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        <ReportableCompFromOrganization>368548</ReportableCompFromOrganization>
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        <Explanation>Part V, Line 4: The intended uses of the endowment funds are funded depreciation, the oncology clinic and the breast clinic. During the year, approximately $135,000 of board-designated funds were contributed to the endowment fund.</Explanation>
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      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>1541885</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01900</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>10752065</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5845973</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4906092</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06060</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>12293950</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5845973</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6447977</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07960</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>115750</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21501</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>94249</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>142958</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4560</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>138398</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>15225239</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9090431</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6134808</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07580</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>7000</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>15490947</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9116492</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6374455</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07880</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>27784897</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14962465</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12822432</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15840</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>3211</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3211</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>698</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>698</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>18443</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>9793</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>8650</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <TotalCommunityBuildingExpense>2595</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2595</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>33186</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>12483</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>20703</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>5454</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>1357</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>4097</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>36118</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>36118</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>24772</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>24772</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>124477</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>23633</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>100844</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2357021</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>18424600</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>20112241</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1687641</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Maine Coast Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>50 Union Street</AddressLine1>
          <City>Ellsworth</City>
          <State>ME</State>
          <ZIPCode>04605</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Maine Coast Memorial Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>11</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>1</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>250.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>1</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>15</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Ellsworth Internal Medicine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>32 Resort Way</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Ellsworth Family Practice</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>32 Resort Way</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Pediatrics</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>32 Resort Way</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Eleanor Widener Dixon Memorial Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>37 Clinic Road</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Southwest Harbor Medical Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>45 Herrick Road</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Specialty Clinic</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>306 Main Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Urology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Rheumatology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Down East Dermatology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast General Surgery</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Women Care</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Hand &amp; Shoulder</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Frenchman Bay Orthopedics</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Otolaryngology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Maine Coast Memorial Hospital Nocturn</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>50 Union Street</AddressLine1>
            <City>Ellsworth</City>
            <State>ME</State>
            <ZIPCode>04605</ZIPCode>
          </Address>
