybe we should have you checked out to see whats going on, he says.Darrel is glad he sought help. He too sleeps much better using his CPAP machine and says talking with Dr. Weed via an electronic screen is just as good as in person. I feel like I get very excellent care here. When we talk on Skype, it is just like you and I talking right here, Darrel says. Besides Inland, Dr. Weed provides sleep medicine services to other Northern Light Health member hospitals. OTHER PROGRAM SERVICES 5: Its made a difference in the lives of the Coffins and the Conners. Darrel has the energy to tinker on old cars with his wife in their garage. Art and Rosemary Coffin are also both getting a better nights sleep as a result.He has made a difference in our lives by improving the quality of Arts life, Rosemary says. If it hadnt been for him, I might not even be alive now, Art chimed in.A New RelationshipOur affiliation with Massachusetts General HospitalAs a hospitalist at Northern Light Mercy Hospital, Daniel Goodman, DO, typically starts his day reviewing patient charts and determining which patients he should visit and in which priority. But one day last fall Dr. Goodman was interrupted on his daily rounds by his medical student.He told me that one of my patients who had come into the hospital with a serious infection had a concerning facial droop and a level of lethargy that was worrisome, explains Dr. Goodman. Upon seeing the patient, he agreed with his medical students assessment and immediately ordered a CT scan to make sure there wasnt any bleeding in the brain. If it had been a bleed it wouldve been an acute emergency and neurosurgery wouldve been notified immediately. For this patient, once I learned he was not bleeding, I needed to get more information, says Dr. Goodman.Because this patient had several underlying medical conditions, Dr. Goodman decided to consult with one of the neurologists at Massachusetts General Hospital (MGH), a resource at his disposal thanks to a full spectrum of TeleNeurology services available to Mercy through MGH. Within a relatively short amount of time of reaching out to them I was on the phone with the neurologist from MGH, and she was brilliant, he said. I had told her all my neurological findings, and she gave me some tremendous recommendations. An MRI would reveal the patient indeed had an acute stroke but would end up with no last
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Patricia Small, board member is a board member of Sweetser and Debra Tayor, board member is President & CEO of Sweetser.
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents	Amended Article IX (General Provisions), Section 3 (Fiscal Year) to change the end of the fiscal year of the Corporation from the last Saturday in September to September 30. Amended Article IX (General Provisions), Section 4 (Bonding) to remove the Bonding section in its entirety and replace it with: Fidelity Coverage. The Corporation shall maintain appropriate fidelity coverage protecting the Corporation from losses caused by the fraudulent or dishonest acts of individuals handling or directing the use of corporate funds.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	VNA (the Corporation) is a Maine nonprofit corporation. Eastern Maine Healthcare Systems (EMHS), also a Maine nonprofit corporation, is the sole voting corporate member of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring. Election of directors is subject to ratification by the EMHS Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	The EMHS President has authority to appoint and remove the SVP, President of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I. Amendments to the corporations Articles of Incorporation or Bylaws;II. Changes in legal form of organization of the Corporation;III. Election of the Directors/Trustees of the Corporation;IV. Action concerning the Corporations operating budget and capital expenditures;V. The Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI. Transfer of 5% or more of the assets of the Corporation;VII. Financing transactions concerning the Corporation; VIII. Merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX. Add or revise a health care service of the Corporation;X. Discontinue or close a health care service of the Corporation;XI. Action concerning the Corporations role in the EMHS Strategic Plan;XII. Action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXIII. Dissolution of the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review Process	Form 990 is reviewed by the VP of Finance & SVP, President of VNA. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction.The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter.All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The SVP, President of VNA and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS).The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the SVP, President of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws.Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meeting and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.Form 990, Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key EmployeesCompensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information.The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	VNA makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases	Changes in Net Assets Held @ EMHS Foundation = $65042
Other Changes In Net Assets Or Fund Balances - Other Decreases	Transfer to exempt parent-Eastern Maine Healthcare Systems = -$301260