          <FacilityType>Physician Practice</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 3c: Maine Coast Regional Health Facilities uses the Federal poverty guidelines to determine eligibility.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The IRS 990H Instructions/Guidance provide a template (Worksheet 2 Template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the worksheet 2 template calculation. The only areas we did not utilize this template calculation were the following. A. IRS 990H worksheet 6- Subsidized Health Services- (The supporting schedule for Part I, Line 7G) we did not utilize the worksheet 2 percentage when we were determining the profit/ loss of each of our provider based clinics. In addition, when we were compiling the subsidized provider based clinics listed in 1C above, we utilized the actual estimated costs on the modified Medicare cost report we prepared instead of applying the worksheet 2 cost to charge percentage. B. IRS 990H Worksheet 3- Unreimbursed Medicaid and other means tested government programs (the supporting schedule for Part I, Lines 7B and 7C) and worksheet 6 Medicaid allowable costs for the subsidized health services listed in line 1C above (part of the line 7G costs) - we did not utilize the worksheet 2 percentage when calculating the Medicaid allowable cost. Instead we utilized the actual Medicaid filed cost report for the allowable costs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7g: Maine Coast Regional Health Facilities has several provider based physician practices. Per the instructions for IRS Form 990H, Worksheet 6, we are allowed to include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss). As such, we have included the following provider based physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices.A. Southwest Harbor ClinicB. Ellsworth Internal MedicineC. PediatricsD. RheumatologyE. Family PracticeF. Frenchman Bay ClinicG. Women Care ClinicH. Physician ClinicI. Specialty ClinicJ. Gouldsboro ClinicK. Otolaryngology ClinicL. Dermatology ClinicM. General SurgeryN. Urology ClinicO. PsychiatryThe above listed provider based physician practices have a community benefit (i.e., aggregate loss or subsidy from the Hospital) of approximately $6.1 million. This community benefit does not include any hospital overhead allocated to these clinics. In addition, the community benefit also does not take into account bad debts, charity care and contractual adjustment. Thus this community benefit of approximately $6.1 million is a conservative figure that reconciles to the community benefit reported on IRS form 990H, Part I, Line 7G, Column E.Community Building ActivitiesMaine Coast Regional Health Facilities provides a variety of resources for several different types of community building activities. These resources include, but are not limited to:-Free monthly education sessions-CPR classes-Free mammograms-Volunteer and pet therapy program-Infant family support-Speaking engagements relative to prevalence of cancer in the area by the oncology director-Heart healthy community wellness program-Physician referral phone system-Disease management-Cardiac rehab exercise program-Nursing education for local students</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, L7 Col(f): As part of the Hospital's total expenses, there is $5,246,401 of bad debts. This amount has been removed from the Part I, Line 7 Column F calculation per the IRS instructions.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Community Benefit Report</Identifier>
        <ReturnReference>Schedule H, Part I, Line 6a:</ReturnReference>
        <Explanation>Maine Coast Regional Health Facilities prepares a community benefit report through its annual report process. The annual report is available three months after fiscal year end. Within the annual report the Hospital describes community benefit in financial terms and a summary of services provided. This includes the losses from: subsidized physician practices; subsidized community health and wellness programs; the cost of patients who cannot afford to pay; Medicaid and Medicare shortfalls; and patients who do not pay.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: Maine Coast Regional Health Facilities classify bad debts as an operating expense. The Hospital follows the Medicare guidelines for allowable bad debts. It uses the following criteria:A. Establishing that reasonable collection efforts were madeB. Establishing that the accounts were uncollectibleC. Establishing that there is no likelihood of recovery at anytime in the future.The bad debt expense at cost was the total write-offs reduced by the ratio of patient care cost to charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: The IRS 990H instructions/guidance provide a template (worksheet 2 template) as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form in order to convert charges to cost. Where applicable, we have utilized the worksheet 2 template calculation. The only area where we did not utilize this template calculation was in form 990H worksheet B, Line 2 &amp; 6- Medicare allowable costs and payments related to the subsidized health services- we utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that provider based clinics listed in 1C above should be and are considered a community benefit due to the fact that without the Hospital subsidizing and offering the services that these clinics offer, the community at large would have to travel at least 45 minutes to the nearest like hospital and that hospital's service offerings. As such, Maine Coast believes that by offering and subsidizing these clinics within its community and thus enabling community members to have easy access and an easier commute for these services, that this benefits the whole community at large.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: When a patient is referred out to collections but then applies for free or discounted care, we pull the account back from collections when it is determined they qualify for one of the programs. If the collection agency suspects that someone may need to apply for one of the programs, they send out an application and notify us. We make every effort to screen as many people as possible before we send them to collections.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Maine Coast Memorial Hospital</Identifier>
        <Explanation>Part V, Section B, Line 21: All patient financial classes are charged a uniform rate. Discounts are provided to FAP eligible patients based upon income per the Hospital's board approved and State of Maine approved free care policy. 100% of charges are written off (discounted) for FAP-eligible patients whose income is at or below 150% of the federal poverty limit. Discounts apply on a sliding scale up to 250% of the FPL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: Maine Coast Regional Health Facilities assessed the medical needs of the community as part of the process for establishing the medical staff development plan. The new medical staff and services were identified in the strategic planning process brought forth from the provider community. It then was determined and prioritized what services the Hospital could comfortably address and implement.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: We notify patients and customers about access to assistance in various ways. The simplest way is the signage, pamphlets and educational material located around the organization and in the offices. In every patient access/ patient financial services area, is a sign explaining the availability of free/ discounted care and the federal poverty guidelines. There are also pamphlets located in the outpatient areas explaining free care/ discounted care and providing information on Mainecare. For inpatients, there is a book in the room which provides all the information on all programs available.Scheduled medical imaging, surgery patients and inpatients all generally speak with a hospital employee who can provide information on available programs. Inpatients are also offered the services of unicare to assist them with applying for Mainecare. Patient accounting staffs are generally available to assist any patient inquiring about programs when presenting for services. Through the patient accounting department, we provide the information on the statements. We also counsel patients on the phone about all the programs available whether it is a hospital program or Medicaid.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Maine Coast Regional Health Facilities Services, D/B/A Maine Coast Memorial Hospital, is a 48 staffed bed full service acute care not-for profit hospital located in Ellsworth, Maine (Hancock County). The Hospital is accredited by the Joint Commission and its mission is to serve its communities with excellence in health care. Its services include acute inpatient, 24 hours emergency center, and diagnostic and surgical services. Along with hospital services, the Hospital employs the majority of primary and specialty care physicians in the area. It is the only full service hospital located in either Hancock or adjacent Washington County. The Hospital is regularly used as referral facility by the four (4) critical access hospitals located in these two counties as well.Hancock and Washington county is considered rural by the state of Maine and the United States Census Bureau, under guidelines set forth by the office of Management and Budget (OMB). The Hospital service area (HSA) as defined by the Maine Health Data Organization (MHDO) uses the statistical method where the greatest proportion of residents received their inpatient care. The following towns make up the Maine Coast Memorial Hospital HSA as deferred by the MHDO:EastbrookBeddingtonDebloisCherryfieldEllsworthFranklinMilbridgeGouldsboroHancockLamoineMariavilleOsbornOtisSteubenSorrentoSullivanSurryTrentonWalthamWinter HarborOqiton TWPT3 NDT7 SDT8 SDT9 SDT10 SDT16 MDT22 MDT28 MDT34 MDT35 MDT39 MDT40 MDT41 MDThe following demographics represent the counties served by Maine Coast Memorial Hospital: - Population: Hancock County 54,578; Washington County 32,637; State of Maine 1,329,000 - Persons &lt; 5 yrs: Hancock County 4.5%; Washington County 5.0%; State of Maine 5.1% - Persons &lt; 18 yrs: Hancock County 17.9%; Washington County 19.6%; State of Maine 20.3% - Persons 65 yrs &amp; over: Hancock County 18.9%; Washington County 19.9%; State of Maine 16.3% - Median Household Income: Hancock County $47,421; Washington County $35,272; State of Maine $47,898 - Persons below poverty level: Hancock County 12.4%; Washington County 20.4%; State of Maine 12.1%</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: Maine Coast Regional Health Facilities is a local not for profit hospital that serves its local communities and people regardless of their ability to pay. Maine Coast provides financial assistance and sliding scale discounts to self pay and low income patients. Also the Hospital participates in government sponsored health care programs including Medicare, Medicaid, Champus and Tricare. The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital's service area. This group is made up of local business owners, professionals and retirees. Maine Coast's non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital allows access to healthcare that would otherwise be difficult. The Hospital is the main employer for the local physicians, including specialty physicians that would otherwise have to be accessed out of the area.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanions>X</TravelForCompanions>
      <WrittenPolicyReTAndEExpenses>0</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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        <NamePerson>Robert A Beekman MD</NamePerson>
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        <NamePerson>Katheryn Rensenbrink MD</NamePerson>
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        <NamePerson>Sean T Maloney MD</NamePerson>
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        <NamePerson>Charles D Therrien</NamePerson>
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        <NamePerson>Sterling C Williamson</NamePerson>
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        <NamePerson>Bradley Goldstein</NamePerson>
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        <NamePerson>Martin R Curlick</NamePerson>
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        <NamePerson>Kerry Crowley</NamePerson>
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        <NamePerson>Paul M Denoncourt</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 1B: Travel for companions: The Board of Directors for the hospital are not compensated. In lieu of compensation meals are supplemented for their spouses when they are required to attend forums and seminars on behalf of the hospital. The amount involved is very minimal. Part I, Line 7: The bonus payments for Sterling C. Williamson, Bradley Goldstein, Kerry Crowley, Katheryn Rensenbrink, Paul M. Denoncourt, Martin R. Curlik, Sean T. Maloney and Sheena E. Whittaker are RVU incentive payments. The bonus payment paid to Charles Therrien, CEO, is determined by an annual CEO performance evaluation conducted by the Board of Trustees. The annual evaluation is administered and presented to the Trustees by an independent third party. The performance evaluation includes 5 components: 1. Quality of Care 2. Patient Satisfaction 3. Financial Management 4. Strategic Objectives 5. Effectiveness Survey/Rating</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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        <IssuerName>
          <BusinessNameLine1>MHHEFA</BusinessNameLine1>
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        <IssuerEIN>010314384</IssuerEIN>
        <CUSIPNumber>560425NW6</CUSIPNumber>
        <DateIssued>2003-07-24</DateIssued>
        <IssuePrice>5695000</IssuePrice>
        <DescriptionOfPurpose>Construction of ICU/ Cafeteria/ OR</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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          <BusinessNameLine1>MHHEFA</BusinessNameLine1>
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        <IssuerEIN>010314384</IssuerEIN>
        <CUSIPNumber>5604253L2</CUSIPNumber>
        <DateIssued>2008-12-03</DateIssued>
        <IssuePrice>6960000</IssuePrice>
        <DescriptionOfPurpose>Construction of Emergency Dept.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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        <CUSIPNumber>560427NM4</CUSIPNumber>
        <DateIssued>2011-11-30</DateIssued>
        <IssuePrice>1865000</IssuePrice>
        <DescriptionOfPurpose>Refunding Series 2001B</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <AmountRetired>1013171</AmountRetired>
        <TotalProceeds>5875000</TotalProceeds>