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Lifestages Physician Services LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	50 Foden Road	AddressLine1Txt
City	South Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04106	ZIPCd

Field	Value	IRS element (for citing)
EIN	821043752	EIN
Primary Activities	Provide home health and hospice services	PrimaryActivitiesTxt
Legal Domicile State	ME	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	VNA Home Health & Hospice	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Mercy Hospital
144 State St	Portland	ME	04101	010211534	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
Eastern Maine Healthcare Systems EMHS
43 Whiting Hill Rd	Brewer	ME	04412	010527066	Supporting org for healthcare affiliates	ME	501(c)(3)	12 Type II	NA	Yes (true)
Eastern Maine Medical Center EMMC
PO Box 404 489 State St	Bangor	ME	04402	010211501	Provides Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
Rosscare
43 Whiting Hill Rd	Brewer	ME	04412	010391038	Provide Services to Elderly	ME	501(c)(3)	PF	EMHS	Yes (true)
Rosscare Nursing Home Inc
43 Whiting Hill Rd	Brewer	ME	04412	010430751	Operation of nursing homes	ME	501(c)(3)	10	Rosscare	Yes (true)
Acadia Hospital AHC
43 Whiting Hill Rd	Brewer	ME	04412	010459837	Povides Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
EMHS Foundation
43 Whiting Hill Rd	Brewer	ME	04412	222514163	Raise and Manage Funds for Expt Org	ME	501(c)(3)	12 Type II	EMHS	Yes (true)
Inland Hospital
200 Kennedy Memorial Dr	Waterville	ME	04901	010217211	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
Lakewood
220 Kennedy Memorial Dr	Wateville	ME	04901	010421234	Provide Skilled and Long Term Care Nurse	ME	501(c)(3)	3	Inland	Yes (true)
CA Dean Memorial Hospital
Pritham Ave PO Box 1129	Greenville	ME	04441	043341666	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
Sebasticook Valley Health SVH
447 North Main St	Pittsfield	ME	04967	010263628	Critical Care Hospital	ME	501(c)(3)	3	EMHS	Yes (true)
The Aroostook Medical Center TAMC
PO Box 151 140 Academy St	Presque Isle	ME	04769	010372148	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
Blue Hill Memorial Hospital
57 Water St	Blue HIll	ME	04614	010227195	Provide Healthcare Services	ME	501(c)(3)	3	EMHS	Yes (true)
Eastern Maine Healthcare Real Estate
43 Whiting Hill Rd	Brewer	ME	04412	010391036	Leases Real Estate	ME	501(c)(2)		EMHS	Yes (true)
Eastern Maine Medical Center Auxiliary
43 Whiting Hill Rd	Brewer	ME	04412	010377901	Fund Raising for Exempt EMMC	ME	501(c)(3)	10	EMMC	Yes (true)
Acadia Healthcare Inc AHI
43 Whiting Hill Rd	Brewer	ME	04412	223183888	Provides healthcare services	ME	501(c)(3)	10	AHC	Yes (true)
Norumbega Medical Specialists LTD
43 Whiting Hill Rd	Brewer	ME	04412	010465231	Provide Patient Care and Education	ME	501(c)(3)	10	EMMC	Yes (true)
Restoration Health LLC
43 Whiting Hill Rd	Brewer	ME	04412	352449986	Provide Mental & Behavorial Health	ME	501(c)(3)	10	AHI	Yes (true)
Horizons Health Services
PO Box 151 140 Academy St	Presque Isle	ME	04769	010504393	Provide Patient Care	ME	501(c)(3)	3	TAMC	Yes (true)
Sebasticook Valley Family Practice Assoc
447 North Main St	Pittsfield	ME	04967	010357854	Provdie Patient Care	ME	501(c)(3)	10	SVH	Yes (true)
WorkHealth LLC
43 Whiting Hill Rd	Brewer	ME	04412	474315094	Provide healthcare services	ME	501(c)(3)	12 Type II	EMHS	Yes (true)
Maine Coast Regional Health Facilities
50 Union St	Ellsworth	ME	04605	010198331	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes (true)
Maine Coast Medical Realty
50 Union St	Ellsworth	ME	04605	010390918	Lease medical facilities	ME	501(c)(3)	12 Type I	MCMH	Yes (true)
Beacon Health LLC
43 Whiting Hill Road	Brewer	ME	04412	452967056	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS	Yes (true)
Beacon Rural Health LLC
43 Whiting Hill Road	Brewer	ME	04412	474483187	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS	Yes (true)
Beacon Health ACO Holdings LLC
43 Whiting Hill Road	Brewer	ME	04412	364903784	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS	Yes (true)
LTC LLC
43 Whiting Hill Road	Brewer	ME	04412	010211501	Operation of nursing homes	ME	501(c)(3)	3	EMMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Merdian Mobile Health LLC
43 Whiting Hill Road	Brewer	ME	04412	010512673	Ambulance	ME	AHS	false	false
M Drug LLC
43 Whiting Hill Road	Brewer	ME	04412	272175482	Pharmacy	ME	AHS	false	false
Alliance Health Documentation LLC
43 Whiting Hill Road	Brewer	ME	04412	462751855	Transcription	ME	AHS	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Affiliated Healthcare Systems AHS
43 Whiting Hill Road	Brewer	ME	04412	010385322	Holding Company	ME	EMHS	C Corp	Yes (true)
Affiliated Healthcare Management
43 Whiting Hill Road	Brewer	ME	04412	010349339	Healthcare Mgt	ME	AHS	C Corp	Yes (true)
Affiliated Laboratory
43 Whiting Hill Road	Brewer	ME	04412	010381283	Clinical Lab	ME	AHS	C Corp	Yes (true)
Affiliated Materiel Services
43 Whiting Hill Road	Brewer	ME	04412	010381189	Purchasing	ME	AHS	C Corp	Yes (true)
Maine Coast Physician Affiliates
50 Union Street	Ellsworth	ME	04605	010479952	Patient Care	ME	MCMH	C Corp	Yes (true)
Beacon Direct
43 Whiting Hill Road	Brewer	ME	04412	371864965	Healthcare Self-funded TPA	ME	EMHS	C Corp	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Hospital
m	$90,205	FMV
Eastern Maine Healthcare Systems EMHS
k	$81,296	FMV
Eastern Maine Healthcare Systems EMHS
m	$1,817,174	FMV
Eastern Maine Healthcare Systems EMHS
p	$5,554,477	FMV
Eastern Maine Healthcare Systems EMHS
r	$301,260	FMV
Eastern Maine Medical Center EMMC
m	$216,586	FMV
Rosscare
l	$73,831	FMV
EMHS Foundation
m	$214,073	FMV
EMHS Foundation
s	$162,441	FMV
WorkHealth LLC
m	$67,200	FMV
Merdian Mobile Health LLC
l	$52,881	FMV