        <AmountInReserveFund>368171</AmountInReserveFund>
        <IssuanceCostsFromProceeds>119201</IssuanceCostsFromProceeds>
        <CapitalExpenditures>5387628</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <AmountRetired>618869</AmountRetired>
        <TotalProceeds>6960000</TotalProceeds>
        <AmountInReserveFund>498869</AmountInReserveFund>
        <CapitalizedInterest>439006</CapitalizedInterest>
        <IssuanceCostsFromProceeds>131414</IssuanceCostsFromProceeds>
        <CapitalExpenditures>5890711</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <AmountRetired>150760</AmountRetired>
        <TotalProceeds>1865000</TotalProceeds>
        <AmountInReserveFund>210238</AmountInReserveFund>
        <IssuanceCostsFromProceeds>35050</IssuanceCostsFromProceeds>
        <CapitalExpenditures>1829950</CapitalExpenditures>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Bar Harbor Bank &amp; Trust</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>An entity of which Daniel Hurley, current Trustee serves as an officer</Relationship>
        <DescriptionOfTransaction>Mr. Hurley is an officer of a bank with which the Hospital does business. All transactions between the Hospital and the bank are at arm's length and for fair value. It is not possible to readily determine the monetary amount that the bank derives from this relationship.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>4</NumberOfContributions>
        <NoncashContribsRptdF990>61484</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Stock Market Value</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>1</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Third Party Use:</Identifier>
        <ReturnReference>Part I, Line 32b:</ReturnReference>
        <Explanation>The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>Rebecca Sargent and Debra Ehrlenbach have a business relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Maine Coast Healthcare Corporation is the sole member of the Organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The Member shall have the right to elect trustees and honorary trustees to the board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The following decisions are subject to approval by the Member of the Organization: 1. The removal of members of the Board of Trustees; 2. The change of the number of Trustees constituting the Board of Trustees with the limitations prescribed in the Articles of Incorporation; 3. The amendment, restatement, or modification of the Bylaws or Articles of Incorporation of the Corporation; 4. The approval of the sale, mortgage, lease, or other dispositions of all, or substantially all, of the assets and property of the Organization, the dissolution of the Organization, or its merger with or consolidation into another Organization; 5. The right to approve the donation, unfunded disposition, or other expenditure of corporate assets, whether principal or income; 6. The right to approve corporate strategic planning goals, objectives, and capital expenditure plans; 7. The right to approve substantial program changes, including health services; 8. The right to approve the Organization's cumulative annual borrowings in any amount exceeding one percent of the annual gross revenues of the Organization as set forth in the most recent annual financial statements of the Organization; 9. The right to approve the appointment of an auditor for the Organization; and 10. Upon recommendation of the Board of Trustees, the right to appoint or remove the President and Treasurer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Prior to filing, a presentaion on the Form 990 was provided to the leadership of the board of trustees, and a copy of the form was provided to the entire board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, Line 12C:</ReturnReference>
        <Explanation>MCMH's policies and procedures require that all board members, senior leaders, department managers, and medical staff members disclose any potential conflicts of interest in writing. These forms are reviewed by the Board Chair, the Human Resource Director, or the compliance officer, depending on the disclosing individual's role.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Examples of how potential conflicts are managed include disclosing the conflict when applicable, (e.g., during discussions at the board meeting) and excusing the party with the potential conflict from participation and voting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Executive Committee with the help of the search firm and Maine Hospital Association salary survey was used to set the compensation levels for the CEO. The MHA survey was primarily used to set the compensation levels for the top management officials.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Government documents and conflict of interest policy are available upon request. The financial statements are made public through the annual report.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 366,511. Change in Value of Trust 3,660. Total to Form 990, Part XI, Line 5: 370,171.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Oversight of Audit</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2c:</ReturnReference>
        <Explanation>The audit process has not changed from the prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Maine Coast Medical Realty Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>50 Union Street</AddressLine1>
          <City>Ellsworth</City>
          <State>ME</State>
          <ZIPCode>04605</ZIPCode>
        </AddressUS>
        <EIN>010390918</EIN>
        <PrimaryActivities>Furnishing Medical Facilities</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Maine Coast Regional Health Facilities</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Maine Coast Healthcare Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>50 Union Street</AddressLine1>
          <City>ellsworth</City>
          <State>ME</State>
          <ZIPCode>04605</ZIPCode>
        </AddressUS>
        <EIN>223176167</EIN>
        <PrimaryActivities>Parent Organization for Hospital</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Maine Coast Healthcare Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>50 Union Street</AddressLine1>
          <City>ellsworth</City>
          <State>ME</State>
          <ZIPCode>04605</ZIPCode>
        </AddressUS>
        <EIN>262344952</EIN>
        <PrimaryActivities>Raise and hold donations for hospital</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Maine Coast Regional Health Facilities</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Maine Coast Physician Affiliates</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>50 Union Street</AddressLine1>
          <City>Ellsworth</City>
          <State>ME</State>
          <ZIPCode>04605</ZIPCode>
        </AddressUS>
        <EIN>010479952</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Maine Coast Healthcare Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>